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Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$42.29 – $680.81

Negotiated median

$179.33

CPT 99213 Office visit, established patient, 20-29 minutes · Showing 200 of 220 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$494.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$403.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$373.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$290.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$270.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$228.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$227.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$227.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$224.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$216.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$210.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$187.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$172.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$153.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$145.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$144.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Jefferson Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$141.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$136.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$136.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$136.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$135.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$131.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$131.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$131.00
Jefferson Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$131.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$129.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$129.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$126.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$126.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$126.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$105.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$96.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$83.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$74.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$74.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$48.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$29.00
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$494.00
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$403.00
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$186.50
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$168.00
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$145.00
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$136.20
Beckley Arh	WV	Cash pay	N/A	both	cash	$136.20
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$135.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$115.20
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$114.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$112.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$108.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$104.80
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$93.50
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$91.80
Beckley Arh	WV	Cash pay	N/A	both	cash	$87.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$86.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$84.00
Jefferson Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$72.00
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$70.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$68.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$68.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$68.00
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$67.50
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$66.40
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$65.50
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$65.50
Jefferson Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$65.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$64.50
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$64.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$63.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$63.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$63.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$48.00
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$44.40
Beckley Arh	WV	Cash pay	N/A	both	cash	$44.40
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$24.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$14.50
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$419.50
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$65.91
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$58.46
Beckley Arh	WV	[De-identified Min]	—	both	min	$58.46
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$57.30
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$57.30
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$57.30
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$57.30
Beckley Arh	WV	[De-identified Min]	—	both	min	$56.25
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$56.25
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$49.41
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$49.41
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$49.41
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$42.29
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$40.00
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$37.24
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$37.24
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$37.24
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$494.00
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$419.50
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$419.50
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$403.00
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$397.18
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$395.20
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$370.50
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$351.14
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$351.14
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$342.23
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$342.23
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$324.01
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$322.40
Webster County Memorial Hospital	WV	Cigna	All CIGNA HR [34] Plans	both	negotiated	$313.53
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$302.25
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$286.45
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$286.45
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$274.77
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$271.41
Webster County Memorial Hospital	WV	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$262.27
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$256.88
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$209.56
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$199.76
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$190.68
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$179.33
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$179.33
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$172.84
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$172.84
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$169.61
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$167.53
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$167.53
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$167.53
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$167.53
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$166.89
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$164.85
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$161.53
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$161.53
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$161.53
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	both	negotiated	$161.53
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$159.56
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$159.56
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$159.56
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$153.04
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$132.93
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$123.82
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$118.02
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$118.02
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$118.02
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$65.91
Beckley Arh	WV	the health plan	Medicaid	both	negotiated	$65.14
Beckley Arh	WV	the health plan	Medicaid	outpatient	negotiated	$65.14
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$65.12
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$64.90
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$62.16
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$58.46
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$58.46
Beckley Arh	WV	Aetna	Medicare	both	negotiated	$56.25
Beckley Arh	WV	Aetna	Medicare	outpatient	negotiated	$56.25
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$42.29
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$680.81
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$419.50
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$309.20
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$235.12
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$199.76
Beckley Arh	WV	[De-identified Max]	—	both	max	$199.76
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$85.95
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$85.95
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$85.95
Beckley Arh	WV	[De-identified Max]	—	both	max	$65.14
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$65.14
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$62.46
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$62.46
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$60.74
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$60.74

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).