Biopsy skin incisional single lesion at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$769.00
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.
$1,538.00
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.
$54.13 with upmc for you medicaid vs $1,322.26 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 |
|---|---|---|---|
| upmc for you medicaid | upmc for you medicaid | $54.13 | ↓ -93% |
| highmark health options | chip | $205.80 | ↓ -73% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -73% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -73% |
| wellpoint wv | chip | $205.80 | ↓ -73% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -73% |
| the health plan wv | chip | $209.72 | ↓ -73% |
| aetna better health wv | chip | $209.72 | ↓ -73% |
| aetna | better health wv mgd medicaid | $209.72 | ↓ -73% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $755.58 | ↓ -2% |
| molina oh medicare advantage | all plans | $755.58 | ↓ -2% |
| peak health medicare advantage | all plans | $755.58 | ↓ -2% |
| anthem ohio | managed medicaid | $778.25 | ↑ +1% |
| highmark wholecare pa medicare advantage | all pla | $778.25 | ↑ +1% |
| anthem oh medicare advantage | hmo | $778.25 | ↑ +1% |
| highmark wv medicare advantage | all plans | $785.80 | ↑ +2% |
| upmc for life medicare advantage | all plans | $793.36 | ↑ +3% |
| caresource oh medicare advantage | all plans | $793.36 | ↑ +3% |
| pa health & wellness medicare advantage | all plan | $793.36 | ↑ +3% |
| senior life medicare advantage | all plans | $793.36 | ↑ +3% |
| humana medicare advantage | all plans | $793.36 | ↑ +3% |
| buckeye oh medicare advantage | all plans | $793.36 | ↑ +3% |
| aetna medicare advantage | all plans | $793.36 | ↑ +3% |
| geisinger pa medicare advantage | all plans | $800.91 | ↑ +4% |
| the health plan wv medicare advantage | all plans | $800.91 | ↑ +4% |
| wv senior advantage | isnp | $800.91 | ↑ +4% |
| valor health medicare advantage | all plans | $800.91 | ↑ +4% |
| unitedhealthcare medicare advantage | all plans | $823.58 | ↑ +7% |
| the health plan wv | peia | $846.25 | ↑ +10% |
| buckeye commercial | exchange plan | $1,133.37 | ↑ +47% |
| caresource oh exchange | caresource oh exchange | $1,133.37 | ↑ +47% |
| coventry health care | worker's compensation | $1,193.82 | ↑ +55% |
| alliance coal | alliance coal | $1,322.26 | ↑ +72% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $708.00 | not published |
| West Virginia University Hospitals | Morgantown | $2,153.83 | $49.21 – $3,013.80 |
| Grant Memorial Hospital | Petersburg | $1,604.00 | not published |
| Reynolds Memorial Hospital | Glen Dale | $703.00 | $51.67 – $1,234.61 |
| Summersville Regional Medical Center | Summersville | $708.00 | not published |
| Berkeley Medical Center | Martinsburg | $2,774.00 | $52.65 – $497.91 |
| Braxton County Memorial Hospital | Gassaway | $53.50 | not published |
| United Hospital Center | Bridgeport | $849.50 | $205.80 – $1,333.32 |