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CPT 99281 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$47.67
Median
$75.93
Max
$138.42
Range multiplier
2.9×

By payer (32 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare38$73.16$108.45$186.442.5×
Aetna36$51.92$114.81$207.684.0×
Blue Cross Blue Shield35$117.14$177.94$476.214.1×
the health plan24$20.00$47.44$75.933.8×
harvard pilgrim [10701]13$242.00$278.00$290.001.2×
optum ccn region 122$47.67$61.80$75.931.6×
WellCare22$47.67$61.80$75.931.6×
Cigna12$102.31$109.09$115.861.1×
umr22$88.48$137.46$186.442.1×
optum ccn region 222$47.67$61.80$75.931.6×
Anthem BCBS22$47.67$61.80$75.931.6×
the health plan hmo22$94.08$146.16$198.242.1×
Humana22$47.67$61.80$75.931.6×
Medicaid11$84.76$84.76$84.761.0×
senior whole health [10110]11$109.47$109.47$109.471.0×
tufts [11201]11$115.86$115.86$115.861.0×
unicare of west virginia11$20.00$20.00$20.001.0×
wellpoint [11112]11$150.70$150.70$150.701.0×
wellsense mcaid carelon hlth [21]11$163.00$163.00$163.001.0×
workers compensation [20501]11$79.51$79.51$79.511.0×
connecticare [11105]11$163.00$163.00$163.001.0×
evernorth behavioral health [27]11$130.40$130.40$130.401.0×
fallon carelon hlth [28]11$163.00$163.00$163.001.0×
fallon connectorcare [10503]11$178.75$178.75$178.751.0×
fallon mcaid carelon hlth [29]11$163.00$163.00$163.001.0×
First Health11$122.25$122.25$122.251.0×
grants [20507]11$163.00$163.00$163.001.0×
hne [11108]11$106.08$106.08$106.081.0×
hp optum bh [32]11$163.00$163.00$163.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$102.31$102.31$102.311.0×
masshealth mcd mbhp [38]11$163.00$163.00$163.001.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Beckley ArhBeckleyWV11$112.00$67.20$20.00$75.93$476.21
Summers County ArhHintonWV12$236.00$141.60$20.00$47.67$207.68
Webster County Memorial HospitalWebster SpringsWV23$163.00$163.00$79.51$138.42$680.81
Reynolds Memorial HospitalGlen DaleWV0$494.00$247.00
Jackson General HospitalRipleyWV0$312.00$156.00
Princeton Community HospitalPrincetonWV0$494.00$247.00
Wheeling HospitalWheelingWV0$474.00$237.00
Camden-Clark Memorial HospitalParkersburgWV0$409.00$204.50
Wetzel County HospitalNew MartinsvilleWV0$378.00$189.00
Summersville Regional Med CenterSummersvilleWV0$254.00$127.00
Braxton County Memorial HospitalGassawayWV0$164.00$82.00
Potomac Valley HospitalKeyserWV0$340.00$170.00
Grant Memorial HospitalPetersburgWV0$228.00$182.40
Jefferson Memorial HospitalRansonWV0$278.00$139.00
Jackson General HospitalRipleyWV0$312.00$156.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$221.00$110.50
West Virginia University HospitalsMorgantownWV0$399.00$199.50
Summersville Regional Med CenterSummersvilleWV0$254.00$127.00
United Hospital CenterBridgeportWV0$298.00$149.00
City Hospital Inc.MartinsburgWV0$328.00$164.00

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.