CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Pocahontas Memorial Hospital

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$114
about 1.0× the $118 Medicare rate · typically $57–$160
modeled estimate · not a bill or quote
What this hospital charges insurers
$107
About the fair price
about $7 under the fair price · 0.9× Medicare
Medicare pays $118 Fair price $114 This hospital $107 Cash price $154 Hospital's list price $220

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 $58 Priciest $107

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 $114 (about 1.0× the $118 Medicare rate). Pocahontas Memorial Hospital charges insurers about $107, or about $154 in cash — about the fair price. Located in Buckeye, 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 $129 - $157 110%
Blue Cross Blue Shieldmajor $20 - $143 17%
Aetnamajor $20 - $201 17%
Humanamajor $125 106%
UniCare $20 17%
Government programs also on file: Medicare, Medicaid.
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: 150 Duncan Road, Buckeye, WV 24924
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals