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Hospital Follow-Up Visit (Moderate Complexity)

West Virginia rates for HCPCS 99232

A daily check-in visit from a doctor for a patient who is already admitted to the hospital, used when the patient's condition requires a moderate amount of evaluation, such as responding to a new problem or an illness that isn't improving as expected. It reflects more involved decision-making than the most basic level of daily hospital visit. It typically includes a fuller exam and closer review of test results and treatment adjustments.

Rates data updated July 2026.

How much does Hospital Follow-Up Visit (Moderate Complexity) cost?

$85.11

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $85.11 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $66.07 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$87.10$74.13 to $162
FacilityA hospital or hospital-owned outpatient department$66.07$58.88 to $74.13

How much rates vary

Facilitymedian $66 · 10th to 90th $59 to $87Professionalmedian $87 · 10th to 90th $62 to $174
$20$50$100$200$500facility $66professional $87

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
$58.88
Median
$66.07
Typical High
$87.10
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$173.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$85.11
Typical High
$100.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$89.13
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
22 · Increased work
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$138.04
Typical High
$338.84
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$87.10
Typical High
$91.20
United
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$72.44
Typical High
$104.71

Where West Virginia sits

The same service costs 1.7 times more in Alaska 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· 9th of 51

$85.11

AK $105DC $63.10

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.