Interrog evl pm/ldls pm ip 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

$22.50

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.

$45.00

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.

$9.91 with molina managed medicaid vs $222.27 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
molina managed medicaid molina managed medicaid $9.91 ↓ -56%
aetna better health pa chip $10.90 ↓ -52%
wellpoint west virginia mgd mcaid $14.93 ↓ -34%
wellpoint wv chip $14.93 ↓ -34%
highmark health options chip $14.93 ↓ -34%
highmark health options west va mgd mcaid $14.93 ↓ -34%
the health plan wv mgd mcaid $15.14 ↓ -33%
aetna better health wv chip $15.22 ↓ -32%
aetna better health wv mgd medicaid $15.22 ↓ -32%
the health plan wv chip $15.22 ↓ -32%
pennsylvania health & wellness medicaid $15.64 ↓ -30%
aetna better health va mgd medicaid $15.64 ↓ -30%
united mine workers of america medicare advantage united mine workers of america medicare advantage $38.16 ↑ +70%
optima va medicare advantage all plans $38.16 ↑ +70%
peak health medicare advantage all plans $38.16 ↑ +70%
anthem va medicare advantage hmo $38.16 ↑ +70%
highmark wv medicare advantage all plans $39.69 ↑ +76%
pa health & wellness medicare advantage all plan $40.07 ↑ +78%
humana medicare advantage all plans $40.07 ↑ +78%
aetna medicare advantage all plans $40.07 ↑ +78%
wv senior advantage isnp $40.45 ↑ +80%
the health plan wv medicare advantage all plans $40.45 ↑ +80%
unitedhealthcare medicare advantage all plans $41.59 ↑ +85%
the health plan wv peia $42.74 ↑ +90%
occunet occunet $51.52 ↑ +129%
coventry health care worker's compensation $60.29 ↑ +168%
alliance coal alliance coal $66.78 ↑ +197%
blue cross blue shield traditional blue cross blue shield traditional $222.27 ↑ +888%
blue cross blue shield ppo blue cross blue shield ppo $222.27 ↑ +888%

Visitor-reported prices

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Interrog evl pm/ldls pm ip at other West-virginia hospitals

Hospital City Cash price Negotiated range
Jefferson Medical Center Ranson $36.00 not published
West Virginia University Hospitals Morgantown $120.00 $9.91 – $152.18
Grant Memorial Hospital Petersburg $36.00 not published
Reynolds Memorial Hospital Glen Dale $112.50 $10.41 – $62.33
Summersville Regional Medical Center Summersville $20.50 not published
Berkeley Medical Center Martinsburg $94.50 $10.60 – $62.86
Braxton County Memorial Hospital Gassaway $57.50 not published
United Hospital Center Bridgeport $78.00 $14.93 – $67.34

All West-virginia hospitals for this procedure →