Vit for macular hole at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$5,005.34
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.
$10,010.67
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.
$2,586.10 with highmark wholecare pennsylvania medicaid vs $10,543.32 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 | $2,586.10 | ↓ -48% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,978.61 | ↓ -21% |
| highmark pa medicare advantage | hmo | $3,978.61 | ↓ -21% |
| peak health medicare advantage | all plans | $3,978.61 | ↓ -21% |
| molina oh medicare advantage | all plans | $3,978.61 | ↓ -21% |
| highmark wholecare pa medicare advantage | all pla | $4,097.97 | ↓ -18% |
| highmark wv medicare advantage | all plans | $4,137.75 | ↓ -17% |
| humana medicare advantage | all plans | $4,177.54 | ↓ -17% |
| pa health & wellness medicare advantage | all plan | $4,177.54 | ↓ -17% |
| upmc for life medicare advantage | all plans | $4,177.54 | ↓ -17% |
| buckeye oh medicare advantage | all plans | $4,177.54 | ↓ -17% |
| aetna medicare advantage | all plans | $4,177.54 | ↓ -17% |
| valor health medicare advantage | all plans | $4,217.33 | ↓ -16% |
| the health plan wv medicare advantage | all plans | $4,217.33 | ↓ -16% |
| wv senior advantage | isnp | $4,217.33 | ↓ -16% |
| geisinger pa medicare advantage | all plans | $4,217.33 | ↓ -16% |
| unitedhealthcare medicare advantage | all plans | $4,336.68 | ↓ -13% |
| the health plan wv | peia | $4,464.00 | ↓ -11% |
| buckeye commercial | exchange plan | $5,967.91 | ↑ +19% |
| encova | worker's compensation | $5,967.91 | ↑ +19% |
| caresource oh exchange | caresource oh exchange | $5,967.91 | ↑ +19% |
| rockport healthcare group | worker's compensation | $6,166.85 | ↑ +23% |
| coventry health care | worker's compensation | $6,286.20 | ↑ +26% |
| alliance coal | alliance coal | $10,543.32 | ↑ +111% |
Visitor-reported prices
Comments
Vit for macular hole at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Thomas Hospitals | South Charleston | $9,128.00 | $3,945.58 – $19,968.19 |