Nursing facility discharge management > 30 min 99316 at Thomas Hospitals
4605 Maccorkle Ave SW, South Charleston, WV · Wvumedicine · · NPI 1801338850
$132.00
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.
$264.00
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.
$97.02 with highmark health options vs $588.58 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 | chip | $97.02 | ↓ -27% |
| highmark health options west va | mgd mcaid | $97.02 | ↓ -27% |
| wellpoint wv | chip | $97.02 | ↓ -27% |
| wellpoint west virginia | mgd mcaid | $97.02 | ↓ -27% |
| the health plan wv | mgd mcaid | $98.41 | ↓ -25% |
| the health plan wv | chip | $98.87 | ↓ -25% |
| aetna better health wv | chip | $98.87 | ↓ -25% |
| aetna | better health mgd medicaid | $98.87 | ↓ -25% |
| peak health medicare advantage | all plans | $116.30 | ↓ -12% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $116.30 | ↓ -12% |
| highmark wv medicare advantage | all plans | $120.95 | ↓ -8% |
| humana medicare advantage | all plans | $122.11 | ↓ -7% |
| aetna medicare advantage | all plans | $122.11 | ↓ -7% |
| pa health & wellness medicare advantage | all plan | $122.11 | ↓ -7% |
| wv senior advantage | isnp | $123.28 | ↓ -7% |
| the health plan wv medicare advantage | all plans | $123.28 | ↓ -7% |
| coventry health care | worker's compensation | $183.75 | ↑ +39% |
| alliance coal | alliance coal | $203.52 | ↑ +54% |
| blue cross blue shield traditional | blue cross blue shield traditional | $588.58 | ↑ +346% |
| blue cross blue shield ppo | blue cross blue shield ppo | $588.58 | ↑ +346% |
Visitor-reported prices
Comments
Nursing facility discharge management > 30 min 99316 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $133.00 | not published |
| Grant Memorial Hospital | Petersburg | $212.80 | not published |
| Summersville Regional Medical Center | Summersville | $142.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $142.00 | not published |
| Jackson General Hospital | Ripley | $142.00 | not published |
| Potomac Valley Hospital | Keyser | $142.00 | not published |
| Wetzel County Hospital | New Martinsville | $105.00 | $97.02 – $203.52 |
| St. Joseph's Hospital | Buckhannon | $142.00 | not published |