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Office visit, established patient, 30-39 minutes

CPT 99214 · negotiated-rate distribution across hospitals in WV

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Hospitals
18
Min
$84.45
Median
$168.57
Max
$168.57
Range multiplier
2.0×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna212$82.78$167.38$444.005.4×
UnitedHealthcare211$86.11$169.61$377.044.4×
Cigna17$95.51$159.56$345.433.6×
Blue Cross Blue Shield15$98.68$166.89$204.952.1×
evernorth behavioral health [27]13$136.80$166.40$355.202.6×
fallon carelon hlth [28]13$171.00$208.00$444.002.6×
fallon mcaid carelon hlth [29]13$171.00$208.00$444.002.6×
fallon mcr [10105]13$100.29$167.53$169.611.7×
fallon mcr supp [20202]13$100.29$167.53$169.611.7×
First Health13$128.25$156.00$333.002.6×
grants [20507]13$171.00$208.00$444.002.6×
harvard pilgrim [10701]13$166.44$166.44$166.441.0×
hp optum bh [32]13$171.00$208.00$444.002.6×
institution [10406]13$95.51$159.56$161.531.7×
masshealth mcd mbhp [38]13$171.00$208.00$444.002.6×
Medicaid13$88.92$108.16$230.882.6×
mgb mcr [10124]13$95.51$159.56$161.531.7×
tufts mcr [10112]13$100.29$167.53$169.611.7×
commonwealth care alliance [10103]13$100.29$167.53$169.611.7×
connecticare [11105]13$171.00$208.00$444.002.6×
wellsense mcaid carelon hlth [21]13$171.00$208.00$444.002.6×
tufts [11201]13$121.55$147.85$315.602.6×
tufts connectorcare [10507]13$162.46$271.41$274.771.7×
CHAMPVA12$95.51$124.28$153.041.6×
tufts us family [11203]12$95.51$128.52$161.531.7×
senior whole health [10110]12$102.20$137.52$172.841.7×
the health plan12$73.09$73.09$73.091.0×
workers compensation [20501]11$98.77$98.77$98.771.0×
hne [11108]11$288.96$288.96$288.961.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
the health plan hmo11$91.56$91.56$91.561.0×
umr11$86.11$86.11$86.111.0×
wellpoint [11112]11$58.25$58.25$58.251.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV5$226.00$135.60$73.09$84.45$95.92
Webster County Memorial HospitalWebster SpringsWV30$444.00$444.00$58.25$168.57$680.81
Reynolds Memorial HospitalGlen DaleWV0$129.00$64.50
Jackson General HospitalRipleyWV0$400.00$200.00
Princeton Community HospitalPrincetonWV0$208.00$104.00
Wheeling HospitalWheelingWV0$145.00$72.50
Camden-Clark Memorial HospitalParkersburgWV0$126.00$63.00
Wetzel County HospitalNew MartinsvilleWV0$565.00$282.50
Summersville Regional Med CenterSummersvilleWV0$211.00$105.50
Braxton County Memorial HospitalGassawayWV0$211.00$105.50
Potomac Valley HospitalKeyserWV0$290.00$145.00
Grant Memorial HospitalPetersburgWV0$422.00$337.60
Jefferson Memorial HospitalRansonWV0$211.00$105.50
Jackson General HospitalRipleyWV0$400.00$200.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$211.00$105.50
West Virginia University HospitalsMorgantownWV0$140.00$70.00
Summersville Regional Med CenterSummersvilleWV0$211.00$105.50
City Hospital Inc.MartinsburgWV0$192.00$96.00

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.