Vaccine pneumonococcal conjugate 20 valent (pcv20) im at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$242.50
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.
$485.00
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.
$10.00 with aetna better health pa vs $436.00 with united healthcare — 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 | $10.00 | ↓ -96% |
| uhc community pa chip | unison kids | $10.30 | ↓ -96% |
| highmark health options | chip | $10.50 | ↓ -96% |
| upmc for you medicaid | upmc for you medicaid | $10.50 | ↓ -96% |
| pennsylvania health and wellness | mgd medicaid | $11.00 | ↓ -95% |
| upmc for kids | chip | $11.00 | ↓ -95% |
| pennsylvania health & wellness | medicaid | $11.00 | ↓ -95% |
| amerihealth caritas pa | medicaid | $11.20 | ↓ -95% |
| geisinger pennsylvania | mgd medicaid | $12.00 | ↓ -95% |
| united healthcare | united healthcare | $436.00 | ↑ +80% |
Visitor-reported prices
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Vaccine pneumonococcal conjugate 20 valent (pcv20) im at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $363.50 | $476.29 – $476.29 |
| Grant Memorial Hospital | Petersburg | $581.60 | $476.29 – $476.29 |
| Reynolds Memorial Hospital | Glen Dale | $242.50 | $10.50 – $476.29 |
| Summersville Regional Medical Center | Summersville | $363.50 | $476.29 – $476.29 |
| Berkeley Medical Center | Martinsburg | $242.50 | $10.70 – $436.00 |
| Braxton County Memorial Hospital | Gassaway | $363.50 | $476.29 – $476.29 |
| United Hospital Center | Bridgeport | $242.50 | $476.29 – $476.29 |
| Jackson General Hospital | Ripley | $363.50 | $476.29 – $476.29 |