CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Berkeley Medical Center

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$69
about 0.6× the $118 Medicare rate · typically $55–$100
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
About the fair price
0.6× Medicare
Medicare pays $118 Fair price $69 This hospital $69 Cash price $79 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

A typical price — 3 charge more and 5 charge less, among the 9 WV hospitals compared.

Cheapest $58 Priciest $74

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $69 (about 0.6× the $118 Medicare rate). Berkeley Medical Center charges insurers about $69, or about $79 in cash — about the fair price. Located in Martinsburg, WV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $79 67%
Blue Cross Blue Shieldmajor $62 53%
Aetnamajor $63 - $76 54%
Humanamajor $76 65%
CareSource $108 92%
+ 1 smaller / regional plan $63
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 2500 Hospital Drive, Martinsburg, WV 25401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals