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Office visit, established patient, 5 min

CPT 99211 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$70.00
Median
$145.38
Max
$180.85
Range multiplier
2.6×

By payer (38 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare316$9.01$114.53$544.3160.4×
Aetna315$9.01$151.58$606.3267.3×
Cigna17$8.58$159.56$175.8320.5×
Blue Cross Blue Shield26$8.86$94.41$519.5158.6×
umr25$45.03$308.89$544.3112.1×
the health plan hmo25$47.88$328.44$578.7612.1×
fallon mcr supp [20202]13$9.01$167.53$169.6118.8×
First Health13$46.50$52.50$169.503.6×
grants [20507]13$62.00$70.00$226.003.6×
harvard pilgrim [10701]13$30.26$30.26$30.261.0×
hp optum bh [32]13$62.00$70.00$226.003.6×
institution [10406]13$8.58$159.56$161.5318.8×
connecticare [11105]13$62.00$70.00$226.003.6×
evernorth behavioral health [27]13$49.60$56.00$180.803.6×
fallon carelon hlth [28]13$62.00$70.00$226.003.6×
fallon mcaid carelon hlth [29]13$62.00$70.00$226.003.6×
fallon mcr [10105]13$9.01$167.53$169.6118.8×
masshealth mcd mbhp [38]13$62.00$70.00$226.003.6×
Medicaid13$32.24$36.40$117.523.6×
mgb mcr [10124]13$8.58$159.56$161.5318.8×
tufts [11201]13$44.07$49.76$160.643.6×
tufts connectorcare [10507]13$14.59$271.41$274.7718.8×
tufts mcr [10112]13$9.01$167.53$169.6118.8×
wellsense mcaid carelon hlth [21]13$62.00$70.00$226.003.6×
commonwealth care alliance [10103]12$9.01$166.04$323.0635.9×
tufts us family [11203]12$8.58$85.06$161.5318.8×
CHAMPVA12$8.58$80.81$153.0417.8×
senior whole health [10110]12$9.18$91.01$172.8418.8×
the health plan12$137.80$138.49$139.181.0×
Humana11$139.18$139.18$139.181.0×
hne [11108]11$147.08$147.08$147.081.0×
Anthem BCBS11$139.18$139.18$139.181.0×
optum ccn region 211$139.18$139.18$139.181.0×
optum ccn region 111$139.18$139.18$139.181.0×
WellCare11$139.18$139.18$139.181.0×
wellpoint [11112]11$31.01$31.01$31.011.0×
workers compensation [20501]11$22.67$22.67$22.671.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV30$226.00$226.00$8.58$70.00$680.81
Beckley ArhBeckleyWV4$689.00$413.40$45.03$180.85$606.32
Summers County ArhHintonWV11$689.00$413.40$137.80$145.38$606.32
Reynolds Memorial HospitalGlen DaleWV0$129.00$64.50
Jackson General HospitalRipleyWV0$221.00$110.50
Princeton Community HospitalPrincetonWV0$126.00$63.00
Wheeling HospitalWheelingWV0$144.00$72.00
Camden-Clark Memorial HospitalParkersburgWV0$168.00$84.00
Wetzel County HospitalNew MartinsvilleWV0$271.00$135.50
Summersville Regional Med CenterSummersvilleWV0$56.00$28.00
Braxton County Memorial HospitalGassawayWV0$50.00$25.00
Potomac Valley HospitalKeyserWV0$73.00$36.50
Grant Memorial HospitalPetersburgWV0$118.00$94.40
Jefferson Memorial HospitalRansonWV0$185.00$92.50
Jackson General HospitalRipleyWV0$221.00$110.50
St. Josephs Hospital Of BuckhannonBuckhannonWV0$50.00$25.00
West Virginia University HospitalsMorgantownWV0$135.00$67.50
Summersville Regional Med CenterSummersvilleWV0$56.00$28.00
United Hospital CenterBridgeportWV0$168.00$84.00
City Hospital Inc.MartinsburgWV0$177.00$88.50

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.