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Nursing Facility Admission Assessment

West Virginia rates for HCPCS 99305

The clinician's first full assessment of a patient being admitted to a nursing facility, covering a detailed history, a thorough examination, review of medicines, and a written plan of care. This version applies when the resident's problems are moderately complex and need careful sorting out. It sets the baseline that later visits are measured against.

Rates data updated July 2026.

How much does Nursing Facility Admission Assessment cost?

$126

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $105 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 3 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$126$107 to $148
FacilityA hospital or hospital-owned outpatient department$105$105 to $115

How much rates vary

Facilitymedian $105 · 10th to 90th $102 to $135Professionalmedian $126 · 10th to 90th $102 to $269
$100$200facility $105professional $126

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
$102.33
Median
$104.71
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$269.15
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$165.96
Typical High
$165.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$281.84
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$213.80

Where West Virginia sits

The same service costs 2.5 times more in Alaska than in Ohio. 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· 22nd of 51

$126

AK $257OH $102

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.