Ot re-evaluation patient/family at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$280.00
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.
$560.00
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.
$40.69 with aetna better health pa vs $270.67 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 |
|---|---|---|---|
| aetna better health pa | chip | $40.69 | ↓ -85% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $41.53 | ↓ -85% |
| uhc community pa chip | unison kids | $41.91 | ↓ -85% |
| upmc for you medicaid | upmc for you medicaid | $42.72 | ↓ -85% |
| highmark health options | chip | $42.72 | ↓ -85% |
| pennsylvania health and wellness | mgd medicaid | $44.76 | ↓ -84% |
| pennsylvania health & wellness | medicaid | $44.76 | ↓ -84% |
| upmc for kids | chip | $44.76 | ↓ -84% |
| amerihealth caritas pa | medicaid | $45.57 | ↓ -84% |
| geisinger pennsylvania | mgd medicaid | $48.83 | ↓ -83% |
| wellpoint wv | chip | $51.47 | ↓ -82% |
| wellpoint west virginia | mgd mcaid | $51.47 | ↓ -82% |
| highmark health options west va | mgd mcaid | $51.47 | ↓ -82% |
| the health plan wv | mgd mcaid | $52.21 | ↓ -81% |
| aetna | better health mgd medicaid | $52.45 | ↓ -81% |
| aetna better health wv | chip | $52.45 | ↓ -81% |
| the health plan wv | chip | $52.45 | ↓ -81% |
| highmark pa medicare advantage | hmo | $63.89 | ↓ -77% |
| peak health medicare advantage | all plans | $63.89 | ↓ -77% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $63.89 | ↓ -77% |
| molina oh medicare advantage | all plans | $63.89 | ↓ -77% |
| upmc for life medicare advantage | all plans | $63.89 | ↓ -77% |
| caresource oh medicare advantage | all plans | $63.89 | ↓ -77% |
| anthem pathway | anthem pathway | $63.89 | ↓ -77% |
| anthem oh medicare advantage | hmo | $65.81 | ↓ -76% |
| highmark wholecare pa medicare advantage | all pla | $65.81 | ↓ -76% |
| highmark wv medicare advantage | all plans | $66.45 | ↓ -76% |
| humana medicare advantage | all plans | $67.08 | ↓ -76% |
| buckeye oh medicare advantage | all plans | $67.08 | ↓ -76% |
| pa health & wellness medicare advantage | all plan | $67.08 | ↓ -76% |
| aetna medicare advantage | all plans | $67.08 | ↓ -76% |
| senior life pa - ma | certain hospitals | $67.08 | ↓ -76% |
| wv senior advantage | isnp | $67.72 | ↓ -76% |
| geisinger pa medicare advantage | all plans | $67.72 | ↓ -76% |
| valor health medicare advantage | all plans | $67.72 | ↓ -76% |
| the health plan wv medicare advantage | all plans | $67.72 | ↓ -76% |
| unitedhealthcare medicare advantage | all plans | $69.64 | ↓ -75% |
| caresource oh exchange | caresource oh exchange | $70.28 | ↓ -75% |
| the health plan wv | peia | $71.68 | ↓ -74% |
| alliance coal | alliance coal | $86.25 | ↓ -69% |
| buckeye commercial | exchange plan | $95.84 | ↓ -66% |
| encova | worker's compensation | $95.84 | ↓ -66% |
| rockport healthcare group | worker's compensation | $99.03 | ↓ -65% |
| coventry health care | worker's compensation | $100.95 | ↓ -64% |
| blue cross blue shield traditional | blue cross blue shield traditional | $270.67 | ↓ -3% |
| blue cross blue shield ppo | blue cross blue shield ppo | $270.67 | ↓ -3% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $89.50 | not published |
| Summersville Regional Medical Center | Summersville | $70.50 | not published |
| Berkeley Medical Center | Martinsburg | $105.50 | $43.54 – $100.95 |
| United Hospital Center | Bridgeport | $105.50 | $51.47 – $95.83 |
| Jackson General Hospital | Ripley | $82.50 | not published |
| Potomac Valley Hospital | Keyser | $115.00 | not published |
| Wetzel County Hospital | New Martinsville | $75.00 | $44.76 – $100.95 |
| Camden Clark Medical Center | Parkersburg | $105.50 | $51.47 – $100.95 |