Biopsy tongue anterior two-thirds at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$95.00
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.
$190.00
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.
$62.00 with amerihealth caritas pa vs $2,620.07 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 |
|---|---|---|---|
| amerihealth caritas pa | medicaid | $62.00 | ↓ -35% |
| upmc for kids | chip | $62.00 | ↓ -35% |
| upmc for you medicaid | upmc for you medicaid | $68.20 | ↓ -28% |
| aetna better health pa | chip | $68.20 | ↓ -28% |
| pennsylvania health & wellness | medicaid | $68.20 | ↓ -28% |
| health partners | managed medicaid | $78.12 | ↓ -18% |
| highmark health options | chip | $190.00 | ↑ +100% |
| aetna better health wv | chip | $190.00 | ↑ +100% |
| aetna | better health mgd medicaid | $190.00 | ↑ +100% |
| wellpoint west virginia | mgd | $190.00 | ↑ +100% |
| wellpoint wv | chip | $190.00 | ↑ +100% |
| highmark health options west va | mgd mcaid | $190.00 | ↑ +100% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $190.00 | ↑ +100% |
| the health plan wv | chip | $190.00 | ↑ +100% |
| the health plan wv | mgd mcaid | $190.00 | ↑ +100% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $514.81 | ↑ +442% |
| peak health medicare advantage | all plans | $514.81 | ↑ +442% |
| upmc for life medicare advantage | all plans | $514.81 | ↑ +442% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $514.81 | ↑ +442% |
| molina oh medicare advantage | all plans | $514.81 | ↑ +442% |
| caresource oh medicare advantage | all plans | $514.81 | ↑ +442% |
| anthem ohio | managed medicaid | $530.25 | ↑ +458% |
| anthem oh medicare advantage | hmo | $530.25 | ↑ +458% |
| highmark wv medicare advantage | all plans | $535.40 | ↑ +464% |
| pa health & wellness medicare advantage | all plan | $540.55 | ↑ +469% |
| aetna medicare advantage | all plans | $540.55 | ↑ +469% |
| humana medicare advantage | all plans | $540.55 | ↑ +469% |
| senior life medicare advantage | all plans | $540.55 | ↑ +469% |
| buckeye oh medicare advantage | all plans | $540.55 | ↑ +469% |
| geisinger pa medicare advantage | all plans | $545.70 | ↑ +474% |
| valor health medicare advantage | all plans | $545.70 | ↑ +474% |
| the health plan wv medicare advantage | all plans | $545.70 | ↑ +474% |
| wv senior advantage | isnp | $545.70 | ↑ +474% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $555.99 | ↑ +485% |
| unitedhealthcare medicare advantage | all plans | $561.14 | ↑ +491% |
| buckeye commercial | exchange plan | $772.21 | ↑ +713% |
| coventry health care | worker's compensation | $813.40 | ↑ +756% |
| caresource oh exchange | caresource oh exchange | $849.44 | ↑ +794% |
| alliance coal | alliance coal | $900.92 | ↑ +848% |
| blue cross blue shield traditional | blue cross blue shield traditional | $2,620.07 | ↑ +2658% |
| blue cross blue shield ppo | blue cross blue shield ppo | $2,620.07 | ↑ +2658% |
Visitor-reported prices
Comments
Biopsy tongue anterior two-thirds at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $2,260.67 | $62.00 – $2,199.29 |
| Reynolds Memorial Hospital | Glen Dale | $803.00 | $65.10 – $900.92 |
| Berkeley Medical Center | Martinsburg | $3,285.00 | $66.34 – $908.35 |
| United Hospital Center | Bridgeport | $620.00 | $205.80 – $972.96 |
| Camden Clark Medical Center | Parkersburg | $620.00 | $205.80 – $900.92 |
| Princeton Community Hospital | Princeton | $803.00 | $62.00 – $3,211.51 |
| Thomas Hospitals | South Charleston | $1,072.50 | $205.80 – $2,605.40 |
| Beckley ARH Hospital | Beckley | $414.00 | $79.53 – $439.13 |