Biopsy abdominal mass at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$3,057.00
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.
$6,114.00
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.
$80.97 with molina managed medicaid vs $9,834.72 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 |
|---|---|---|---|
| molina managed medicaid | molina managed medicaid | $80.97 | ↓ -97% |
| aetna better health pa | chip | $89.07 | ↓ -97% |
| highmark health options | chip | $205.80 | ↓ -93% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -93% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -93% |
| wellpoint wv | chip | $205.80 | ↓ -93% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -93% |
| aetna better health wv | chip | $209.72 | ↓ -93% |
| aetna | better health wv mgd medicaid | $209.72 | ↓ -93% |
| the health plan wv | chip | $209.72 | ↓ -93% |
| aetna | better health va mgd medicaid | $215.60 | ↓ -93% |
| pennsylvania health & wellness | medicaid | $215.60 | ↓ -93% |
| anthem va medicare advantage | hmo | $1,688.48 | ↓ -45% |
| peak health medicare advantage | all plans | $1,688.48 | ↓ -45% |
| optima va medicare advantage | all plans | $1,688.48 | ↓ -45% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,688.48 | ↓ -45% |
| highmark wv medicare advantage | all plans | $1,756.02 | ↓ -43% |
| pa health & wellness medicare advantage | all plan | $1,772.90 | ↓ -42% |
| humana medicare advantage | all plans | $1,772.90 | ↓ -42% |
| aetna medicare advantage | all plans | $1,772.90 | ↓ -42% |
| wv senior advantage | isnp | $1,789.79 | ↓ -41% |
| the health plan wv medicare advantage | all plans | $1,789.79 | ↓ -41% |
| unitedhealthcare medicare advantage | all plans | $1,840.44 | ↓ -40% |
| the health plan wv | peia | $1,891.10 | ↓ -38% |
| occunet | occunet | $2,279.45 | ↓ -25% |
| coventry health care | worker's compensation | $2,667.80 | ↓ -13% |
| alliance coal | alliance coal | $2,954.84 | ↓ -3% |
| blue cross blue shield traditional | blue cross blue shield traditional | $9,834.72 | ↑ +222% |
| blue cross blue shield ppo | blue cross blue shield ppo | $9,834.72 | ↑ +222% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $6,178.00 | $80.97 – $6,734.93 |
| Grant Memorial Hospital | Petersburg | $3,464.80 | not published |
| Reynolds Memorial Hospital | Glen Dale | $1,999.50 | $85.02 – $2,758.96 |
| Berkeley Medical Center | Martinsburg | $1,898.50 | $86.64 – $2,781.70 |
| United Hospital Center | Bridgeport | $2,257.50 | $205.80 – $2,979.57 |
| Potomac Valley Hospital | Keyser | $2,273.50 | not published |
| Camden Clark Medical Center | Parkersburg | $2,607.50 | $205.80 – $2,758.96 |
| Thomas Hospitals | South Charleston | $3,023.00 | $205.80 – $7,978.76 |