Doctor visits and therapy CPT 99205 Inpatient — admitted to hospital

New patient visit, 60 min cost in Charleston, WV — inpatient

In Charleston, WV, 1 hospital lists a cash price for new patient office visit, about 60 minutes as an inpatient: from $151.20 to $151.20, with a median of $151.20. Across West Virginia, the median is $122.43 at 9 hospitals.

Cash prices at 1 facility for code 99205, as an inpatient (admitted to hospital) . Collected Sep 27, 2026; the hospital files themselves were last updated between — and —.

Lowest$151.20Boone Memorial Hospital
Median$151.20half pay less
Highest$151.20in this market
Difference1.0×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Charleston, WV.

median
Lowest $151.20Highest $280.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Boone Memorial Hospital lowest Madison, WV · (304) 369-1230 NEW OFFICE VISIT LEVEL 5 $151.20 $216.00 $59.27–$211.68 30% —
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Boone Memorial Hospital Madison, WV · (304) 369-1230 EVAL AND MANAGEMENT NEW LVL 5 60-74 MIN $238.50 $477.00 $130.89–$453.15 50% —
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Boone Memorial Hospital Madison, WV · (304) 369-1230 SUBOXONE NEW PT OFFICE VISIT 60-74 MINS $245.00 $350.00 $96.04–$332.50 30% —
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Boone Memorial Hospital Madison, WV · (304) 369-1230 SPECIALTY NEW OFFICE VISIT LEVEL 5 $280.00 $560.00 $153.66–$532.00 50% —
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Inpatient: lowest $151.20, median $151.20, highest $151.20.

As an outpatient, the same code is billed by 2 facilities here, median $120.00 — that is the price to compare if you are not being admitted.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the highest-level office or outpatient visit for a new patient, with high complexity decision making or at least 60 minutes of total time on the visit date. It is used for serious or complicated problems.

What the price covers

The price covers the clinician's visit. Tests, procedures and any hospital facility fee are billed separately; very long visits can add a prolonged-service code.

2 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99205 ($289.69). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Boone Memorial Hospital Madison, WVSPEC NEW OFFICE LEVEL 5 FACILITY FEE $25.00 file
Boone Memorial Hospital Madison, WVOFFICE NEW LEVEL 5 FACILITY FEE $25.00 file