Rmvl icd gen w/rplc icd gen mlt lead sys at Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
$11,920.00
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.
$23,840.00
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.
$205.80 with highmark health options west va vs $186,910.07 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 |
|---|---|---|---|
| highmark health options west va | mgd mcaid | $205.80 | ↓ -98% |
| wellpoint wv | chip | $205.80 | ↓ -98% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -98% |
| highmark health options | chip | $205.80 | ↓ -98% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -98% |
| the health plan wv | chip | $209.72 | ↓ -98% |
| aetna | better health wv mgd medicaid | $209.72 | ↓ -98% |
| aetna better health wv | chip | $209.72 | ↓ -98% |
| aetna | better health va mgd medicaid | $215.60 | ↓ -98% |
| pennsylvania health & wellness | medicaid | $215.60 | ↓ -98% |
| aetna better health pa | chip | $853.60 | ↓ -93% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $32,089.77 | ↑ +169% |
| peak health medicare advantage | all plans | $32,089.77 | ↑ +169% |
| optima va medicare advantage | all plans | $32,089.77 | ↑ +169% |
| anthem va medicare advantage | hmo | $32,089.77 | ↑ +169% |
| highmark wv medicare advantage | all plans | $33,373.36 | ↑ +180% |
| humana medicare advantage | all plans | $33,694.26 | ↑ +183% |
| aetna medicare advantage | all plans | $33,694.26 | ↑ +183% |
| pa health & wellness medicare advantage | all plan | $33,694.26 | ↑ +183% |
| wv senior advantage | isnp | $34,015.16 | ↑ +185% |
| the health plan wv medicare advantage | all plans | $34,015.16 | ↑ +185% |
| unitedhealthcare medicare advantage | all plans | $34,977.85 | ↑ +193% |
| the health plan wv | peia | $35,940.54 | ↑ +202% |
| occunet | occunet | $43,321.19 | ↑ +263% |
| coventry health care | worker's compensation | $50,701.84 | ↑ +325% |
| alliance coal | alliance coal | $56,157.10 | ↑ +371% |
| blue cross blue shield traditional | blue cross blue shield traditional | $186,910.07 | ↑ +1468% |
| blue cross blue shield ppo | blue cross blue shield ppo | $186,910.07 | ↑ +1468% |
Visitor-reported prices
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Rmvl icd gen w/rplc icd gen mlt lead sys at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $22,612.00 | $205.80 – $127,998.48 |
| Berkeley Medical Center | Martinsburg | $11,640.00 | $205.80 – $52,866.48 |
| Camden Clark Medical Center | Parkersburg | $11,920.00 | $205.80 – $52,434.25 |
| Thomas Hospitals | South Charleston | $11,634.00 | $205.80 – $151,636.86 |
| Weirton Medical Center | Weirton | $10,482.00 | $205.80 – $152,490.79 |