Cystouretero w/lithotripsy at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$4,189.00
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.
$8,378.00
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.
$5,481.52 with anthem va medicare advantage vs $31,927.66 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 | $5,481.52 | ↑ +31% |
| peak health medicare advantage | all plans | $5,481.52 | ↑ +31% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $5,481.52 | ↑ +31% |
| optima va medicare advantage | all plans | $5,481.52 | ↑ +31% |
| highmark wv medicare advantage | all plans | $5,700.78 | ↑ +36% |
| aetna medicare advantage | all plans | $5,755.60 | ↑ +37% |
| humana medicare advantage | all plans | $5,755.60 | ↑ +37% |
| pa health & wellness medicare advantage | all plan | $5,755.60 | ↑ +37% |
| wv senior advantage | isnp | $5,810.41 | ↑ +39% |
| the health plan wv medicare advantage | all plans | $5,810.41 | ↑ +39% |
| unitedhealthcare medicare advantage | all plans | $5,974.86 | ↑ +43% |
| the health plan wv | peia | $6,139.30 | ↑ +47% |
| occunet | occunet | $7,400.05 | ↑ +77% |
| coventry health care | worker's compensation | $8,660.80 | ↑ +107% |
| alliance coal | alliance coal | $9,592.66 | ↑ +129% |
| blue cross blue shield traditional | blue cross blue shield traditional | $31,927.66 | ↑ +662% |
| blue cross blue shield ppo | blue cross blue shield ppo | $31,927.66 | ↑ +662% |
Visitor-reported prices
Comments
Cystouretero w/lithotripsy at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $13,649.67 | $205.80 – $21,864.49 |
| Grant Memorial Hospital | Petersburg | $638.40 | not published |
| Reynolds Memorial Hospital | Glen Dale | $5,061.00 | $3,326.79 – $8,956.75 |
| Summersville Regional Medical Center | Summersville | $406.00 | not published |
| Berkeley Medical Center | Martinsburg | $9,602.50 | $205.80 – $9,030.58 |
| Braxton County Memorial Hospital | Gassaway | $399.00 | not published |
| Jackson General Hospital | Ripley | $406.00 | not published |
| Potomac Valley Hospital | Keyser | $399.00 | not published |