Biopsy vestibule of mouth 40808 at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$573.00
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.
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What you pay up front if you don't use insurance.
$1,146.00
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.
$36.50 with molina managed medicaid vs $3,211.51 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 |
|---|---|---|---|
| molina managed medicaid | molina managed medicaid | $36.50 | ↓ -94% |
| aetna better health pa | chip | $40.15 | ↓ -93% |
| highmark health options | chip | $105.00 | ↓ -82% |
| wellpoint west virginia | mgd mcaid | $105.00 | ↓ -82% |
| highmark health options west va | mgd mcaid | $105.00 | ↓ -82% |
| wellpoint wv | chip | $105.00 | ↓ -82% |
| the health plan wv | mgd mcaid | $106.50 | ↓ -81% |
| aetna better health wv | chip | $107.00 | ↓ -81% |
| aetna | better health wv mgd medicaid | $107.00 | ↓ -81% |
| the health plan wv | chip | $107.00 | ↓ -81% |
| aetna | better health va mgd medicaid | $110.00 | ↓ -81% |
| pennsylvania health & wellness | medicaid | $110.00 | ↓ -81% |
| anthem va medicare advantage | hmo | $551.37 | ↓ -4% |
| peak health medicare advantage | all plans | $551.37 | ↓ -4% |
| optima va medicare advantage | all plans | $551.37 | ↓ -4% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $551.37 | ↓ -4% |
| highmark wv medicare advantage | all plans | $573.42 | ↑ +0% |
| pa health & wellness medicare advantage | all plan | $578.94 | ↑ +1% |
| humana medicare advantage | all plans | $578.94 | ↑ +1% |
| aetna medicare advantage | all plans | $578.94 | ↑ +1% |
| wv senior advantage | isnp | $584.45 | ↑ +2% |
| the health plan wv medicare advantage | all plans | $584.45 | ↑ +2% |
| unitedhealthcare medicare advantage | all plans | $600.99 | ↑ +5% |
| the health plan wv | peia | $617.53 | ↑ +8% |
| occunet | occunet | $744.35 | ↑ +30% |
| coventry health care | worker's compensation | $871.16 | ↑ +52% |
| alliance coal | alliance coal | $964.90 | ↑ +68% |
| blue cross blue shield traditional | blue cross blue shield traditional | $3,211.51 | ↑ +460% |
| blue cross blue shield ppo | blue cross blue shield ppo | $3,211.51 | ↑ +460% |
Visitor-reported prices
Comments
Biopsy vestibule of mouth 40808 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $144.00 | not published |
| Summersville Regional Medical Center | Summersville | $91.50 | not published |
| Berkeley Medical Center | Martinsburg | $629.50 | $39.06 – $908.35 |
| Braxton County Memorial Hospital | Gassaway | $90.00 | not published |
| United Hospital Center | Bridgeport | $620.00 | $105.00 – $972.96 |
| Jackson General Hospital | Ripley | $94.50 | not published |
| Potomac Valley Hospital | Keyser | $90.00 | not published |
| Wetzel County Hospital | New Martinsville | $693.00 | $40.15 – $964.90 |