Dest mal lesion feenlm <0.5cm 17280 at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$103.50
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.
$207.00
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.
$65.76 with amerihealth caritas pa vs $974.72 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 | $65.76 | ↓ -36% |
| upmc for kids | chip | $65.76 | ↓ -36% |
| upmc for you medicaid | upmc for you medicaid | $72.34 | ↓ -30% |
| aetna better health pa | chip | $72.34 | ↓ -30% |
| pennsylvania health & wellness | medicaid | $72.34 | ↓ -30% |
| health partners | managed medicaid | $82.86 | ↓ -20% |
| highmark health options | chip | $105.00 | ↑ +1% |
| wellpoint west virginia | mgd | $105.00 | ↑ +1% |
| wellpoint wv | chip | $105.00 | ↑ +1% |
| highmark health options west va | mgd mcaid | $105.00 | ↑ +1% |
| the health plan wv | mgd mcaid | $106.50 | ↑ +3% |
| the health plan wv | chip | $107.00 | ↑ +3% |
| aetna better health wv | chip | $107.00 | ↑ +3% |
| aetna | better health mgd medicaid | $107.00 | ↑ +3% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $110.00 | ↑ +6% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $191.52 | ↑ +85% |
| peak health medicare advantage | all plans | $191.52 | ↑ +85% |
| upmc for life medicare advantage | all plans | $191.52 | ↑ +85% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $191.52 | ↑ +85% |
| molina oh medicare advantage | all plans | $191.52 | ↑ +85% |
| caresource oh medicare advantage | all plans | $191.52 | ↑ +85% |
| anthem ohio | managed medicaid | $197.27 | ↑ +91% |
| anthem oh medicare advantage | hmo | $197.27 | ↑ +91% |
| highmark wv medicare advantage | all plans | $199.18 | ↑ +92% |
| pa health & wellness medicare advantage | all plan | $201.10 | ↑ +94% |
| aetna medicare advantage | all plans | $201.10 | ↑ +94% |
| humana medicare advantage | all plans | $201.10 | ↑ +94% |
| senior life medicare advantage | all plans | $201.10 | ↑ +94% |
| buckeye oh medicare advantage | all plans | $201.10 | ↑ +94% |
| geisinger pa medicare advantage | all plans | $203.01 | ↑ +96% |
| valor health medicare advantage | all plans | $203.01 | ↑ +96% |
| the health plan wv medicare advantage | all plans | $203.01 | ↑ +96% |
| wv senior advantage | isnp | $203.01 | ↑ +96% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $206.84 | ↑ +100% |
| unitedhealthcare medicare advantage | all plans | $208.76 | ↑ +102% |
| buckeye commercial | exchange plan | $287.28 | ↑ +178% |
| coventry health care | worker's compensation | $302.60 | ↑ +192% |
| caresource oh exchange | caresource oh exchange | $316.01 | ↑ +205% |
| alliance coal | alliance coal | $335.16 | ↑ +224% |
| blue cross blue shield traditional | blue cross blue shield traditional | $974.72 | ↑ +842% |
| blue cross blue shield ppo | blue cross blue shield ppo | $974.72 | ↑ +842% |
Visitor-reported prices
Comments
Dest mal lesion feenlm <0.5cm 17280 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $132.00 | not published |
| Reynolds Memorial Hospital | Glen Dale | $205.50 | $69.05 – $335.16 |
| Summersville Regional Medical Center | Summersville | $90.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $82.50 | not published |
| United Hospital Center | Bridgeport | $231.00 | $105.00 – $361.95 |
| Jackson General Hospital | Ripley | $449.31 | not published |
| Potomac Valley Hospital | Keyser | $82.50 | not published |
| Wetzel County Hospital | New Martinsville | $290.50 | $72.34 – $358.94 |