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Office visit, new patient, 45-59 min

CPT 99204 · negotiated-rate distribution across hospitals in WV

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Hospitals
18
Min
$129.06
Median
$169.61
Max
$169.61
Range multiplier
1.3×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna27$114.34$167.53$564.004.9×
UnitedHealthcare25$143.78$172.84$478.953.3×
Cigna13$159.56$161.53$400.892.5×
institution [10406]12$159.56$160.55$161.531.0×
Blue Cross Blue Shield12$164.85$165.87$166.891.0×
commonwealth care alliance [10103]12$167.53$168.57$169.611.0×
fallon mcr [10105]12$167.53$168.57$169.611.0×
fallon mcr supp [20202]12$167.53$168.57$169.611.0×
mgb mcr [10124]12$159.56$160.55$161.531.0×
the health plan12$100.62$100.62$100.621.0×
tufts connectorcare [10507]12$271.41$273.09$274.771.0×
tufts mcr [10112]12$167.53$168.57$169.611.0×
grants [20507]11$564.00$564.00$564.001.0×
hp optum bh [32]11$564.00$564.00$564.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
connecticare [11105]11$564.00$564.00$564.001.0×
masshealth mcd mbhp [38]11$564.00$564.00$564.001.0×
Medicaid11$293.28$293.28$293.281.0×
umr11$143.78$143.78$143.781.0×
senior whole health [10110]11$172.84$172.84$172.841.0×
CHAMPVA11$153.04$153.04$153.041.0×
the health plan hmo11$152.88$152.88$152.881.0×
tufts [11201]11$400.89$400.89$400.891.0×
wellsense mcaid carelon hlth [21]11$564.00$564.00$564.001.0×
evernorth behavioral health [27]11$451.20$451.20$451.201.0×
fallon carelon hlth [28]11$564.00$564.00$564.001.0×
fallon mcaid carelon hlth [29]11$564.00$564.00$564.001.0×
workers compensation [20501]11$150.71$150.71$150.711.0×
tufts us family [11203]11$161.53$161.53$161.531.0×
First Health11$423.00$423.00$423.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV27$564.00$564.00$150.71$169.61$680.81
Beckley ArhBeckleyWV5$341.00$204.60$100.62$129.06$160.16
Reynolds Memorial HospitalGlen DaleWV0$129.00$64.50
Jackson General HospitalRipleyWV0$292.00$146.00
Princeton Community HospitalPrincetonWV0$310.00$155.00
Wheeling HospitalWheelingWV0$145.00$72.50
Camden-Clark Memorial HospitalParkersburgWV0$126.00$63.00
Wetzel County HospitalNew MartinsvilleWV0$469.00$234.50
Summersville Regional Med CenterSummersvilleWV0$292.00$146.00
Braxton County Memorial HospitalGassawayWV0$292.00$146.00
Potomac Valley HospitalKeyserWV0$455.00$227.50
Grant Memorial HospitalPetersburgWV0$584.00$467.20
Jefferson Memorial HospitalRansonWV0$292.00$146.00
Jackson General HospitalRipleyWV0$292.00$146.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$292.00$146.00
West Virginia University HospitalsMorgantownWV0$140.00$70.00
Summersville Regional Med CenterSummersvilleWV0$292.00$146.00
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.