Aco cmplx chron care without pt visit, 60 min 99487aco at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$278.00
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.
$556.00
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.
$67.68 with wellpoint west virginia vs $394.79 with blue cross blue shield ppo — 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 | $67.68 | ↓ -76% |
| wellpoint wv | chip | $67.68 | ↓ -76% |
| highmark health options | chip | $67.68 | ↓ -76% |
| highmark health options west va | mgd mcaid | $67.68 | ↓ -76% |
| anthem va medicare advantage | hmo | $67.78 | ↓ -76% |
| peak health medicare advantage | all plans | $67.78 | ↓ -76% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $67.78 | ↓ -76% |
| optima va medicare advantage | all plans | $67.78 | ↓ -76% |
| the health plan wv | mgd mcaid | $68.65 | ↓ -75% |
| aetna better health wv | chip | $68.97 | ↓ -75% |
| aetna | better health wv mgd medicaid | $68.97 | ↓ -75% |
| the health plan wv | chip | $68.97 | ↓ -75% |
| highmark wv medicare advantage | all plans | $70.49 | ↓ -75% |
| pennsylvania health & wellness | medicaid | $70.91 | ↓ -74% |
| aetna | better health va mgd medicaid | $70.91 | ↓ -74% |
| aetna medicare advantage | all plans | $71.17 | ↓ -74% |
| pa health & wellness medicare advantage | all plan | $71.17 | ↓ -74% |
| humana medicare advantage | all plans | $71.17 | ↓ -74% |
| the health plan wv medicare advantage | all plans | $71.85 | ↓ -74% |
| wv senior advantage | isnp | $71.85 | ↓ -74% |
| unitedhealthcare medicare advantage | all plans | $73.88 | ↓ -73% |
| the health plan wv | peia | $75.91 | ↓ -73% |
| occunet | occunet | $91.50 | ↓ -67% |
| coventry health care | worker's compensation | $107.09 | ↓ -61% |
| alliance coal | alliance coal | $118.62 | ↓ -57% |
| blue cross blue shield traditional | blue cross blue shield traditional | $394.79 | ↑ +42% |
| blue cross blue shield ppo | blue cross blue shield ppo | $394.79 | ↑ +42% |
Visitor-reported prices
Comments
Aco cmplx chron care without pt visit, 60 min 99487aco at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $170.50 | not published |
| West Virginia University Hospitals | Morgantown | $227.00 | $44.42 – $289.52 |
| Grant Memorial Hospital | Petersburg | $291.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $180.00 | $67.68 – $296.50 |
| Summersville Regional Medical Center | Summersville | $278.00 | not published |
| Berkeley Medical Center | Martinsburg | $204.50 | $67.68 – $119.58 |
| Braxton County Memorial Hospital | Gassaway | $278.00 | not published |
| United Hospital Center | Bridgeport | $204.50 | $67.68 – $320.21 |