Revise breast reconst 19380 at Camden Clark Medical Center
800 Garfield Ave, Parkersburg, WV · Wvumedicine · · NPI 1699704254
$3,938.50
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.
$7,877.00
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.
$6,338.41 with molina oh medicare advantage vs $11,092.22 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 |
|---|---|---|---|
| molina oh medicare advantage | all plans | $6,338.41 | ↑ +61% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $6,338.41 | ↑ +61% |
| peak health medicare advantage | all plans | $6,338.41 | ↑ +61% |
| anthem oh medicare advantage | hmo | $6,528.56 | ↑ +66% |
| highmark wv medicare advantage | all plans | $6,591.95 | ↑ +67% |
| caresource oh medicare advantage | all plans | $6,655.33 | ↑ +69% |
| humana medicare advantage | all plans | $6,655.33 | ↑ +69% |
| pa health & wellness medicare advantage | all plan | $6,655.33 | ↑ +69% |
| senior life medicare advantage | all plans | $6,655.33 | ↑ +69% |
| buckeye oh medicare advantage | all plans | $6,655.33 | ↑ +69% |
| aetna medicare advantage | all plans | $6,655.33 | ↑ +69% |
| the health plan wv medicare advantage | all plans | $6,718.71 | ↑ +71% |
| wv senior advantage | isnp | $6,718.71 | ↑ +71% |
| valor health medicare advantage | all plans | $6,718.71 | ↑ +71% |
| unitedhealthcare medicare advantage | all plans | $6,908.87 | ↑ +75% |
| buckeye commercial | exchange plan | $9,507.62 | ↑ +141% |
| caresource oh exchange | caresource oh exchange | $9,507.62 | ↑ +141% |
| encova | worker's compensation | $9,507.62 | ↑ +141% |
| rockport healthcare group | worker's compensation | $9,824.54 | ↑ +149% |
| coventry health care | worker's compensation | $10,014.69 | ↑ +154% |
| alliance coal | alliance coal | $11,092.22 | ↑ +182% |
Visitor-reported prices
Comments
Revise breast reconst 19380 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $13,106.50 | $205.80 – $27,077.51 |
| Berkeley Medical Center | Martinsburg | $4,599.00 | $6,390.66 – $11,183.66 |
| Thomas Hospitals | South Charleston | $10,462.67 | $6,338.41 – $32,078.06 |