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ED visit level 4

CPT 99284 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$191.80
Median
$367.19
Max
$541.69
Range multiplier
2.8×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna38$116.15$632.78$2,811.6024.2×
UnitedHealthcare38$285.20$634.25$2,524.058.9×
Blue Cross Blue Shield36$516.67$671.78$2,303.034.5×
the health plan25$93.17$185.84$367.193.9×
Cigna13$506.26$654.65$5,775.3911.4×
harvard pilgrim [10701]13$242.00$278.00$290.001.2×
umr22$726.80$1,625.43$2,524.053.5×
optum ccn region 122$185.84$276.51$367.192.0×
the health plan hmo22$772.80$1,728.30$2,683.803.5×
WellCare22$185.84$276.51$367.192.0×
optum ccn region 222$185.84$276.51$367.192.0×
Humana22$185.84$276.51$367.192.0×
Anthem BCBS22$185.84$276.51$367.192.0×
hp optum bh [32]11$921.00$921.00$921.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$506.26$506.26$506.261.0×
masshealth mcd mbhp [38]11$921.00$921.00$921.001.0×
Medicaid11$478.92$478.92$478.921.0×
mgb mcr [10124]11$500.07$500.07$500.071.0×
senior whole health [10110]11$541.69$541.69$541.691.0×
tufts [11201]11$654.65$654.65$654.651.0×
tufts connectorcare [10507]11$850.61$850.61$850.611.0×
tufts mcr [10112]11$525.07$525.07$525.071.0×
tufts us family [11203]11$506.26$506.26$506.261.0×
unicare of west virginia11$191.80$191.80$191.801.0×
wellpoint [11112]11$457.73$457.73$457.731.0×
wellsense mcaid carelon hlth [21]11$115.92$115.92$115.921.0×
workers compensation [20501]11$449.26$449.26$449.261.0×
CHAMPVA11$505.69$505.69$505.691.0×
commonwealth care alliance [10103]11$525.07$525.07$525.071.0×
connecticare [11105]11$921.00$921.00$921.001.0×
evernorth behavioral health [27]11$736.80$736.80$736.801.0×
fallon carelon hlth [28]11$921.00$921.00$921.001.0×
fallon connectorcare [10503]11$929.50$929.50$929.501.0×
fallon mcaid carelon hlth [29]11$115.92$115.92$115.921.0×
fallon mcr [10105]11$525.07$525.07$525.071.0×
fallon mcr supp [20202]11$525.07$525.07$525.071.0×
First Health11$690.75$690.75$690.751.0×
grants [20507]11$921.00$921.00$921.001.0×
hne [11108]11$599.39$599.39$599.391.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV31$921.00$921.00$115.92$541.69$5,775.39
Beckley ArhBeckleyWV11$3,195.00$1,917.00$93.17$367.19$2,811.60
Summers County ArhHintonWV12$920.00$552.00$184.00$191.80$809.60
Reynolds Memorial HospitalGlen DaleWV0$1,364.00$682.00
Jackson General HospitalRipleyWV0$2,046.00$1,023.00
Princeton Community HospitalPrincetonWV0$2,182.00$1,091.00
Wheeling HospitalWheelingWV0$2,449.00$1,224.50
Camden-Clark Memorial HospitalParkersburgWV0$2,116.00$1,058.00
Wetzel County HospitalNew MartinsvilleWV0$2,055.00$1,027.50
Summersville Regional Med CenterSummersvilleWV0$1,308.00$654.00
Braxton County Memorial HospitalGassawayWV0$662.00$331.00
Potomac Valley HospitalKeyserWV0$813.00$406.50
Grant Memorial HospitalPetersburgWV0$1,157.00$925.60
Jefferson Memorial HospitalRansonWV0$892.00$446.00
Jackson General HospitalRipleyWV0$2,046.00$1,023.00
St. Josephs Hospital Of BuckhannonBuckhannonWV0$855.00$427.50
West Virginia University HospitalsMorgantownWV0$2,118.00$1,059.00
Summersville Regional Med CenterSummersvilleWV0$1,308.00$654.00
United Hospital CenterBridgeportWV0$1,574.00$787.00
City Hospital Inc.MartinsburgWV0$960.00$480.00

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.