Treatment of fibula fracture 27780 at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$278.00
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.
$556.00
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.
$115.50 with amerihealth caritas pa vs $1,198.35 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 | $115.50 | ↓ -58% |
| upmc for kids | chip | $115.50 | ↓ -58% |
| pennsylvania health & wellness | medicaid | $127.05 | ↓ -54% |
| upmc for you medicaid | upmc for you medicaid | $127.05 | ↓ -54% |
| aetna better health pa | chip | $127.05 | ↓ -54% |
| wellpoint west virginia | mgd | $131.25 | ↓ -53% |
| highmark health options | chip | $131.25 | ↓ -53% |
| highmark health options west va | mgd mcaid | $131.25 | ↓ -53% |
| wellpoint wv | chip | $131.25 | ↓ -53% |
| the health plan wv | mgd mcaid | $133.13 | ↓ -52% |
| aetna | better health mgd medicaid | $133.75 | ↓ -52% |
| aetna better health wv | chip | $133.75 | ↓ -52% |
| the health plan wv | chip | $133.75 | ↓ -52% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $137.50 | ↓ -51% |
| health partners | managed medicaid | $145.53 | ↓ -48% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $235.46 | ↓ -15% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $235.46 | ↓ -15% |
| caresource oh medicare advantage | all plans | $235.46 | ↓ -15% |
| molina oh medicare advantage | all plans | $235.46 | ↓ -15% |
| peak health medicare advantage | all plans | $235.46 | ↓ -15% |
| upmc for life medicare advantage | all plans | $235.46 | ↓ -15% |
| anthem ohio | managed medicaid | $242.52 | ↓ -13% |
| anthem oh medicare advantage | hmo | $242.52 | ↓ -13% |
| highmark wv medicare advantage | all plans | $244.88 | ↓ -12% |
| pa health & wellness medicare advantage | all plan | $247.23 | ↓ -11% |
| aetna medicare advantage | all plans | $247.23 | ↓ -11% |
| humana medicare advantage | all plans | $247.23 | ↓ -11% |
| senior life medicare advantage | all plans | $247.23 | ↓ -11% |
| buckeye oh medicare advantage | all plans | $247.23 | ↓ -11% |
| geisinger pa medicare advantage | all plans | $249.59 | ↓ -10% |
| valor health medicare advantage | all plans | $249.59 | ↓ -10% |
| the health plan wv medicare advantage | all plans | $249.59 | ↓ -10% |
| wv senior advantage | isnp | $249.59 | ↓ -10% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $254.30 | ↓ -9% |
| unitedhealthcare medicare advantage | all plans | $256.65 | ↓ -8% |
| buckeye commercial | exchange plan | $353.19 | ↑ +27% |
| coventry health care | worker's compensation | $372.03 | ↑ +34% |
| caresource oh exchange | caresource oh exchange | $388.51 | ↑ +40% |
| alliance coal | alliance coal | $412.06 | ↑ +48% |
| blue cross blue shield traditional | blue cross blue shield traditional | $1,198.35 | ↑ +331% |
| blue cross blue shield ppo | blue cross blue shield ppo | $1,198.35 | ↑ +331% |
Visitor-reported prices
Comments
Treatment of fibula fracture 27780 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $322.50 | not published |
| West Virginia University Hospitals | Morgantown | $422.00 | $61.73 – $1,005.87 |
| Grant Memorial Hospital | Petersburg | $516.00 | not published |
| Reynolds Memorial Hospital | Glen Dale | $494.50 | $121.28 – $412.06 |
| Summersville Regional Medical Center | Summersville | $341.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $425.00 | not published |
| United Hospital Center | Bridgeport | $284.00 | $131.25 – $445.01 |
| Jackson General Hospital | Ripley | $491.50 | not published |