Therapy Procedure Using Functional Activities Cost in West Virginia
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 33 West Virginia hospitals. CPT 97530. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — West Virginia
Sorted by cash price (lowest first). Showing top 33 of 33 hospitals.
| Hospital | Cash | Aetna | UHC | Humana | Cigna | BCBS | MultiPlan | Medicare | Medicaid |
|---|---|---|---|---|---|---|---|---|---|
| BRAXTON COUNTY MEMORIAL HOSPITAL GASSAWAY |
$29.50 | $45.00 | $43.00 | $45.15 | $95.00 | $87.95 | $95.00 | $43.00 | — |
| JACKSON GENERAL HOSPITAL RIPLEY |
$35.50 | $29.00 | $28.00 | $29.40 | $95.00 | $82.35 | $95.00 | $28.00 | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$35.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| SUMMERSVILLE REGIONAL MEDICAL CENTER SUMMERSVILLE |
$35.50 | $30.00 | $29.00 | $30.45 | $95.00 | $68.48 | $95.00 | $29.00 | — |
| BOONE MEMORIAL HOSPITAL MADISON |
$37.00 | $20.72 | — | $20.31 | $55.20 | — | — | $20.31 | $22.20 |
| JEFFERSON MEDICAL CENTER RANSON |
$37.50 | $34.00 | $32.00 | $33.60 | $92.00 | $82.33 | $95.00 | $32.00 | — |
| ST JOSEPH HOSPITAL BUCKHANNON |
$37.50 | $32.00 | $34.88 | — | $95.00 | $81.46 | $95.00 | — | — |
| POTOMAC VALLEY HOSPITAL KEYSER |
$37.50 | $36.00 | $34.00 | $35.70 | $90.00 | $82.69 | $95.00 | $34.00 | — |
| MONTGOMERY GENERAL HOSPITAL FAYETTE COUNTY |
$43.26 | $36.00 | $41.00 | $39.00 | — | — | — | $39.00 | $44.00 |
| CAMDEN CLARK MEDICAL CENTER PARKERSBURG |
$54.00 | $25.70 | $32.59 | $34.22 | $90.00 | $79.05 | $95.00 | $32.59 | — |
| UNITED HOSPITAL CENTER BRIDGEPORT |
$54.00 | $25.70 | $32.59 | $34.22 | $92.00 | $80.12 | $95.00 | $32.59 | — |
| BROADDUS HOSPITAL PHILIPPI |
$56.40 | $24.59 | $59.61 | $32.59 | $26.99 | — | $74.92 | — | — |
| GRANT MEMORIAL HOSPITAL PETERSBURG |
$60.00 | $51.00 | $49.00 | $51.45 | $95.00 | $80.03 | $95.00 | $49.00 | — |
| HAMPSHIRE MEMORIAL HOSPITAL ROMNEY |
$60.20 | $30.96 | $30.96 | $31.73 | $86.00 | $30.65 | — | — | $30.96 |
| WAR MEMORIAL HOSPITAL BERKELEY SPRINGS |
$60.20 | $30.10 | $30.10 | $30.85 | $86.00 | $30.10 | — | — | $32.68 |
| FAIRMONT MEDICAL CENTER MORGANTOWN |
$69.00 | $25.22 | $32.59 | $34.22 | $88.00 | $73.77 | $95.00 | $32.59 | — |
| WETZEL COUNTY HOSPITAL NEW MARTINSVILLE |
$75.00 | $25.70 | $32.59 | $34.22 | $95.00 | $56.47 | $95.00 | $32.59 | — |
| BERKELEY MEDICAL CENTER MARTINSBURG |
$77.00 | $25.70 | $32.59 | $34.22 | $92.00 | $77.78 | $95.00 | $32.59 | — |
| REYNOLDS MEMORIAL HOSPITAL GLEN DALE |
$78.50 | $25.70 | $32.59 | $34.22 | $92.00 | $59.69 | $95.00 | $32.59 | — |
| WHEELING HOSPITAL WHEELING |
$80.50 | $25.70 | $32.59 | $34.22 | $92.00 | $75.00 | $95.00 | $32.59 | — |
| DAVIS MEDICAL CENTER ELKINS |
$80.88 | $24.59 | $32.59 | $32.59 | $26.99 | — | $65.18 | — | — |
| SAINT FRANCIS HOSPITAL SOUTH CHARLESTON |
$85.00 | $25.70 | $32.59 | $34.22 | $92.00 | $151 | $95.00 | $32.59 | — |
| ROANE GENERAL HOSPITAL SPENCER |
$90.45 | — | — | — | — | — | — | — | — |
| WEIRTON MEDICAL CENTER WEIRTON |
$102 | $25.70 | $32.59 | $34.22 | $92.00 | $59.74 | $95.00 | $32.59 | — |
| RALEIGH GENERAL HOSPITAL BECKLEY |
$113 | $84.00 | $79.70 | $100 | $60.20 | $100 | $95.00 | $100 | — |
| GREENBRIER VALLEY MEDICAL CENTER RONCEVERTE |
$122 | — | — | — | — | — | — | — | — |
| PRINCETON COMMUNITY HOSPITAL PRINCETON |
$128 | $25.70 | $32.59 | $34.22 | — | $176 | $95.00 | $32.59 | — |
| WILLIAMSON MEMORIAL HOSPITAL WILLIAMSON |
$141 | $64.86 | — | — | — | — | — | — | — |
| SUMMERS COUNTY ARH HOSPITAL SUMMERS HOSPITAL ROAD HINTON |
$149 | $54.56 | $76.88 | $50.10 | — | — | — | — | — |
| CABELL HUNTINGTON HOSPITAL HUNTINGTON |
$161 | $32.27 | $31.95 | $31.95 | — | — | — | — | — |
| BECKLEY ARH HOSPITAL STANDORD ROAD BECKLEY |
$207 | $32.82 | $32.82 | $32.82 | — | — | — | — | — |
| CHARLESTON AREA MEDICAL CENTER GENERAL HOSPITAL CHARLESTON |
$215 | — | — | — | — | — | — | — | — |
| CAMC PLATEAU MEDICAL CENTER OAK HILL |
$240 | — | — | — | — | — | — | — | — |
That is the median of what the 33 West Virginia hospitals above publish for Therapy procedure using functional activities — 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 97530 in West Virginia, Medicare reimburses about $32.59 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in West Virginia range from $29.50 to $240 — that means hospital cash prices are typically 2.3x 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 therapy procedure using functional activities cost in West Virginia?
- Cash prices for therapy procedure using functional activities (CPT 97530) in West Virginia range from $29.50 to $240, with a median of $75.00. Prices vary widely by hospital.
- Where can I find the cheapest therapy procedure using functional activities in West Virginia?
- The cheapest West Virginia hospital published cash price for this procedure is $29.50. 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.