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Office visit, new patient, 60-74 min

CPT 99205 · negotiated-rate distribution across hospitals in WV

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Hospitals
15
Min
$170.73
Median
$523.64
Max
$523.64
Range multiplier
3.1×

By payer (30 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna26$156.59$187.77$1,007.006.4×
UnitedHealthcare25$169.61$184.86$855.145.0×
the health plan12$136.91$136.91$136.911.0×
Cigna12$161.53$438.66$715.784.4×
connecticare [11105]11$1,007.00$1,007.00$1,007.001.0×
evernorth behavioral health [27]11$805.60$805.60$805.601.0×
fallon carelon hlth [28]11$1,007.00$1,007.00$1,007.001.0×
fallon mcaid carelon hlth [29]11$1,007.00$1,007.00$1,007.001.0×
fallon mcr [10105]11$169.61$169.61$169.611.0×
fallon mcr supp [20202]11$169.61$169.61$169.611.0×
First Health11$755.25$755.25$755.251.0×
grants [20507]11$1,007.00$1,007.00$1,007.001.0×
hp optum bh [32]11$1,007.00$1,007.00$1,007.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$161.53$161.53$161.531.0×
masshealth mcd mbhp [38]11$1,007.00$1,007.00$1,007.001.0×
Medicaid11$523.64$523.64$523.641.0×
mgb mcr [10124]11$161.53$161.53$161.531.0×
senior whole health [10110]11$172.84$172.84$172.841.0×
the health plan hmo11$196.56$196.56$196.561.0×
tufts [11201]11$715.78$715.78$715.781.0×
tufts connectorcare [10507]11$274.77$274.77$274.771.0×
tufts mcr [10112]11$169.61$169.61$169.611.0×
tufts us family [11203]11$161.53$161.53$161.531.0×
umr11$184.86$184.86$184.861.0×
wellsense mcaid carelon hlth [21]11$1,007.00$1,007.00$1,007.001.0×
workers compensation [20501]11$188.86$188.86$188.861.0×
Blue Cross Blue Shield11$166.89$166.89$166.891.0×
CHAMPVA11$153.04$153.04$153.041.0×
commonwealth care alliance [10103]11$169.61$169.61$169.611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV27$1,007.00$1,007.00$153.04$523.64$1,007.00
Beckley ArhBeckleyWV5$421.00$252.60$136.91$170.73$205.92
Jackson General HospitalRipleyWV0$396.00$198.00
Princeton Community HospitalPrincetonWV0$370.00$185.00
Wetzel County HospitalNew MartinsvilleWV0$574.00$287.00
Summersville Regional Med CenterSummersvilleWV0$649.00$324.50
Braxton County Memorial HospitalGassawayWV0$378.00$189.00
Potomac Valley HospitalKeyserWV0$653.00$326.50
Grant Memorial HospitalPetersburgWV0$396.00$316.80
Jefferson Memorial HospitalRansonWV0$378.00$189.00
Jackson General HospitalRipleyWV0$396.00$198.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$396.00$198.00
City Hospital Inc.MartinsburgWV0$172.00$86.00
Summersville Regional Med CenterSummersvilleWV0$649.00$324.50
Reynolds Memorial HospitalGlen DaleWV0$129.00$64.50

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.