Cost of a ER Visit (Low) Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's rural healthcare infrastructure, with its heavy reliance on critical access hospitals, creates unique cost patterns for emergency services. For an ER Visit (Low) in West Virginia, patients typically pay between $40 and $115, with a median out-of-pocket cost of $40 based on negotiated insurance rates. The state has 419 active providers handling low-severity emergency visits, giving patients options across both urban centers and rural communities throughout West Virginia.
Average
$65
Median
$40
Lowest
$40
Highest
$115
Providers
419
31% below national average
Compare Similar Procedures
How does er visit (low severity) compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Moderate Severity) Emergency department visit, moderate severity | 99284 | $62 | $174 | $174 | 2,317 |
| ER Visit (High Severity) Emergency department visit, high severity | 99285 | $88 | $98 | $281 | 412 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99283 — Emergency department visit, low to moderate severity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99283 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99283 (Emergency department visit, low to moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99283 covers: the provider's professional fee for er visit (low severity). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top-Rated Hospitals in West Virginia
These hospitals in West Virginia are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.
MADISON, WV
BECKLEY, WV
BERKELEY SPRINGS, WV
ROMNEY, WV
WELCH, WV
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why ER Visit (Low) Visit Costs Vary Across West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's rural nature and lower cost of living compared to urban coastal areas. The state's mountainous terrain and scattered population centers create unique challenges for healthcare delivery, influencing both access and pricing patterns for emergency services.
Urban vs. Rural Provider Availability
West Virginia's predominantly rural landscape means many residents rely on critical access hospitals for emergency care, which often operate with higher per-visit costs due to lower patient volumes. Urban areas like Charleston, Huntington, and Morgantown offer more emergency care options including urgent care centers and hospital systems with dedicated emergency departments. The state's geography can require patients to travel significant distances for emergency care, particularly in the eastern panhandle and southern coalfield regions.
Facility Type and Overhead Costs
Hospital-based emergency departments in West Virginia typically charge higher facility fees compared to urgent care centers, even for low-severity cases that could be handled in either setting. Major health systems like Charleston Area Medical Center and WVU Medicine operate comprehensive emergency departments with higher overhead costs. Freestanding emergency departments and urgent care centers often provide more cost-effective options for ER Visit (Low) cases that don't require full hospital resources.
Insurance Market Competition in West Virginia
West Virginia's insurance market shows limited competition with Highmark West Virginia, UnitedHealthcare, and Aetna as the primary players, potentially affecting negotiated rate variations. The concentrated market can lead to less aggressive rate competition compared to states with more insurer options. Rural areas often have even fewer insurer choices, which can impact both premium costs and provider network adequacy for emergency services.
Physician Supply and Demand in West Virginia
With 419 active providers handling ER Visit (Low) cases across West Virginia, the state maintains reasonable coverage despite ongoing physician shortages in rural areas. The provider count suggests adequate capacity in urban areas but potential strain in rural counties where emergency physicians may cover multiple facilities. West Virginia's ongoing efforts to recruit and retain healthcare providers affect both availability and pricing, particularly for emergency medicine specialists in underserved regions.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — ER Visit (Low) Costs in West Virginia
What is the average cost of a ER Visit (Low) visit in West Virginia without insurance?
Does West Virginia Medicaid cover ER Visit (Low) visits?
How do I find an affordable ER Visit (Low) near me in West Virginia?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a ER Visit (Low) visit in West Virginia?
How does telemedicine affect the cost of seeing a ER Visit (Low) in West Virginia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99283)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Pennsylvania Range: $47 – $693 | $271 |
| 2 | Wisconsin Range: $56 – $355 | $180 |
| 3 | Illinois Range: $57 – $252 | $133 |
| 4 | Maine Range: $86 – $184 | $131 |
| 5 | New Hampshire Range: $59 – $204 | $130 |
| 6 | Michigan Range: $54 – $252 | $126 |
| 7 | Iowa Range: $44 – $218 | $119 |
| 8 | Rhode Island Range: $40 – $204 | $111 |
| 9 | California Range: $80 – $153 | $107 |
| 10 | Vermont Range: $53 – $171 | $107 |
| 11 | Indiana Range: $57 – $171 | $105 |
| 12 | New York Range: $47 – $202 | $105 |
| 13 | Washington Range: $57 – $167 | $101 |
| 14 | Colorado Range: $54 – $159 | $99 |
| 15 | Wyoming Range: $54 – $155 | $97 |
| 16 | Idaho Range: $60 – $142 | $96 |
| 17 | Nebraska Range: $44 – $171 | $95 |
| 18 | Massachusetts Range: $40 – $206 | $95 |
| 19 | Utah Range: $53 – $139 | $93 |
| 20 | District of Columbia Range: $49 – $142 | $92 |
| 21 | Maryland Range: $43 – $162 | $91 |
| 22 | Connecticut Range: $53 – $153 | $90 |
| 23 | Georgia Range: $53 – $143 | $90 |
| 24 | Alaska Range: $69 – $118 | $89 |
| 25 | New Mexico Range: $54 – $139 | $88 |
| 26 | Kentucky Range: $40 – $139 | $88 |
| 27 | Hawaii Range: $54 – $139 | $87 |
| 28 | Texas Range: $54 – $118 | $86 |
| 29 | North Carolina Range: $51 – $136 | $85 |
| 30 | New Jersey Range: $44 – $142 | $84 |
| 31 | South Carolina Range: $51 – $128 | $83 |
| 32 | Arkansas Range: $51 – $115 | $81 |
| 33 | Nevada Range: $60 – $108 | $81 |
| 34 | Alabama Range: $49 – $131 | $80 |
| 35 | Virginia Range: $47 – $119 | $79 |
| 36 | Arizona Range: $53 – $107 | $77 |
| 37 | Ohio Range: $43 – $117 | $77 |
| 38 | Minnesota Range: $40 – $145 | $75 |
| 39 | Tennessee Range: $51 – $105 | $75 |
| 40 | Oklahoma Range: $51 – $104 | $75 |
| 41 | Delaware Range: $60 – $90 | $74 |
| 42 | Missouri Range: $52 – $99 | $74 |
| 43 | Mississippi Range: $51 – $104 | $73 |
| 44 | Montana Range: $40 – $91 | $70 |
| 45 | Kansas Range: $51 – $91 | $70 |
| 46 | Florida Range: $35 – $110 | $67 |
| 47 | West Virginia Range: $40 – $115 | $65 |
| 48 | Louisiana Range: $40 – $87 | $63 |
| 49 | Oregon Range: $40 – $108 | $63 |
| 50 | North Dakota Range: $40 – $91 | $57 |
| 51 | South Dakota Range: $40 – $88 | $56 |