Ol dig e/m svc 5-10 min at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$13.00
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.
$26.00
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.
$9.52 with wellpoint west virginia vs $19.34 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 |
|---|---|---|---|
| wellpoint west virginia | mgd mcaid | $9.52 | ↓ -27% |
| highmark health options | chip | $9.52 | ↓ -27% |
| highmark health options west va | mgd mcaid | $9.52 | ↓ -27% |
| wellpoint wv | chip | $9.52 | ↓ -27% |
| the health plan wv | mgd mcaid | $9.66 | ↓ -26% |
| the health plan wv | chip | $9.70 | ↓ -25% |
| aetna better health wv | chip | $9.70 | ↓ -25% |
| aetna | better health wv mgd medicaid | $9.70 | ↓ -25% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $11.05 | ↓ -15% |
| molina oh medicare advantage | all plans | $11.05 | ↓ -15% |
| peak health medicare advantage | all plans | $11.05 | ↓ -15% |
| anthem ohio | managed medicaid | $11.38 | ↓ -12% |
| highmark wholecare pa medicare advantage | all pla | $11.38 | ↓ -12% |
| anthem oh medicare advantage | hmo | $11.38 | ↓ -12% |
| highmark wv medicare advantage | all plans | $11.49 | ↓ -12% |
| pa health & wellness medicare advantage | all plan | $11.60 | ↓ -11% |
| buckeye oh medicare advantage | all plans | $11.60 | ↓ -11% |
| caresource oh medicare advantage | all plans | $11.60 | ↓ -11% |
| upmc for life medicare advantage | all plans | $11.60 | ↓ -11% |
| aetna medicare advantage | all plans | $11.60 | ↓ -11% |
| senior life medicare advantage | all plans | $11.60 | ↓ -11% |
| humana medicare advantage | all plans | $11.60 | ↓ -11% |
| wv senior advantage | isnp | $11.71 | ↓ -10% |
| geisinger pa medicare advantage | all plans | $11.71 | ↓ -10% |
| valor health medicare advantage | all plans | $11.71 | ↓ -10% |
| the health plan wv medicare advantage | all plans | $11.71 | ↓ -10% |
| the health plan wv | peia | $12.38 | ↓ -5% |
| buckeye commercial | exchange plan | $16.58 | ↑ +28% |
| caresource oh exchange | caresource oh exchange | $16.58 | ↑ +28% |
| coventry health care | worker's compensation | $17.46 | ↑ +34% |
| alliance coal | alliance coal | $19.34 | ↑ +49% |
Visitor-reported prices
Comments
Ol dig e/m svc 5-10 min at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $12.50 | not published |
| Grant Memorial Hospital | Petersburg | $20.00 | not published |
| Summersville Regional Medical Center | Summersville | $14.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $14.00 | not published |
| Jackson General Hospital | Ripley | $14.00 | not published |
| Potomac Valley Hospital | Keyser | $14.00 | not published |
| Princeton Community Hospital | Princeton | $12.50 | $9.52 – $64.36 |
| St. Joseph's Hospital | Buckhannon | $16.50 | not published |