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Office visit, new patient, 15-29 min

CPT 99202 · negotiated-rate distribution across hospitals in WV

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Hospitals
19
Min
$60.04
Median
$169.61
Max
$169.61
Range multiplier
2.8×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare212$48.43$147.34$230.984.8×
Aetna212$40.23$139.50$272.006.8×
Cigna15$46.12$125.81$193.344.2×
Medicaid13$88.40$92.04$141.441.6×
evernorth behavioral health [27]13$136.00$141.60$217.601.6×
fallon carelon hlth [28]13$170.00$177.00$272.001.6×
fallon mcaid carelon hlth [29]13$170.00$177.00$272.001.6×
wellsense mcaid carelon hlth [21]13$170.00$177.00$272.001.6×
tufts [11201]13$120.84$125.81$193.341.6×
connecticare [11105]13$170.00$177.00$272.001.6×
First Health13$127.50$132.75$204.001.6×
grants [20507]13$170.00$177.00$272.001.6×
hp optum bh [32]13$170.00$177.00$272.001.6×
masshealth mcd mbhp [38]13$170.00$177.00$272.001.6×
institution [10406]12$46.12$103.83$161.533.5×
Blue Cross Blue Shield12$47.65$107.27$166.893.5×
CHAMPVA12$46.12$99.58$153.043.3×
commonwealth care alliance [10103]12$48.43$109.02$169.613.5×
fallon mcr [10105]12$48.43$109.02$169.613.5×
fallon mcr supp [20202]12$48.43$109.02$169.613.5×
mgb mcr [10124]12$46.12$103.83$161.533.5×
senior whole health [10110]12$49.35$111.10$172.843.5×
the health plan12$35.00$35.00$35.001.0×
the health plan hmo12$62.16$63.84$65.521.1×
tufts connectorcare [10507]12$78.45$176.61$274.773.5×
tufts mcr [10112]12$48.43$109.02$169.613.5×
tufts us family [11203]12$46.12$103.83$161.533.5×
umr12$58.46$60.04$61.621.1×
hsno/free care [10801]11$680.81$680.81$680.811.0×
workers compensation [20501]11$68.83$68.83$68.831.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV5$151.00$90.60$35.00$60.04$68.64
Webster County Memorial HospitalWebster SpringsWV27$272.00$272.00$46.12$169.61$680.81
City Hospital Inc.MartinsburgWV0$172.00$86.00
Reynolds Memorial HospitalGlen DaleWV0$171.00$85.50
Jackson General HospitalRipleyWV0$126.00$63.00
Princeton Community HospitalPrincetonWV0$126.00$63.00
Wheeling HospitalWheelingWV0$145.00$72.50
Camden-Clark Memorial HospitalParkersburgWV0$168.00$84.00
Wetzel County HospitalNew MartinsvilleWV0$228.00$114.00
Summersville Regional Med CenterSummersvilleWV0$108.00$54.00
Braxton County Memorial HospitalGassawayWV0$103.00$51.50
Potomac Valley HospitalKeyserWV0$131.00$65.50
Grant Memorial HospitalPetersburgWV0$118.00$94.40
Jefferson Memorial HospitalRansonWV0$185.00$92.50
Jackson General HospitalRipleyWV0$126.00$63.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$103.00$51.50
West Virginia University HospitalsMorgantownWV0$135.00$67.50
Summersville Regional Med CenterSummersvilleWV0$108.00$54.00
United Hospital CenterBridgeportWV0$168.00$84.00

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.