Emergency department visit at Wheeling Hospital, Inc.

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY

Wheeling, WV

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Pricing by billing methodology

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How this price compares nationally

Wheeling Hospital, Inc.’s median price of $85 is 41% below the median hospital's median price ($144), higher than 19% of the 2,608 hospitals reporting CPT 99281. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99281 at Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Aetna better health mgd medicaid facility · other · outpatient	$9	$9	—	—	1–10	$9 – $9
2	Highmark chip facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
3	Highmark mgd mcaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
4	Aetna better health mgd medicaid facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
5	Aetna Better Health chip facility · fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
6	Highmark all pla facility · case rate · outpatient	$25	$25	—	—	—	$25 – $25
7	Anthem managed medicaid facility · other · outpatient	$64	$57	$10	18%	3–30	$42 – $64
8	Molina managed medicaid facility · other · outpatient	$61	$61	—	—	3–30	$61 – $61
9	Caresource managed medicaid facility · other · outpatient	$62	$62	—	—	12–21	$62 – $62
10	Amerihealth Caritas managed medicaid facility · other · outpatient	$65	$70	$7	10%	3–30	$65 – $80
11	Anthem anthem pathway facility · other · outpatient	$81	$81	—	—	—	$81 – $81
12	Caresource all plans facility · other · outpatient	$81	$81	—	—	—	$81 – $81
13	Molina all plans facility · other · outpatient	$81	$81	—	—	—	$81 – $81
14	Anthem hmo facility · other · outpatient	$84	$84	—	—	—	$84 – $84
15	Highmark all plans facility · other · outpatient	$84	$84	—	—	—	$84 – $84
16	Aetna all plans facility · other · outpatient	$85	$85	—	—	—	$85 – $85
17	Humana all plans facility · other · outpatient	$85	$85	—	—	—	$85 – $85
18	UnitedHealthcare all plans facility · other · outpatient	$88	$88	—	—	—	$88 – $88
19	Caresource caresource oh exchange facility · other · outpatient	$89	$89	—	—	—	$89 – $89
20	Highmark highmark wholecare pennsylvania medicaid facility · case rate · outpatient	$250	$250	—	—	—	$250 – $250
21	UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges	$386	$282	$147	52%	3–30	$74 – $386
22	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$344	$344	—	—	—	$344 – $344
23	Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient	$344	$344	—	—	—	$344 – $344
24	Caresource caresource facility · percent of total billed charges · outpatientfrom % of charges	$367	$367	—	—	1–10	$367 – $367
25	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$384	$384	—	—	3–30	$384 – $384

Page 1 of 2 · 27 rates

Last updated: Jul 9, 2026

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