Drain neck/chest lesion 21501 at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$5,639.00
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.
$11,278.00
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.
$2,969.58 with anthem va medicare advantage vs $17,296.62 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 | $2,969.58 | ↓ -47% |
| peak health medicare advantage | all plans | $2,969.58 | ↓ -47% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $2,969.58 | ↓ -47% |
| optima va medicare advantage | all plans | $2,969.58 | ↓ -47% |
| highmark wv medicare advantage | all plans | $3,088.36 | ↓ -45% |
| aetna medicare advantage | all plans | $3,118.06 | ↓ -45% |
| humana medicare advantage | all plans | $3,118.06 | ↓ -45% |
| pa health & wellness medicare advantage | all plan | $3,118.06 | ↓ -45% |
| wv senior advantage | isnp | $3,147.75 | ↓ -44% |
| the health plan wv medicare advantage | all plans | $3,147.75 | ↓ -44% |
| unitedhealthcare medicare advantage | all plans | $3,236.84 | ↓ -43% |
| the health plan wv | peia | $3,325.93 | ↓ -41% |
| occunet | occunet | $4,008.93 | ↓ -29% |
| coventry health care | worker's compensation | $4,691.94 | ↓ -17% |
| alliance coal | alliance coal | $5,196.77 | ↓ -8% |
| blue cross blue shield traditional | blue cross blue shield traditional | $17,296.62 | ↑ +207% |
| blue cross blue shield ppo | blue cross blue shield ppo | $17,296.62 | ↑ +207% |
Visitor-reported prices
Comments
Drain neck/chest lesion 21501 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $11,851.50 | $88.50 – $11,844.92 |
| Grant Memorial Hospital | Petersburg | $581.60 | not published |
| Reynolds Memorial Hospital | Glen Dale | $4,882.50 | $92.93 – $4,852.26 |
| Summersville Regional Medical Center | Summersville | $353.50 | not published |
| Berkeley Medical Center | Martinsburg | $3,339.00 | $94.70 – $4,892.25 |
| Braxton County Memorial Hospital | Gassaway | $363.50 | not published |
| United Hospital Center | Bridgeport | $3,339.00 | $205.80 – $5,240.27 |
| Jackson General Hospital | Ripley | $353.50 | not published |