Office visit, established patient, 5 min in West Virginia
What West Virginia hospitals charge for office visit, established patient, 5 min (CPT 99211). Rates sourced from federally-mandated machine-readable files.
Hospitals
20
Rate rows
314
Neg. median
$137.8
Min
$8.58
Max
$680.81
Cash median
$36
Across 20 West Virginia hospitals, the negotiated rate for Office visit, established patient, 5 min ranges from $8.58 to $680.81, with a median of $137.8. The interquartile range is $48.74 to $172.84. Cash-pay patients typically pay $36; gross charges median $60.
By payer in West Virginia
Top 30 payers for Office visit, established patient, 5 min in West Virginia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| UnitedHealthcare | 3 | 16 | $114.53 |
| Aetna | 3 | 15 | $151.58 |
| Blue Cross Blue Shield | 2 | 6 | $94.41 |
| the health plan hmo | 2 | 5 | $328.44 |
| umr | 2 | 5 | $308.89 |
| connecticare [11105] | 1 | 3 | $70 |
| evernorth behavioral health [27] | 1 | 3 | $56 |
| fallon carelon hlth [28] | 1 | 3 | $70 |
| fallon mcaid carelon hlth [29] | 1 | 3 | $70 |
| fallon mcr [10105] | 1 | 3 | $167.53 |
| fallon mcr supp [20202] | 1 | 3 | $167.53 |
| First Health | 1 | 3 | $52.5 |
| grants [20507] | 1 | 3 | $70 |
| harvard pilgrim [10701] | 1 | 3 | $30.26 |
| hne [11108] | 1 | 1 | $147.08 |
| hp optum bh [32] | 1 | 3 | $70 |
| hsno/free care [10801] | 1 | 1 | $680.81 |
| Humana | 1 | 1 | $139.18 |
| institution [10406] | 1 | 3 | $159.56 |
| masshealth mcd mbhp [38] | 1 | 3 | $70 |
| Medicaid | 1 | 3 | $36.4 |
| mgb mcr [10124] | 1 | 3 | $159.56 |
| optum ccn region 1 | 1 | 1 | $139.18 |
| optum ccn region 2 | 1 | 1 | $139.18 |
| senior whole health [10110] | 1 | 2 | $91.01 |
| the health plan | 1 | 2 | $138.49 |
| tufts [11201] | 1 | 3 | $49.76 |
| tufts connectorcare [10507] | 1 | 3 | $271.41 |
| tufts mcr [10112] | 1 | 3 | $167.53 |
| tufts us family [11203] | 1 | 2 | $85.06 |
Hospital comparison — Office visit, established patient, 5 min in West Virginia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| Webster County Memorial Hospital | Webster Springs | $70 | $70 | $70 |
| Summers County Arh | Hinton | $145.38 | $413.4 | $689 |
| Beckley Arh | Beckley | $180.85 | $135.3 | $225.5 |
| Reynolds Memorial Hospital | Glen Dale | — | $60.75 | $121.5 |
| Jackson General Hospital | Ripley | — | $44.25 | $88.5 |
| Princeton Community Hospital | Princeton | — | $36 | $72 |
| Wheeling Hospital | Wheeling | — | $72 | $144 |
| Camden-Clark Memorial Hospital | Parkersburg | — | $73.5 | $147 |
| Wetzel County Hospital | New Martinsville | — | $117 | $234 |
| Summersville Regional Med Center | Summersville | — | $15 | $30 |
| Braxton County Memorial Hospital | Gassaway | — | $13.25 | $26.5 |
| Potomac Valley Hospital | Keyser | — | $9.5 | $19 |
| Grant Memorial Hospital | Petersburg | — | $18.4 | $23 |
| Jefferson Memorial Hospital | Ranson | — | $50.75 | $101.5 |
| Jackson General Hospital | Ripley | — | $44.25 | $88.5 |
| St. Josephs Hospital Of Buckhannon | Buckhannon | — | $12 | $24 |
| West Virginia University Hospitals | Morgantown | — | $64.5 | $129 |
| Summersville Regional Med Center | Summersville | — | $15 | $30 |
| United Hospital Center | Bridgeport | — | $84 | $168 |
| City Hospital Inc. | Martinsburg | — | $87.25 | $174.5 |