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First Day Hospital Care Visit, Moderate Level

West Virginia rates for HCPCS 99222

A physician's first visit with a patient admitted to the hospital or placed under observation. It includes taking the history and examining the patient, with moderately complex decision-making. Selection reflects about 55 minutes or more of care that day.

Rates data updated July 2026.

How much does First Day Hospital Care Visit, Moderate Level cost?

$132

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $141 from a physician practice, and about $117 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$141$112 to $251
FacilityA hospital or hospital-owned outpatient department$117$112 to $132

How much rates vary

Facilitymedian $117 · 10th to 90th $107 to $155Professionalmedian $141 · 10th to 90th $91 to $282
$20$50$100$200facility $117professional $141

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$117.49
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$141.25
Typical High
$281.84
CareSource
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$138.04
Typical High
$165.96
CareSource
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$147.91
Typical High
$204.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$162.18
Typical High
$162.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$245.47
Typical High
$562.34
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$190.55

Where West Virginia sits

The same service costs 2.1 times more in Wyoming than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 40th of 51

$132

WY $219DC $105

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.