Oropharyngeal biopsy 42800 at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$122.50
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.
?
What you pay up front if you don't use insurance.
$245.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$54.50 with amerihealth caritas pa vs $7,537.81 with blue cross blue shield ppo — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $54.50 | ↓ -56% |
| upmc for kids | chip | $54.50 | ↓ -56% |
| upmc for you medicaid | upmc for you medicaid | $59.95 | ↓ -51% |
| aetna better health pa | chip | $59.95 | ↓ -51% |
| pennsylvania health & wellness | medicaid | $59.95 | ↓ -51% |
| health partners | managed medicaid | $68.67 | ↓ -44% |
| highmark health options | chip | $205.80 | ↑ +68% |
| wellpoint west virginia | mgd | $205.80 | ↑ +68% |
| wellpoint wv | chip | $205.80 | ↑ +68% |
| highmark health options west va | mgd mcaid | $205.80 | ↑ +68% |
| the health plan wv | mgd mcaid | $208.74 | ↑ +70% |
| the health plan wv | chip | $209.72 | ↑ +71% |
| aetna better health wv | chip | $209.72 | ↑ +71% |
| aetna | better health mgd medicaid | $209.72 | ↑ +71% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $215.60 | ↑ +76% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $1,481.08 | ↑ +1109% |
| peak health medicare advantage | all plans | $1,481.08 | ↑ +1109% |
| upmc for life medicare advantage | all plans | $1,481.08 | ↑ +1109% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,481.08 | ↑ +1109% |
| molina oh medicare advantage | all plans | $1,481.08 | ↑ +1109% |
| caresource oh medicare advantage | all plans | $1,481.08 | ↑ +1109% |
| anthem ohio | managed medicaid | $1,525.51 | ↑ +1145% |
| anthem oh medicare advantage | hmo | $1,525.51 | ↑ +1145% |
| highmark wv medicare advantage | all plans | $1,540.32 | ↑ +1157% |
| pa health & wellness medicare advantage | all plan | $1,555.13 | ↑ +1169% |
| aetna medicare advantage | all plans | $1,555.13 | ↑ +1169% |
| humana medicare advantage | all plans | $1,555.13 | ↑ +1169% |
| senior life medicare advantage | all plans | $1,555.13 | ↑ +1169% |
| buckeye oh medicare advantage | all plans | $1,555.13 | ↑ +1169% |
| geisinger pa medicare advantage | all plans | $1,569.94 | ↑ +1182% |
| valor health medicare advantage | all plans | $1,569.94 | ↑ +1182% |
| the health plan wv medicare advantage | all plans | $1,569.94 | ↑ +1182% |
| wv senior advantage | isnp | $1,569.94 | ↑ +1182% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $1,599.57 | ↑ +1206% |
| unitedhealthcare medicare advantage | all plans | $1,614.38 | ↑ +1218% |
| buckeye commercial | exchange plan | $2,221.62 | ↑ +1714% |
| coventry health care | worker's compensation | $2,340.11 | ↑ +1810% |
| caresource oh exchange | caresource oh exchange | $2,443.78 | ↑ +1895% |
| alliance coal | alliance coal | $2,591.89 | ↑ +2016% |
| blue cross blue shield traditional | blue cross blue shield traditional | $7,537.81 | ↑ +6053% |
| blue cross blue shield ppo | blue cross blue shield ppo | $7,537.81 | ↑ +6053% |
Visitor-reported prices
Comments
Oropharyngeal biopsy 42800 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $6,060.00 | $54.50 – $6,327.13 |
| Berkeley Medical Center | Martinsburg | $1,913.00 | $58.32 – $2,613.26 |
| United Hospital Center | Bridgeport | $1,783.50 | $205.80 – $2,799.14 |
| Camden Clark Medical Center | Parkersburg | $1,783.50 | $205.80 – $2,591.89 |
| Princeton Community Hospital | Princeton | $2,201.00 | $54.50 – $9,239.16 |
| Thomas Hospitals | South Charleston | $2,772.00 | $205.80 – $7,495.60 |
| Beckley ARH Hospital | Beckley | $190.20 | $86.98 – $100.30 |