Unlisted procedure colon at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$1,112.00
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.
$2,224.00
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.
$25.00 with highmark wholecare pa medicare advantage vs $1,663.78 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 pa medicare advantage | all pla | $25.00 | ↓ -98% |
| molina oh medicare advantage | all plans | $950.73 | ↓ -15% |
| peak health medicare advantage | all plans | $950.73 | ↓ -15% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $950.73 | ↓ -15% |
| anthem ohio | managed medicaid | $979.25 | ↓ -12% |
| anthem oh medicare advantage | hmo | $979.25 | ↓ -12% |
| highmark wv medicare advantage | all plans | $988.76 | ↓ -11% |
| aetna medicare advantage | all plans | $998.27 | ↓ -10% |
| humana medicare advantage | all plans | $998.27 | ↓ -10% |
| pa health & wellness medicare advantage | all plan | $998.27 | ↓ -10% |
| senior life medicare advantage | all plans | $998.27 | ↓ -10% |
| buckeye oh medicare advantage | all plans | $998.27 | ↓ -10% |
| upmc for life medicare advantage | all plans | $998.27 | ↓ -10% |
| caresource oh medicare advantage | all plans | $998.27 | ↓ -10% |
| valor health medicare advantage | all plans | $1,007.77 | ↓ -9% |
| the health plan wv medicare advantage | all plans | $1,007.77 | ↓ -9% |
| geisinger pa medicare advantage | all plans | $1,007.77 | ↓ -9% |
| wv senior advantage | isnp | $1,007.77 | ↓ -9% |
| unitedhealthcare medicare advantage | all plans | $1,036.30 | ↓ -7% |
| the health plan wv | peia | $1,064.82 | ↓ -4% |
| buckeye commercial | exchange plan | $1,426.10 | ↑ +28% |
| caresource oh exchange | caresource oh exchange | $1,426.10 | ↑ +28% |
| coventry health care | worker's compensation | $1,502.15 | ↑ +35% |
| alliance coal | alliance coal | $1,663.78 | ↑ +50% |
Visitor-reported prices
Comments
Unlisted procedure colon at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $3,234.67 | $581.83 – $3,792.22 |
| Grant Memorial Hospital | Petersburg | $1,425.60 | not published |
| Reynolds Memorial Hospital | Glen Dale | $1,601.50 | $577.00 – $1,553.48 |
| Summersville Regional Medical Center | Summersville | $1,401.00 | not published |
| Berkeley Medical Center | Martinsburg | $1,401.50 | $895.01 – $1,566.27 |
| Braxton County Memorial Hospital | Gassaway | $1,091.00 | not published |
| United Hospital Center | Bridgeport | $1,356.00 | $958.69 – $1,677.71 |
| Jackson General Hospital | Ripley | $1,148.00 | not published |