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Acute Care Hospital

Camden Clark Medical Center

Parkersburg, West Virginia · Wood County · Emergency services listed

Summary

Camden Clark Medical Center is an acute care hospital in Parkersburg, West Virginia. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 18 services, specialties and programs. Medicare lists 612 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
18Services listed

Quick answers

Does Camden Clark Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Camden Clark Medical Center. In a medical emergency, call 911.
Where is Camden Clark Medical Center?
800 Garfield Ave, Parkersburg, WV 26101, in Wood County, West Virginia.
What is the phone number of Camden Clark Medical Center?
(304) 424-2111, as listed by Medicare (CMS).
What is the Medicare star rating of Camden Clark Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6]

Programs and centers[6]

  • Urgent & Rapid Care

Emergency care (hospital website)[5][6][8][9]

Emergency roomYes

Visiting and practical information

VisitingEntrance hours only: South Tower 5 a.m.-7 p.m. weekdays; North Tower 6 a.m.-8 p.m. daily; ED waiting area 7 a.m.-11:30 p.m. daily[8]
ParkingVisitors park free in designated visitor lots; shuttle 4 a.m.-9 p.m. weekdays; valet at South Tower (hours vary)[8][9]
Interpreters and languagesFree language services for non-English speakers, including a qualified language-interpreting service[7]

Recognition[4][6]

  • Joint Commission accredited hospital
  • Joint Commission accreditation
  • Healthgrades Specialty Care Ratings recognition across seven clinical areas 2027

Doctors and clinicians (612)

612 doctors and other clinicians list Camden Clark Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (612)

And 588 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Camden Clark Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1064%National average: 72%
Would definitely recommend the hospital62%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean62%National average: 74%
Area around the room “always” quiet at night42%National average: 60%
Completed surveys947Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.332No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.905No different from the national benchmark
Surgical site infections after colon surgery0.543No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.73No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.613Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients15.1%
Deaths within 30 days: heart failure patients10.3%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients10%
Deaths within 30 days: coronary bypass surgery (CABG)2.3%
Serious complications (patient safety indicator PSI-90)0.83No different from the national rate
Complications after hip or knee replacement5.2%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure25.1%
Readmitted within 30 days: pneumonia18.7%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgery12.7%
Readmitted within 30 days: hip or knee replacement7%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)226 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)70%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Camden Clark Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $126 $63 $61.76 – $113.95
New patient office visit (about 30–44 minutes): 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $62.94
  • Aetna Better Health WV — CHIP: $62.94
  • Aetna Medicare Advantage — All Plans: $75.73
  • Anthem OH Medicare Advantage — HMO: $74.28
  • Buckeye Commercial — Exchange Plan: $108.18
  • Buckeye OH Medicare Advantage — All Plans: $75.73
  • CareSource OH Exchange — CareSource OH Exchange: $108.18
  • CareSource OH Medicare Advantage — All Plans: $75.73
  • Coventry Health Care — Worker's Compensation: $113.95
  • Encova — Worker's Compensation: $108.18
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $126 $63 $72.12 – $113.95
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $75.73
  • Anthem OH Medicare Advantage — HMO: $74.28
  • Buckeye Commercial — Exchange Plan: $108.18
  • Buckeye OH Medicare Advantage — All Plans: $75.73
  • CareSource OH Exchange — CareSource OH Exchange: $108.18
  • CareSource OH Medicare Advantage — All Plans: $75.73
  • Coventry Health Care — Worker's Compensation: $113.95
  • Encova — Worker's Compensation: $108.18
  • Highmark WV Medicare Advantage — All Plans: $75
  • Humana Medicare Advantage — All Plans: $75.73
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES $126 $63 $72.12 – $113.95
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $75.73
  • Anthem OH Medicare Advantage — HMO: $74.28
  • Buckeye Commercial — Exchange Plan: $108.18
  • Buckeye OH Medicare Advantage — All Plans: $75.73
  • CareSource OH Exchange — CareSource OH Exchange: $108.18
  • CareSource OH Medicare Advantage — All Plans: $75.73
  • Coventry Health Care — Worker's Compensation: $113.95
  • Encova — Worker's Compensation: $108.18
  • Highmark WV Medicare Advantage — All Plans: $75
  • Humana Medicare Advantage — All Plans: $75.73
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $126 $63 $100.62 – $185.60
New patient office visit (about 45–59 minutes): 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $102.54
  • Aetna Better Health WV — CHIP: $102.54
  • Aetna Medicare Advantage — All Plans: $123.34
  • Anthem OH Medicare Advantage — HMO: $120.99
  • Buckeye Commercial — Exchange Plan: $176.20
  • Buckeye OH Medicare Advantage — All Plans: $123.34
  • CareSource OH Exchange — CareSource OH Exchange: $176.20
  • CareSource OH Medicare Advantage — All Plans: $123.34
  • Coventry Health Care — Worker's Compensation: $185.60
  • Encova — Worker's Compensation: $176.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES $126 $63 $117.47 – $185.60
New patient office visit (about 45–59 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $123.34
  • Anthem OH Medicare Advantage — HMO: $120.99
  • Buckeye Commercial — Exchange Plan: $176.20
  • Buckeye OH Medicare Advantage — All Plans: $123.34
  • CareSource OH Exchange — CareSource OH Exchange: $176.20
  • CareSource OH Medicare Advantage — All Plans: $123.34
  • Coventry Health Care — Worker's Compensation: $185.60
  • Encova — Worker's Compensation: $176.20
  • Highmark WV Medicare Advantage — All Plans: $122.17
  • Humana Medicare Advantage — All Plans: $123.34
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $126 $63 $49.41 – $90.53
Established patient office visit (about 20–29 minutes): 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $50.35
  • Aetna Better Health WV — CHIP: $50.35
  • Aetna Medicare Advantage — All Plans: $60.16
  • Anthem OH Medicare Advantage — HMO: $59.02
  • Buckeye Commercial — Exchange Plan: $85.95
  • Buckeye OH Medicare Advantage — All Plans: $60.16
  • CareSource OH Exchange — CareSource OH Exchange: $85.95
  • CareSource OH Medicare Advantage — All Plans: $60.16
  • Coventry Health Care — Worker's Compensation: $90.53
  • Encova — Worker's Compensation: $85.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $126 $63 $57.30 – $90.53
Established patient office visit (about 20–29 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $60.16
  • Anthem OH Medicare Advantage — HMO: $59.02
  • Buckeye Commercial — Exchange Plan: $85.95
  • Buckeye OH Medicare Advantage — All Plans: $60.16
  • CareSource OH Exchange — CareSource OH Exchange: $85.95
  • CareSource OH Medicare Advantage — All Plans: $60.16
  • Coventry Health Care — Worker's Compensation: $90.53
  • Encova — Worker's Compensation: $85.95
  • Highmark WV Medicare Advantage — All Plans: $59.59
  • Humana Medicare Advantage — All Plans: $60.16
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES $126 $63 $57.30 – $90.53
Established patient office visit (about 20–29 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $60.16
  • Anthem OH Medicare Advantage — HMO: $59.02
  • Buckeye Commercial — Exchange Plan: $85.95
  • Buckeye OH Medicare Advantage — All Plans: $60.16
  • CareSource OH Exchange — CareSource OH Exchange: $85.95
  • CareSource OH Medicare Advantage — All Plans: $60.16
  • Coventry Health Care — Worker's Compensation: $90.53
  • Encova — Worker's Compensation: $85.95
  • Highmark WV Medicare Advantage — All Plans: $59.59
  • Humana Medicare Advantage — All Plans: $60.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $126 $63 $73.09 – $133.45
Established patient office visit (about 30–39 minutes): 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $74.48
  • Aetna Better Health WV — CHIP: $74.48
  • Aetna Medicare Advantage — All Plans: $88.68
  • Anthem OH Medicare Advantage — HMO: $86.99
  • Buckeye Commercial — Exchange Plan: $126.69
  • Buckeye OH Medicare Advantage — All Plans: $88.68
  • CareSource OH Exchange — CareSource OH Exchange: $126.69
  • CareSource OH Medicare Advantage — All Plans: $88.68
  • Coventry Health Care — Worker's Compensation: $133.45
  • Encova — Worker's Compensation: $126.69
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $126 $63 $84.46 – $133.45
Established patient office visit (about 30–39 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $88.68
  • Anthem OH Medicare Advantage — HMO: $86.99
  • Buckeye Commercial — Exchange Plan: $126.69
  • Buckeye OH Medicare Advantage — All Plans: $88.68
  • CareSource OH Exchange — CareSource OH Exchange: $126.69
  • CareSource OH Medicare Advantage — All Plans: $88.68
  • Coventry Health Care — Worker's Compensation: $133.45
  • Encova — Worker's Compensation: $126.69
  • Highmark WV Medicare Advantage — All Plans: $87.84
  • Humana Medicare Advantage — All Plans: $88.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25_27 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES $136 $68 $84.46 – $133.45
Established patient office visit (about 30–39 minutes): 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $88.68
  • Anthem OH Medicare Advantage — HMO: $86.99
  • Buckeye Commercial — Exchange Plan: $126.69
  • Buckeye OH Medicare Advantage — All Plans: $88.68
  • CareSource OH Exchange — CareSource OH Exchange: $126.69
  • CareSource OH Medicare Advantage — All Plans: $88.68
  • Coventry Health Care — Worker's Compensation: $133.45
  • Encova — Worker's Compensation: $126.69
  • Highmark WV Medicare Advantage — All Plans: $87.84
  • Humana Medicare Advantage — All Plans: $88.68
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 $19 $9.50 $70.52 – $71.86
Preventive checkup, new patient, age 18–39: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $71.86
  • Aetna Better Health WV — CHIP: $71.86
  • Highmark Health Options — CHIP: $70.52
  • Highmark Health Options West VA — Mgd MCaid: $70.52
  • The Health Plan WV — CHIP: $71.86
  • The Health Plan WV — Mgd MCaid: $71.53
  • Wellpoint West Virginia — Mgd MCaid: $70.52
  • Wellpoint WV — CHIP: $70.52
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) $153 $76.50 $70.52 – $71.86
Preventive checkup, new patient, age 18–39: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $71.86
  • Aetna Better Health WV — CHIP: $71.86
  • Highmark Health Options — CHIP: $70.52
  • Highmark Health Options West VA — Mgd MCaid: $70.52
  • The Health Plan WV — CHIP: $71.86
  • The Health Plan WV — Mgd MCaid: $71.53
  • Wellpoint West Virginia — Mgd MCaid: $70.52
  • Wellpoint WV — CHIP: $70.52
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) $153 $76.50 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 23 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna Rental — First Health: 95% (a percentage in the contract, not a dollar amount)
  • American Correctional Healthcare, Inc. — FBOP: 100% (a percentage in the contract, not a dollar amount)
  • AMPS — Direct Agreements: 95% (a percentage in the contract, not a dollar amount)
  • Anthem Pathway — Anthem Pathway: 60% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 76.7% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield Traditional — Blue Cross Blue Shield Traditional: 89.4% (a percentage in the contract, not a dollar amount)
  • BRMS — Direct Agreements: 94% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 $19 $9.50 $85.19 – $86.81
Preventive checkup, new patient, age 40–64: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $86.81
  • Aetna Better Health WV — CHIP: $86.81
  • Highmark Health Options — CHIP: $85.19
  • Highmark Health Options West VA — Mgd MCaid: $85.19
  • The Health Plan WV — CHIP: $86.81
  • The Health Plan WV — Mgd MCaid: $86.40
  • Wellpoint West Virginia — Mgd MCaid: $85.19
  • Wellpoint WV — CHIP: $85.19
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) $179 $89.50 $85.19 – $86.81
Preventive checkup, new patient, age 40–64: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $86.81
  • Aetna Better Health WV — CHIP: $86.81
  • Highmark Health Options — CHIP: $85.19
  • Highmark Health Options West VA — Mgd MCaid: $85.19
  • The Health Plan WV — CHIP: $86.81
  • The Health Plan WV — Mgd MCaid: $86.40
  • Wellpoint West Virginia — Mgd MCaid: $85.19
  • Wellpoint WV — CHIP: $85.19
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) $179 $89.50 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 23 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna Rental — First Health: 95% (a percentage in the contract, not a dollar amount)
  • American Correctional Healthcare, Inc. — FBOP: 100% (a percentage in the contract, not a dollar amount)
  • AMPS — Direct Agreements: 95% (a percentage in the contract, not a dollar amount)
  • Anthem Pathway — Anthem Pathway: 60% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 76.7% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield Traditional — Blue Cross Blue Shield Traditional: 89.4% (a percentage in the contract, not a dollar amount)
  • BRMS — Direct Agreements: 94% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM $958 $479 $102.64 – $1,200
Emergency room visit (moderate): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $104.59
  • Aetna Better Health WV — CHIP: $104.59
  • Aetna Medicare Advantage — All Plans: $273.61
  • Alliance Coal — Alliance Coal: $456.02
  • Anthem OH Medicare Advantage — HMO: $268.40
  • Buckeye Commercial — Exchange Plan: $390.87
  • Buckeye OH Medicare Advantage — All Plans: $273.61
  • CareSource OH Exchange — CareSource OH Exchange: $390.87
  • CareSource OH Medicare Advantage — All Plans: $273.61
  • Coventry Health Care — Worker's Compensation: $411.72
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,409 $704.50 $102.64 – $1,200
Emergency room visit (moderate): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $104.59
  • Aetna Better Health WV — CHIP: $104.59
  • Aetna Medicare Advantage — All Plans: $273.61
  • Alliance Coal — Alliance Coal: $456.02
  • Anthem OH Medicare Advantage — HMO: $268.40
  • Buckeye Commercial — Exchange Plan: $390.87
  • Buckeye OH Medicare Advantage — All Plans: $273.61
  • CareSource OH Exchange — CareSource OH Exchange: $390.87
  • CareSource OH Medicare Advantage — All Plans: $273.61
  • Coventry Health Care — Worker's Compensation: $411.72
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $1,409 $704.50 $260.58 – $1,200
Emergency room visit (moderate): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $273.61
  • Alliance Coal — Alliance Coal: $456.02
  • Anthem OH Medicare Advantage — HMO: $268.40
  • Buckeye Commercial — Exchange Plan: $390.87
  • Buckeye OH Medicare Advantage — All Plans: $273.61
  • CareSource OH Exchange — CareSource OH Exchange: $390.87
  • CareSource OH Medicare Advantage — All Plans: $273.61
  • Coventry Health Care — Worker's Compensation: $411.72
  • Encova — Worker's Compensation: $390.87
  • Highmark WV Medicare Advantage — All Plans: $271
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM $1,574 $787 $201.39 – $1,200
Emergency room visit (moderately high): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $205.23
  • Aetna Better Health WV — CHIP: $205.23
  • Aetna Medicare Advantage — All Plans: $418.21
  • Alliance Coal — Alliance Coal: $697.02
  • Anthem OH Medicare Advantage — HMO: $410.25
  • Buckeye Commercial — Exchange Plan: $597.45
  • Buckeye OH Medicare Advantage — All Plans: $418.21
  • CareSource OH Exchange — CareSource OH Exchange: $597.45
  • CareSource OH Medicare Advantage — All Plans: $418.21
  • Coventry Health Care — Worker's Compensation: $629.31
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,116 $1,058 $201.39 – $1,200
Emergency room visit (moderately high): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $205.23
  • Aetna Better Health WV — CHIP: $205.23
  • Aetna Medicare Advantage — All Plans: $418.21
  • Alliance Coal — Alliance Coal: $697.02
  • Anthem OH Medicare Advantage — HMO: $410.25
  • Buckeye Commercial — Exchange Plan: $597.45
  • Buckeye OH Medicare Advantage — All Plans: $418.21
  • CareSource OH Exchange — CareSource OH Exchange: $597.45
  • CareSource OH Medicare Advantage — All Plans: $418.21
  • Coventry Health Care — Worker's Compensation: $629.31
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $2,116 $1,058 $398.30 – $1,200
Emergency room visit (moderately high): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $418.21
  • Alliance Coal — Alliance Coal: $697.02
  • Anthem OH Medicare Advantage — HMO: $410.25
  • Buckeye Commercial — Exchange Plan: $597.45
  • Buckeye OH Medicare Advantage — All Plans: $418.21
  • CareSource OH Exchange — CareSource OH Exchange: $597.45
  • CareSource OH Medicare Advantage — All Plans: $418.21
  • Coventry Health Care — Worker's Compensation: $629.31
  • Encova — Worker's Compensation: $597.45
  • Highmark WV Medicare Advantage — All Plans: $414.23
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $2,277 $1,138.50 $568.47 – $1,200
Emergency room visit (high): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $620.92
  • Aetna Better Health WV — CHIP: $620.92
  • Aetna Medicare Advantage — All Plans: $596.89
  • Alliance Coal — Alliance Coal: $994.82
  • Anthem OH Medicare Advantage — HMO: $585.52
  • Buckeye Commercial — Exchange Plan: $852.70
  • Buckeye OH Medicare Advantage — All Plans: $596.89
  • CareSource OH Exchange — CareSource OH Exchange: $852.70
  • CareSource OH Medicare Advantage — All Plans: $596.89
  • Coventry Health Care — Worker's Compensation: $898.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $2,410 $1,205 $568.47 – $994.82
Emergency room visit (high): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $620.92
  • Aetna Better Health WV — CHIP: $620.92
  • Aetna Medicare Advantage — All Plans: $596.89
  • Alliance Coal — Alliance Coal: $994.82
  • Anthem OH Medicare Advantage — HMO: $585.52
  • Buckeye Commercial — Exchange Plan: $852.71
  • Buckeye OH Medicare Advantage — All Plans: $596.89
  • CareSource OH Exchange — CareSource OH Exchange: $852.71
  • CareSource OH Medicare Advantage — All Plans: $596.89
  • Coventry Health Care — Worker's Compensation: $898.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $2,746 $1,373 $568.47 – $1,200
Emergency room visit (high): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $596.89
  • Alliance Coal — Alliance Coal: $994.82
  • Anthem OH Medicare Advantage — HMO: $585.52
  • Buckeye Commercial — Exchange Plan: $852.70
  • Buckeye OH Medicare Advantage — All Plans: $596.89
  • CareSource OH Exchange — CareSource OH Exchange: $852.70
  • CareSource OH Medicare Advantage — All Plans: $596.89
  • Coventry Health Care — Worker's Compensation: $898.18
  • Encova — Worker's Compensation: $852.70
  • Highmark WV Medicare Advantage — All Plans: $591.21

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $78 $39 $7.99 – $13.37
Basic metabolic panel (blood test): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $8.14
  • Aetna Better Health WV — CHIP: $8.14
  • Aetna Medicare Advantage — All Plans: $8.88
  • Alliance Coal — Alliance Coal: $10.58
  • Anthem OH Medicare Advantage — HMO: $8.71
  • Buckeye Commercial — Exchange Plan: $12.69
  • Buckeye OH Medicare Advantage — All Plans: $8.88
  • CareSource OH Exchange — CareSource OH Exchange: $12.69
  • CareSource OH Medicare Advantage — All Plans: $8.88
  • Coventry Health Care — Worker's Compensation: $13.37
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $78 $39 $8.46 – $13.37
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $8.88
  • Alliance Coal — Alliance Coal: $10.58
  • Anthem OH Medicare Advantage — HMO: $8.71
  • Buckeye Commercial — Exchange Plan: $12.69
  • Buckeye OH Medicare Advantage — All Plans: $8.88
  • CareSource OH Exchange — CareSource OH Exchange: $12.69
  • CareSource OH Medicare Advantage — All Plans: $8.88
  • Coventry Health Care — Worker's Compensation: $13.37
  • Encova — Worker's Compensation: $12.69
  • Highmark WV Medicare Advantage — All Plans: $8.80
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $78 $39 $8.46 – $13.37
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $8.88
  • Alliance Coal — Alliance Coal: $10.58
  • Anthem OH Medicare Advantage — HMO: $8.71
  • Buckeye Commercial — Exchange Plan: $12.69
  • Buckeye OH Medicare Advantage — All Plans: $8.88
  • CareSource OH Exchange — CareSource OH Exchange: $12.69
  • CareSource OH Medicare Advantage — All Plans: $8.88
  • Coventry Health Care — Worker's Compensation: $13.37
  • Encova — Worker's Compensation: $12.69
  • Highmark WV Medicare Advantage — All Plans: $8.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $98 $49 $9.98 – $16.68
Comprehensive metabolic panel (blood test): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $10.17
  • Aetna Better Health WV — CHIP: $10.17
  • Aetna Medicare Advantage — All Plans: $11.09
  • Alliance Coal — Alliance Coal: $13.20
  • Anthem OH Medicare Advantage — HMO: $10.88
  • Buckeye Commercial — Exchange Plan: $15.84
  • Buckeye OH Medicare Advantage — All Plans: $11.09
  • CareSource OH Exchange — CareSource OH Exchange: $15.84
  • CareSource OH Medicare Advantage — All Plans: $11.09
  • Coventry Health Care — Worker's Compensation: $16.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier EP In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $98 $49 $10.56 – $16.68
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $11.09
  • Alliance Coal — Alliance Coal: $13.20
  • Anthem OH Medicare Advantage — HMO: $10.88
  • Buckeye Commercial — Exchange Plan: $15.84
  • Buckeye OH Medicare Advantage — All Plans: $11.09
  • CareSource OH Exchange — CareSource OH Exchange: $15.84
  • CareSource OH Medicare Advantage — All Plans: $11.09
  • Coventry Health Care — Worker's Compensation: $16.68
  • Encova — Worker's Compensation: $15.84
  • Highmark WV Medicare Advantage — All Plans: $10.98
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $98 $49 $10.56 – $16.68
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $11.09
  • Alliance Coal — Alliance Coal: $13.20
  • Anthem OH Medicare Advantage — HMO: $10.88
  • Buckeye Commercial — Exchange Plan: $15.84
  • Buckeye OH Medicare Advantage — All Plans: $11.09
  • CareSource OH Exchange — CareSource OH Exchange: $15.84
  • CareSource OH Medicare Advantage — All Plans: $11.09
  • Coventry Health Care — Worker's Compensation: $16.68
  • Encova — Worker's Compensation: $15.84
  • Highmark WV Medicare Advantage — All Plans: $10.98
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $443 $221.50 $45.18 – $75.54
Obstetric blood test panel: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $46.04
  • Aetna Better Health WV — CHIP: $46.04
  • Aetna Medicare Advantage — All Plans: $50.20
  • Alliance Coal — Alliance Coal: $59.76
  • Anthem OH Medicare Advantage — HMO: $49.24
  • Buckeye Commercial — Exchange Plan: $71.71
  • Buckeye OH Medicare Advantage — All Plans: $50.20
  • CareSource OH Exchange — CareSource OH Exchange: $71.71
  • CareSource OH Medicare Advantage — All Plans: $50.20
  • Coventry Health Care — Worker's Compensation: $75.54
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC BLOOD TEST PANEL $381.69 $190.85 $45.18 – $75.54
Obstetric blood test panel: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $46.04
  • Aetna Better Health WV — CHIP: $46.04
  • Aetna Medicare Advantage — All Plans: $50.20
  • Alliance Coal — Alliance Coal: $59.76
  • Anthem OH Medicare Advantage — HMO: $49.24
  • Buckeye Commercial — Exchange Plan: $71.72
  • Buckeye OH Medicare Advantage — All Plans: $50.20
  • CareSource OH Exchange — CareSource OH Exchange: $71.72
  • CareSource OH Medicare Advantage — All Plans: $50.20
  • Coventry Health Care — Worker's Compensation: $75.54
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $125 $62.50 $12.65 – $21.16
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $12.89
  • Aetna Better Health WV — CHIP: $12.89
  • Aetna Medicare Advantage — All Plans: $14.06
  • Alliance Coal — Alliance Coal: $16.74
  • Anthem OH Medicare Advantage — HMO: $13.79
  • Buckeye Commercial — Exchange Plan: $20.08
  • Buckeye OH Medicare Advantage — All Plans: $14.06
  • CareSource OH Exchange — CareSource OH Exchange: $20.08
  • CareSource OH Medicare Advantage — All Plans: $14.06
  • Coventry Health Care — Worker's Compensation: $21.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $139 $69.50 $12.65 – $21.16
Cholesterol panel (lipid panel): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $12.89
  • Aetna Better Health WV — CHIP: $12.89
  • Aetna Medicare Advantage — All Plans: $14.06
  • Alliance Coal — Alliance Coal: $16.74
  • Anthem OH Medicare Advantage — HMO: $13.79
  • Buckeye Commercial — Exchange Plan: $20.08
  • Buckeye OH Medicare Advantage — All Plans: $14.06
  • CareSource OH Exchange — CareSource OH Exchange: $20.08
  • CareSource OH Medicare Advantage — All Plans: $14.06
  • Coventry Health Care — Worker's Compensation: $21.16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $70 $35 $13.39 – $21.16
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $14.06
  • Alliance Coal — Alliance Coal: $16.74
  • Anthem OH Medicare Advantage — HMO: $13.79
  • Buckeye Commercial — Exchange Plan: $20.08
  • Buckeye OH Medicare Advantage — All Plans: $14.06
  • CareSource OH Exchange — CareSource OH Exchange: $20.08
  • CareSource OH Medicare Advantage — All Plans: $14.06
  • Coventry Health Care — Worker's Compensation: $21.16
  • Encova — Worker's Compensation: $20.08
  • Highmark WV Medicare Advantage — All Plans: $13.93
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $80 $40 $8.20 – $13.71
Kidney function panel: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $8.36
  • Aetna Better Health WV — CHIP: $8.36
  • Aetna Medicare Advantage — All Plans: $9.11
  • Alliance Coal — Alliance Coal: $10.85
  • Anthem OH Medicare Advantage — HMO: $8.94
  • Buckeye Commercial — Exchange Plan: $13.02
  • Buckeye OH Medicare Advantage — All Plans: $9.11
  • CareSource OH Exchange — CareSource OH Exchange: $13.02
  • CareSource OH Medicare Advantage — All Plans: $9.11
  • Coventry Health Care — Worker's Compensation: $13.71
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: KIDNEY FUNCTION BLOOD TEST PANEL $80 $40 $8.68 – $13.71
Kidney function panel: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $9.11
  • Alliance Coal — Alliance Coal: $10.85
  • Anthem OH Medicare Advantage — HMO: $8.94
  • Buckeye Commercial — Exchange Plan: $13.02
  • Buckeye OH Medicare Advantage — All Plans: $9.11
  • CareSource OH Exchange — CareSource OH Exchange: $13.02
  • CareSource OH Medicare Advantage — All Plans: $9.11
  • Coventry Health Care — Worker's Compensation: $13.71
  • Encova — Worker's Compensation: $13.02
  • Highmark WV Medicare Advantage — All Plans: $9.03
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $76 $38 $7.72 – $12.91
Liver function panel: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $7.86
  • Aetna Better Health WV — CHIP: $7.86
  • Aetna Medicare Advantage — All Plans: $8.58
  • Alliance Coal — Alliance Coal: $10.21
  • Anthem OH Medicare Advantage — HMO: $8.42
  • Buckeye Commercial — Exchange Plan: $12.26
  • Buckeye OH Medicare Advantage — All Plans: $8.58
  • CareSource OH Exchange — CareSource OH Exchange: $12.26
  • CareSource OH Medicare Advantage — All Plans: $8.58
  • Coventry Health Care — Worker's Compensation: $12.91
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: LIVER FUNCTION BLOOD TEST PANEL $76 $38 $8.17 – $12.91
Liver function panel: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $8.58
  • Alliance Coal — Alliance Coal: $10.21
  • Anthem OH Medicare Advantage — HMO: $8.42
  • Buckeye Commercial — Exchange Plan: $12.26
  • Buckeye OH Medicare Advantage — All Plans: $8.58
  • CareSource OH Exchange — CareSource OH Exchange: $12.26
  • CareSource OH Medicare Advantage — All Plans: $8.58
  • Coventry Health Care — Worker's Compensation: $12.91
  • Encova — Worker's Compensation: $12.26
  • Highmark WV Medicare Advantage — All Plans: $8.50
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $59 $29.50 $2.99 – $5.01
Urine test (automated, with microscope): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $3.05
  • Aetna Better Health WV — CHIP: $3.05
  • Aetna Medicare Advantage — All Plans: $3.33
  • Alliance Coal — Alliance Coal: $3.96
  • Anthem OH Medicare Advantage — HMO: $3.27
  • Buckeye Commercial — Exchange Plan: $4.75
  • Buckeye OH Medicare Advantage — All Plans: $3.33
  • CareSource OH Exchange — CareSource OH Exchange: $4.75
  • CareSource OH Medicare Advantage — All Plans: $3.33
  • Coventry Health Care — Worker's Compensation: $5.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $89 $44.50 $2.99 – $5.01
Urine test (automated, with microscope): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $3.05
  • Aetna Better Health WV — CHIP: $3.05
  • Aetna Medicare Advantage — All Plans: $3.33
  • Alliance Coal — Alliance Coal: $3.96
  • Anthem OH Medicare Advantage — HMO: $3.27
  • Buckeye Commercial — Exchange Plan: $4.76
  • Buckeye OH Medicare Advantage — All Plans: $3.33
  • CareSource OH Exchange — CareSource OH Exchange: $4.76
  • CareSource OH Medicare Advantage — All Plans: $3.33
  • Coventry Health Care — Worker's Compensation: $5.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $49 $24.50 $3.17 – $5.01
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3.33
  • Alliance Coal — Alliance Coal: $3.96
  • Anthem OH Medicare Advantage — HMO: $3.27
  • Buckeye Commercial — Exchange Plan: $4.76
  • Buckeye OH Medicare Advantage — All Plans: $3.33
  • CareSource OH Exchange — CareSource OH Exchange: $4.76
  • CareSource OH Medicare Advantage — All Plans: $3.33
  • Coventry Health Care — Worker's Compensation: $5.01
  • Encova — Worker's Compensation: $4.76
  • Highmark WV Medicare Advantage — All Plans: $3.30
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $13 $6.50 $3.29 – $5.50
Urine test (manual, without microscope): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $3.35
  • Aetna Better Health WV — CHIP: $3.35
  • Aetna Medicare Advantage — All Plans: $3.65
  • Alliance Coal — Alliance Coal: $4.35
  • Anthem OH Medicare Advantage — HMO: $3.58
  • Buckeye Commercial — Exchange Plan: $5.22
  • Buckeye OH Medicare Advantage — All Plans: $3.65
  • CareSource OH Exchange — CareSource OH Exchange: $5.22
  • CareSource OH Medicare Advantage — All Plans: $3.65
  • Coventry Health Care — Worker's Compensation: $5.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS; MANUAL TEST $36 $18 $3.29 – $5.50
Urine test (manual, without microscope): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $3.35
  • Aetna Better Health WV — CHIP: $3.35
  • Aetna Medicare Advantage — All Plans: $3.65
  • Alliance Coal — Alliance Coal: $4.35
  • Anthem OH Medicare Advantage — HMO: $3.58
  • Buckeye Commercial — Exchange Plan: $5.22
  • Buckeye OH Medicare Advantage — All Plans: $3.65
  • CareSource OH Exchange — CareSource OH Exchange: $5.22
  • CareSource OH Medicare Advantage — All Plans: $3.65
  • Coventry Health Care — Worker's Compensation: $5.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: URINALYSIS; MANUAL TEST $36 $18 $3.48 – $5.50
Urine test (manual, without microscope): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3.65
  • Alliance Coal — Alliance Coal: $4.35
  • Anthem OH Medicare Advantage — HMO: $3.58
  • Buckeye Commercial — Exchange Plan: $5.22
  • Buckeye OH Medicare Advantage — All Plans: $3.65
  • CareSource OH Exchange — CareSource OH Exchange: $5.22
  • CareSource OH Medicare Advantage — All Plans: $3.65
  • Coventry Health Care — Worker's Compensation: $5.50
  • Encova — Worker's Compensation: $5.22
  • Highmark WV Medicare Advantage — All Plans: $3.62
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $40 $20 $2.13 – $3.56
Urine test (automated, without microscope): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $2.17
  • Aetna Better Health WV — CHIP: $2.17
  • Aetna Medicare Advantage — All Plans: $2.36
  • Alliance Coal — Alliance Coal: $2.81
  • Anthem OH Medicare Advantage — HMO: $2.32
  • Buckeye Commercial — Exchange Plan: $3.38
  • Buckeye OH Medicare Advantage — All Plans: $2.36
  • CareSource OH Exchange — CareSource OH Exchange: $3.38
  • CareSource OH Medicare Advantage — All Plans: $2.36
  • Coventry Health Care — Worker's Compensation: $3.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: AUTOMATED URINALYSIS TEST $40 $20 $2.25 – $3.56
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $2.36
  • Alliance Coal — Alliance Coal: $2.81
  • Anthem OH Medicare Advantage — HMO: $2.32
  • Buckeye Commercial — Exchange Plan: $3.38
  • Buckeye OH Medicare Advantage — All Plans: $2.36
  • CareSource OH Exchange — CareSource OH Exchange: $3.38
  • CareSource OH Medicare Advantage — All Plans: $2.36
  • Coventry Health Care — Worker's Compensation: $3.56
  • Encova — Worker's Compensation: $3.38
  • Highmark WV Medicare Advantage — All Plans: $2.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_PN In the file: AUTOMATED URINALYSIS TEST $40 $20 $2.25 – $3.56
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $2.36
  • Alliance Coal — Alliance Coal: $2.81
  • Anthem OH Medicare Advantage — HMO: $2.32
  • Buckeye Commercial — Exchange Plan: $3.38
  • Buckeye OH Medicare Advantage — All Plans: $2.36
  • CareSource OH Exchange — CareSource OH Exchange: $3.38
  • CareSource OH Medicare Advantage — All Plans: $2.36
  • Coventry Health Care — Worker's Compensation: $3.56
  • Encova — Worker's Compensation: $3.38
  • Highmark WV Medicare Advantage — All Plans: $2.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $61 $30.50 $17.38 – $29.06
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $17.71
  • Aetna Better Health WV — CHIP: $17.71
  • Aetna Medicare Advantage — All Plans: $19.31
  • Alliance Coal — Alliance Coal: $22.99
  • Anthem OH Medicare Advantage — HMO: $18.94
  • Buckeye Commercial — Exchange Plan: $27.58
  • Buckeye OH Medicare Advantage — All Plans: $19.31
  • CareSource OH Exchange — CareSource OH Exchange: $27.58
  • CareSource OH Medicare Advantage — All Plans: $19.31
  • Coventry Health Care — Worker's Compensation: $29.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $211 $105.50 $17.38 – $29.06
PSA (prostate specific antigen) blood test: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $17.71
  • Aetna Better Health WV — CHIP: $17.71
  • Aetna Medicare Advantage — All Plans: $19.31
  • Alliance Coal — Alliance Coal: $22.99
  • Anthem OH Medicare Advantage — HMO: $18.94
  • Buckeye Commercial — Exchange Plan: $27.58
  • Buckeye OH Medicare Advantage — All Plans: $19.31
  • CareSource OH Exchange — CareSource OH Exchange: $27.58
  • CareSource OH Medicare Advantage — All Plans: $19.31
  • Coventry Health Care — Worker's Compensation: $29.06
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $211 $105.50 $18.39 – $29.06
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $19.31
  • Alliance Coal — Alliance Coal: $22.99
  • Anthem OH Medicare Advantage — HMO: $18.94
  • Buckeye Commercial — Exchange Plan: $27.58
  • Buckeye OH Medicare Advantage — All Plans: $19.31
  • CareSource OH Exchange — CareSource OH Exchange: $27.58
  • CareSource OH Medicare Advantage — All Plans: $19.31
  • Coventry Health Care — Worker's Compensation: $29.06
  • Encova — Worker's Compensation: $27.58
  • Highmark WV Medicare Advantage — All Plans: $19.13
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $98 $49 $15.88 – $26.54
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $16.18
  • Aetna Better Health WV — CHIP: $16.18
  • Aetna Medicare Advantage — All Plans: $17.64
  • Alliance Coal — Alliance Coal: $21
  • Anthem OH Medicare Advantage — HMO: $17.30
  • Buckeye Commercial — Exchange Plan: $25.20
  • Buckeye OH Medicare Advantage — All Plans: $17.64
  • CareSource OH Exchange — CareSource OH Exchange: $25.20
  • CareSource OH Medicare Advantage — All Plans: $17.64
  • Coventry Health Care — Worker's Compensation: $26.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $211.55 $105.78 $15.88 – $26.54
Thyroid stimulating hormone (TSH) test: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $16.18
  • Aetna Better Health WV — CHIP: $16.18
  • Aetna Medicare Advantage — All Plans: $17.64
  • Alliance Coal — Alliance Coal: $21
  • Anthem OH Medicare Advantage — HMO: $17.30
  • Buckeye Commercial — Exchange Plan: $25.20
  • Buckeye OH Medicare Advantage — All Plans: $17.64
  • CareSource OH Exchange — CareSource OH Exchange: $25.20
  • CareSource OH Medicare Advantage — All Plans: $17.64
  • Coventry Health Care — Worker's Compensation: $26.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $183 $91.50 $16.80 – $26.54
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $17.64
  • Alliance Coal — Alliance Coal: $21
  • Anthem OH Medicare Advantage — HMO: $17.30
  • Buckeye Commercial — Exchange Plan: $25.20
  • Buckeye OH Medicare Advantage — All Plans: $17.64
  • CareSource OH Exchange — CareSource OH Exchange: $25.20
  • CareSource OH Medicare Advantage — All Plans: $17.64
  • Coventry Health Care — Worker's Compensation: $26.54
  • Encova — Worker's Compensation: $25.20
  • Highmark WV Medicare Advantage — All Plans: $17.47
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $99 $49.50 $7.34 – $12.28
Complete blood count (CBC) with differential: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $7.48
  • Aetna Better Health WV — CHIP: $7.48
  • Aetna Medicare Advantage — All Plans: $8.16
  • Alliance Coal — Alliance Coal: $9.71
  • Anthem OH Medicare Advantage — HMO: $8
  • Buckeye Commercial — Exchange Plan: $11.66
  • Buckeye OH Medicare Advantage — All Plans: $8.16
  • CareSource OH Exchange — CareSource OH Exchange: $11.66
  • CareSource OH Medicare Advantage — All Plans: $8.16
  • Coventry Health Care — Worker's Compensation: $12.28
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $83 $41.50 $7.34 – $12.28
Complete blood count (CBC) with differential: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $7.48
  • Aetna Better Health WV — CHIP: $7.48
  • Aetna Medicare Advantage — All Plans: $8.16
  • Alliance Coal — Alliance Coal: $9.71
  • Anthem OH Medicare Advantage — HMO: $8
  • Buckeye Commercial — Exchange Plan: $11.65
  • Buckeye OH Medicare Advantage — All Plans: $8.16
  • CareSource OH Exchange — CareSource OH Exchange: $11.65
  • CareSource OH Medicare Advantage — All Plans: $8.16
  • Coventry Health Care — Worker's Compensation: $12.28
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 91 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $83 $41.50 $7.77 – $12.28
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $8.16
  • Alliance Coal — Alliance Coal: $9.71
  • Anthem OH Medicare Advantage — HMO: $8
  • Buckeye Commercial — Exchange Plan: $11.65
  • Buckeye OH Medicare Advantage — All Plans: $8.16
  • CareSource OH Exchange — CareSource OH Exchange: $11.65
  • CareSource OH Medicare Advantage — All Plans: $8.16
  • Coventry Health Care — Worker's Compensation: $12.28
  • Encova — Worker's Compensation: $11.65
  • Highmark WV Medicare Advantage — All Plans: $8.08
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $99 $49.50 $6.11 – $10.22
Complete blood count (CBC), automated: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $6.23
  • Aetna Better Health WV — CHIP: $6.23
  • Aetna Medicare Advantage — All Plans: $6.79
  • Alliance Coal — Alliance Coal: $8.09
  • Anthem OH Medicare Advantage — HMO: $6.66
  • Buckeye Commercial — Exchange Plan: $9.71
  • Buckeye OH Medicare Advantage — All Plans: $6.79
  • CareSource OH Exchange — CareSource OH Exchange: $9.71
  • CareSource OH Medicare Advantage — All Plans: $6.79
  • Coventry Health Care — Worker's Compensation: $10.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $82 $41 $6.11 – $10.22
Complete blood count (CBC), automated: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $6.23
  • Aetna Better Health WV — CHIP: $6.23
  • Aetna Medicare Advantage — All Plans: $6.79
  • Alliance Coal — Alliance Coal: $8.09
  • Anthem OH Medicare Advantage — HMO: $6.66
  • Buckeye Commercial — Exchange Plan: $9.70
  • Buckeye OH Medicare Advantage — All Plans: $6.79
  • CareSource OH Exchange — CareSource OH Exchange: $9.70
  • CareSource OH Medicare Advantage — All Plans: $6.79
  • Coventry Health Care — Worker's Compensation: $10.22
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST $82 $41 $6.47 – $10.22
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $6.79
  • Alliance Coal — Alliance Coal: $8.09
  • Anthem OH Medicare Advantage — HMO: $6.66
  • Buckeye Commercial — Exchange Plan: $9.70
  • Buckeye OH Medicare Advantage — All Plans: $6.79
  • CareSource OH Exchange — CareSource OH Exchange: $9.70
  • CareSource OH Medicare Advantage — All Plans: $6.79
  • Coventry Health Care — Worker's Compensation: $10.22
  • Encova — Worker's Compensation: $9.70
  • Highmark WV Medicare Advantage — All Plans: $6.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $61 $30.50 $4.05 – $6.78
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $4.13
  • Aetna Better Health WV — CHIP: $4.13
  • Aetna Medicare Advantage — All Plans: $4.50
  • Alliance Coal — Alliance Coal: $5.36
  • Anthem OH Medicare Advantage — HMO: $4.42
  • Buckeye Commercial — Exchange Plan: $6.44
  • Buckeye OH Medicare Advantage — All Plans: $4.50
  • CareSource OH Exchange — CareSource OH Exchange: $6.44
  • CareSource OH Medicare Advantage — All Plans: $4.50
  • Coventry Health Care — Worker's Compensation: $6.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $47 $23.50 $4.05 – $6.78
Blood clotting time test (prothrombin time, PT): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $4.13
  • Aetna Better Health WV — CHIP: $4.13
  • Aetna Medicare Advantage — All Plans: $4.50
  • Alliance Coal — Alliance Coal: $5.36
  • Anthem OH Medicare Advantage — HMO: $4.42
  • Buckeye Commercial — Exchange Plan: $6.44
  • Buckeye OH Medicare Advantage — All Plans: $4.50
  • CareSource OH Exchange — CareSource OH Exchange: $6.44
  • CareSource OH Medicare Advantage — All Plans: $4.50
  • Coventry Health Care — Worker's Compensation: $6.78
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME $47 $23.50 $4.29 – $6.78
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $4.50
  • Alliance Coal — Alliance Coal: $5.36
  • Anthem OH Medicare Advantage — HMO: $4.42
  • Buckeye Commercial — Exchange Plan: $6.44
  • Buckeye OH Medicare Advantage — All Plans: $4.50
  • CareSource OH Exchange — CareSource OH Exchange: $6.44
  • CareSource OH Medicare Advantage — All Plans: $4.50
  • Coventry Health Care — Worker's Compensation: $6.78
  • Encova — Worker's Compensation: $6.44
  • Highmark WV Medicare Advantage — All Plans: $4.46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $106 $53 $5.68 – $9.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $5.79
  • Aetna Better Health WV — CHIP: $5.79
  • Aetna Medicare Advantage — All Plans: $6.31
  • Alliance Coal — Alliance Coal: $7.51
  • Anthem OH Medicare Advantage — HMO: $6.19
  • Buckeye Commercial — Exchange Plan: $9.02
  • Buckeye OH Medicare Advantage — All Plans: $6.31
  • CareSource OH Exchange — CareSource OH Exchange: $9.02
  • CareSource OH Medicare Advantage — All Plans: $6.31
  • Coventry Health Care — Worker's Compensation: $9.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $69 $34.50 $5.68 – $9.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $5.79
  • Aetna Better Health WV — CHIP: $5.79
  • Aetna Medicare Advantage — All Plans: $6.31
  • Alliance Coal — Alliance Coal: $7.51
  • Anthem OH Medicare Advantage — HMO: $6.19
  • Buckeye Commercial — Exchange Plan: $9.02
  • Buckeye OH Medicare Advantage — All Plans: $6.31
  • CareSource OH Exchange — CareSource OH Exchange: $9.02
  • CareSource OH Medicare Advantage — All Plans: $6.31
  • Coventry Health Care — Worker's Compensation: $9.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $111 $55.50 $6.01 – $9.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $6.31
  • Alliance Coal — Alliance Coal: $7.51
  • Anthem OH Medicare Advantage — HMO: $6.19
  • Buckeye Commercial — Exchange Plan: $9.01
  • Buckeye OH Medicare Advantage — All Plans: $6.31
  • CareSource OH Exchange — CareSource OH Exchange: $9.01
  • CareSource OH Medicare Advantage — All Plans: $6.31
  • Coventry Health Care — Worker's Compensation: $9.50
  • Encova — Worker's Compensation: $9.01
  • Highmark WV Medicare Advantage — All Plans: $6.25

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE $1,204 $602 $30.11 – $174.65
CT scan of the head or brain, without contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $30.69
  • Aetna Better Health WV — CHIP: $30.69
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,853 $926.50 $30.11 – $174.65
CT scan of the head or brain, without contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $30.69
  • Aetna Better Health WV — CHIP: $30.69
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,853 $926.50 $99.80 – $174.65
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
  • Encova — Worker's Compensation: $149.70
  • Highmark WV Medicare Advantage — All Plans: $103.79
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE $4,010 $2,005 $81.59 – $582.78
MRI of the brain, before and after contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $83.14
  • Aetna Better Health WV — CHIP: $83.14
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $5,194 $2,597 $81.59 – $582.78
MRI of the brain, before and after contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $83.14
  • Aetna Better Health WV — CHIP: $83.14
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST $5,194 $2,597 $333.02 – $582.78
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
  • Encova — Worker's Compensation: $499.53
  • Highmark WV Medicare Advantage — All Plans: $346.34
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $377 $188.50 $7.72 – $145.37
Chest X-ray, 2 views: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $7.86
  • Aetna Better Health WV — CHIP: $7.86
  • Aetna Medicare Advantage — All Plans: $87.22
  • Alliance Coal — Alliance Coal: $145.37
  • Anthem OH Medicare Advantage — HMO: $85.56
  • Buckeye Commercial — Exchange Plan: $124.60
  • Buckeye OH Medicare Advantage — All Plans: $87.22
  • CareSource OH Exchange — CareSource OH Exchange: $124.60
  • CareSource OH Medicare Advantage — All Plans: $87.22
  • Coventry Health Care — Worker's Compensation: $131.25
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $299 $149.50 $7.72 – $145.37
Chest X-ray, 2 views: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $7.86
  • Aetna Better Health WV — CHIP: $7.86
  • Aetna Medicare Advantage — All Plans: $87.22
  • Alliance Coal — Alliance Coal: $145.37
  • Anthem OH Medicare Advantage — HMO: $85.56
  • Buckeye Commercial — Exchange Plan: $124.60
  • Buckeye OH Medicare Advantage — All Plans: $87.22
  • CareSource OH Exchange — CareSource OH Exchange: $124.60
  • CareSource OH Medicare Advantage — All Plans: $87.22
  • Coventry Health Care — Worker's Compensation: $131.25
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_TC In the file: X-RAY OF CHEST; 2 VIEWS $299 $149.50 $83.07 – $145.37
Chest X-ray, 2 views: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $87.22
  • Alliance Coal — Alliance Coal: $145.37
  • Anthem OH Medicare Advantage — HMO: $85.56
  • Buckeye Commercial — Exchange Plan: $124.60
  • Buckeye OH Medicare Advantage — All Plans: $87.22
  • CareSource OH Exchange — CareSource OH Exchange: $124.60
  • CareSource OH Medicare Advantage — All Plans: $87.22
  • Coventry Health Care — Worker's Compensation: $131.25
  • Encova — Worker's Compensation: $124.60
  • Highmark WV Medicare Advantage — All Plans: $86.39
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS $566 $283 $9.26 – $174.65
X-ray of the lower spine, at least 4 views: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $9.44
  • Aetna Better Health WV — CHIP: $9.44
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $735 $367.50 $9.26 – $174.65
X-ray of the lower spine, at least 4 views: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $9.44
  • Aetna Better Health WV — CHIP: $9.44
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN_TC In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $735 $367.50 $39.91 – $69.84
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $41.91
  • Alliance Coal — Alliance Coal: $69.84
  • Anthem OH Medicare Advantage — HMO: $41.11
  • Buckeye Commercial — Exchange Plan: $59.86
  • Buckeye OH Medicare Advantage — All Plans: $41.91
  • CareSource OH Exchange — CareSource OH Exchange: $59.86
  • CareSource OH Medicare Advantage — All Plans: $41.91
  • Coventry Health Care — Worker's Compensation: $63.06
  • Encova — Worker's Compensation: $59.86
  • Highmark WV Medicare Advantage — All Plans: $41.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE $2,762 $1,381 $52.50 – $398.58
MRI of the lower back (lumbar spine), without contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $53.50
  • Aetna Better Health WV — CHIP: $53.50
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,579 $1,789.50 $52.50 – $398.58
MRI of the lower back (lumbar spine), without contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $53.50
  • Aetna Better Health WV — CHIP: $53.50
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST $3,579 $1,789.50 $227.76 – $398.58
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
  • Encova — Worker's Compensation: $341.64
  • Highmark WV Medicare Advantage — All Plans: $236.87
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $1,870 $935 $40.92 – $293
CT scan of the pelvis, with contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $41.70
  • Aetna Better Health WV — CHIP: $41.70
  • Aetna Medicare Advantage — All Plans: $175.80
  • Alliance Coal — Alliance Coal: $293
  • Anthem OH Medicare Advantage — HMO: $172.45
  • Buckeye Commercial — Exchange Plan: $251.14
  • Buckeye OH Medicare Advantage — All Plans: $175.80
  • CareSource OH Exchange — CareSource OH Exchange: $251.14
  • CareSource OH Medicare Advantage — All Plans: $175.80
  • Coventry Health Care — Worker's Compensation: $264.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $2,589 $1,294.50 $40.92 – $293
CT scan of the pelvis, with contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $41.70
  • Aetna Better Health WV — CHIP: $41.70
  • Aetna Medicare Advantage — All Plans: $175.80
  • Alliance Coal — Alliance Coal: $293
  • Anthem OH Medicare Advantage — HMO: $172.45
  • Buckeye Commercial — Exchange Plan: $251.15
  • Buckeye OH Medicare Advantage — All Plans: $175.80
  • CareSource OH Exchange — CareSource OH Exchange: $251.15
  • CareSource OH Medicare Advantage — All Plans: $175.80
  • Coventry Health Care — Worker's Compensation: $264.54
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: CT SCAN OF PELVIS WITH CONTRAST $2,589 $1,294.50 $66.97 – $117.20
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $70.32
  • Alliance Coal — Alliance Coal: $117.20
  • Anthem OH Medicare Advantage — HMO: $68.98
  • Buckeye Commercial — Exchange Plan: $100.46
  • Buckeye OH Medicare Advantage — All Plans: $70.32
  • CareSource OH Exchange — CareSource OH Exchange: $100.46
  • CareSource OH Medicare Advantage — All Plans: $70.32
  • Coventry Health Care — Worker's Compensation: $105.81
  • Encova — Worker's Compensation: $100.46
  • Highmark WV Medicare Advantage — All Plans: $69.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $952 $476 $47.87 – $398.58
MRI of a leg joint (such as the knee), without contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $48.78
  • Aetna Better Health WV — CHIP: $48.78
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,528 $1,764 $227.76 – $398.58
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
  • Encova — Worker's Compensation: $341.64
  • Highmark WV Medicare Advantage — All Plans: $236.87
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_TC In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST $3,528 $1,764 $227.76 – $398.58
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $239.15
  • Alliance Coal — Alliance Coal: $398.58
  • Anthem OH Medicare Advantage — HMO: $234.59
  • Buckeye Commercial — Exchange Plan: $341.64
  • Buckeye OH Medicare Advantage — All Plans: $239.15
  • CareSource OH Exchange — CareSource OH Exchange: $341.64
  • CareSource OH Medicare Advantage — All Plans: $239.15
  • Coventry Health Care — Worker's Compensation: $359.86
  • Encova — Worker's Compensation: $341.64
  • Highmark WV Medicare Advantage — All Plans: $236.87
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $2,556 $1,278 $64.86 – $582.78
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $66.09
  • Aetna Better Health WV — CHIP: $66.09
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,757 $1,878.50 $64.86 – $582.78
CT scan of the abdomen and pelvis, with contrast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $66.09
  • Aetna Better Health WV — CHIP: $66.09
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59 In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $3,757 $1,878.50 $333.02 – $582.78
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $349.67
  • Alliance Coal — Alliance Coal: $582.78
  • Anthem OH Medicare Advantage — HMO: $343.01
  • Buckeye Commercial — Exchange Plan: $499.53
  • Buckeye OH Medicare Advantage — All Plans: $349.67
  • CareSource OH Exchange — CareSource OH Exchange: $499.53
  • CareSource OH Medicare Advantage — All Plans: $349.67
  • Coventry Health Care — Worker's Compensation: $526.17
  • Encova — Worker's Compensation: $499.53
  • Highmark WV Medicare Advantage — All Plans: $346.34
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $902 $451 $28.57 – $174.65
Ultrasound of the abdomen, complete: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $29.11
  • Aetna Better Health WV — CHIP: $29.11
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $885 $442.50 $28.57 – $174.65
Ultrasound of the abdomen, complete: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $29.11
  • Aetna Better Health WV — CHIP: $29.11
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $885 $442.50 $39.91 – $69.84
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $41.91
  • Alliance Coal — Alliance Coal: $69.84
  • Anthem OH Medicare Advantage — HMO: $41.11
  • Buckeye Commercial — Exchange Plan: $59.86
  • Buckeye OH Medicare Advantage — All Plans: $41.91
  • CareSource OH Exchange — CareSource OH Exchange: $59.86
  • CareSource OH Medicare Advantage — All Plans: $41.91
  • Coventry Health Care — Worker's Compensation: $63.06
  • Encova — Worker's Compensation: $59.86
  • Highmark WV Medicare Advantage — All Plans: $41.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS $848 $424 $35.26 – $174.65
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $35.93
  • Aetna Better Health WV — CHIP: $35.93
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $885 $442.50 $35.26 – $174.65
Pregnancy ultrasound (after the first trimester): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $35.93
  • Aetna Better Health WV — CHIP: $35.93
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS $885 $442.50 $99.80 – $174.65
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
  • Encova — Worker's Compensation: $149.70
  • Highmark WV Medicare Advantage — All Plans: $103.79
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $763 $381.50 $24.44 – $174.65
Transvaginal ultrasound: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $24.91
  • Aetna Better Health WV — CHIP: $24.91
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $885 $442.50 $24.44 – $174.65
Transvaginal ultrasound: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $24.91
  • Aetna Better Health WV — CHIP: $24.91
  • Aetna Medicare Advantage — All Plans: $104.79
  • Alliance Coal — Alliance Coal: $174.65
  • Anthem OH Medicare Advantage — HMO: $102.79
  • Buckeye Commercial — Exchange Plan: $149.70
  • Buckeye OH Medicare Advantage — All Plans: $104.79
  • CareSource OH Exchange — CareSource OH Exchange: $149.70
  • CareSource OH Medicare Advantage — All Plans: $104.79
  • Coventry Health Care — Worker's Compensation: $157.68
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA $885 $442.50 $39.91 – $69.84
Transvaginal ultrasound: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $41.91
  • Alliance Coal — Alliance Coal: $69.84
  • Anthem OH Medicare Advantage — HMO: $41.11
  • Buckeye Commercial — Exchange Plan: $59.86
  • Buckeye OH Medicare Advantage — All Plans: $41.91
  • CareSource OH Exchange — CareSource OH Exchange: $59.86
  • CareSource OH Medicare Advantage — All Plans: $41.91
  • Coventry Health Care — Worker's Compensation: $63.06
  • Encova — Worker's Compensation: $59.86
  • Highmark WV Medicare Advantage — All Plans: $41.51
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $476 $238 $28.57 – $65.10
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $29.11
  • Aetna Better Health WV — CHIP: $29.11
  • Aetna Medicare Advantage — All Plans: $39.06
  • Alliance Coal — Alliance Coal: $65.10
  • Anthem OH Medicare Advantage — HMO: $38.32
  • Buckeye Commercial — Exchange Plan: $55.80
  • Buckeye OH Medicare Advantage — All Plans: $39.06
  • CareSource OH Exchange — CareSource OH Exchange: $55.80
  • CareSource OH Medicare Advantage — All Plans: $39.06
  • Coventry Health Care — Worker's Compensation: $58.78
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $350 $175 $28.57 – $65.10
Diagnostic mammogram, one breast: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $29.11
  • Aetna Better Health WV — CHIP: $29.11
  • Aetna Medicare Advantage — All Plans: $39.06
  • Alliance Coal — Alliance Coal: $65.10
  • Anthem OH Medicare Advantage — HMO: $38.32
  • Buckeye Commercial — Exchange Plan: $55.80
  • Buckeye OH Medicare Advantage — All Plans: $39.06
  • CareSource OH Exchange — CareSource OH Exchange: $55.80
  • CareSource OH Medicare Advantage — All Plans: $39.06
  • Coventry Health Care — Worker's Compensation: $58.78
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST $350 $175 $37.20 – $65.10
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $39.06
  • Alliance Coal — Alliance Coal: $65.10
  • Anthem OH Medicare Advantage — HMO: $38.32
  • Buckeye Commercial — Exchange Plan: $55.80
  • Buckeye OH Medicare Advantage — All Plans: $39.06
  • CareSource OH Exchange — CareSource OH Exchange: $55.80
  • CareSource OH Medicare Advantage — All Plans: $39.06
  • Coventry Health Care — Worker's Compensation: $58.78
  • Encova — Worker's Compensation: $55.80
  • Highmark WV Medicare Advantage — All Plans: $38.69
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $635 $317.50 $35 – $80.08
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $35.66
  • Aetna Better Health WV — CHIP: $35.66
  • Aetna Medicare Advantage — All Plans: $48.05
  • Alliance Coal — Alliance Coal: $80.08
  • Anthem OH Medicare Advantage — HMO: $47.13
  • Buckeye Commercial — Exchange Plan: $68.64
  • Buckeye OH Medicare Advantage — All Plans: $48.05
  • CareSource OH Exchange — CareSource OH Exchange: $68.64
  • CareSource OH Medicare Advantage — All Plans: $48.05
  • Coventry Health Care — Worker's Compensation: $72.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $471 $235.50 $35 – $80.08
Diagnostic mammogram, both breasts: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $35.66
  • Aetna Better Health WV — CHIP: $35.66
  • Aetna Medicare Advantage — All Plans: $48.05
  • Alliance Coal — Alliance Coal: $80.08
  • Anthem OH Medicare Advantage — HMO: $47.13
  • Buckeye Commercial — Exchange Plan: $68.64
  • Buckeye OH Medicare Advantage — All Plans: $48.05
  • CareSource OH Exchange — CareSource OH Exchange: $68.64
  • CareSource OH Medicare Advantage — All Plans: $48.05
  • Coventry Health Care — Worker's Compensation: $72.30
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS $471 $235.50 $45.76 – $80.08
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $48.05
  • Alliance Coal — Alliance Coal: $80.08
  • Anthem OH Medicare Advantage — HMO: $47.13
  • Buckeye Commercial — Exchange Plan: $68.64
  • Buckeye OH Medicare Advantage — All Plans: $48.05
  • CareSource OH Exchange — CareSource OH Exchange: $68.64
  • CareSource OH Medicare Advantage — All Plans: $48.05
  • Coventry Health Care — Worker's Compensation: $72.30
  • Encova — Worker's Compensation: $68.64
  • Highmark WV Medicare Advantage — All Plans: $47.59
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $541 $270.50 $27.03 – $60.30
Screening mammogram, both breasts: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $27.54
  • Aetna Better Health WV — CHIP: $27.54
  • Aetna Medicare Advantage — All Plans: $36.18
  • Alliance Coal — Alliance Coal: $60.30
  • Anthem OH Medicare Advantage — HMO: $35.49
  • Buckeye Commercial — Exchange Plan: $51.69
  • Buckeye OH Medicare Advantage — All Plans: $36.18
  • CareSource OH Exchange — CareSource OH Exchange: $51.69
  • CareSource OH Medicare Advantage — All Plans: $36.18
  • Coventry Health Care — Worker's Compensation: $54.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY $428 $214 $27.03 – $60.31
Screening mammogram, both breasts: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $27.54
  • Aetna Better Health WV — CHIP: $27.54
  • Aetna Medicare Advantage — All Plans: $36.18
  • Alliance Coal — Alliance Coal: $60.31
  • Anthem OH Medicare Advantage — HMO: $35.49
  • Buckeye Commercial — Exchange Plan: $51.69
  • Buckeye OH Medicare Advantage — All Plans: $36.18
  • CareSource OH Exchange — CareSource OH Exchange: $51.69
  • CareSource OH Medicare Advantage — All Plans: $36.18
  • Coventry Health Care — Worker's Compensation: $54.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52_LT_TC In the file: SCREENING MAMMOGRAPHY $402 $201 $34.46 – $60.30
Screening mammogram, both breasts: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $36.18
  • Alliance Coal — Alliance Coal: $60.30
  • Anthem OH Medicare Advantage — HMO: $35.49
  • Buckeye Commercial — Exchange Plan: $51.69
  • Buckeye OH Medicare Advantage — All Plans: $36.18
  • CareSource OH Exchange — CareSource OH Exchange: $51.69
  • CareSource OH Medicare Advantage — All Plans: $36.18
  • Coventry Health Care — Worker's Compensation: $54.45
  • Encova — Worker's Compensation: $51.69
  • Highmark WV Medicare Advantage — All Plans: $35.84

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE $381 $190.50 $10.55 – $10.75
Electrocardiogram (ECG/EKG) with reading: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $10.75
  • Aetna Better Health WV — CHIP: $10.75
  • Highmark Health Options — CHIP: $10.55
  • Highmark Health Options West VA — Mgd MCaid: $10.55
  • The Health Plan WV — CHIP: $10.75
  • The Health Plan WV — Mgd MCaid: $10.70
  • Wellpoint West Virginia — Mgd MCaid: $10.55
  • Wellpoint WV — CHIP: $10.55
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $11,981 $5,990.50 $178.86 – $5,415.55
Left heart catheterization (diagnostic): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $182.26
  • Aetna Better Health WV — CHIP: $182.26
  • Aetna Medicare Advantage — All Plans: $3,249.33
  • Alliance Coal — Alliance Coal: $5,415.55
  • Anthem OH Medicare Advantage — HMO: $3,187.44
  • Buckeye Commercial — Exchange Plan: $4,641.90
  • Buckeye OH Medicare Advantage — All Plans: $3,249.33
  • CareSource OH Exchange — CareSource OH Exchange: $4,641.90
  • CareSource OH Medicare Advantage — All Plans: $3,249.33
  • Coventry Health Care — Worker's Compensation: $4,889.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ELECTROPHYSIOLOGIC EVALUATION WITH CATHETER DESTRUCTION OF ABNORMALITY CAUSING ATRIAL FIBRILLATION (UNCOORDINATED CONTRACTION $27,102 $13,551 $721.62 – $43,662.59
Heart rhythm study with ablation for atrial fibrillation: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $735.37
  • Aetna Better Health WV — CHIP: $735.37
  • Aetna Medicare Advantage — All Plans: $26,197.55
  • Alliance Coal — Alliance Coal: $43,662.59
  • Anthem OH Medicare Advantage — HMO: $25,698.55
  • Buckeye Commercial — Exchange Plan: $37,425.07
  • Buckeye OH Medicare Advantage — All Plans: $26,197.55
  • CareSource OH Exchange — CareSource OH Exchange: $37,425.07
  • CareSource OH Medicare Advantage — All Plans: $26,197.55
  • Coventry Health Care — Worker's Compensation: $39,421.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM $3,894 $1,947 $86.98 – $1,434.49
Sleep study (overnight, in a sleep lab): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $88.64
  • Aetna Better Health WV — CHIP: $88.64
  • Aetna Medicare Advantage — All Plans: $860.70
  • Alliance Coal — Alliance Coal: $1,434.49
  • Anthem OH Medicare Advantage — HMO: $844.30
  • Buckeye Commercial — Exchange Plan: $1,229.56
  • Buckeye OH Medicare Advantage — All Plans: $860.70
  • CareSource OH Exchange — CareSource OH Exchange: $1,229.56
  • CareSource OH Medicare Advantage — All Plans: $860.70
  • Coventry Health Care — Worker's Compensation: $1,295.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $4,886 $2,443 $86.98 – $1,434.49
Sleep study (overnight, in a sleep lab): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $88.64
  • Aetna Better Health WV — CHIP: $88.64
  • Aetna Medicare Advantage — All Plans: $860.70
  • Alliance Coal — Alliance Coal: $1,434.49
  • Anthem OH Medicare Advantage — HMO: $844.30
  • Buckeye Commercial — Exchange Plan: $1,229.56
  • Buckeye OH Medicare Advantage — All Plans: $860.70
  • CareSource OH Exchange — CareSource OH Exchange: $1,229.56
  • CareSource OH Medicare Advantage — All Plans: $860.70
  • Coventry Health Care — Worker's Compensation: $1,295.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) $3,257 $1,628.50 $409.86 – $717.25
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $430.35
  • Alliance Coal — Alliance Coal: $717.25
  • Anthem OH Medicare Advantage — HMO: $422.16
  • Buckeye Commercial — Exchange Plan: $614.79
  • Buckeye OH Medicare Advantage — All Plans: $430.35
  • CareSource OH Exchange — CareSource OH Exchange: $614.79
  • CareSource OH Medicare Advantage — All Plans: $430.35
  • Coventry Health Care — Worker's Compensation: $647.58
  • Encova — Worker's Compensation: $614.79
  • Highmark WV Medicare Advantage — All Plans: $426.25

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $141 $70.50 $21.36 – $43.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $21.76
  • Aetna Better Health WV — CHIP: $21.76
  • Aetna Medicare Advantage — All Plans: $28.78
  • Alliance Coal — Alliance Coal: $37
  • Anthem OH Medicare Advantage — HMO: $28.23
  • Buckeye Commercial — Exchange Plan: $41.12
  • Buckeye OH Medicare Advantage — All Plans: $28.78
  • CareSource OH Exchange — CareSource OH Exchange: $41.12
  • CareSource OH Medicare Advantage — All Plans: $28.78
  • Coventry Health Care — Worker's Compensation: $43.31
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_CQ_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $143 $71.50 $27.41 – $43.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $28.78
  • Alliance Coal — Alliance Coal: $37
  • Anthem OH Medicare Advantage — HMO: $28.23
  • Buckeye Commercial — Exchange Plan: $41.12
  • Buckeye OH Medicare Advantage — All Plans: $28.78
  • CareSource OH Exchange — CareSource OH Exchange: $41.12
  • CareSource OH Medicare Advantage — All Plans: $28.78
  • Coventry Health Care — Worker's Compensation: $43.31
  • Encova — Worker's Compensation: $41.12
  • Highmark WV Medicare Advantage — All Plans: $28.51
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_GO In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $145 $72.50 $27.41 – $43.31
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $28.78
  • Alliance Coal — Alliance Coal: $37
  • Anthem OH Medicare Advantage — HMO: $28.23
  • Buckeye Commercial — Exchange Plan: $41.12
  • Buckeye OH Medicare Advantage — All Plans: $28.78
  • CareSource OH Exchange — CareSource OH Exchange: $41.12
  • CareSource OH Medicare Advantage — All Plans: $28.78
  • Coventry Health Care — Worker's Compensation: $43.31
  • Encova — Worker's Compensation: $41.12
  • Highmark WV Medicare Advantage — All Plans: $28.51
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $370 $185 $73.09 – $145.31
Physical therapy evaluation (low complexity): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $74.48
  • Aetna Better Health WV — CHIP: $74.48
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $334 $167 $91.97 – $145.31
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
  • Encova — Worker's Compensation: $137.96
  • Highmark WV Medicare Advantage — All Plans: $95.65
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP_GZ In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $334 $167 $91.97 – $145.31
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
  • Encova — Worker's Compensation: $137.96
  • Highmark WV Medicare Advantage — All Plans: $95.65
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $324 $162 $73.09 – $145.31
Physical therapy evaluation (moderate complexity): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $74.48
  • Aetna Better Health WV — CHIP: $74.48
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $438 $219 $91.97 – $145.31
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
  • Encova — Worker's Compensation: $137.96
  • Highmark WV Medicare Advantage — All Plans: $95.65
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $370 $185 $73.09 – $145.31
Physical therapy evaluation (high complexity): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $74.48
  • Aetna Better Health WV — CHIP: $74.48
  • Aetna Medicare Advantage — All Plans: $96.57
  • Alliance Coal — Alliance Coal: $124.16
  • Anthem OH Medicare Advantage — HMO: $94.73
  • Buckeye Commercial — Exchange Plan: $137.96
  • Buckeye OH Medicare Advantage — All Plans: $96.57
  • CareSource OH Exchange — CareSource OH Exchange: $137.96
  • CareSource OH Medicare Advantage — All Plans: $96.57
  • Coventry Health Care — Worker's Compensation: $145.31
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES $343 $171.50 $54.31 – $296.50
Psychotherapy, 30 minutes: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $55.34
  • Aetna Better Health WV — CHIP: $55.34
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES $472 $236 $71.80 – $296.50
Psychotherapy, 45 minutes: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $73.17
  • Aetna Better Health WV — CHIP: $73.17
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 45 MINUTES $364 $182 $71.80 – $296.50
Psychotherapy, 45 minutes: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $73.17
  • Aetna Better Health WV — CHIP: $73.17
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: PSYCHOTHERAPY; 45 MINUTES $364 $182 $169.43 – $296.50
Psychotherapy, 45 minutes: 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
  • Encova — Worker's Compensation: $254.14
  • Highmark WV Medicare Advantage — All Plans: $176.21
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES $699 $349.50 $106.29 – $296.50
Psychotherapy, 60 minutes: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $108.32
  • Aetna Better Health WV — CHIP: $108.32
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYCHOTHERAPY; 1 HOUR $138 $69 $106.29 – $296.50
Psychotherapy, 60 minutes: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $108.32
  • Aetna Better Health WV — CHIP: $108.32
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 95 In the file: PSYCHOTHERAPY; 1 HOUR $138 $69 $169.43 – $296.50
Psychotherapy, 60 minutes: 10 of 43 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.14
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.14
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
  • Encova — Worker's Compensation: $254.14
  • Highmark WV Medicare Advantage — All Plans: $176.21
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $1,192 $596 $77.47 – $296.50
Family psychotherapy, without the patient: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $78.94
  • Aetna Better Health WV — CHIP: $78.94
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.15
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.15
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN $1,192 $596 $77.47 – $296.50
Family psychotherapy, without the patient: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $78.94
  • Aetna Better Health WV — CHIP: $78.94
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.15
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.15
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $1,192 $596 $80.81 – $296.50
Family psychotherapy, with the patient: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $82.35
  • Aetna Better Health WV — CHIP: $82.35
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.15
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.15
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN $1,079 $539.50 $80.81 – $296.50
Family psychotherapy, with the patient: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $82.35
  • Aetna Better Health WV — CHIP: $82.35
  • Aetna Medicare Advantage — All Plans: $177.90
  • Alliance Coal — Alliance Coal: $296.50
  • Anthem OH Medicare Advantage — HMO: $174.51
  • Buckeye Commercial — Exchange Plan: $254.15
  • Buckeye OH Medicare Advantage — All Plans: $177.90
  • CareSource OH Exchange — CareSource OH Exchange: $254.15
  • CareSource OH Medicare Advantage — All Plans: $177.90
  • Coventry Health Care — Worker's Compensation: $267.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $203 $101.50 $19.30 – $169.70
Group psychotherapy: 10 of 51 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $19.67
  • Aetna Better Health WV — CHIP: $19.67
  • Aetna Medicare Advantage — All Plans: $101.82
  • Alliance Coal — Alliance Coal: $169.70
  • Anthem OH Medicare Advantage — HMO: $99.88
  • Buckeye Commercial — Exchange Plan: $145.46
  • Buckeye OH Medicare Advantage — All Plans: $101.82
  • CareSource OH Exchange — CareSource OH Exchange: $145.46
  • CareSource OH Medicare Advantage — All Plans: $101.82
  • Coventry Health Care — Worker's Compensation: $153.21

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION $9,001 $4,500.50 $205.80 – $6,540.64
Removal of breast growth (open surgery): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $3,924.39
  • Alliance Coal — Alliance Coal: $6,540.64
  • Anthem OH Medicare Advantage — HMO: $3,849.64
  • Buckeye Commercial — Exchange Plan: $5,606.26
  • Buckeye OH Medicare Advantage — All Plans: $3,924.39
  • CareSource OH Exchange — CareSource OH Exchange: $5,606.26
  • CareSource OH Medicare Advantage — All Plans: $3,924.39
  • Coventry Health Care — Worker's Compensation: $5,905.27
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $4,295 $2,147.50 $3,737.51 – $6,540.64
Removal of breast growth (open surgery): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,924.39
  • Alliance Coal — Alliance Coal: $6,540.64
  • Anthem OH Medicare Advantage — HMO: $3,849.64
  • Buckeye Commercial — Exchange Plan: $5,606.26
  • Buckeye OH Medicare Advantage — All Plans: $3,924.39
  • CareSource OH Exchange — CareSource OH Exchange: $5,606.26
  • CareSource OH Medicare Advantage — All Plans: $3,924.39
  • Coventry Health Care — Worker's Compensation: $5,905.27
  • Encova — Worker's Compensation: $5,606.26
  • Highmark WV Medicare Advantage — All Plans: $3,887.01
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $3,168 $1,584 $3,737.51 – $6,540.64
Removal of breast growth (open surgery): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,924.39
  • Alliance Coal — Alliance Coal: $6,540.64
  • Anthem OH Medicare Advantage — HMO: $3,849.64
  • Buckeye Commercial — Exchange Plan: $5,606.26
  • Buckeye OH Medicare Advantage — All Plans: $3,924.39
  • CareSource OH Exchange — CareSource OH Exchange: $5,606.26
  • CareSource OH Medicare Advantage — All Plans: $3,924.39
  • Coventry Health Care — Worker's Compensation: $5,905.27
  • Encova — Worker's Compensation: $5,606.26
  • Highmark WV Medicare Advantage — All Plans: $3,887.01
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53_CG_LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $6,464.99 $3,232.50 $12,255.24 – $21,446.67
Total hip replacement: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
  • Encova — Worker's Compensation: $18,382.86
  • Highmark WV Medicare Advantage — All Plans: $12,745.45
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 53_LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $6,465 $3,232.50 $12,255.24 – $21,446.67
Total hip replacement: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
  • Encova — Worker's Compensation: $18,382.86
  • Highmark WV Medicare Advantage — All Plans: $12,745.45
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79_RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $15,780 $7,890 $12,255.24 – $21,446.67
Total hip replacement: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
  • Encova — Worker's Compensation: $18,382.86
  • Highmark WV Medicare Advantage — All Plans: $12,745.45
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $31,692 $15,846 $205.80 – $21,446.67
Total knee replacement: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79_LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $14,197.34 $7,098.67 $12,255.24 – $21,446.67
Total knee replacement: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
  • Encova — Worker's Compensation: $18,382.86
  • Highmark WV Medicare Advantage — All Plans: $12,745.45
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79_RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $14,916.67 $7,458.34 $12,255.24 – $21,446.67
Total knee replacement: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $12,868
  • Alliance Coal — Alliance Coal: $21,446.67
  • Anthem OH Medicare Advantage — HMO: $12,622.90
  • Buckeye Commercial — Exchange Plan: $18,382.86
  • Buckeye OH Medicare Advantage — All Plans: $12,868
  • CareSource OH Exchange — CareSource OH Exchange: $18,382.86
  • CareSource OH Medicare Advantage — All Plans: $12,868
  • Coventry Health Care — Worker's Compensation: $19,363.28
  • Encova — Worker's Compensation: $18,382.86
  • Highmark WV Medicare Advantage — All Plans: $12,745.45
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59_RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $3,743.75 $1,871.88 $152 – $266
Shoulder arthroscopy: shaving of shoulder bone: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $159.60
  • Alliance Coal — Alliance Coal: $266
  • Anthem OH Medicare Advantage — HMO: $156.56
  • Buckeye Commercial — Exchange Plan: $228
  • Buckeye OH Medicare Advantage — All Plans: $159.60
  • CareSource OH Exchange — CareSource OH Exchange: $228
  • CareSource OH Medicare Advantage — All Plans: $159.60
  • Coventry Health Care — Worker's Compensation: $240.16
  • Encova — Worker's Compensation: $228
  • Highmark WV Medicare Advantage — All Plans: $158.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_XU In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $3,697.50 $1,848.75 $152 – $266
Shoulder arthroscopy: shaving of shoulder bone: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $159.60
  • Alliance Coal — Alliance Coal: $266
  • Anthem OH Medicare Advantage — HMO: $156.56
  • Buckeye Commercial — Exchange Plan: $228
  • Buckeye OH Medicare Advantage — All Plans: $159.60
  • CareSource OH Exchange — CareSource OH Exchange: $228
  • CareSource OH Medicare Advantage — All Plans: $159.60
  • Coventry Health Care — Worker's Compensation: $240.16
  • Encova — Worker's Compensation: $228
  • Highmark WV Medicare Advantage — All Plans: $158.08
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $19,785 $9,892.50 $152 – $266
Shoulder arthroscopy: shaving of shoulder bone: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $159.60
  • Alliance Coal — Alliance Coal: $266
  • Anthem OH Medicare Advantage — HMO: $156.56
  • Buckeye Commercial — Exchange Plan: $228
  • Buckeye OH Medicare Advantage — All Plans: $159.60
  • CareSource OH Exchange — CareSource OH Exchange: $228
  • CareSource OH Medicare Advantage — All Plans: $159.60
  • Coventry Health Care — Worker's Compensation: $240.16
  • Encova — Worker's Compensation: $228
  • Highmark WV Medicare Advantage — All Plans: $158.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79_LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $3,390 $1,695 $3,123.31 – $5,465.79
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,279.48
  • Alliance Coal — Alliance Coal: $5,465.79
  • Anthem OH Medicare Advantage — HMO: $3,217.01
  • Buckeye Commercial — Exchange Plan: $4,684.96
  • Buckeye OH Medicare Advantage — All Plans: $3,279.48
  • CareSource OH Exchange — CareSource OH Exchange: $4,684.96
  • CareSource OH Medicare Advantage — All Plans: $3,279.48
  • Coventry Health Care — Worker's Compensation: $4,934.83
  • Encova — Worker's Compensation: $4,684.96
  • Highmark WV Medicare Advantage — All Plans: $3,248.24
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $10,106.62 $5,053.31 $3,123.31 – $5,465.79
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,279.48
  • Alliance Coal — Alliance Coal: $5,465.79
  • Anthem OH Medicare Advantage — HMO: $3,217.01
  • Buckeye Commercial — Exchange Plan: $4,684.96
  • Buckeye OH Medicare Advantage — All Plans: $3,279.48
  • CareSource OH Exchange — CareSource OH Exchange: $4,684.96
  • CareSource OH Medicare Advantage — All Plans: $3,279.48
  • Coventry Health Care — Worker's Compensation: $4,934.83
  • Encova — Worker's Compensation: $4,684.96
  • Highmark WV Medicare Advantage — All Plans: $3,248.24
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $8,194 $4,097 $3,123.31 – $5,465.79
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,279.48
  • Alliance Coal — Alliance Coal: $5,465.79
  • Anthem OH Medicare Advantage — HMO: $3,217.01
  • Buckeye Commercial — Exchange Plan: $4,684.96
  • Buckeye OH Medicare Advantage — All Plans: $3,279.48
  • CareSource OH Exchange — CareSource OH Exchange: $4,684.96
  • CareSource OH Medicare Advantage — All Plans: $3,279.48
  • Coventry Health Care — Worker's Compensation: $4,934.83
  • Encova — Worker's Compensation: $4,684.96
  • Highmark WV Medicare Advantage — All Plans: $3,248.24
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) $7,252 $3,626 $205.80 – $9,888.92
Removal of tonsils and adenoids (under age 12): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $5,933.35
  • Alliance Coal — Alliance Coal: $9,888.92
  • Anthem OH Medicare Advantage — HMO: $5,820.33
  • Buckeye Commercial — Exchange Plan: $8,476.22
  • Buckeye OH Medicare Advantage — All Plans: $5,933.35
  • CareSource OH Exchange — CareSource OH Exchange: $8,476.22
  • CareSource OH Medicare Advantage — All Plans: $5,933.35
  • Coventry Health Care — Worker's Compensation: $8,928.28
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,270 $1,135 $105 – $1,515.10
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $107
  • Aetna Better Health WV — CHIP: $107
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.65
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.65
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $958 $479 $865.77 – $1,515.10
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.66
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.66
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
  • Encova — Worker's Compensation: $1,298.66
  • Highmark WV Medicare Advantage — All Plans: $900.40
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $1,438 $719 $865.77 – $1,515.10
Upper GI endoscopy (diagnostic): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.66
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.66
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
  • Encova — Worker's Compensation: $1,298.66
  • Highmark WV Medicare Advantage — All Plans: $900.40
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $2,693 $1,346.50 $205.80 – $1,515.10
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.66
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.66
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $898 $449 $205.80 – $1,515.10
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.65
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.65
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_XU In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $666 $333 $865.77 – $1,515.10
Upper GI endoscopy with biopsy: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $909.06
  • Alliance Coal — Alliance Coal: $1,515.10
  • Anthem OH Medicare Advantage — HMO: $891.74
  • Buckeye Commercial — Exchange Plan: $1,298.65
  • Buckeye OH Medicare Advantage — All Plans: $909.06
  • CareSource OH Exchange — CareSource OH Exchange: $1,298.65
  • CareSource OH Medicare Advantage — All Plans: $909.06
  • Coventry Health Care — Worker's Compensation: $1,367.92
  • Encova — Worker's Compensation: $1,298.65
  • Highmark WV Medicare Advantage — All Plans: $900.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $2,712 $1,356 $105 – $1,553.48
Colonoscopy (diagnostic): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $107
  • Aetna Better Health WV — CHIP: $107
  • Aetna Medicare Advantage — All Plans: $932.08
  • Alliance Coal — Alliance Coal: $1,553.48
  • Anthem OH Medicare Advantage — HMO: $914.33
  • Buckeye Commercial — Exchange Plan: $1,331.55
  • Buckeye OH Medicare Advantage — All Plans: $932.08
  • CareSource OH Exchange — CareSource OH Exchange: $1,331.55
  • CareSource OH Medicare Advantage — All Plans: $932.08
  • Coventry Health Care — Worker's Compensation: $1,402.57
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,258 $629 $105 – $1,553.47
Colonoscopy (diagnostic): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $107
  • Aetna Better Health WV — CHIP: $107
  • Aetna Medicare Advantage — All Plans: $932.08
  • Alliance Coal — Alliance Coal: $1,553.47
  • Anthem OH Medicare Advantage — HMO: $914.33
  • Buckeye Commercial — Exchange Plan: $1,331.55
  • Buckeye OH Medicare Advantage — All Plans: $932.08
  • CareSource OH Exchange — CareSource OH Exchange: $1,331.55
  • CareSource OH Medicare Advantage — All Plans: $932.08
  • Coventry Health Care — Worker's Compensation: $1,402.57
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_73 In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $1,858 $929 $443.84 – $776.72
Colonoscopy (diagnostic): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $466.03
  • Alliance Coal — Alliance Coal: $776.72
  • Anthem OH Medicare Advantage — HMO: $457.16
  • Buckeye Commercial — Exchange Plan: $665.76
  • Buckeye OH Medicare Advantage — All Plans: $466.03
  • CareSource OH Exchange — CareSource OH Exchange: $665.76
  • CareSource OH Medicare Advantage — All Plans: $466.03
  • Coventry Health Care — Worker's Compensation: $701.27
  • Encova — Worker's Compensation: $665.76
  • Highmark WV Medicare Advantage — All Plans: $461.59
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY $3,330 $1,665 $205.80 – $1,998.97
Colonoscopy with biopsy: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,158 $1,079 $205.80 – $1,998.97
Colonoscopy with biopsy: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,038.67 $1,019.34 $1,142.27 – $1,998.97
Colonoscopy with biopsy: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
  • Encova — Worker's Compensation: $1,713.40
  • Highmark WV Medicare Advantage — All Plans: $1,187.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL $2,773 $1,386.50 $205.80 – $1,998.97
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $1,319 $659.50 $205.80 – $1,998.97
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $2,638 $1,319 $1,142.27 – $1,998.97
Colonoscopy with removal of polyps (snare): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,199.38
  • Alliance Coal — Alliance Coal: $1,998.97
  • Anthem OH Medicare Advantage — HMO: $1,176.54
  • Buckeye Commercial — Exchange Plan: $1,713.40
  • Buckeye OH Medicare Advantage — All Plans: $1,199.38
  • CareSource OH Exchange — CareSource OH Exchange: $1,713.40
  • CareSource OH Medicare Advantage — All Plans: $1,199.38
  • Coventry Health Care — Worker's Compensation: $1,804.79
  • Encova — Worker's Compensation: $1,713.40
  • Highmark WV Medicare Advantage — All Plans: $1,187.96
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,038 $1,019 $138.72 – $1,553.47
Screening colonoscopy (not high risk): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $141.36
  • Aetna Better Health WV — CHIP: $141.36
  • Aetna Medicare Advantage — All Plans: $932.08
  • Alliance Coal — Alliance Coal: $1,553.47
  • Anthem OH Medicare Advantage — HMO: $914.33
  • Buckeye Commercial — Exchange Plan: $1,331.55
  • Buckeye OH Medicare Advantage — All Plans: $932.08
  • CareSource OH Exchange — CareSource OH Exchange: $1,331.55
  • CareSource OH Medicare Advantage — All Plans: $932.08
  • Coventry Health Care — Worker's Compensation: $1,402.57
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $1,258 $629 $887.70 – $1,553.47
Screening colonoscopy (not high risk): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $932.08
  • Alliance Coal — Alliance Coal: $1,553.47
  • Anthem OH Medicare Advantage — HMO: $914.33
  • Buckeye Commercial — Exchange Plan: $1,331.55
  • Buckeye OH Medicare Advantage — All Plans: $932.08
  • CareSource OH Exchange — CareSource OH Exchange: $1,331.55
  • CareSource OH Medicare Advantage — All Plans: $932.08
  • Coventry Health Care — Worker's Compensation: $1,402.57
  • Encova — Worker's Compensation: $1,331.55
  • Highmark WV Medicare Advantage — All Plans: $923.21
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_KX In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $879.33 $439.67 $887.70 – $1,553.48
Screening colonoscopy (not high risk): 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $932.08
  • Alliance Coal — Alliance Coal: $1,553.48
  • Anthem OH Medicare Advantage — HMO: $914.33
  • Buckeye Commercial — Exchange Plan: $1,331.55
  • Buckeye OH Medicare Advantage — All Plans: $932.08
  • CareSource OH Exchange — CareSource OH Exchange: $1,331.55
  • CareSource OH Medicare Advantage — All Plans: $932.08
  • Coventry Health Care — Worker's Compensation: $1,402.57
  • Encova — Worker's Compensation: $1,331.55
  • Highmark WV Medicare Advantage — All Plans: $923.21
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $11,234 $5,617 $205.80 – $10,098.88
Gallbladder removal by laparoscope: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $6,059.33
  • Alliance Coal — Alliance Coal: $10,098.88
  • Anthem OH Medicare Advantage — HMO: $5,943.91
  • Buckeye Commercial — Exchange Plan: $8,656.18
  • Buckeye OH Medicare Advantage — All Plans: $6,059.33
  • CareSource OH Exchange — CareSource OH Exchange: $8,656.18
  • CareSource OH Medicare Advantage — All Plans: $6,059.33
  • Coventry Health Care — Worker's Compensation: $9,117.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $7,627 $3,813.50 $205.80 – $5,980.96
Groin (inguinal) hernia repair, age 5 or older: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $3,588.57
  • Alliance Coal — Alliance Coal: $5,980.96
  • Anthem OH Medicare Advantage — HMO: $3,520.22
  • Buckeye Commercial — Exchange Plan: $5,126.54
  • Buckeye OH Medicare Advantage — All Plans: $3,588.57
  • CareSource OH Exchange — CareSource OH Exchange: $5,126.54
  • CareSource OH Medicare Advantage — All Plans: $3,588.57
  • Coventry Health Care — Worker's Compensation: $5,399.95
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $37,332 $18,666 $5,795.01 – $10,141.27
Groin (inguinal) hernia repair, age 5 or older: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $6,084.76
  • Alliance Coal — Alliance Coal: $10,141.27
  • Anthem OH Medicare Advantage — HMO: $5,968.86
  • Buckeye Commercial — Exchange Plan: $8,692.52
  • Buckeye OH Medicare Advantage — All Plans: $6,084.76
  • CareSource OH Exchange — CareSource OH Exchange: $8,692.52
  • CareSource OH Medicare Advantage — All Plans: $6,084.76
  • Coventry Health Care — Worker's Compensation: $9,156.12
  • Encova — Worker's Compensation: $8,692.52
  • Highmark WV Medicare Advantage — All Plans: $6,026.81
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $17,877 $8,938.50 $3,417.69 – $5,980.96
Groin (inguinal) hernia repair, age 5 or older: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,588.57
  • Alliance Coal — Alliance Coal: $5,980.96
  • Anthem OH Medicare Advantage — HMO: $3,520.22
  • Buckeye Commercial — Exchange Plan: $5,126.54
  • Buckeye OH Medicare Advantage — All Plans: $3,588.57
  • CareSource OH Exchange — CareSource OH Exchange: $5,126.54
  • CareSource OH Medicare Advantage — All Plans: $3,588.57
  • Coventry Health Care — Worker's Compensation: $5,399.95
  • Encova — Worker's Compensation: $5,126.54
  • Highmark WV Medicare Advantage — All Plans: $3,554.40
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND $6,002 $3,001 $205.80 – $209.72
Prostate biopsy: 10 of 31 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Highmark Health Options — CHIP: $205.80
  • Highmark Health Options West VA — Mgd MCaid: $205.80
  • The Health Plan WV — CHIP: $209.72
  • The Health Plan WV — Mgd MCaid: $208.74
  • Wellpoint West Virginia — Mgd MCaid: $205.80
  • Wellpoint WV — CHIP: $205.80
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURGICAL REMOVAL OF PROSTATE AND SURROUNDING LYMPH NODES USING AN ENDOSCOPE $69,615 $34,807.50 $906.15 – $17,756.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $923.41
  • Aetna Better Health WV — CHIP: $923.41
  • Aetna Medicare Advantage — All Plans: $10,654.12
  • Alliance Coal — Alliance Coal: $17,756.87
  • Anthem OH Medicare Advantage — HMO: $10,451.18
  • Buckeye Commercial — Exchange Plan: $15,220.17
  • Buckeye OH Medicare Advantage — All Plans: $10,654.12
  • CareSource OH Exchange — CareSource OH Exchange: $15,220.17
  • CareSource OH Medicare Advantage — All Plans: $10,654.12
  • Coventry Health Care — Worker's Compensation: $16,031.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY $7,442 $3,721 $205.80 – $5,407.52
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $3,244.51
  • Alliance Coal — Alliance Coal: $5,407.52
  • Anthem OH Medicare Advantage — HMO: $3,182.71
  • Buckeye Commercial — Exchange Plan: $4,635.02
  • Buckeye OH Medicare Advantage — All Plans: $3,244.51
  • CareSource OH Exchange — CareSource OH Exchange: $4,635.02
  • CareSource OH Medicare Advantage — All Plans: $3,244.51
  • Coventry Health Care — Worker's Compensation: $4,882.22
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $7,002 $3,501 $205.80 – $5,407.52
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $3,244.51
  • Alliance Coal — Alliance Coal: $5,407.52
  • Anthem OH Medicare Advantage — HMO: $3,182.71
  • Buckeye Commercial — Exchange Plan: $4,635.02
  • Buckeye OH Medicare Advantage — All Plans: $3,244.51
  • CareSource OH Exchange — CareSource OH Exchange: $4,635.02
  • CareSource OH Medicare Advantage — All Plans: $3,244.51
  • Coventry Health Care — Worker's Compensation: $4,882.22
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE $5,877 $2,938.50 $3,090.01 – $5,407.52
Hysteroscopy with biopsy of the uterus lining: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $3,244.51
  • Alliance Coal — Alliance Coal: $5,407.52
  • Anthem OH Medicare Advantage — HMO: $3,182.71
  • Buckeye Commercial — Exchange Plan: $4,635.02
  • Buckeye OH Medicare Advantage — All Plans: $3,244.51
  • CareSource OH Exchange — CareSource OH Exchange: $4,635.02
  • CareSource OH Medicare Advantage — All Plans: $3,244.51
  • Coventry Health Care — Worker's Compensation: $4,882.22
  • Encova — Worker's Compensation: $4,635.02
  • Highmark WV Medicare Advantage — All Plans: $3,213.61
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC $1,919 $959.50 $74.37 – $1,179.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $75.79
  • Aetna Better Health WV — CHIP: $75.79
  • Aetna Medicare Advantage — All Plans: $707.49
  • Alliance Coal — Alliance Coal: $1,179.15
  • Anthem OH Medicare Advantage — HMO: $694.01
  • Buckeye Commercial — Exchange Plan: $1,010.70
  • Buckeye OH Medicare Advantage — All Plans: $707.49
  • CareSource OH Exchange — CareSource OH Exchange: $1,010.70
  • CareSource OH Medicare Advantage — All Plans: $707.49
  • Coventry Health Care — Worker's Compensation: $1,064.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $2,673 $1,336.50 $74.37 – $1,179.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $75.79
  • Aetna Better Health WV — CHIP: $75.79
  • Aetna Medicare Advantage — All Plans: $707.49
  • Alliance Coal — Alliance Coal: $1,179.15
  • Anthem OH Medicare Advantage — HMO: $694.01
  • Buckeye Commercial — Exchange Plan: $1,010.70
  • Buckeye OH Medicare Advantage — All Plans: $707.49
  • CareSource OH Exchange — CareSource OH Exchange: $1,010.70
  • CareSource OH Medicare Advantage — All Plans: $707.49
  • Coventry Health Care — Worker's Compensation: $1,064.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier KX In the file: INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE $2,887 $1,443.50 $673.80 – $1,179.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $707.49
  • Alliance Coal — Alliance Coal: $1,179.15
  • Anthem OH Medicare Advantage — HMO: $694.01
  • Buckeye Commercial — Exchange Plan: $1,010.70
  • Buckeye OH Medicare Advantage — All Plans: $707.49
  • CareSource OH Exchange — CareSource OH Exchange: $1,010.70
  • CareSource OH Medicare Advantage — All Plans: $707.49
  • Coventry Health Care — Worker's Compensation: $1,064.60
  • Encova — Worker's Compensation: $1,010.70
  • Highmark WV Medicare Advantage — All Plans: $700.75
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $2,035 $1,017.50 $205.80 – $1,477.49
Nerve root injection, lower back, with imaging guidance: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $886.49
  • Alliance Coal — Alliance Coal: $1,477.49
  • Anthem OH Medicare Advantage — HMO: $869.61
  • Buckeye Commercial — Exchange Plan: $1,266.42
  • Buckeye OH Medicare Advantage — All Plans: $886.49
  • CareSource OH Exchange — CareSource OH Exchange: $1,266.42
  • CareSource OH Medicare Advantage — All Plans: $886.49
  • Coventry Health Care — Worker's Compensation: $1,333.96
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $6,826 $3,413 $1,266.41 – $2,216.22
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,329.73
  • Alliance Coal — Alliance Coal: $2,216.22
  • Anthem OH Medicare Advantage — HMO: $1,304.40
  • Buckeye Commercial — Exchange Plan: $1,899.62
  • Buckeye OH Medicare Advantage — All Plans: $1,329.73
  • CareSource OH Exchange — CareSource OH Exchange: $1,899.62
  • CareSource OH Medicare Advantage — All Plans: $1,329.73
  • Coventry Health Care — Worker's Compensation: $2,000.93
  • Encova — Worker's Compensation: $1,899.62
  • Highmark WV Medicare Advantage — All Plans: $1,317.07
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_KX In the file: INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL $6,826 $3,413 $1,266.41 – $2,216.22
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,329.73
  • Alliance Coal — Alliance Coal: $2,216.22
  • Anthem OH Medicare Advantage — HMO: $1,304.40
  • Buckeye Commercial — Exchange Plan: $1,899.62
  • Buckeye OH Medicare Advantage — All Plans: $1,329.73
  • CareSource OH Exchange — CareSource OH Exchange: $1,899.62
  • CareSource OH Medicare Advantage — All Plans: $1,329.73
  • Coventry Health Care — Worker's Compensation: $2,000.93
  • Encova — Worker's Compensation: $1,899.62
  • Highmark WV Medicare Advantage — All Plans: $1,317.07
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY $4,500 $2,250 $205.80 – $3,261.97
Carpal tunnel release: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $1,957.18
  • Alliance Coal — Alliance Coal: $3,261.97
  • Anthem OH Medicare Advantage — HMO: $1,919.90
  • Buckeye Commercial — Exchange Plan: $2,795.97
  • Buckeye OH Medicare Advantage — All Plans: $1,957.18
  • CareSource OH Exchange — CareSource OH Exchange: $2,795.97
  • CareSource OH Medicare Advantage — All Plans: $1,957.18
  • Coventry Health Care — Worker's Compensation: $2,945.09
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $5,251.34 $2,625.67 $1,863.98 – $3,261.97
Carpal tunnel release: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,957.18
  • Alliance Coal — Alliance Coal: $3,261.97
  • Anthem OH Medicare Advantage — HMO: $1,919.90
  • Buckeye Commercial — Exchange Plan: $2,795.97
  • Buckeye OH Medicare Advantage — All Plans: $1,957.18
  • CareSource OH Exchange — CareSource OH Exchange: $2,795.97
  • CareSource OH Medicare Advantage — All Plans: $1,957.18
  • Coventry Health Care — Worker's Compensation: $2,945.09
  • Encova — Worker's Compensation: $2,795.97
  • Highmark WV Medicare Advantage — All Plans: $1,938.54
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 79_LT In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $3,127 $1,563.50 $1,863.98 – $3,261.97
Carpal tunnel release: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $1,957.18
  • Alliance Coal — Alliance Coal: $3,261.97
  • Anthem OH Medicare Advantage — HMO: $1,919.90
  • Buckeye Commercial — Exchange Plan: $2,795.97
  • Buckeye OH Medicare Advantage — All Plans: $1,957.18
  • CareSource OH Exchange — CareSource OH Exchange: $2,795.97
  • CareSource OH Medicare Advantage — All Plans: $1,957.18
  • Coventry Health Care — Worker's Compensation: $2,945.09
  • Encova — Worker's Compensation: $2,795.97
  • Highmark WV Medicare Advantage — All Plans: $1,938.54
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY $1,264 $632 $205.80 – $918.75
Laser treatment of clouding after cataract surgery: 10 of 52 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $209.72
  • Aetna Better Health WV — CHIP: $209.72
  • Aetna Medicare Advantage — All Plans: $551.25
  • Alliance Coal — Alliance Coal: $918.75
  • Anthem OH Medicare Advantage — HMO: $540.75
  • Buckeye Commercial — Exchange Plan: $787.50
  • Buckeye OH Medicare Advantage — All Plans: $551.25
  • CareSource OH Exchange — CareSource OH Exchange: $787.50
  • CareSource OH Medicare Advantage — All Plans: $551.25
  • Coventry Health Care — Worker's Compensation: $829.50
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $10,930 $5,465 $2,202.94 – $3,855.14
Cataract removal with lens implant: 10 of 44 insurance plan rates
  • Aetna Medicare Advantage — All Plans: $2,313.09
  • Alliance Coal — Alliance Coal: $3,855.14
  • Anthem OH Medicare Advantage — HMO: $2,269.03
  • Buckeye Commercial — Exchange Plan: $3,304.41
  • Buckeye OH Medicare Advantage — All Plans: $2,313.09
  • CareSource OH Exchange — CareSource OH Exchange: $3,304.41
  • CareSource OH Medicare Advantage — All Plans: $2,313.09
  • Coventry Health Care — Worker's Compensation: $3,480.65
  • Encova — Worker's Compensation: $3,304.41
  • Highmark WV Medicare Advantage — All Plans: $2,291.06

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY Not listed in the file Not listed in the file $1,482 – $111,224.61
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 55 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $57,911.70
  • Aetna Better Health WV — CHIP: $47,936.99
  • Aetna Medicare Advantage — All Plans: $73,915.09
  • Alliance Coal — Alliance Coal: $12,172
  • Anthem OH Medicare Advantage — HMO: $72,507.18
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: $2,304
  • Buckeye Commercial — Exchange Plan: $105,592.98
  • Buckeye OH Medicare Advantage — All Plans: $73,915.09
  • CareSource OH Exchange — CareSource OH Exchange: $105,592.98
  • CareSource OH Medicare Advantage — All Plans: $73,915.09
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT COMORBITY Not listed in the file Not listed in the file $1,482 – $34,557.42
Spinal fusion (not neck), without major complications: 10 of 26 insurance plan rates
  • Alliance Coal — Alliance Coal: $12,172
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: $2,304
  • Molina OH Exchange — Molina OH Exchange: $34,557.42
  • Optum — Behavioral Health: $1,482
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 93.6% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna Rental — First Health: 95% (a percentage in the contract, not a dollar amount)
  • American Correctional Healthcare, Inc. — FBOP: 100% (a percentage in the contract, not a dollar amount)
  • AMPS — Direct Agreements: 95% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY Not listed in the file Not listed in the file $1,482 – $22,394.65
Hip or knee replacement (major joint of the leg), without major complications: 10 of 55 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $10,149.15
  • Aetna Better Health WV — CHIP: $9,451.86
  • Aetna Medicare Advantage — All Plans: $14,882.52
  • Alliance Coal — Alliance Coal: $12,172
  • Anthem OH Medicare Advantage — HMO: $14,599.04
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: $2,304
  • Buckeye Commercial — Exchange Plan: $21,260.74
  • Buckeye OH Medicare Advantage — All Plans: $14,882.52
  • CareSource OH Exchange — CareSource OH Exchange: $21,260.74
  • CareSource OH Medicare Advantage — All Plans: $14,882.52
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $1,482 – $28,190.04
Neck (cervical) spinal fusion, without complications: 10 of 55 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $14,547.02
  • Aetna Better Health WV — CHIP: $11,962.69
  • Aetna Medicare Advantage — All Plans: $18,733.89
  • Alliance Coal — Alliance Coal: $12,172
  • Anthem OH Medicare Advantage — HMO: $18,377.05
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: $2,304
  • Buckeye Commercial — Exchange Plan: $26,762.70
  • Buckeye OH Medicare Advantage — All Plans: $18,733.89
  • CareSource OH Exchange — CareSource OH Exchange: $26,762.70
  • CareSource OH Medicare Advantage — All Plans: $18,733.89
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $1,482 – $14,610.88
Uterus and ovary surgery (not for cancer), without complications: 10 of 55 insurance plan rates
  • Aetna — Better Health Mgd Medicaid: $6,384.38
  • Aetna Better Health WV — CHIP: $6,079.59
  • Aetna Medicare Advantage — All Plans: $9,709.76
  • Alliance Coal — Alliance Coal: $12,172
  • Anthem OH Medicare Advantage — HMO: $9,524.81
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: $2,304
  • Buckeye Commercial — Exchange Plan: $13,871.08
  • Buckeye OH Medicare Advantage — All Plans: $9,709.76
  • CareSource OH Exchange — CareSource OH Exchange: $13,871.08
  • CareSource OH Medicare Advantage — All Plans: $9,709.76

Source: Camden Clark Medical Center’s standard charges file (wvumedicine.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 9, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address800 Garfield Ave, Parkersburg, WV 26101
CountyWood County
StateWest Virginia
Phone(304) 424‑2111
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number510058
Name in Medicare recordsCAMDEN CLARK MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitewvumedicine.org
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Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. About Camden Clark Medical Center — wvumedicine.org
  2. Camden Clark Medical Center - Emergency Department — wvumedicine.org
  3. Camden Clark Medical Center | WVU Medicine — wvumedicine.org
  4. Patients and Visitors | Camden Clark Medical Center — wvumedicine.org
  5. During Your Visit | Camden Clark Medical Center — wvumedicine.org
  6. Before Your Visit | Camden Clark Medical Center — wvumedicine.org