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Office visit, established patient, 10-19 min

CPT 99212 · negotiated-rate distribution across hospitals in WV

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Hospitals
19
Min
$60.04
Median
$167.21
Max
$167.21
Range multiplier
2.8×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna210$30.41$88.40$346.0011.4×
UnitedHealthcare28$58.46$126.42$293.825.0×
Cigna15$69.66$161.53$269.193.9×
Blue Cross Blue Shield14$61.92$115.66$166.892.7×
harvard pilgrim [10701]13$73.49$73.49$73.491.0×
fallon carelon hlth [28]12$98.00$222.00$346.003.5×
fallon mcaid carelon hlth [29]12$98.00$222.00$346.003.5×
fallon mcr [10105]12$167.53$168.57$169.611.0×
fallon mcr supp [20202]12$167.53$168.57$169.611.0×
First Health12$73.50$166.50$259.503.5×
grants [20507]12$98.00$222.00$346.003.5×
hp optum bh [32]12$98.00$222.00$346.003.5×
CHAMPVA12$34.61$93.83$153.044.4×
institution [10406]12$159.56$160.55$161.531.0×
masshealth mcd mbhp [38]12$98.00$222.00$346.003.5×
Medicaid12$50.96$115.44$179.923.5×
mgb mcr [10124]12$159.56$160.55$161.531.0×
the health plan12$26.51$26.51$26.511.0×
the health plan hmo12$62.16$63.84$65.521.1×
tufts [11201]12$69.66$157.80$245.943.5×
tufts connectorcare [10507]12$271.41$273.09$274.771.0×
commonwealth care alliance [10103]12$167.53$245.30$323.061.9×
tufts mcr [10112]12$167.53$168.57$169.611.0×
umr12$58.46$60.04$61.621.1×
connecticare [11105]12$98.00$222.00$346.003.5×
wellsense mcaid carelon hlth [21]12$98.00$222.00$346.003.5×
evernorth behavioral health [27]12$78.40$177.60$276.803.5×
workers compensation [20501]11$41.58$41.58$41.581.0×
hne [11108]11$225.18$225.18$225.181.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
senior whole health [10110]11$172.84$172.84$172.841.0×
tufts us family [11203]11$161.53$161.53$161.531.0×
wellpoint [11112]11$35.73$35.73$35.731.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV5$123.00$73.80$26.51$60.04$68.64
Webster County Memorial HospitalWebster SpringsWV30$346.00$346.00$34.61$167.21$680.81
City Hospital Inc.MartinsburgWV0$182.00$91.00
Reynolds Memorial HospitalGlen DaleWV0$159.00$79.50
Jackson General HospitalRipleyWV0$126.00$63.00
Princeton Community HospitalPrincetonWV0$126.00$63.00
Wheeling HospitalWheelingWV0$145.00$72.50
Camden-Clark Memorial HospitalParkersburgWV0$252.00$126.00
Wetzel County HospitalNew MartinsvilleWV0$296.00$148.00
Summersville Regional Med CenterSummersvilleWV0$77.00$38.50
Braxton County Memorial HospitalGassawayWV0$77.00$38.50
Potomac Valley HospitalKeyserWV0$290.00$145.00
Grant Memorial HospitalPetersburgWV0$118.00$94.40
Jefferson Memorial HospitalRansonWV0$185.00$92.50
Jackson General HospitalRipleyWV0$126.00$63.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$86.00$43.00
West Virginia University HospitalsMorgantownWV0$260.00$130.00
Summersville Regional Med CenterSummersvilleWV0$77.00$38.50
United Hospital CenterBridgeportWV0$168.00$84.00

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.