Home/res vst est high mdm 60 at Princeton Community Hospital

122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213

Source: hospital's published price file ↗ · Published Jul 10, 2026 · Ingested Sep 16, 2026

$215.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$431.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$137.69 with highmark health options west va vs $1,095.14 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 →

Payer
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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
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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
highmark health options west va mgd mcaid $137.69 ↓ -36%
wellpoint wv chip $137.69 ↓ -36%
wellpoint west virginia mgd mcaid $137.69 ↓ -36%
highmark health options chip $137.69 ↓ -36%
the health plan wv mgd mcaid $139.65 ↓ -35%
the health plan wv chip $140.31 ↓ -35%
aetna better health wv mgd medicaid $140.31 ↓ -35%
aetna better health wv chip $140.31 ↓ -35%
pennsylvania health & wellness medicaid $144.24 ↓ -33%
aetna better health va mgd medicaid $144.24 ↓ -33%
united mine workers of america medicare advantage united mine workers of america medicare advantage $188.02 ↓ -13%
peak health medicare advantage all plans $188.02 ↓ -13%
optima va medicare advantage all plans $188.02 ↓ -13%
anthem va medicare advantage hmo $188.02 ↓ -13%
highmark wv medicare advantage all plans $195.54 ↓ -9%
humana medicare advantage all plans $197.42 ↓ -8%
aetna medicare advantage all plans $197.42 ↓ -8%
pa health & wellness medicare advantage all plan $197.42 ↓ -8%
wv senior advantage isnp $199.30 ↓ -8%
the health plan wv medicare advantage all plans $199.30 ↓ -8%
the health plan wv peia $210.58 ↓ -2%
occunet occunet $253.83 ↑ +18%
coventry health care worker's compensation $297.07 ↑ +38%
alliance coal alliance coal $329.04 ↑ +53%
blue cross blue shield traditional blue cross blue shield traditional $1,095.14 ↑ +408%
blue cross blue shield ppo blue cross blue shield ppo $1,095.14 ↑ +408%

Visitor-reported prices

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Home/res vst est high mdm 60 at other West-virginia hospitals

Hospital City Cash price Negotiated range
Jefferson Medical Center Ranson $215.50 not published
Grant Memorial Hospital Petersburg $344.80 not published
Summersville Regional Medical Center Summersville $189.50 not published
Braxton County Memorial Hospital Gassaway $215.50 not published
Jackson General Hospital Ripley $189.50 not published
Potomac Valley Hospital Keyser $215.50 not published
Wetzel County Hospital New Martinsville $187.00 $137.69 – $329.04
St. Joseph's Hospital Buckhannon $215.50 not published

All West-virginia hospitals for this procedure →