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Office visit, new patient, 30-44 minutes

CPT 99203 · negotiated-rate distribution across hospitals in WV

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Hospitals
18
Min
$87.21
Median
$209.32
Max
$209.32
Range multiplier
2.4×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare212$84.45$221.64$296.373.5×
Aetna212$69.96$211.45$349.005.0×
Cigna15$80.43$185.52$248.073.1×
Medicaid13$135.72$137.80$181.481.3×
evernorth behavioral health [27]13$208.80$212.00$279.201.3×
fallon carelon hlth [28]13$261.00$265.00$349.001.3×
fallon mcaid carelon hlth [29]13$261.00$265.00$349.001.3×
wellsense mcaid carelon hlth [21]13$261.00$265.00$349.001.3×
tufts [11201]13$185.52$188.36$248.071.3×
connecticare [11105]13$261.00$265.00$349.001.3×
First Health13$195.75$198.75$261.751.3×
grants [20507]13$261.00$265.00$349.001.3×
hp optum bh [32]13$261.00$265.00$349.001.3×
masshealth mcd mbhp [38]13$261.00$265.00$349.001.3×
institution [10406]12$80.43$120.98$161.532.0×
Blue Cross Blue Shield12$83.10$125.00$166.892.0×
CHAMPVA12$80.43$116.74$153.041.9×
commonwealth care alliance [10103]12$84.45$127.03$169.612.0×
fallon mcr [10105]12$84.45$127.03$169.612.0×
fallon mcr supp [20202]12$84.45$127.03$169.612.0×
mgb mcr [10124]12$80.43$120.98$161.532.0×
senior whole health [10110]12$86.06$129.45$172.842.0×
the health plan12$61.76$61.76$61.761.0×
the health plan hmo12$89.88$170.10$250.322.8×
tufts connectorcare [10507]12$136.81$205.79$274.772.0×
tufts mcr [10112]12$84.45$127.03$169.612.0×
tufts us family [11203]12$80.43$120.98$161.532.0×
umr12$84.53$159.98$235.422.8×
hsno/free care [10801]11$680.81$680.81$680.811.0×
workers compensation [20501]11$100.00$100.00$100.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV5$298.00$178.80$61.76$87.21$262.24
Webster County Memorial HospitalWebster SpringsWV27$349.00$349.00$80.43$209.32$680.81
Reynolds Memorial HospitalGlen DaleWV0$228.00$114.00
Jackson General HospitalRipleyWV0$180.00$90.00
Princeton Community HospitalPrincetonWV0$177.00$88.50
Wheeling HospitalWheelingWV0$144.00$72.00
Camden-Clark Memorial HospitalParkersburgWV0$126.00$63.00
Wetzel County HospitalNew MartinsvilleWV0$303.00$151.50
Summersville Regional Med CenterSummersvilleWV0$180.00$90.00
Braxton County Memorial HospitalGassawayWV0$180.00$90.00
Potomac Valley HospitalKeyserWV0$204.00$102.00
Grant Memorial HospitalPetersburgWV0$180.00$144.00
Jefferson Memorial HospitalRansonWV0$185.00$92.50
Jackson General HospitalRipleyWV0$180.00$90.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$180.00$90.00
West Virginia University HospitalsMorgantownWV0$135.00$67.50
Summersville Regional Med CenterSummersvilleWV0$180.00$90.00
City Hospital Inc.MartinsburgWV0$172.00$86.00

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.