Coombs indirect qualitative each reagent red cell reference at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$165.50
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.
$331.00
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.
$5.41 with wellpoint wv vs $275.19 with coventry health care — 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 |
|---|---|---|---|
| wellpoint wv | chip | $5.41 | ↓ -97% |
| highmark health options | chip | $5.41 | ↓ -97% |
| highmark health options west va | mgd mcaid | $5.41 | ↓ -97% |
| wellpoint west virginia | mgd mcaid | $5.41 | ↓ -97% |
| the health plan wv | mgd mcaid | $5.48 | ↓ -97% |
| the health plan wv | chip | $5.51 | ↓ -97% |
| aetna better health wv | chip | $5.51 | ↓ -97% |
| aetna | better health wv mgd medicaid | $5.51 | ↓ -97% |
| upmc for you medicaid | upmc for you medicaid | $8.69 | ↓ -95% |
| molina oh medicare advantage | all plans | $174.17 | ↑ +5% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $174.17 | ↑ +5% |
| peak health medicare advantage | all plans | $174.17 | ↑ +5% |
| anthem ohio | managed medicaid | $179.40 | ↑ +8% |
| highmark wholecare pa medicare advantage | all pla | $179.40 | ↑ +8% |
| anthem oh medicare advantage | hmo | $179.40 | ↑ +8% |
| highmark wv medicare advantage | all plans | $181.14 | ↑ +9% |
| upmc for life medicare advantage | all plans | $182.88 | ↑ +11% |
| caresource oh medicare advantage | all plans | $182.88 | ↑ +11% |
| pa health & wellness medicare advantage | all plan | $182.88 | ↑ +11% |
| senior life medicare advantage | all plans | $182.88 | ↑ +11% |
| humana medicare advantage | all plans | $182.88 | ↑ +11% |
| buckeye oh medicare advantage | all plans | $182.88 | ↑ +11% |
| aetna medicare advantage | all plans | $182.88 | ↑ +11% |
| geisinger pa medicare advantage | all plans | $184.62 | ↑ +12% |
| the health plan wv medicare advantage | all plans | $184.62 | ↑ +12% |
| wv senior advantage | isnp | $184.62 | ↑ +12% |
| valor health medicare advantage | all plans | $184.62 | ↑ +12% |
| unitedhealthcare medicare advantage | all plans | $189.85 | ↑ +15% |
| the health plan wv | peia | $195.07 | ↑ +18% |
| alliance coal | alliance coal | $217.71 | ↑ +32% |
| buckeye commercial | exchange plan | $261.25 | ↑ +58% |
| caresource oh exchange | caresource oh exchange | $261.25 | ↑ +58% |
| coventry health care | worker's compensation | $275.19 | ↑ +66% |
Visitor-reported prices
Comments
Coombs indirect qualitative each reagent red cell reference at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $12.50 | not published |
| West Virginia University Hospitals | Morgantown | $20.00 | $5.41 – $259.10 |
| Grant Memorial Hospital | Petersburg | $17.60 | not published |
| Berkeley Medical Center | Martinsburg | $21.25 | $5.41 – $259.07 |
| United Hospital Center | Bridgeport | $10.50 | $5.41 – $277.51 |
| Camden Clark Medical Center | Parkersburg | $10.50 | $5.41 – $256.96 |
| Princeton Community Hospital | Princeton | $39.00 | $5.41 – $1,014.47 |
| Thomas Hospitals | South Charleston | $84.50 | $5.41 – $823.05 |