CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Boone Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$78
about 0.7× the $118 Medicare rate · typically $52–$115
modeled estimate · not a bill or quote
What this hospital charges insurers
$62
Below the fair price — a good deal
about $16 under the fair price · 0.5× Medicare
Medicare pays $118 Fair price $78 This hospital $62 Cash price $113 Hospital's list price $220

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 $78 (about 0.7× the $118 Medicare rate). Boone Memorial Hospital charges insurers about $62, or about $113 in cash — below the fair price — a good deal. Located in Madison, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $43 - $98 37%
Aetnamajor $43 - $332 37%
Cignamajor $37 - $261 31%
Humanamajor $42 - $96 36%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals