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ED visit level 5

CPT 99285 · negotiated-rate distribution across hospitals in WV

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Hospitals
20
Min
$463.39
Median
$749.40
Max
$1,606.07
Range multiplier
3.5×

By payer (40 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare314$403.93$919.68$4,306.2910.7×
Aetna314$168.41$976.87$4,796.8828.5×
the health plan29$135.11$373.50$580.304.3×
Blue Cross Blue Shield38$737.41$1,188.31$3,315.934.5×
umr26$1,029.37$1,709.17$4,306.294.2×
the health plan hmo26$1,094.52$1,817.34$4,578.844.2×
Anthem BCBS24$263.21$418.45$528.682.0×
optum ccn region 124$263.21$418.45$528.682.0×
optum ccn region 224$263.21$418.45$528.682.0×
Humana24$263.21$418.45$528.682.0×
WellCare24$263.21$418.45$528.682.0×
harvard pilgrim [10701]13$242.00$278.00$290.001.2×
Cigna13$713.71$769.80$5,775.398.1×
hp optum bh [32]11$1,083.00$1,083.00$1,083.001.0×
hsno/free care [10801]11$680.81$680.81$680.811.0×
institution [10406]11$713.71$713.71$713.711.0×
masshealth mcd mbhp [38]11$1,083.00$1,083.00$1,083.001.0×
Medicaid11$563.16$563.16$563.161.0×
mgb mcr [10124]11$713.71$713.71$713.711.0×
senior whole health [10110]11$763.67$763.67$763.671.0×
tufts [11201]11$769.80$769.80$769.801.0×
tufts connectorcare [10507]11$1,214.03$1,214.03$1,214.031.0×
tufts mcr [10112]11$749.40$749.40$749.401.0×
tufts us family [11203]11$722.55$722.55$722.551.0×
unicare of west virginia11$580.30$580.30$580.301.0×
wellpoint [11112]11$457.73$457.73$457.731.0×
wellsense mcaid carelon hlth [21]11$171.45$171.45$171.451.0×
workers compensation [20501]11$528.29$528.29$528.291.0×
CHAMPVA11$728.09$728.09$728.091.0×
commonwealth care alliance [10103]11$749.40$749.40$749.401.0×
connecticare [11105]11$1,083.00$1,083.00$1,083.001.0×
evernorth behavioral health [27]11$866.40$866.40$866.401.0×
fallon carelon hlth [28]11$1,083.00$1,083.00$1,083.001.0×
fallon connectorcare [10503]11$1,251.25$1,251.25$1,251.251.0×
fallon mcaid carelon hlth [29]11$171.45$171.45$171.451.0×
fallon mcr [10105]11$749.40$749.40$749.401.0×
fallon mcr supp [20202]11$749.40$749.40$749.401.0×
First Health11$812.25$812.25$812.251.0×
grants [20507]11$1,083.00$1,083.00$1,083.001.0×
hne [11108]11$704.82$704.82$704.821.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Webster County Memorial HospitalWebster SpringsWV31$1,083.00$1,083.00$171.45$749.40$5,775.39
Summers County ArhHintonWV12$2,294.00$1,376.40$260.60$463.39$2,018.72
Beckley ArhBeckleyWV11$5,451.00$3,270.60$135.11$1,606.07$4,796.88
Reynolds Memorial HospitalGlen DaleWV0$1,742.00$871.00
Jackson General HospitalRipleyWV0$3,335.00$1,667.50
Princeton Community HospitalPrincetonWV0$3,867.00$1,933.50
Wheeling HospitalWheelingWV0$3,179.00$1,589.50
Camden-Clark Memorial HospitalParkersburgWV0$5,645.00$2,822.50
Wetzel County HospitalNew MartinsvilleWV0$3,108.00$1,554.00
Summersville Regional Med CenterSummersvilleWV0$2,041.00$1,020.50
Braxton County Memorial HospitalGassawayWV0$992.00$496.00
Potomac Valley HospitalKeyserWV0$1,223.00$611.50
Grant Memorial HospitalPetersburgWV0$2,112.00$1,689.60
Jefferson Memorial HospitalRansonWV0$1,358.00$679.00
Jackson General HospitalRipleyWV0$3,335.00$1,667.50
St. Josephs Hospital Of BuckhannonBuckhannonWV0$983.00$491.50
West Virginia University HospitalsMorgantownWV0$5,802.00$2,901.00
Summersville Regional Med CenterSummersvilleWV0$2,041.00$1,020.50
United Hospital CenterBridgeportWV0$2,277.00$1,138.50
City Hospital Inc.MartinsburgWV0$2,410.00$1,205.00

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.