Treatment of urethra lesion at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$2,102.50
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.
$4,205.00
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.
$120.75 with highmark health options vs $5,332.04 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 health options | chip | $120.75 | ↓ -94% |
| upmc for you medicaid | upmc for you medicaid | $120.75 | ↓ -94% |
| upmc for kids | chip | $126.50 | ↓ -94% |
| pennsylvania health and wellness | mgd medicaid | $126.50 | ↓ -94% |
| amerihealth caritas pa | medicaid | $128.80 | ↓ -94% |
| geisinger pennsylvania | mgd medicaid | $138.00 | ↓ -93% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -90% |
| wellpoint wv | chip | $205.80 | ↓ -90% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -90% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -90% |
| aetna | better health mgd medicaid | $209.72 | ↓ -90% |
| the health plan wv | chip | $209.72 | ↓ -90% |
| aetna better health wv | chip | $209.72 | ↓ -90% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $1,307.86 | ↓ -38% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $2,012.09 | ↓ -4% |
| peak health medicare advantage | all plans | $2,012.09 | ↓ -4% |
| highmark pa medicare advantage | hmo | $2,012.09 | ↓ -4% |
| molina oh medicare advantage | all plans | $2,012.09 | ↓ -4% |
| highmark wholecare pa medicare advantage | all pla | $2,072.45 | ↓ -1% |
| highmark wv medicare advantage | all plans | $2,092.57 | ↓ -0% |
| upmc for life medicare advantage | all plans | $2,112.69 | ↑ +0% |
| humana medicare advantage | all plans | $2,112.69 | ↑ +0% |
| pa health & wellness medicare advantage | all plan | $2,112.69 | ↑ +0% |
| buckeye oh medicare advantage | all plans | $2,112.69 | ↑ +0% |
| aetna medicare advantage | all plans | $2,112.69 | ↑ +0% |
| the health plan wv medicare advantage | all plans | $2,132.82 | ↑ +1% |
| wv senior advantage | isnp | $2,132.82 | ↑ +1% |
| geisinger pa medicare advantage | all plans | $2,132.82 | ↑ +1% |
| valor health medicare advantage | all plans | $2,132.82 | ↑ +1% |
| unitedhealthcare medicare advantage | all plans | $2,193.18 | ↑ +4% |
| the health plan wv | peia | $2,257.56 | ↑ +7% |
| encova | worker's compensation | $3,018.14 | ↑ +44% |
| buckeye commercial | exchange plan | $3,018.14 | ↑ +44% |
| caresource oh exchange | caresource oh exchange | $3,018.14 | ↑ +44% |
| rockport healthcare group | worker's compensation | $3,118.74 | ↑ +48% |
| coventry health care | worker's compensation | $3,179.10 | ↑ +51% |
| alliance coal | alliance coal | $5,332.04 | ↑ +154% |
Visitor-reported prices
Comments
Treatment of urethra lesion at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $312.00 | not published |
| Summersville Regional Medical Center | Summersville | $199.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $195.00 | not published |
| Jackson General Hospital | Ripley | $199.50 | not published |
| Potomac Valley Hospital | Keyser | $195.00 | not published |
| St. Joseph's Hospital | Buckhannon | $195.00 | not published |