X-ray sinus tract/fistula/abscess at Weirton Medical Center
601 Colliers Way, Weirton, WV · Wvumedicine · · NPI 1922009505
$628.00
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.
$1,256.00
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.
$16.50 with amerihealth caritas pa vs $2,654.53 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 | $16.50 | ↓ -97% |
| upmc for kids | chip | $16.50 | ↓ -97% |
| pennsylvania health & wellness | medicaid | $18.15 | ↓ -97% |
| upmc for you medicaid | upmc for you medicaid | $18.15 | ↓ -97% |
| aetna better health pa | chip | $18.15 | ↓ -97% |
| wellpoint west virginia | mgd | $18.78 | ↓ -97% |
| highmark health options | chip | $18.78 | ↓ -97% |
| highmark health options west va | mgd mcaid | $18.78 | ↓ -97% |
| wellpoint wv | chip | $18.78 | ↓ -97% |
| the health plan wv | mgd mcaid | $19.05 | ↓ -97% |
| aetna | better health mgd medicaid | $19.14 | ↓ -97% |
| aetna better health wv | chip | $19.14 | ↓ -97% |
| the health plan wv | chip | $19.14 | ↓ -97% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $19.68 | ↓ -97% |
| health partners | managed medicaid | $20.79 | ↓ -97% |
| anthem medicare advantage ppo | anthem medicare advantage ppo | $521.58 | ↓ -17% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $521.58 | ↓ -17% |
| caresource oh medicare advantage | all plans | $521.58 | ↓ -17% |
| molina oh medicare advantage | all plans | $521.58 | ↓ -17% |
| peak health medicare advantage | all plans | $521.58 | ↓ -17% |
| upmc for life medicare advantage | all plans | $521.58 | ↓ -17% |
| anthem ohio | managed medicaid | $537.23 | ↓ -14% |
| anthem oh medicare advantage | hmo | $537.23 | ↓ -14% |
| highmark wv medicare advantage | all plans | $542.44 | ↓ -14% |
| pa health & wellness medicare advantage | all plan | $547.66 | ↓ -13% |
| aetna medicare advantage | all plans | $547.66 | ↓ -13% |
| humana medicare advantage | all plans | $547.66 | ↓ -13% |
| senior life medicare advantage | all plans | $547.66 | ↓ -13% |
| buckeye oh medicare advantage | all plans | $547.66 | ↓ -13% |
| geisinger pa medicare advantage | all plans | $552.87 | ↓ -12% |
| valor health medicare advantage | all plans | $552.87 | ↓ -12% |
| the health plan wv medicare advantage | all plans | $552.87 | ↓ -12% |
| wv senior advantage | isnp | $552.87 | ↓ -12% |
| amerihealth caritas pa medicare advantage | amerihealth caritas pa medicare advantage | $563.31 | ↓ -10% |
| unitedhealthcare medicare advantage | all plans | $568.52 | ↓ -9% |
| buckeye commercial | exchange plan | $782.37 | ↑ +25% |
| coventry health care | worker's compensation | $824.10 | ↑ +31% |
| caresource oh exchange | caresource oh exchange | $860.61 | ↑ +37% |
| alliance coal | alliance coal | $912.76 | ↑ +45% |
| blue cross blue shield traditional | blue cross blue shield traditional | $2,654.53 | ↑ +323% |
| blue cross blue shield ppo | blue cross blue shield ppo | $2,654.53 | ↑ +323% |
Visitor-reported prices
Comments
X-ray sinus tract/fistula/abscess at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $1,255.00 | $16.50 – $2,228.19 |
| Reynolds Memorial Hospital | Glen Dale | $242.50 | $17.33 – $912.77 |
| Berkeley Medical Center | Martinsburg | $414.00 | $17.66 – $920.29 |
| United Hospital Center | Bridgeport | $685.00 | $18.78 – $985.78 |
| Wetzel County Hospital | New Martinsville | $448.50 | $18.15 – $977.58 |
| Camden Clark Medical Center | Parkersburg | $685.00 | $18.78 – $912.76 |
| Thomas Hospitals | South Charleston | $1,332.00 | $18.78 – $2,639.66 |