Non-blind interatrial shunt at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$39,878.00
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.
$79,756.00
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.
$16,924.00 with highmark wholecare pennsylvania medicaid vs $68,997.84 with alliance coal — 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 | $16,924.00 | ↓ -58% |
| molina oh medicare advantage | all plans | $26,036.92 | ↓ -35% |
| peak health medicare advantage | all plans | $26,036.92 | ↓ -35% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $26,036.92 | ↓ -35% |
| highmark pa medicare advantage | hmo | $26,036.92 | ↓ -35% |
| highmark wholecare pa medicare advantage | all pla | $26,818.03 | ↓ -33% |
| highmark wv medicare advantage | all plans | $27,078.40 | ↓ -32% |
| aetna medicare advantage | all plans | $27,338.77 | ↓ -31% |
| humana medicare advantage | all plans | $27,338.77 | ↓ -31% |
| pa health & wellness medicare advantage | all plan | $27,338.77 | ↓ -31% |
| buckeye oh medicare advantage | all plans | $27,338.77 | ↓ -31% |
| upmc for life medicare advantage | all plans | $27,338.77 | ↓ -31% |
| the health plan wv medicare advantage | all plans | $27,599.14 | ↓ -31% |
| wv senior advantage | isnp | $27,599.14 | ↓ -31% |
| valor health medicare advantage | all plans | $27,599.14 | ↓ -31% |
| geisinger pa medicare advantage | all plans | $27,599.14 | ↓ -31% |
| unitedhealthcare medicare advantage | all plans | $28,380.24 | ↓ -29% |
| the health plan wv | peia | $29,213.42 | ↓ -27% |
| encova | worker's compensation | $39,055.38 | ↓ -2% |
| buckeye commercial | exchange plan | $39,055.38 | ↓ -2% |
| caresource oh exchange | caresource oh exchange | $39,055.38 | ↓ -2% |
| rockport healthcare group | worker's compensation | $40,357.23 | ↑ +1% |
| coventry health care | worker's compensation | $41,138.33 | ↑ +3% |
| alliance coal | alliance coal | $68,997.84 | ↑ +73% |