Payer comparison · CPT 99238 · CHARLESTON, WV

99238 — Pr Discharge Day Management Hospital IP/Obs <=30 Min On Ecounter Date

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.

$55 All-payer median here

$87 Cash / self-pay here

26 payer/plan-name variants

← This hospital National rates for 99238 →

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	$190	247.4%	1
BCBS OUT OF STATE	$150	174.3%	1
Evernorth Health Services	$128	134.4%	1
BCBS FEDERAL PROGRAM	$76	38.5%	1
BCBS MEDICARE ADVANTAGE	$76	38.5%	1
ABH - CHIP	$75	37.3%	1
PEIA (WV PUBLIC EMPLOYEES INSURANCE AGENCY)	$75	37.3%	1
TRICARE	$72	30.9%	1
Geisinger Health Plan	$69	26.7%	1
WellCare Health Plans	$69	26.7%	1
MHN (Managed Health Network)	$65	18.9%	1
The Health Plan of West Virginia, Inc.	$55	0.0%	4
Beacon Health Strategies	$55	-0.3%	1
Blue Cross Blue Shield Association	$53	-3.3%	2
UMR (UnitedHealthcare TPA)	$53	-3.6%	2
ABH - COVENTRY	$52	-4.8%	1
ABH - IMD	$52	-4.8%	1
UNICARE	$52	-4.8%	1
ABH - PROMISES	$52	-4.8%	1
UnitedHealthcare	$50	-9.2%	4
Humana	$50	-9.4%	2
Anthem (Elevance Health)	$30	-45.1%	1
BCBS of Illinois	$30	-45.1%	1
Cigna Healthcare	$30	-45.1%	1
Highmark	$30	-45.1%	1
Aetna	$30	-45.1%	5

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.