New Patient Office Visit (level 4) at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$72.50
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$145.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$76.36 with highmark wholecare pennsylvania medicaid vs $497.66 with blue cross blue shield ppo — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $76.36 | ↑ +5% |
| upmc for you medicaid | upmc for you medicaid | $94.89 | ↑ +31% |
| highmark health options | chip | $94.89 | ↑ +31% |
| upmc for kids | chip | $99.41 | ↑ +37% |
| pennsylvania health and wellness | mgd medicaid | $99.41 | ↑ +37% |
| wellpoint wv | chip | $100.62 | ↑ +39% |
| wellpoint west virginia | mgd mcaid | $100.62 | ↑ +39% |
| highmark health options west va | mgd mcaid | $100.62 | ↑ +39% |
| amerihealth caritas pa | medicaid | $101.21 | ↑ +40% |
| the health plan wv | mgd mcaid | $102.06 | ↑ +41% |
| aetna | better health mgd medicaid | $102.54 | ↑ +41% |
| aetna better health wv | chip | $102.54 | ↑ +41% |
| the health plan wv | chip | $102.54 | ↑ +41% |
| geisinger pennsylvania | mgd medicaid | $108.44 | ↑ +50% |
| anthem pathway | anthem pathway | $117.47 | ↑ +62% |
| upmc for life medicare advantage | all plans | $117.47 | ↑ +62% |
| peak health medicare advantage | all plans | $117.47 | ↑ +62% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $117.47 | ↑ +62% |
| molina oh medicare advantage | all plans | $117.47 | ↑ +62% |
| caresource oh medicare advantage | all plans | $117.47 | ↑ +62% |
| highmark pa medicare advantage | hmo | $117.47 | ↑ +62% |
| highmark wholecare pa medicare advantage | all pla | $120.99 | ↑ +67% |
| anthem oh medicare advantage | hmo | $120.99 | ↑ +67% |
| highmark wv medicare advantage | all plans | $122.17 | ↑ +69% |
| pa health & wellness medicare advantage | all plan | $123.34 | ↑ +70% |
| aetna medicare advantage | all plans | $123.34 | ↑ +70% |
| humana medicare advantage | all plans | $123.34 | ↑ +70% |
| buckeye oh medicare advantage | all plans | $123.34 | ↑ +70% |
| senior life pa - ma | certain hospitals | $123.34 | ↑ +70% |
| geisinger pa medicare advantage | all plans | $124.52 | ↑ +72% |
| wv senior advantage | isnp | $124.52 | ↑ +72% |
| the health plan wv medicare advantage | all plans | $124.52 | ↑ +72% |
| valor health medicare advantage | all plans | $124.52 | ↑ +72% |
| unitedhealthcare medicare advantage | all plans | $128.04 | ↑ +77% |
| caresource oh exchange | caresource oh exchange | $129.22 | ↑ +78% |
| the health plan wv | peia | $131.80 | ↑ +82% |
| encova | worker's compensation | $176.20 | ↑ +143% |
| buckeye commercial | exchange plan | $176.20 | ↑ +143% |
| rockport healthcare group | worker's compensation | $182.08 | ↑ +151% |
| coventry health care | worker's compensation | $185.60 | ↑ +156% |
| blue cross blue shield traditional | blue cross blue shield traditional | $497.66 | ↑ +586% |
| blue cross blue shield ppo | blue cross blue shield ppo | $497.66 | ↑ +586% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $146.00 | not published |
| Grant Memorial Hospital | Petersburg | $467.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $64.50 | $76.36 – $185.60 |
| Summersville Regional Medical Center | Summersville | $146.00 | not published |
| Berkeley Medical Center | Martinsburg | $86.00 | $96.70 – $185.60 |
| Braxton County Memorial Hospital | Gassaway | $146.00 | not published |
| Jackson General Hospital | Ripley | $146.00 | not published |
| Potomac Valley Hospital | Keyser | $227.50 | not published |