Unlisted procedure spine at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$272.00
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.
$544.00
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.
$252.17 with united mine workers of america medicare advantage vs $441.30 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 |
|---|---|---|---|
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $252.17 | ↓ -7% |
| molina oh medicare advantage | all plans | $252.17 | ↓ -7% |
| peak health medicare advantage | all plans | $252.17 | ↓ -7% |
| anthem oh medicare advantage | hmo | $259.74 | ↓ -5% |
| anthem ohio | managed medicaid | $259.74 | ↓ -5% |
| highmark wholecare pa medicare advantage | all pla | $259.74 | ↓ -5% |
| highmark wv medicare advantage | all plans | $262.26 | ↓ -4% |
| aetna medicare advantage | all plans | $264.78 | ↓ -3% |
| humana medicare advantage | all plans | $264.78 | ↓ -3% |
| pa health & wellness medicare advantage | all plan | $264.78 | ↓ -3% |
| senior life medicare advantage | all plans | $264.78 | ↓ -3% |
| buckeye oh medicare advantage | all plans | $264.78 | ↓ -3% |
| upmc for life medicare advantage | all plans | $264.78 | ↓ -3% |
| caresource oh medicare advantage | all plans | $264.78 | ↓ -3% |
| valor health medicare advantage | all plans | $267.30 | ↓ -2% |
| the health plan wv medicare advantage | all plans | $267.30 | ↓ -2% |
| geisinger pa medicare advantage | all plans | $267.30 | ↓ -2% |
| wv senior advantage | isnp | $267.30 | ↓ -2% |
| unitedhealthcare medicare advantage | all plans | $274.87 | ↑ +1% |
| the health plan wv | peia | $282.43 | ↑ +4% |
| buckeye commercial | exchange plan | $378.26 | ↑ +39% |
| caresource oh exchange | caresource oh exchange | $378.26 | ↑ +39% |
| coventry health care | worker's compensation | $398.43 | ↑ +46% |
| alliance coal | alliance coal | $441.30 | ↑ +62% |
Visitor-reported prices
Comments
Unlisted procedure spine at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $13,183.34 | $154.33 – $1,005.87 |
| Reynolds Memorial Hospital | Glen Dale | $392.00 | $153.05 – $412.05 |
| Berkeley Medical Center | Martinsburg | $19,858.00 | $237.40 – $415.45 |
| United Hospital Center | Bridgeport | $284.00 | $254.29 – $445.01 |
| Camden Clark Medical Center | Parkersburg | $284.00 | $235.46 – $412.06 |
| Thomas Hospitals | South Charleston | $1,277.38 | $235.46 – $1,191.64 |