Office visit, established patient, 40-54 min in Virginia
What Virginia hospitals charge for office visit, established patient, 40-54 min (CPT 99215). Rates sourced from federally-mandated machine-readable files.
Hospitals
8
Rate rows
168
Neg. median
$247.65
Min
$125.53
Max
$374.4
Cash median
$162.5
Across 8 Virginia hospitals, the negotiated rate for Office visit, established patient, 40-54 min ranges from $125.53 to $374.4, with a median of $247.65. The interquartile range is $196.95 to $312. Cash-pay patients typically pay $162.5; gross charges median $382.
By payer in Virginia
Top 19 payers for Office visit, established patient, 40-54 min in Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| vhn - ultra | 5 | 5 | $241.8 |
| Anthem BCBS | 5 | 5 | $138.75 |
| Cigna | 5 | 10 | $263.45 |
| connecticare | 5 | 5 | $273 |
| vhn - plus | 5 | 5 | $300.3 |
| vhn - secondary payors | 5 | 5 | $370.5 |
| Aetna | 5 | 15 | $202.02 |
| First Health | 5 | 5 | $145.35 |
| gateway - tier 1 | 5 | 5 | $370.5 |
| gateway - tier 2 | 5 | 5 | $312 |
| gateway - tier 3 | 5 | 5 | $214.5 |
| Humana | 5 | 5 | $145.35 |
| sentara health plan | 5 | 10 | $191.6 |
| UnitedHealthcare | 5 | 25 | $222.96 |
| vhn | 5 | 5 | $312 |
| vhn - link | 5 | 5 | $351 |
| corvel | 1 | 1 | $125.53 |
| national provider network | 1 | 1 | $374.4 |
| integrated health plan | 1 | 1 | $331.5 |
Hospital comparison — Office visit, established patient, 40-54 min in Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Carilion Tazewell Community Hospital | Tazewell | $247.65 | $136.5 | $390 |
| Carilion Stonewall Jackson Hospital | Lexington | $250.38 | $136.5 | $390 |
| Carilion Medical Center | Roanoke | $250.38 | $136.5 | $390 |
| Carilion New River Valley Med Center | Christiansburg | $250.38 | $136.5 | $390 |
| Carilion Franklin Memorial Hospital | Rocky Mount | $250.38 | $136.5 | $390 |
| Childrens Hospital Of The Kings Da | Norfolk | — | $336.6 | $374 |
| Lynn House Of Potomac Valley Inc. | Alexandria | — | $162.5 | $325 |
| Bon Secours Depaul Medical Center | Norfolk | — | $239.85 | $369 |