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Hospital Discharge Visit

West Virginia rates for HCPCS 99238

This is the final visit by a doctor or other clinician on the day a patient leaves the hospital, including a review of the hospital stay, final examination, instructions for ongoing care, and preparation of discharge paperwork, for a discharge that takes a shorter amount of time. A longer, more involved discharge process is billed differently.

Rates data updated October 2026.

How much does Hospital Discharge Visit cost?

$79.43

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $79.43 for this service. Most negotiated rates run $66.07 to $97.72.

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.

How much rates vary

Facilitymedian $72 · 10th to 90th $65 to $95Professionalmedian $79 · 10th to 90th $59 to $158
$50$100$200facility $72professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$64.57
Median
$72.44
Typical High
$95.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$58.88
Median
$74.13
Typical High
$95.50
CareSource
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$91.20
Typical High
$125.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Cigna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$125.89
Typical High
$363.08
Highmark BCBS
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$89.13
Typical High
$138.04
United
Setting
Professional
Modifier
None
Typical Low
$51.29
Median
$77.62
Typical High
$154.88
3 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$29.51
Median
$29.51
Typical High
$30.90
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$8.71
Median
$8.71
Typical High
$9.33
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$5.89
Median
$5.89
Typical High
$6.31

Where West Virginia sits

The same service costs 2.3 times more in Alaska than in New Jersey. 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· 36th of 51

$79.43

AK $155NJ $67.61

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.