Biopsy vestibule of mouth 40808 at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$693.00
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.
?
What you pay up front if you don't use insurance.
$1,386.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$40.15 with upmc for you medicaid vs $964.90 with alliance coal — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $40.15 | ↓ -94% |
| highmark health options | chip | $105.00 | ↓ -85% |
| highmark health options west va | mgd mcaid | $105.00 | ↓ -85% |
| wellpoint west virginia | mgd mcaid | $105.00 | ↓ -85% |
| wellpoint wv | chip | $105.00 | ↓ -85% |
| the health plan wv | mgd mcaid | $106.50 | ↓ -85% |
| the health plan wv | chip | $107.00 | ↓ -85% |
| aetna better health wv | chip | $107.00 | ↓ -85% |
| aetna | better health wv mgd medicaid | $107.00 | ↓ -85% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $551.37 | ↓ -20% |
| molina oh medicare advantage | all plans | $551.37 | ↓ -20% |
| peak health medicare advantage | all plans | $551.37 | ↓ -20% |
| anthem ohio | managed medicaid | $567.91 | ↓ -18% |
| highmark wholecare pa medicare advantage | all pla | $567.91 | ↓ -18% |
| anthem oh medicare advantage | hmo | $567.91 | ↓ -18% |
| highmark wv medicare advantage | all plans | $573.42 | ↓ -17% |
| caresource oh medicare advantage | all plans | $578.94 | ↓ -16% |
| upmc for life medicare advantage | all plans | $578.94 | ↓ -16% |
| pa health & wellness medicare advantage | all plan | $578.94 | ↓ -16% |
| humana medicare advantage | all plans | $578.94 | ↓ -16% |
| senior life medicare advantage | all plans | $578.94 | ↓ -16% |
| aetna medicare advantage | all plans | $578.94 | ↓ -16% |
| buckeye oh medicare advantage | all plans | $578.94 | ↓ -16% |
| geisinger pa medicare advantage | all plans | $584.45 | ↓ -16% |
| the health plan wv medicare advantage | all plans | $584.45 | ↓ -16% |
| wv senior advantage | isnp | $584.45 | ↓ -16% |
| valor health medicare advantage | all plans | $584.45 | ↓ -16% |
| the health plan wv | peia | $617.53 | ↓ -11% |
| buckeye commercial | exchange plan | $827.06 | ↑ +19% |
| caresource oh exchange | caresource oh exchange | $827.06 | ↑ +19% |
| coventry health care | worker's compensation | $871.16 | ↑ +26% |
| alliance coal | alliance coal | $964.90 | ↑ +39% |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $144.00 | not published |
| Summersville Regional Medical Center | Summersville | $91.50 | not published |
| Berkeley Medical Center | Martinsburg | $629.50 | $39.06 – $908.35 |
| Braxton County Memorial Hospital | Gassaway | $90.00 | not published |
| United Hospital Center | Bridgeport | $620.00 | $105.00 – $972.96 |
| Jackson General Hospital | Ripley | $94.50 | not published |
| Potomac Valley Hospital | Keyser | $90.00 | not published |
| Camden Clark Medical Center | Parkersburg | $620.00 | $105.00 – $900.92 |