CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Vandalia Health Broaddus Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.7× the $118 Medicare rate · typically $55–$147
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $22 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $84 This hospital $62 Cash price $115 Hospital's list price $165

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

One of the lower prices — 6 of 8 other WV hospitals charge more for the same procedure.

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 $84 (about 0.7× the $118 Medicare rate). Vandalia Health Broaddus Hospital charges insurers about $62, or about $115 in cash — below the fair price — a good deal. Located in Philippi, WV.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $73 - $330 62%
Blue Cross Blue Shieldmajor $72 - $249 61%
Aetnamajor $62 - $304 53%
Cignamajor $86 - $298 73%
Humanamajor $75 - $262 64%
GEHA $93 - $323 79%
Health Net $93 - $323 79%
UniCare $62 53%
+ 6 smaller / regional plans $17 - $333
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1 Healthcare Drive Mansfield Hill, Philippi, WV 26416
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals