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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

$62.97 – $680.81

Negotiated median

$288.92

CPT 99215 Office visit, established patient, 40-54 min · Showing 192 of 192 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$815.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$628.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$613.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$582.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$384.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$336.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$333.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$332.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$314.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
Potomac Valley Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
Jefferson Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$314.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$314.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$314.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$308.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$308.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$308.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$308.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$287.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$287.00
Jefferson Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$287.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$287.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$257.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$228.00
Grant Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$180.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$172.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$158.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$155.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$154.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$154.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$145.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$145.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$144.00
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
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$126.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$126.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$55.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$55.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$48.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$48.00
St. Josephs Hospital Of Buckhannon	WV	Chargemaster	N/A	outpatient	gross	$43.00
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$582.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$502.40
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$407.50
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$384.00
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$306.50
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$251.20
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$246.40
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$229.60
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$199.80
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$168.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$166.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$157.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$157.00
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$157.00
Potomac Valley Hospital	WV	Cash pay	N/A	outpatient	cash	$157.00
Jefferson Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$157.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$157.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$157.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$157.00
Beckley Arh	WV	Cash pay	N/A	both	cash	$154.20
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$154.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$154.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$154.00
Grant Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$144.00
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$143.50
Jefferson Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$143.50
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$143.50
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$114.00
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$92.40
Beckley Arh	WV	Cash pay	N/A	both	cash	$92.40
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$86.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$79.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$77.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$72.50
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$72.50
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$72.00
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
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$63.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$63.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$27.50
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$27.50
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$24.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$24.00
St. Josephs Hospital Of Buckhannon	WV	Cash pay	N/A	outpatient	cash	$21.50
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$326.09
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$132.82
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$125.33
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$125.33
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$125.33
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$125.33
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$121.66
Beckley Arh	WV	[De-identified Min]	—	both	min	$121.66
Beckley Arh	WV	[De-identified Min]	—	both	min	$107.57
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$107.57
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$107.57
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$107.57
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$107.57
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$81.46
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$81.46
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$78.05
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$78.05
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$78.05
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$78.05
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$62.97
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$582.00
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$494.23
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$494.23
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$467.93
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$465.60
Webster County Memorial Hospital	WV	Cigna	All CIGNA HR [34] Plans	both	negotiated	$452.80
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$436.50
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$413.69
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$413.69
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$384.00
Webster County Memorial Hospital	WV	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$378.77
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$326.09
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$326.09
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$323.06
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$308.74
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$307.20
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$302.64
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$288.92
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$288.00
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	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$272.95
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$272.95
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$269.14
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$234.32
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$234.32
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$234.32
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$199.68
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$172.84
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	Aetna	All MEDICARE ADV AT 105% HR [301] 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	tufts mcr [10112]	All TUFTS MCR HR [300] 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	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$166.89
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	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$153.04
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$141.45
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$135.52
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$132.82
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$129.36
Beckley Arh	WV	Aetna	Medicare	both	negotiated	$122.82
Beckley Arh	WV	Aetna	Medicare	outpatient	negotiated	$122.82
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$121.66
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$121.66
Beckley Arh	WV	the health plan	Medicaid	both	negotiated	$107.57
Beckley Arh	WV	the health plan	Medicaid	outpatient	negotiated	$107.57
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$62.97
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$680.81
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$676.29
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$514.27
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$326.09
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$188.00
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$188.00
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$187.99
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$136.61
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$135.52
Beckley Arh	WV	[De-identified Max]	—	both	max	$135.52
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$132.85
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$132.85
Beckley Arh	WV	[De-identified Max]	—	both	max	$122.82
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$122.82

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).