Revision of knee joint at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$8,083.67
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.
$16,167.34
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.
$13,125.37 with anthem va medicare advantage vs $76,450.03 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 | $13,125.37 | ↑ +62% |
| peak health medicare advantage | all plans | $13,125.37 | ↑ +62% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $13,125.37 | ↑ +62% |
| optima va medicare advantage | all plans | $13,125.37 | ↑ +62% |
| highmark wv medicare advantage | all plans | $13,650.38 | ↑ +69% |
| aetna medicare advantage | all plans | $13,781.64 | ↑ +70% |
| humana medicare advantage | all plans | $13,781.64 | ↑ +70% |
| pa health & wellness medicare advantage | all plan | $13,781.64 | ↑ +70% |
| wv senior advantage | isnp | $13,912.89 | ↑ +72% |
| the health plan wv medicare advantage | all plans | $13,912.89 | ↑ +72% |
| unitedhealthcare medicare advantage | all plans | $14,306.65 | ↑ +77% |
| the health plan wv | peia | $14,700.41 | ↑ +82% |
| occunet | occunet | $17,719.25 | ↑ +119% |
| coventry health care | worker's compensation | $20,738.08 | ↑ +157% |
| alliance coal | alliance coal | $22,969.40 | ↑ +184% |
| blue cross blue shield traditional | blue cross blue shield traditional | $76,450.03 | ↑ +846% |
| blue cross blue shield ppo | blue cross blue shield ppo | $76,450.03 | ↑ +846% |
Visitor-reported prices
Comments
Revision of knee joint at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $1,464.80 | not published |
| Reynolds Memorial Hospital | Glen Dale | $12,084.67 | $7,965.91 – $21,446.67 |
| Summersville Regional Medical Center | Summersville | $923.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $915.50 | not published |
| Jackson General Hospital | Ripley | $957.50 | not published |
| Potomac Valley Hospital | Keyser | $915.50 | not published |
| St. Joseph's Hospital | Buckhannon | $915.50 | not published |