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ED visit level 3

CPT 99283 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$127.26
Median
$238.76
Max
$351.07
Range multiplier
2.8×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare38$195.30$377.85$497.702.5×
Aetna37$138.60$401.20$554.404.0×
Blue Cross Blue Shield36$342.19$438.58$1,497.554.4×
the health plan24$97.75$126.63$238.762.4×
Cigna13$331.20$354.69$5,775.3917.4×
harvard pilgrim [10701]13$242.00$278.00$290.001.2×
umr22$401.32$449.51$497.701.2×
optum ccn region 122$127.26$183.01$238.761.9×
the health plan hmo22$426.72$477.96$529.201.2×
WellCare22$127.26$183.01$238.761.9×
optum ccn region 222$127.26$183.01$238.761.9×
Humana22$127.26$183.01$238.761.9×
Anthem BCBS22$127.26$183.01$238.761.9×
hp optum bh [32]11$499.00$499.00$499.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$331.20$331.20$331.201.0×
masshealth mcd mbhp [38]11$499.00$499.00$499.001.0×
Medicaid11$259.48$259.48$259.481.0×
mgb mcr [10124]11$331.20$331.20$331.201.0×
senior whole health [10110]11$354.38$354.38$354.381.0×
tufts [11201]11$354.69$354.69$354.691.0×
tufts connectorcare [10507]11$563.37$563.37$563.371.0×
tufts mcr [10112]11$347.76$347.76$347.761.0×
tufts us family [11203]11$331.20$331.20$331.201.0×
unicare of west virginia11$97.75$97.75$97.751.0×
wellpoint [11112]11$266.22$266.22$266.221.0×
wellsense mcaid carelon hlth [21]11$61.68$61.68$61.681.0×
workers compensation [20501]11$243.41$243.41$243.411.0×
CHAMPVA11$328.82$328.82$328.821.0×
commonwealth care alliance [10103]11$347.76$347.76$347.761.0×
connecticare [11105]11$499.00$499.00$499.001.0×
evernorth behavioral health [27]11$399.20$399.20$399.201.0×
fallon carelon hlth [28]11$499.00$499.00$499.001.0×
fallon connectorcare [10503]11$679.25$679.25$679.251.0×
fallon mcaid carelon hlth [29]11$61.68$61.68$61.681.0×
fallon mcr [10105]11$347.76$347.76$347.761.0×
fallon mcr supp [20202]11$347.76$347.76$347.761.0×
First Health11$374.25$374.25$374.251.0×
grants [20507]11$499.00$499.00$499.001.0×
hne [11108]11$324.75$324.75$324.751.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV31$499.00$499.00$61.68$351.07$5,775.39
Beckley ArhBeckleyWV11$508.00$304.80$97.75$238.76$1,497.55
Summers County ArhHintonWV12$630.00$378.00$97.75$127.26$554.40
Reynolds Memorial HospitalGlen DaleWV0$1,061.00$530.50
Jackson General HospitalRipleyWV0$1,171.00$585.50
Princeton Community HospitalPrincetonWV0$1,343.00$671.50
Wheeling HospitalWheelingWV0$1,629.00$814.50
Camden-Clark Memorial HospitalParkersburgWV0$1,409.00$704.50
Wetzel County HospitalNew MartinsvilleWV0$1,379.00$689.50
Summersville Regional Med CenterSummersvilleWV0$830.00$415.00
Braxton County Memorial HospitalGassawayWV0$414.00$207.00
Potomac Valley HospitalKeyserWV0$533.00$266.50
Grant Memorial HospitalPetersburgWV0$742.00$593.60
Jefferson Memorial HospitalRansonWV0$539.00$269.50
Jackson General HospitalRipleyWV0$1,171.00$585.50
St. Josephs Hospital Of BuckhannonBuckhannonWV0$684.00$342.00
West Virginia University HospitalsMorgantownWV0$1,085.00$542.50
Summersville Regional Med CenterSummersvilleWV0$830.00$415.00
United Hospital CenterBridgeportWV0$958.00$479.00
City Hospital Inc.MartinsburgWV0$628.00$314.00

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.