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CPT 81003 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$11.25
Median
$12.83
Max
$19.36
Range multiplier
1.7×

By payer (41 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare313$2.25$20.38$76.6334.1×
Aetna311$2.25$19.36$85.3637.9×
Medicaid17$1.98$1.98$2.251.1×
Blue Cross Blue Shield37$2.32$11.25$73.1431.5×
the health plan26$2.03$4.42$19.599.7×
Cigna14$2.21$9.66$22.7510.3×
umr24$17.38$32.39$76.634.4×
the health plan hmo24$18.48$34.44$81.484.4×
WellCare23$2.25$4.44$19.598.7×
Humana23$2.25$4.44$19.598.7×
harvard pilgrim [10701]13$8.35$9.61$10.041.2×
optum ccn region 223$2.25$4.44$19.598.7×
optum ccn region 123$2.25$4.44$19.598.7×
Anthem BCBS23$2.25$4.44$19.598.7×
fallon mcaid carelon hlth [29]12$24.00$28.00$32.001.3×
connecticare [11105]12$24.00$28.00$32.001.3×
evernorth behavioral health [27]12$19.20$22.40$25.601.3×
fallon carelon hlth [28]12$24.00$28.00$32.001.3×
First Health12$18.00$21.00$24.001.3×
grants [20507]12$24.00$28.00$32.001.3×
hne [11108]12$15.62$18.23$20.831.3×
hp optum bh [32]12$24.00$28.00$32.001.3×
masshealth mcd mbhp [38]12$24.00$28.00$32.001.3×
tufts [11201]12$17.06$19.91$22.751.3×
wellsense mcaid carelon hlth [21]12$24.00$28.00$32.001.3×
institution [10406]11$2.25$2.25$2.251.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
senior whole health [10110]11$2.41$2.41$2.411.0×
fallon mcr supp [20202]11$2.36$2.36$2.361.0×
fallon mcr [10105]11$2.36$2.36$2.361.0×
workers compensation [20501]11$3.14$3.14$3.141.0×
tufts connectorcare [10507]11$3.83$3.83$3.831.0×
tufts mcr [10112]11$2.36$2.36$2.361.0×
tufts us family [11203]11$2.25$2.25$2.251.0×
fallon connectorcare [10503]11$17.44$17.44$17.441.0×
unicare of west virginia11$2.03$2.03$2.031.0×
commonwealth care alliance [10103]11$2.36$2.36$2.361.0×
CHAMPVA11$2.71$2.71$2.711.0×
wellpoint [11112]11$5.93$5.93$5.931.0×
masshealth [20302]11$1.98$1.98$1.981.0×
mgb mcr [10124]11$2.25$2.25$2.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Summers County ArhHintonWV12$97.00$58.20$2.03$19.36$85.36
Webster County Memorial HospitalWebster SpringsWV32$32.00$32.00$1.98$12.83$680.81
Beckley ArhBeckleyWV11$60.00$36.00$2.03$11.25$52.80
Reynolds Memorial HospitalGlen DaleWV0$61.00$30.50
Jackson General HospitalRipleyWV0$42.00$21.00
Princeton Community HospitalPrincetonWV0$25.00$12.50
Wheeling HospitalWheelingWV0$48.00$24.00
Camden-Clark Memorial HospitalParkersburgWV0$40.00$20.00
Wetzel County HospitalNew MartinsvilleWV0$59.00$29.50
Summersville Regional Med CenterSummersvilleWV0$37.00$18.50
Braxton County Memorial HospitalGassawayWV0$41.00$20.50
Potomac Valley HospitalKeyserWV0$26.00$13.00
Grant Memorial HospitalPetersburgWV0$13.00$10.40
Jefferson Memorial HospitalRansonWV0$38.00$19.00
Jackson General HospitalRipleyWV0$42.00$21.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$57.00$28.50
West Virginia University HospitalsMorgantownWV0$62.00$31.00
Summersville Regional Med CenterSummersvilleWV0$37.00$18.50
United Hospital CenterBridgeportWV0$40.00$20.00
City Hospital Inc.MartinsburgWV0$40.00$20.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.