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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

$135.11 – $5,775.39

Negotiated median

$749.40

CPT 99285 ED visit level 5 · Showing 200 of 288 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$5,802.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$5,645.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$5,451.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$5,451.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$4,137.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$4,137.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,867.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$3,536.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,335.00
West Virginia University Hospitals	WV	Chargemaster	N/A	outpatient	gross	$3,289.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,242.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,179.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$3,108.00
Wetzel County Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,904.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,900.00
Princeton Community Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,819.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,746.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,740.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$2,410.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,410.00
Wheeling Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,377.00
Summers County Arh	WV	Chargemaster	N/A	outpatient	gross	$2,294.00
Summers County Arh	WV	Chargemaster	N/A	both	gross	$2,294.00
United Hospital Center	WV	Chargemaster	N/A	outpatient	gross	$2,277.00
Camden-Clark Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$2,277.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$2,041.00
Beckley Arh	WV	Chargemaster	N/A	outpatient	gross	$2,033.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$2,033.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$1,948.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$1,898.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,742.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,628.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$1,369.00
Reynolds Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,274.00
City Hospital Inc.	WV	Chargemaster	N/A	outpatient	gross	$1,201.00
Webster County Memorial Hospital	WV	Chargemaster	N/A	both	gross	$1,083.00
Jackson General Hospital	WV	Chargemaster	N/A	outpatient	gross	$1,071.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$992.00
Braxton County Memorial Hospital	WV	Chargemaster	N/A	outpatient	gross	$402.00
Summersville Regional Med Center	WV	Chargemaster	N/A	outpatient	gross	$392.00
Beckley Arh	WV	Chargemaster	N/A	both	gross	$371.00
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$3,270.60
Beckley Arh	WV	Cash pay	N/A	both	cash	$3,270.60
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$2,901.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$2,822.50
Beckley Arh	WV	Cash pay	N/A	both	cash	$2,482.20
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$2,482.20
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,933.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,768.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$1,667.50
West Virginia University Hospitals	WV	Cash pay	N/A	outpatient	cash	$1,644.50
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,621.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,589.50
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$1,554.00
Wetzel County Hospital	WV	Cash pay	N/A	outpatient	cash	$1,452.00
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$1,450.00
Princeton Community Hospital	WV	Cash pay	N/A	outpatient	cash	$1,409.50
Summers County Arh	WV	Cash pay	N/A	outpatient	cash	$1,376.40
Summers County Arh	WV	Cash pay	N/A	both	cash	$1,376.40
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,373.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,370.00
Beckley Arh	WV	Cash pay	N/A	outpatient	cash	$1,219.80
Beckley Arh	WV	Cash pay	N/A	both	cash	$1,219.80
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$1,205.00
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,205.00
Wheeling Hospital	WV	Cash pay	N/A	outpatient	cash	$1,188.50
United Hospital Center	WV	Cash pay	N/A	outpatient	cash	$1,138.50
Camden-Clark Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$1,138.50
Webster County Memorial Hospital	WV	Cash pay	N/A	both	cash	$1,083.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$1,020.50
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$974.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$949.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$871.00
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$814.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$684.50
Reynolds Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$637.00
City Hospital Inc.	WV	Cash pay	N/A	outpatient	cash	$600.50
Jackson General Hospital	WV	Cash pay	N/A	outpatient	cash	$535.50
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$496.00
Beckley Arh	WV	Cash pay	N/A	both	cash	$222.60
Braxton County Memorial Hospital	WV	Cash pay	N/A	outpatient	cash	$201.00
Summersville Regional Med Center	WV	Cash pay	N/A	outpatient	cash	$196.00
United Hospital Center	WV	[De-identified Min]	—	outpatient	min	$609.32
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$608.83
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$573.16
Camden-Clark Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$568.47
Beckley Arh	WV	[De-identified Min]	—	outpatient	min	$528.68
Beckley Arh	WV	[De-identified Min]	—	both	min	$528.68
Summers County Arh	WV	[De-identified Min]	—	both	min	$458.80
Summers County Arh	WV	[De-identified Min]	—	outpatient	min	$458.80
Webster County Memorial Hospital	WV	[De-identified Min]	—	both	min	$171.45
Princeton Community Hospital	WV	[De-identified Min]	—	outpatient	min	$138.74
Beckley Arh	WV	[De-identified Min]	—	both	min	$135.11
West Virginia University Hospitals	WV	[De-identified Min]	—	outpatient	min	$25.00
City Hospital Inc.	WV	[De-identified Min]	—	outpatient	min	$25.00
Reynolds Memorial Hospital	WV	[De-identified Min]	—	outpatient	min	$25.00
Wheeling Hospital	WV	[De-identified Min]	—	outpatient	min	$25.00
Wetzel County Hospital	WV	[De-identified Min]	—	outpatient	min	$25.00
Webster County Memorial Hospital	WV	Cigna	All CIGNA HR [34] Plans	both	negotiated	$5,775.39
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$4,796.88
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$4,578.84
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$4,306.29
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$4,306.29
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$3,640.56
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$3,475.08
Beckley Arh	WV	Blue Cross Blue Shield	Indemnity and Managed Care	outpatient	negotiated	$3,315.93
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$3,268.23
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$3,268.23
Beckley Arh	WV	Blue Cross Blue Shield	ACA	outpatient	negotiated	$2,643.02
Summers County Arh	WV	Aetna	Commercial	both	negotiated	$2,018.72
Summers County Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$1,926.96
Summers County Arh	WV	umr	Commercial	outpatient	negotiated	$1,812.26
Summers County Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$1,812.26
Beckley Arh	WV	Aetna	Commercial	both	negotiated	$1,789.04
Summers County Arh	WV	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,729.68
Beckley Arh	WV	the health plan hmo	Commercial	outpatient	negotiated	$1,707.72
Beckley Arh	WV	UnitedHealthcare	Commercial	outpatient	negotiated	$1,606.07
Beckley Arh	WV	umr	Commercial	outpatient	negotiated	$1,606.07
Webster County Memorial Hospital	WV	fallon connectorcare [10503]	All FALLON HMO HR [109] Plans	both	negotiated	$1,251.25
Webster County Memorial Hospital	WV	tufts connectorcare [10507]	All TUFTS CONNECTORCARE/DIRECT QHP HR [150] Plans	both	negotiated	$1,214.03
Webster County Memorial Hospital	WV	hp optum bh [32]	All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	connecticare [11105]	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	fallon carelon hlth [28]	All CARELON (FORMERLY BEACON) BH HR [15] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	grants [20507]	All FHCW GRANT [321] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	masshealth mcd mbhp [38]	All MBHP BEHAVIORAL HEALTH HR [326] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	Aetna	All CATCH ALL @ 100% [217] Plans	both	negotiated	$1,083.00
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC PPO HR [48] Plans	both	negotiated	$947.32
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC HR [37] Plans	both	negotiated	$919.68
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC SUREST HR [324] Plans	both	negotiated	$919.68
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC HMO HR [47] Plans	both	negotiated	$882.44
Webster County Memorial Hospital	WV	Aetna	All AETNA HR [12] Plans	both	negotiated	$870.73
Webster County Memorial Hospital	WV	evernorth behavioral health [27]	All EVERNORTH (FORMERLY CIGNA) BEHAVIORAL HEALTH HR [302] Plans	both	negotiated	$866.40
Webster County Memorial Hospital	WV	First Health	All COVENTRY (FIRST HEALTH) [83] Plans	both	negotiated	$812.25
Webster County Memorial Hospital	WV	tufts [11201]	All TUFTS HMO HR [168] Plans	both	negotiated	$769.80
Webster County Memorial Hospital	WV	Cigna	All TUFTS PPO/CARELINK HR [169] Plans	both	negotiated	$769.80
Webster County Memorial Hospital	WV	senior whole health [10110]	All SENIOR WHOLE HEALTH HR [128] Plans	both	negotiated	$763.67
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC MCR HR [333] Plans	both	negotiated	$763.67
Webster County Memorial Hospital	WV	Aetna	All MEDICARE ADV AT 105% HR [301] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	fallon mcr supp [20202]	All FALLON SENIOR HR [139] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	tufts mcr [10112]	All TUFTS MCR HR [300] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	commonwealth care alliance [10103]	All ONE CARE HR [298] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	fallon mcr [10105]	All FALLON SUMMIT ELDER CARE HR [334] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	UnitedHealthcare	All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plans	both	negotiated	$749.40
Webster County Memorial Hospital	WV	Blue Cross Blue Shield	All BC MCR HR [64] Plans	both	negotiated	$737.41
Webster County Memorial Hospital	WV	CHAMPVA	All TRICARE / CHAMPVA HR [165] Plans	both	negotiated	$728.09
Webster County Memorial Hospital	WV	tufts us family [11203]	All TUFTS US FAMILY HR [310] Plans	both	negotiated	$722.55
Webster County Memorial Hospital	WV	Cigna	All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Plans	both	negotiated	$713.71
Webster County Memorial Hospital	WV	institution [10406]	All HOSPICE HR [311] Plans	both	negotiated	$713.71
Webster County Memorial Hospital	WV	mgb mcr [10124]	All MGB MCR HR [315] Plans	both	negotiated	$713.71
Summers County Arh	WV	UnitedHealthcare	Medicare	outpatient	negotiated	$711.14
Webster County Memorial Hospital	WV	hne [11108]	All HEALTH NEW ENGLAND HR [294] Plans	both	negotiated	$704.82
Webster County Memorial Hospital	WV	hsno/free care [10801]	All HSNO HR [70] Plans	both	negotiated	$680.81
Beckley Arh	WV	the health plan	Medicaid	outpatient	negotiated	$580.30
Summers County Arh	WV	unicare of west virginia	Medicaid	outpatient	negotiated	$580.30
Webster County Memorial Hospital	WV	Medicaid	All MEDICAID OF MAINE [283] Plans	both	negotiated	$563.16
Beckley Arh	WV	Aetna	Medicare	outpatient	negotiated	$528.68
Beckley Arh	WV	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$528.68
Beckley Arh	WV	Humana	Medicare	outpatient	negotiated	$528.68
Beckley Arh	WV	the health plan	Medicare	outpatient	negotiated	$528.68
Beckley Arh	WV	UnitedHealthcare	Medicare	outpatient	negotiated	$528.68
Beckley Arh	WV	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$528.68
Beckley Arh	WV	WellCare	Medicare	outpatient	negotiated	$528.68
Beckley Arh	WV	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$528.68
Webster County Memorial Hospital	WV	workers compensation [20501]	All WORKERS COMP HR [31] Plans	both	negotiated	$528.29
Summers County Arh	WV	Aetna	Medicare	outpatient	negotiated	$504.68
Summers County Arh	WV	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$463.39
Summers County Arh	WV	Humana	Medicare	outpatient	negotiated	$463.39
Summers County Arh	WV	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$463.39
Summers County Arh	WV	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$463.39
Summers County Arh	WV	the health plan	Medicaid	outpatient	negotiated	$463.39
Summers County Arh	WV	WellCare	Medicare	outpatient	negotiated	$463.39
Summers County Arh	WV	the health plan	Medicare	outpatient	negotiated	$458.80
Webster County Memorial Hospital	WV	wellpoint [11112]	All WELLPOINT (UNICARE) HR [60] Plans	both	negotiated	$457.73
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM BETH ISRAEL LAHEY HR [297] Plans	both	negotiated	$290.00
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM PPO HR [118] Plans	both	negotiated	$278.00
Webster County Memorial Hospital	WV	harvard pilgrim [10701]	All HARVARD PILGRIM HMO HR [117] Plans	both	negotiated	$242.00
Webster County Memorial Hospital	WV	wellsense mcaid carelon hlth [21]	All CARELON (FORMERLY BEACON) BH WELLSENSE MCAID HR [39] Plans	both	negotiated	$171.45
Webster County Memorial Hospital	WV	fallon mcaid carelon hlth [29]	All CARELON (FORMERLY BEACON) BH FALLON MCAID HR [308] Plans	both	negotiated	$171.45
Beckley Arh	WV	Aetna	Medicare	both	negotiated	$168.41
Beckley Arh	WV	the health plan	Medicaid	both	negotiated	$135.11
Webster County Memorial Hospital	WV	[De-identified Max]	—	both	max	$5,775.39
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$4,796.88
Beckley Arh	WV	[De-identified Max]	—	both	max	$4,796.88
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$3,640.56
Beckley Arh	WV	[De-identified Max]	—	both	max	$3,640.56
Beckley Arh	WV	[De-identified Max]	—	outpatient	max	$3,315.93
Beckley Arh	WV	[De-identified Max]	—	both	max	$3,315.93
Princeton Community Hospital	WV	[De-identified Max]	—	outpatient	max	$3,285.31
Wheeling Hospital	WV	[De-identified Max]	—	outpatient	max	$2,352.13
Summers County Arh	WV	[De-identified Max]	—	outpatient	max	$2,018.72
Summers County Arh	WV	[De-identified Max]	—	both	max	$2,018.72
West Virginia University Hospitals	WV	[De-identified Max]	—	outpatient	max	$1,200.00
City Hospital Inc.	WV	[De-identified Max]	—	outpatient	max	$859.74
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$852.71
Camden-Clark Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$852.70
United Hospital Center	WV	[De-identified Max]	—	outpatient	max	$669.18
Wetzel County Hospital	WV	[De-identified Max]	—	outpatient	max	$663.62
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$620.92
Reynolds Memorial Hospital	WV	[De-identified Max]	—	outpatient	max	$619.63
Beckley Arh	WV	[De-identified Max]	—	both	max	$168.41

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).