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Office visit, established patient, 40-54 min

CPT 99215 · negotiated-rate distribution across hospitals in WV

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Hospitals
18
Min
$122.24
Median
$315.90
Max
$315.90
Range multiplier
2.6×

By payer (33 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna28$122.82$239.18$582.004.7×
UnitedHealthcare27$121.66$326.09$494.234.1×
Cigna14$161.53$343.32$452.802.8×
harvard pilgrim [10701]13$234.32$234.32$234.321.0×
Blue Cross Blue Shield13$166.89$269.14$288.921.7×
CHAMPVA12$141.45$147.25$153.041.1×
tufts [11201]12$272.95$343.32$413.691.5×
First Health12$288.00$362.25$436.501.5×
grants [20507]12$384.00$483.00$582.001.5×
wellsense mcaid carelon hlth [21]12$384.00$483.00$582.001.5×
hp optum bh [32]12$384.00$483.00$582.001.5×
connecticare [11105]12$384.00$483.00$582.001.5×
masshealth mcd mbhp [38]12$384.00$483.00$582.001.5×
evernorth behavioral health [27]12$307.20$386.40$465.601.5×
Medicaid12$199.68$251.16$302.641.5×
fallon carelon hlth [28]12$384.00$483.00$582.001.5×
fallon mcaid carelon hlth [29]12$384.00$483.00$582.001.5×
the health plan12$107.57$107.57$107.571.0×
workers compensation [20501]11$132.82$132.82$132.821.0×
commonwealth care alliance [10103]11$323.06$323.06$323.061.0×
fallon mcr [10105]11$169.61$169.61$169.611.0×
fallon mcr supp [20202]11$169.61$169.61$169.611.0×
hne [11108]11$378.77$378.77$378.771.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$161.53$161.53$161.531.0×
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$129.36$129.36$129.361.0×
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$121.66$121.66$121.661.0×
wellpoint [11112]11$62.97$62.97$62.971.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV30$582.00$582.00$62.97$315.90$680.81
Beckley ArhBeckleyWV5$333.00$199.80$107.57$122.24$135.52
Reynolds Memorial HospitalGlen DaleWV0$129.00$64.50
Jackson General HospitalRipleyWV0$314.00$157.00
Princeton Community HospitalPrincetonWV0$815.00$407.50
Wheeling HospitalWheelingWV0$145.00$72.50
Camden-Clark Memorial HospitalParkersburgWV0$126.00$63.00
Wetzel County HospitalNew MartinsvilleWV0$613.00$306.50
Summersville Regional Med CenterSummersvilleWV0$314.00$157.00
Braxton County Memorial HospitalGassawayWV0$314.00$157.00
Potomac Valley HospitalKeyserWV0$336.00$168.00
Grant Memorial HospitalPetersburgWV0$628.00$502.40
Jefferson Memorial HospitalRansonWV0$314.00$157.00
Jackson General HospitalRipleyWV0$314.00$157.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$332.00$166.00
West Virginia University HospitalsMorgantownWV0$145.00$72.50
Summersville Regional Med CenterSummersvilleWV0$314.00$157.00
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.