▸ Compare · PriceTransparency
Office visit, new patient, 45-59 min
CPT 99204 · negotiated-rate distribution across hospitals in VA
Hospitals
8
Min
$285.75
Median
$288.90
Max
$288.90
Range multiplier
1.0×
By payer (19 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| UnitedHealthcare | 5 | 25 | $134.90 | $257.27 | $367.83 | 2.7× |
| Aetna | 5 | 15 | $229.05 | $233.10 | $298.80 | 1.3× |
| Cigna | 5 | 10 | $285.75 | $303.98 | $324.00 | 1.1× |
| sentara health plan | 5 | 10 | $131.22 | $205.11 | $279.00 | 2.1× |
| gateway - tier 1 | 5 | 5 | $427.50 | $427.50 | $427.50 | 1.0× |
| gateway - tier 2 | 5 | 5 | $360.00 | $360.00 | $360.00 | 1.0× |
| gateway - tier 3 | 5 | 5 | $247.50 | $247.50 | $247.50 | 1.0× |
| Humana | 5 | 5 | $134.90 | $134.90 | $134.90 | 1.0× |
| vhn - ultra | 5 | 5 | $279.00 | $279.00 | $279.00 | 1.0× |
| Anthem BCBS | 5 | 5 | $128.77 | $128.77 | $128.77 | 1.0× |
| connecticare | 5 | 5 | $315.00 | $315.00 | $315.00 | 1.0× |
| First Health | 5 | 5 | $134.90 | $134.90 | $134.90 | 1.0× |
| vhn - link | 5 | 5 | $405.00 | $405.00 | $405.00 | 1.0× |
| vhn - plus | 5 | 5 | $346.50 | $346.50 | $346.50 | 1.0× |
| vhn - secondary payors | 5 | 5 | $427.50 | $427.50 | $427.50 | 1.0× |
| vhn | 5 | 5 | $360.00 | $360.00 | $360.00 | 1.0× |
| national provider network | 1 | 1 | $432.00 | $432.00 | $432.00 | 1.0× |
| integrated health plan | 1 | 1 | $382.50 | $382.50 | $382.50 | 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 | $450.00 | $157.50 | $128.77 | $288.90 | $427.50 |
| Carilion Medical Center | Roanoke | VA | 16 | $450.00 | $157.50 | $128.77 | $288.90 | $427.50 |
| Carilion New River Valley Med Center | Christiansburg | VA | 16 | $450.00 | $157.50 | $128.77 | $288.90 | $427.50 |
| Carilion Franklin Memorial Hospital | Rocky Mount | VA | 16 | $450.00 | $157.50 | $128.77 | $288.90 | $427.50 |
| Carilion Tazewell Community Hospital | Tazewell | VA | 19 | $450.00 | $157.50 | $116.51 | $285.75 | $432.00 |
| Childrens Hospital Of The Kings Da | Norfolk | VA | 0 | $745.00 | $670.50 | — | — | — |
| Lynn House Of Potomac Valley Inc. | Alexandria | VA | 0 | $455.00 | $227.50 | — | — | — |
| Bon Secours Depaul Medical Center | Norfolk | VA | 0 | $654.00 | $425.10 | — | — | — |
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.