Amputation toe interphalangeal joint at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$5,440.50
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.
$10,881.00
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.
$3,345.06 with anthem va medicare advantage vs $19,483.64 with blue cross blue shield ppo — 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 |
|---|---|---|---|
| anthem va medicare advantage | hmo | $3,345.06 | ↓ -39% |
| peak health medicare advantage | all plans | $3,345.06 | ↓ -39% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,345.06 | ↓ -39% |
| optima va medicare advantage | all plans | $3,345.06 | ↓ -39% |
| highmark wv medicare advantage | all plans | $3,478.86 | ↓ -36% |
| aetna medicare advantage | all plans | $3,512.31 | ↓ -35% |
| humana medicare advantage | all plans | $3,512.31 | ↓ -35% |
| pa health & wellness medicare advantage | all plan | $3,512.31 | ↓ -35% |
| wv senior advantage | isnp | $3,545.76 | ↓ -35% |
| the health plan wv medicare advantage | all plans | $3,545.76 | ↓ -35% |
| unitedhealthcare medicare advantage | all plans | $3,646.12 | ↓ -33% |
| the health plan wv | peia | $3,746.47 | ↓ -31% |
| occunet | occunet | $4,515.83 | ↓ -17% |
| coventry health care | worker's compensation | $5,285.19 | ↓ -3% |
| alliance coal | alliance coal | $5,853.86 | ↑ +8% |
| blue cross blue shield traditional | blue cross blue shield traditional | $19,483.64 | ↑ +258% |
| blue cross blue shield ppo | blue cross blue shield ppo | $19,483.64 | ↑ +258% |
Visitor-reported prices
Comments
Amputation toe interphalangeal joint at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $6,153.50 | $205.80 – $13,342.64 |
| Grant Memorial Hospital | Petersburg | $5,014.40 | not published |
| Reynolds Memorial Hospital | Glen Dale | $5,280.50 | $205.80 – $5,465.79 |
| Berkeley Medical Center | Martinsburg | $4,015.00 | $3,149.05 – $5,510.84 |
| United Hospital Center | Bridgeport | $3,761.00 | $205.80 – $5,902.86 |
| Wetzel County Hospital | New Martinsville | $3,986.50 | $205.80 – $5,853.85 |
| Camden Clark Medical Center | Parkersburg | $3,761.00 | $205.80 – $5,465.79 |
| St. Joseph's Hospital | Buckhannon | $2,640.00 | not published |