Cost of a ER Visit (Moderate) Visit
in West Virginia
Reviewed by Momentary Medical Group West PC
West Virginia's mountainous geography and rural healthcare infrastructure create unique challenges for emergency care access, with many patients traveling significant distances to reach facilities. For a ER Visit (Moderate), patients typically pay between $62 and $174, with a median out-of-pocket cost of $174 based on negotiated insurance rates from over 2,300 active providers statewide. Browse all ER Visit (Moderate) providers across West Virginia to compare costs and find the most convenient location for your needs.
Average
$137
Median
$174
Lowest
$62
Highest
$174
Providers
2,317
4% below national average
Compare Similar Procedures
How does er visit (moderate severity) compare to related procedures in West Virginia?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| ER Visit (Low Severity) Emergency department visit, low severity | 99283 | $40 | $40 | $115 | 419 |
| 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 99284 — Emergency department visit, 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 99284 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99284 (Emergency department visit, moderate severity), as mandated by the CMS Price Transparency Rule.
What CPT 99284 covers: the provider's professional fee for er visit (moderate 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 (Moderate) Visit Costs Vary Across West Virginia
West Virginia's healthcare costs run approximately 2% below national averages, reflecting the state's lower cost of living and predominantly rural healthcare delivery model. The state's mountainous terrain and scattered population create unique access challenges that influence emergency care pricing and availability.
Urban vs. Rural Provider Availability
Charleston and Morgantown serve as the state's primary healthcare hubs with multiple emergency facilities, while rural counties often depend on single critical access hospitals for emergency care. Travel distances to emergency care can exceed 30 minutes in remote areas, leading some rural hospitals to maintain higher staffing costs relative to patient volume. The state's geography creates natural service areas that limit competition between emergency providers.
Facility Type and Overhead Costs
WVU Medicine and Charleston Area Medical Center operate the state's major academic medical centers with higher overhead costs but comprehensive emergency capabilities. Rural critical access hospitals receive special Medicare reimbursements that help maintain emergency services in underserved areas, though with limited specialty backup. Freestanding emergency departments remain rare in West Virginia compared to other states, leaving hospital-based EDs as the primary option.
Insurance Market Competition in West Virginia
Limited insurer competition with Highmark West Virginia, UHC, and Aetna results in less aggressive rate negotiations compared to more competitive markets. The state's small population and rural geography make it less attractive to national insurers, reducing competitive pressure on emergency care pricing. Hospital systems maintain significant leverage in contract negotiations due to their essential role in rural communities.
Physician Supply and Demand in West Virginia
With over 2,300 active emergency medicine providers reported in transparency data, West Virginia appears to maintain adequate emergency physician coverage relative to its population of 1.8 million residents. The state's medical school at WVU helps train emergency physicians, though many graduates leave for higher-paying markets in other states. Rural emergency departments often rely on contract physician groups or locum tenens providers, which can influence pricing variability.
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 (Moderate) Costs in West Virginia
What is the average cost of a ER Visit (Moderate) visit in West Virginia without insurance?
Does West Virginia Medicaid cover ER Visit (Moderate) visits?
How do I find an affordable ER Visit (Moderate) 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 (Moderate) visit in West Virginia?
How does telemedicine affect the cost of seeing a ER Visit (Moderate) in West Virginia?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99284)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $647 | $311 |
| 2 | Illinois Range: $80 – $431 | $223 |
| 3 | Iowa Range: $80 – $371 | $205 |
| 4 | New Hampshire Range: $102 – $307 | $202 |
| 5 | Pennsylvania Range: $55 – $431 | $191 |
| 6 | New York Range: $67 – $374 | $183 |
| 7 | Rhode Island Range: $62 – $374 | $177 |
| 8 | Maine Range: $116 – $233 | $172 |
| 9 | Massachusetts Range: $62 – $368 | $170 |
| 10 | Nebraska Range: $83 – $291 | $165 |
| 11 | Washington Range: $80 – $259 | $161 |
| 12 | Michigan Range: $80 – $291 | $158 |
| 13 | New Mexico Range: $85 – $266 | $158 |
| 14 | Wyoming Range: $85 – $262 | $157 |
| 15 | Colorado Range: $80 – $267 | $157 |
| 16 | Vermont Range: $80 – $257 | $156 |
| 17 | Georgia Range: $84 – $246 | $151 |
| 18 | California Range: $80 – $258 | $142 |
| 19 | Indiana Range: $80 – $258 | $142 |
| 20 | Kentucky Range: $70 – $246 | $140 |
| 21 | North Carolina Range: $80 – $231 | $139 |
| 22 | District of Columbia Range: $80 – $217 | $138 |
| 23 | West Virginia Range: $62 – $174 | $137 |
| 24 | Utah Range: $80 – $228 | $135 |
| 25 | Maryland Range: $80 – $206 | $132 |
| 26 | New Jersey Range: $60 – $237 | $131 |
| 27 | Hawaii Range: $80 – $217 | $130 |
| 28 | Arkansas Range: $80 – $194 | $130 |
| 29 | Virginia Range: $81 – $202 | $129 |
| 30 | Tennessee Range: $85 – $187 | $128 |
| 31 | South Carolina Range: $80 – $206 | $128 |
| 32 | Ohio Range: $75 – $197 | $127 |
| 33 | Missouri Range: $85 – $167 | $124 |
| 34 | Alabama Range: $80 – $195 | $124 |
| 35 | Oklahoma Range: $85 – $169 | $123 |
| 36 | Kansas Range: $86 – $167 | $123 |
| 37 | Texas Range: $80 – $196 | $122 |
| 38 | Arizona Range: $80 – $187 | $122 |
| 39 | Mississippi Range: $86 – $165 | $121 |
| 40 | Idaho Range: $80 – $194 | $121 |
| 41 | Delaware Range: $80 – $157 | $120 |
| 42 | Minnesota Range: $62 – $233 | $119 |
| 43 | Nevada Range: $84 – $184 | $119 |
| 44 | Connecticut Range: $55 – $211 | $118 |
| 45 | Alaska Range: $80 – $194 | $118 |
| 46 | Louisiana Range: $62 – $150 | $104 |
| 47 | Oregon Range: $62 – $183 | $102 |
| 48 | Montana Range: $62 – $145 | $96 |
| 49 | Florida Range: $35 – $190 | $95 |
| 50 | North Dakota Range: $62 – $121 | $82 |
| 51 | South Dakota Range: $62 – $121 | $82 |