▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in VA
Hospitals
8
Min
$285.75
Median
$288.9
Max
$288.9
Range multiplier
1.0×
By payer (19 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 25 | $134.9 | $257.27 | $367.83 | 2.7× |
| Aetna | 5 | 15 | $229.05 | $233.1 | $298.8 | 1.3× |
| Cigna | 5 | 10 | $285.75 | $303.98 | $324 | 1.1× |
| sentara health plan | 5 | 10 | $131.22 | $205.11 | $279 | 2.1× |
| gateway - tier 1 | 5 | 5 | $427.5 | $427.5 | $427.5 | 1.0× |
| gateway - tier 2 | 5 | 5 | $360 | $360 | $360 | 1.0× |
| gateway - tier 3 | 5 | 5 | $247.5 | $247.5 | $247.5 | 1.0× |
| Humana | 5 | 5 | $134.9 | $134.9 | $134.9 | 1.0× |
| vhn - ultra | 5 | 5 | $279 | $279 | $279 | 1.0× |
| Anthem BCBS | 5 | 5 | $128.77 | $128.77 | $128.77 | 1.0× |
| connecticare | 5 | 5 | $315 | $315 | $315 | 1.0× |
| First Health | 5 | 5 | $134.9 | $134.9 | $134.9 | 1.0× |
| vhn - link | 5 | 5 | $405 | $405 | $405 | 1.0× |
| vhn - plus | 5 | 5 | $346.5 | $346.5 | $346.5 | 1.0× |
| vhn - secondary payors | 5 | 5 | $427.5 | $427.5 | $427.5 | 1.0× |
| vhn | 5 | 5 | $360 | $360 | $360 | 1.0× |
| national provider network | 1 | 1 | $432 | $432 | $432 | 1.0× |
| integrated health plan | 1 | 1 | $382.5 | $382.5 | $382.5 | 1.0× |
| corvel | 1 | 1 | $116.51 | $116.51 | $116.51 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| CARILION STONEWALL JACKSON HOSPITAL | LEXINGTON | VA | 16 | $450 | $157.5 | $128.77 | $288.9 | $427.5 |
| CARILION MEDICAL CENTER | ROANOKE | VA | 16 | $450 | $157.5 | $128.77 | $288.9 | $427.5 |
| CARILION NEW RIVER VALLEY MED CENTER | CHRISTIANSBURG | VA | 16 | $450 | $157.5 | $128.77 | $288.9 | $427.5 |
| CARILION FRANKLIN MEMORIAL HOSPITAL | ROCKY MOUNT | VA | 16 | $450 | $157.5 | $128.77 | $288.9 | $427.5 |
| CARILION TAZEWELL COMMUNITY HOSPITAL | TAZEWELL | VA | 19 | $450 | $157.5 | $116.51 | $285.75 | $432 |
| CHILDRENS HOSPITAL OF THE KINGS DA | NORFOLK | VA | 0 | $745 | $670.5 | — | — | — |
| LYNN HOUSE OF POTOMAC VALLEY INC. | ALEXANDRIA | VA | 0 | $455 | $227.5 | — | — | — |
| BON SECOURS DEPAUL MEDICAL CENTER | NORFOLK | VA | 0 | $654 | $425.1 | — | — | — |
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.