Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$79.00
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.
$158.00
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.
$36.03 with wellpoint wv vs $233.25 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 |
|---|---|---|---|
| wellpoint wv | chip | $36.03 | ↓ -54% |
| highmark health options west va | mgd mcaid | $36.03 | ↓ -54% |
| highmark health options | chip | $36.03 | ↓ -54% |
| wellpoint west virginia | mgd | $36.03 | ↓ -54% |
| the health plan wv | mgd mcaid | $36.54 | ↓ -54% |
| aetna | better health mgd medicaid | $36.71 | ↓ -54% |
| aetna better health wv | chip | $36.71 | ↓ -54% |
| the health plan wv | chip | $36.71 | ↓ -54% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $37.74 | ↓ -52% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $45.83 | ↓ -42% |
| peak health medicare advantage | all plans | $45.83 | ↓ -42% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $45.83 | ↓ -42% |
| molina oh medicare advantage | all plans | $45.83 | ↓ -42% |
| upmc for life medicare advantage | all plans | $45.83 | ↓ -42% |
| caresource oh medicare advantage | all plans | $45.83 | ↓ -42% |
| anthem oh medicare advantage | hmo | $47.20 | ↓ -40% |
| anthem ohio | managed medicaid | $47.20 | ↓ -40% |
| highmark wv medicare advantage | all plans | $47.66 | ↓ -40% |
| pa health & wellness medicare advantage | all plan | $48.12 | ↓ -39% |
| humana medicare advantage | all plans | $48.12 | ↓ -39% |
| buckeye oh medicare advantage | all plans | $48.12 | ↓ -39% |
| senior life medicare advantage | all plans | $48.12 | ↓ -39% |
| aetna medicare advantage | all plans | $48.12 | ↓ -39% |
| the health plan wv medicare advantage | all plans | $48.58 | ↓ -39% |
| wv senior advantage | isnp | $48.58 | ↓ -39% |
| geisinger pa medicare advantage | all plans | $48.58 | ↓ -39% |
| valor health medicare advantage | all plans | $48.58 | ↓ -39% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $49.50 | ↓ -37% |
| unitedhealthcare medicare advantage | all plans | $49.95 | ↓ -37% |
| alliance coal | alliance coal | $61.87 | ↓ -22% |
| buckeye commercial | exchange plan | $68.74 | ↓ -13% |
| coventry health care | worker's compensation | $72.41 | ↓ -8% |
| caresource oh exchange | caresource oh exchange | $75.62 | ↓ -4% |
| blue cross blue shield traditional | blue cross blue shield traditional | $233.25 | ↑ +195% |
| blue cross blue shield ppo | blue cross blue shield ppo | $233.25 | ↑ +195% |
Visitor-reported prices
Comments
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $81.50 | $29.79 – $194.16 |
| Reynolds Memorial Hospital | Glen Dale | $58.00 | $29.79 – $72.41 |
| Berkeley Medical Center | Martinsburg | $50.50 | $36.03 – $72.41 |
| Braxton County Memorial Hospital | Gassaway | $58.50 | not published |
| United Hospital Center | Bridgeport | $60.00 | $36.03 – $72.41 |
| Wetzel County Hospital | New Martinsville | $87.50 | $36.03 – $72.41 |
| Camden Clark Medical Center | Parkersburg | $60.00 | $36.03 – $72.41 |
| Princeton Community Hospital | Princeton | $138.00 | $36.03 – $266.94 |