Pt evaluation moderate complexity patient/family at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$244.00
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.
$488.00
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.
$59.78 with highmark wholecare pennsylvania medicaid vs $389.63 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 | $59.78 | ↓ -76% |
| aetna better health pa | chip | $63.61 | ↓ -74% |
| uhc community pa chip | unison kids | $65.52 | ↓ -73% |
| upmc for you medicaid | upmc for you medicaid | $66.79 | ↓ -73% |
| highmark health options | chip | $66.79 | ↓ -73% |
| pennsylvania health & wellness | medicaid | $69.97 | ↓ -71% |
| upmc for kids | chip | $69.97 | ↓ -71% |
| pennsylvania health and wellness | mgd medicaid | $69.97 | ↓ -71% |
| amerihealth caritas pa | medicaid | $71.24 | ↓ -71% |
| highmark health options west va | mgd mcaid | $73.09 | ↓ -70% |
| wellpoint west virginia | mgd mcaid | $73.09 | ↓ -70% |
| wellpoint wv | chip | $73.09 | ↓ -70% |
| the health plan wv | mgd mcaid | $74.13 | ↓ -70% |
| aetna better health wv | chip | $74.48 | ↓ -69% |
| the health plan wv | chip | $74.48 | ↓ -69% |
| aetna | better health mgd medicaid | $74.48 | ↓ -69% |
| geisinger pennsylvania | mgd medicaid | $76.33 | ↓ -69% |
| highmark pa medicare advantage | hmo | $91.97 | ↓ -62% |
| peak health medicare advantage | all plans | $91.97 | ↓ -62% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $91.97 | ↓ -62% |
| molina oh medicare advantage | all plans | $91.97 | ↓ -62% |
| upmc for life medicare advantage | all plans | $91.97 | ↓ -62% |
| caresource oh medicare advantage | all plans | $91.97 | ↓ -62% |
| anthem pathway | anthem pathway | $91.97 | ↓ -62% |
| highmark wholecare pa medicare advantage | all pla | $94.73 | ↓ -61% |
| anthem oh medicare advantage | hmo | $94.73 | ↓ -61% |
| highmark wv medicare advantage | all plans | $95.65 | ↓ -61% |
| senior life pa - ma | certain hospitals | $96.57 | ↓ -60% |
| pa health & wellness medicare advantage | all plan | $96.57 | ↓ -60% |
| humana medicare advantage | all plans | $96.57 | ↓ -60% |
| buckeye oh medicare advantage | all plans | $96.57 | ↓ -60% |
| aetna medicare advantage | all plans | $96.57 | ↓ -60% |
| geisinger pa medicare advantage | all plans | $97.49 | ↓ -60% |
| the health plan wv medicare advantage | all plans | $97.49 | ↓ -60% |
| wv senior advantage | isnp | $97.49 | ↓ -60% |
| valor health medicare advantage | all plans | $97.49 | ↓ -60% |
| unitedhealthcare medicare advantage | all plans | $100.25 | ↓ -59% |
| caresource oh exchange | caresource oh exchange | $101.17 | ↓ -59% |
| the health plan wv | peia | $103.19 | ↓ -58% |
| alliance coal | alliance coal | $124.16 | ↓ -49% |
| buckeye commercial | exchange plan | $137.96 | ↓ -43% |
| encova | worker's compensation | $137.96 | ↓ -43% |
| rockport healthcare group | worker's compensation | $142.55 | ↓ -42% |
| coventry health care | worker's compensation | $145.31 | ↓ -40% |
| blue cross blue shield traditional | blue cross blue shield traditional | $389.63 | ↑ +60% |
| blue cross blue shield ppo | blue cross blue shield ppo | $389.63 | ↑ +60% |
Visitor-reported prices
Comments
Pt evaluation moderate complexity patient/family at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $174.00 | not published |
| Grant Memorial Hospital | Petersburg | $211.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $167.00 | $59.78 – $145.31 |
| Summersville Regional Medical Center | Summersville | $90.00 | not published |
| Berkeley Medical Center | Martinsburg | $216.50 | $68.06 – $145.31 |
| United Hospital Center | Bridgeport | $185.00 | $73.09 – $145.31 |
| Jackson General Hospital | Ripley | $150.00 | not published |
| Potomac Valley Hospital | Keyser | $219.50 | not published |