X-ray sinus tract/fistula/abscess at Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
$448.50
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.
$897.00
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.
$18.15 with upmc for you medicaid vs $977.58 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 |
|---|---|---|---|
| upmc for you medicaid | upmc for you medicaid | $18.15 | ↓ -96% |
| highmark health options | chip | $18.78 | ↓ -96% |
| highmark health options west va | mgd mcaid | $18.78 | ↓ -96% |
| wellpoint west virginia | mgd mcaid | $18.78 | ↓ -96% |
| wellpoint wv | chip | $18.78 | ↓ -96% |
| the health plan wv | mgd mcaid | $19.05 | ↓ -96% |
| the health plan wv | chip | $19.14 | ↓ -96% |
| aetna better health wv | chip | $19.14 | ↓ -96% |
| aetna | better health wv mgd medicaid | $19.14 | ↓ -96% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $558.62 | ↑ +25% |
| molina oh medicare advantage | all plans | $558.62 | ↑ +25% |
| peak health medicare advantage | all plans | $558.62 | ↑ +25% |
| anthem ohio | managed medicaid | $575.38 | ↑ +28% |
| highmark wholecare pa medicare advantage | all pla | $575.38 | ↑ +28% |
| anthem oh medicare advantage | hmo | $575.38 | ↑ +28% |
| highmark wv medicare advantage | all plans | $580.96 | ↑ +30% |
| upmc for life medicare advantage | all plans | $586.55 | ↑ +31% |
| caresource oh medicare advantage | all plans | $586.55 | ↑ +31% |
| pa health & wellness medicare advantage | all plan | $586.55 | ↑ +31% |
| senior life medicare advantage | all plans | $586.55 | ↑ +31% |
| humana medicare advantage | all plans | $586.55 | ↑ +31% |
| buckeye oh medicare advantage | all plans | $586.55 | ↑ +31% |
| aetna medicare advantage | all plans | $586.55 | ↑ +31% |
| geisinger pa medicare advantage | all plans | $592.14 | ↑ +32% |
| the health plan wv medicare advantage | all plans | $592.14 | ↑ +32% |
| wv senior advantage | isnp | $592.14 | ↑ +32% |
| valor health medicare advantage | all plans | $592.14 | ↑ +32% |
| unitedhealthcare medicare advantage | all plans | $608.90 | ↑ +36% |
| the health plan wv | peia | $625.65 | ↑ +39% |
| buckeye commercial | exchange plan | $837.93 | ↑ +87% |
| caresource oh exchange | caresource oh exchange | $837.93 | ↑ +87% |
| coventry health care | worker's compensation | $882.62 | ↑ +97% |
| alliance coal | alliance coal | $977.58 | ↑ +118% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $1,255.00 | $16.50 – $2,228.19 |
| Reynolds Memorial Hospital | Glen Dale | $242.50 | $17.33 – $912.77 |
| Berkeley Medical Center | Martinsburg | $414.00 | $17.66 – $920.29 |
| United Hospital Center | Bridgeport | $685.00 | $18.78 – $985.78 |
| Camden Clark Medical Center | Parkersburg | $685.00 | $18.78 – $912.76 |
| Thomas Hospitals | South Charleston | $1,332.00 | $18.78 – $2,639.66 |
| Weirton Medical Center | Weirton | $628.00 | $16.50 – $2,654.53 |