CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Charleston Area Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$59
about 0.6× the $95 Medicare rate · typically $50–$98
modeled estimate · not a bill or quote
What this hospital charges insurers
$71
Above the fair price
about $12 over the fair price · 0.7× Medicare
Medicare pays $95 Fair price $59 This hospital $71 Cash price $257 Hospital's list price $257

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $71

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (20-29 min) is about $59 (about 0.6× the $95 Medicare rate). Charleston Area Medical Center charges insurers about $71, or about $257 in cash — above the fair price. Located in Charleston, WV.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $59. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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✓ Cigna HumanaKaiser 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 $90 - $248 95%
Blue Cross Blue Shieldmajor $71 - $231 75%
Aetnamajor $39 - $248 41%
Cignamajor $235 - $258 247%
CareSource $135 - $225 142%
UniCare $39 - $65 41%
+ 7 smaller / regional plans $39 - $248
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals