Payer comparison · CPT 99231 · CHARLESTON, WV

99231 — Pr Hospital IP/Obs Care Subsequent Straightforward Or Low Level Per Day

What each payer pays HIGHLAND HOSPITAL (CCN 514001) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$38 All-payer median here

$53 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for 99231 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

ComPsych Corporation	$114	201.5%	1
Evernorth Health Services	$77	103.4%	1
MHN (Managed Health Network)	$65	71.9%	1
BCBS OUT OF STATE	$46	21.0%	1
BCBS MEDICARE ADVANTAGE	$45	19.7%	1
ABH - CHIP	$43	12.8%	1
PEIA (WV PUBLIC EMPLOYEES INSURANCE AGENCY)	$43	12.8%	1
BCBS FEDERAL PROGRAM	$40	6.5%	1
TRICARE	$39	3.4%	1
Geisinger Health Plan	$38	0.8%	1
WellCare Health Plans	$38	0.8%	1
Humana	$38	0.0%	3
UMR (UnitedHealthcare TPA)	$36	-3.6%	2
Blue Cross Blue Shield Association	$35	-7.1%	2
UnitedHealthcare	$34	-9.9%	4
Highmark	$30	-20.7%	1
BCBS of Illinois	$30	-20.7%	1
Aetna	$30	-20.7%	5
Cigna Healthcare	$30	-20.7%	1
Anthem (Elevance Health)	$30	-20.7%	1
The Health Plan of West Virginia, Inc.	$30	-20.7%	5
Beacon Health Strategies	$30	-22.0%	1
ABH - COVENTRY	$28	-25.1%	1
ABH - IMD	$28	-25.1%	1
UNICARE	$28	-25.1%	1
ABH - PROMISES	$28	-25.1%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.