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Emergency Department Visit with High Level of Medical Decision Making Cost in West Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 33 West Virginia hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
📊 Median $590
📉 Low $186
📈 High $2,452
🏥 33 hospitals
🏛️ 29 with insurance contracts
🇺🇸 Medicare $175
Hospital comparison — West Virginia
Sorted by cash price (lowest first). Showing top 33 of 33 hospitals.
Billed more than $590 for this? That gap is evidence.
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| Hospital | Cash | Aetna | UHC | Humana | Cigna | BCBS | MultiPlan | Medicare | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| POTOMAC VALLEY HOSPITAL KEYSER |
$186 | $36.00 | $34.00 | $35.70 | $90.00 | $82.69 | $95.00 | $34.00 | — |
| ST JOSEPH HOSPITAL BUCKHANNON |
$196 | $32.00 | $34.88 | — | $95.00 | $81.46 | $95.00 | — | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$196 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$196 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| BRAXTON COUNTY MEMORIAL HOSPITAL GASSAWAY |
$201 | $45.00 | $43.00 | $45.15 | $95.00 | $87.95 | $95.00 | $43.00 | — |
| JEFFERSON MEDICAL CENTER RANSON |
$201 | $34.00 | $32.00 | $33.60 | $92.00 | $82.33 | $95.00 | $32.00 | — |
| BECKLEY ARH HOSPITAL STANDORD ROAD BECKLEY |
$223 | $168 | $529 | $529 | — | — | — | — | — |
| BOONE MEMORIAL HOSPITAL MADISON |
$235 | $127 | — | $124 | $227 | — | — | $124 | $91.20 |
| WILLIAMSON MEMORIAL HOSPITAL WILLIAMSON |
$245 | $113 | — | — | — | — | — | — | — |
| MONTGOMERY GENERAL HOSPITAL FAYETTE COUNTY |
$256 | $36.00 | $41.00 | $39.00 | — | $943 | — | $39.00 | $44.00 |
| GRANT MEMORIAL HOSPITAL PETERSBURG |
$314 | $51.00 | $49.00 | $51.45 | $95.00 | $80.03 | $95.00 | $49.00 | — |
| BROADDUS HOSPITAL PHILIPPI |
$417 | $132 | $175 | $175 | $179 | — | $351 | — | — |
| GREENBRIER VALLEY MEDICAL CENTER RONCEVERTE |
$475 | — | — | — | — | — | — | — | — |
| DAVIS MEDICAL CENTER ELKINS |
$531 | $132 | $175 | $175 | $179 | — | $351 | — | — |
| JACKSON GENERAL HOSPITAL RIPLEY |
$536 | $29.00 | $28.00 | $29.40 | $95.00 | $82.35 | $95.00 | $28.00 | — |
| CHARLESTON AREA MEDICAL CENTER GENERAL HOSPITAL CHARLESTON |
$543 | — | — | — | — | — | — | — | — |
| CABELL HUNTINGTON HOSPITAL HUNTINGTON |
$590 | $173 | $173 | $173 | $187 | — | — | — | — |
| BERKELEY MEDICAL CENTER MARTINSBURG |
$684 | $60.00 | $90.00 | $602 | $92.00 | $77.78 | $95.00 | $573 | — |
| SUMMERS COUNTY ARH HOSPITAL SUMMERS HOSPITAL ROAD HINTON |
$782 | $287 | $404 | $263 | — | — | — | — | — |
| REYNOLDS MEMORIAL HOSPITAL GLEN DALE |
$814 | $60.00 | $94.60 | $597 | $92.00 | $59.69 | $95.00 | $568 | — |
| CAMDEN CLARK MEDICAL CENTER PARKERSBURG |
$1,138 | $60.00 | $90.00 | $597 | $90.00 | $79.05 | $95.00 | $568 | — |
| UNITED HOSPITAL CENTER BRIDGEPORT |
$1,138 | $60.00 | $94.60 | $645 | $92.00 | $80.12 | $95.00 | $614 | — |
| ROANE GENERAL HOSPITAL SPENCER |
$1,320 | — | — | — | — | — | — | — | — |
| RALEIGH GENERAL HOSPITAL BECKLEY |
$1,328 | $84.00 | $79.70 | $100 | $60.20 | $100 | $95.00 | $100 | — |
| WHEELING HOSPITAL WHEELING |
$1,370 | $60.00 | $94.60 | $602 | $92.00 | $75.00 | $95.00 | $573 | — |
| WEIRTON MEDICAL CENTER WEIRTON |
$1,410 | $94.00 | $94.60 | $597 | $92.00 | $59.74 | $95.00 | $568 | $139 |
| SAINT FRANCIS HOSPITAL SOUTH CHARLESTON |
$1,430 | $60.00 | $94.60 | $597 | $92.00 | $2,631 | $95.00 | $568 | — |
| WETZEL COUNTY HOSPITAL NEW MARTINSVILLE |
$1,452 | $60.00 | $93.74 | $639 | $95.00 | $56.47 | $95.00 | $609 | — |
| PRINCETON COMMUNITY HOSPITAL PRINCETON |
$1,621 | $60.00 | $90.00 | $639 | — | $3,280 | $95.00 | $609 | — |
| FAIRMONT MEDICAL CENTER MORGANTOWN |
$1,768 | $60.00 | $90.00 | $602 | $88.00 | $73.77 | $95.00 | $573 | $139 |
| HAMPSHIRE MEMORIAL HOSPITAL ROMNEY |
$1,882 | $968 | $968 | $992 | $2,688 | $958 | — | — | $968 |
| WAR MEMORIAL HOSPITAL BERKELEY SPRINGS |
$1,882 | $941 | $941 | $964 | $2,688 | $941 | — | — | $1,021 |
| CAMC PLATEAU MEDICAL CENTER OAK HILL |
$2,452 | — | — | — | — | — | — | — | — |
What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.
Billed more than $590 for this?
That is the median of what the 33 West Virginia hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
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Medicare reimbursement benchmark
For CPT 99285 in West Virginia, Medicare reimburses about $175 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in West Virginia range from $186 to $2,452 — that means hospital cash prices are typically 3.4x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in West Virginia?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in West Virginia range from $186 to $2,452, with a median of $590. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in West Virginia?
- The cheapest West Virginia hospital published cash price for this procedure is $186. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.
Emergency department visit with high level of medical decision making in nearby states
Other procedures in West Virginia
Methodology. Cash prices and insurance-negotiated rates published by each West Virginia facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.