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Critical Access Hospital

Potomac Valley Hospital

Keyser, West Virginia · Mineral County · Emergency services listed

Potomac Valley Hospital is a critical access hospital at 100 Pin Oak Lane, Keyser, WV 26726. Phone: (304) 597-3500. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Potomac Valley Hospital is a critical access hospital in Keyser, West Virginia. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 35 services, specialties and programs. Medicare lists 362 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. 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
1 of 5 stars1 of 5 stars · Medicare rating
21Beds (hospital website)
35Services listed

Quick answers

Does Potomac Valley Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Potomac Valley Hospital. In a medical emergency, call 911.
Where is Potomac Valley Hospital?
100 Pin Oak Lane, Keyser, WV 26726, in Mineral County, West Virginia.
What is the phone number of Potomac Valley Hospital?
(304) 597-3500, as listed by Medicare (CMS).
What is the Medicare star rating of Potomac Valley Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Specialties and care areas[4][6][10][11]

Treatments[6]

  • Chemotherapy
  • Immunotherapy infusions
  • Blood transfusions
  • IV fluid infusions
  • Port and central line maintenance

Procedures[4][6][11]

Programs and centers[6]

  • Cancer navigation services
  • Oncology navigation services

Emergency care (hospital website)[4][9][10]

Emergency roomYes
Open 24/7Yes
Stroke designationAcute Stroke Ready Hospital (recertification)

Visiting and practical information

VisitingVisiting hours 8:00 a.m. to 7:30 p.m. unless a unit differs; visitors check in at the registration desk[5]
ParkingVisitor parking in designated lots, free of charge; valet parking at front entrance weekdays 7am-3:30pm[8]
Interpreters and languagesFree language services, including qualified language interpreting, for patients whose primary language is not English[7]

Recognition[4][9]

  • Certified Orthopedic Center of Excellence (The Joint Commission)
  • Acute Stroke Ready Hospital (The Joint Commission, American Heart Association, American Stroke Association)
  • Total Joint Certification (The Joint Commission)
  • CT and Mammography accreditation (American College of Radiology)
  • AACVPR Certified program
  • Gold Award for Excellence in Quality and Patient Safety 2026

Doctors and clinicians (362)

362 doctors and other clinicians list Potomac Valley Hospital 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 (362)

And 338 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Keyser

Hospitals in Mineral County · Hospitals near me

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 license 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 Potomac Valley Hospital 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) 5 of 5 stars
Overall rating of the hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well5 of 5 stars
Patients got help quickly from staff5 of 5 stars
Staff explained medicines5 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination5 of 5 stars
Symptoms After Stay5 of 5 stars
Rated the hospital 9 or 10 out of 1084%National average: 72%
Would definitely recommend the hospital83%National average: 71%
Nurses “always” communicated well88%National average: 80%
Doctors “always” communicated well86%National average: 80%
“Always” got help as soon as they wanted75%National average: 64%
Staff “always” explained medicines before giving them70%National average: 62%
Were given information about recovery at home93%National average: 86%
Room and bathroom “always” clean76%National average: 73%
Completed surveys222Response rate: 31%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections0.946No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 failure patients14.8%
Deaths within 30 days: pneumonia patients15.7%
Deaths within 30 days: COPD patients8.6%
Deaths within 30 days: stroke patients11.2%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)14.7%
Readmitted within 30 days: heart failure22.8%
Readmitted within 30 days: pneumonia16.4%
Readmitted within 30 days: COPD20.2%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)119 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)58%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 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 73 common services exactly as Potomac Valley Hospital 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 →

Show the prices of 73 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN $165 $82.50 Not listed in the file
New patient office visit (about 30–44 minutes): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN $269 $134.50 Not listed in the file
New patient office visit (about 45–59 minutes): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN $378 $189 Not listed in the file
New patient office visit (about 60–74 minutes): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN $131 $65.50 Not listed in the file
Established patient office visit (about 20–29 minutes): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN $201 $100.50 Not listed in the file
Established patient office visit (about 30–39 minutes): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 $197 $98.50 Not listed in the file
Office consultation with a specialist (moderate): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 $300 $150 Not listed in the file
Office consultation with a specialist (moderate to high): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (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: PREV VISIT NEW AGE 18-39 $121 $60.50 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 $204 $102 Not listed in the file
Preventive checkup, new patient, age 18–39: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (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 $142 $71 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 $292 $146 Not listed in the file
Preventive checkup, new patient, age 40–64: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (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 $533 $266.50 $25
Emergency room visit (moderate): 10 of 42 insurance plan rates
  • Highmark Wholecare PA Medicare Advantage — All Pla: $25
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT LOW MDM $212 $106 Not listed in the file
Emergency room visit (moderate): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM $813 $406.50 $25
Emergency room visit (moderately high): 10 of 42 insurance plan rates
  • Highmark Wholecare PA Medicare Advantage — All Pla: $25
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT MOD MDM $278 $139 Not listed in the file
Emergency room visit (moderately high): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM $1,223 $611.50 $25
Emergency room visit (high): 10 of 42 insurance plan rates
  • Highmark Wholecare PA Medicare Advantage — All Pla: $25
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EMERGENCY DEPT VISIT HI MDM $371 $185.50 Not listed in the file
Emergency room visit (high): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

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: METABOLIC PANEL TOTAL CA $78 $39 Not listed in the file
Basic metabolic panel (blood test): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $98 $49 Not listed in the file
Comprehensive metabolic panel (blood test): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $125 $62.50 Not listed in the file
Cholesterol panel (lipid panel): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $80 $40 Not listed in the file
Kidney function panel: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $76 $38 Not listed in the file
Liver function panel: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $69 $34.50 Not listed in the file
Urine test (automated, with microscope): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $19 $9.50 Not listed in the file
Urine test (manual, without microscope): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $26 $13 Not listed in the file
Urine test (automated, without microscope): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $103 $51.50 Not listed in the file
PSA (prostate specific antigen) blood test: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $148 $74 Not listed in the file
Thyroid stimulating hormone (TSH) test: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $68 $34 Not listed in the file
Complete blood count (CBC) with differential: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $57 $28.50 Not listed in the file
Complete blood count (CBC), automated: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $49 $24.50 Not listed in the file
Blood clotting time test (prothrombin time, PT): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $60 $30 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 90% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

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 $960 $480 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE $89 $44.50 Not listed in the file
CT scan of the head or brain, without contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
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 $3,020 $1,510 Not listed in the file
MRI of the brain, before and after contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE $237 $118.50 Not listed in the file
MRI of the brain, before and after contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $332 $166 Not listed in the file
Chest X-ray, 2 views: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS $22 $11 Not listed in the file
Chest X-ray, 2 views: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
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 $436 $218 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS $29 $14.50 Not listed in the file
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
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 $2,266 $1,133 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE $154 $77 Not listed in the file
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE $1,394 $697 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT PELVIS W/DYE $121 $60.50 Not listed in the file
CT scan of the pelvis, with contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
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 $2,243 $1,121.50 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE $141 $70.50 Not listed in the file
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
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 $2,821 $1,410.50 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST $189 $94.50 Not listed in the file
CT scan of the abdomen and pelvis, with contrast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $915 $457.50 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE $84 $42 Not listed in the file
Ultrasound of the abdomen, complete: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OB US >= 14 WKS SNGL FETUS $105 $52.50 Not listed in the file
Pregnancy ultrasound (after the first trimester): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $206 $103 Not listed in the file
Transvaginal ultrasound: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB $73 $36.50 Not listed in the file
Transvaginal ultrasound: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $328 $164 Not listed in the file
Diagnostic mammogram, one breast: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI $85 $42.50 Not listed in the file
Diagnostic mammogram, one breast: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $409 $204.50 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI $105 $52.50 Not listed in the file
Diagnostic mammogram, both breasts: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $375 $187.50 Not listed in the file
Screening mammogram, both breasts: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCR MAMMO BI INCL CAD $79 $39.50 Not listed in the file
Screening mammogram, both breasts: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

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 $418 $209 Not listed in the file
Electrocardiogram (ECG/EKG) with reading: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

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 $106 $53 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN $416 $208 Not listed in the file
Physical therapy evaluation (low complexity): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN $439 $219.50 Not listed in the file
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $439 $219.50 Not listed in the file
Physical therapy evaluation (high complexity): 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES $153 $76.50 Not listed in the file
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES $301 $150.50 Not listed in the file
Psychotherapy, 45 minutes: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES $401 $200.50 Not listed in the file
Psychotherapy, 60 minutes: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN $390 $195 Not listed in the file
Family psychotherapy, without the patient: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN $217 $108.50 Not listed in the file
Family psychotherapy, without the patient: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN $382 $191 Not listed in the file
Family psychotherapy, with the patient: 10 of 42 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN $234 $117 Not listed in the file
Family psychotherapy, with the patient: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION $932 $466 Not listed in the file
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY $2,839 $1,419.50 Not listed in the file
Total hip replacement: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY $4,586 $2,293 Not listed in the file
Total knee replacement: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION $716 $358 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: KNEE ARTHROSCOPY/SURGERY $1,845 $922.50 Not listed in the file
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS $586 $293 Not listed in the file
Removal of tonsils and adenoids (under age 12): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH $933 $466.50 Not listed in the file
Upper GI endoscopy (diagnostic): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $1,054 $527 Not listed in the file
Upper GI endoscopy with biopsy: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY $1,299 $649.50 Not listed in the file
Colonoscopy (diagnostic): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY $1,419 $709.50 Not listed in the file
Colonoscopy with biopsy: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL $1,524 $762 Not listed in the file
Colonoscopy with removal of polyps (snare): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US $516 $258 Not listed in the file
Ultrasound of the lower bowel by endoscope: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND $1,428 $714 Not listed in the file
Screening colonoscopy (not high risk): 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY $2,080 $1,040 Not listed in the file
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR $1,446 $723 Not listed in the file
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY $515 $257.50 Not listed in the file
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC $202 $101 Not listed in the file
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $228 $114 Not listed in the file
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY $950 $475 Not listed in the file
Carpal tunnel release: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY $592 $296 Not listed in the file
Laser treatment of clouding after cataract surgery: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP $1,016 $508 Not listed in the file
Cataract removal with lens implant: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OBSTETRICAL CARE $5,230 $2,615 Not listed in the file
Vaginal delivery, with care before and after: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CESAREAN DELIVERY $5,893 $2,946.50 Not listed in the file
Cesarean delivery (C-section), with care before and after: 10 of 41 insurance plan rates
  • 4 Most Zelis Stratose — 4 Most Zelis Stratose: 95% (a percentage in the contract, not a dollar amount)
  • Aetna — Aetna: 94% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health: 60% (a percentage in the contract, not a dollar amount)
  • Aetna — Better Health WV Mgd Medicaid: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Better Health WV — CHIP: 36% (a percentage in the contract, not a dollar amount)
  • Aetna Medicare Advantage — All Plans: 36% (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)
  • Blue Cross Blue Shield PPO — Blue Cross Blue Shield PPO: 82.57% (a percentage in the contract, not a dollar amount)

Source: Potomac Valley Hospital’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 10, 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 typeCritical Access Hospital
Address100 Pin Oak Lane, Keyser, WV 26726
CountyMineral County
StateWest Virginia
Phone(304) 597‑3500
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
CMS Certification Number511315
Name in Medicare recordsPOTOMAC VALLEY HOSPITAL
Profile levelMedicare data + hospital website
Official websitewvumedicine.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Potomac Valley Hospital — wvumedicine.org
  2. Visitation Guidelines — wvumedicine.org
  3. Cancer Care Close to Home | Potomac Valley Hospital — wvumedicine.org
  4. Patients and Visitors | Potomac Valley Hospital — wvumedicine.org
  5. Before Your Visit | Potomac Valley Hospital — wvumedicine.org
  6. Recognition for Excellence | Potomac Valley Hospital — wvumedicine.org
  7. About | Potomac Valley Hospital — wvumedicine.org
  8. Comprehensive Surgical Care You Can Trust | Potomac Valley Hospital — wvumedicine.org