Braxton County Memorial Hospital
100 Hoylman Dr, Gassaway, WV · Wvumedicine · · NPI 1356304547
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Debride skin bone at fx site CPT 11012 | $422.50 | $845.00 | not published | 0 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $600.50 | $1,201.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $832.50 | $1,665.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $26.00 | $52.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $51.00 | $102.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $285.00 | $570.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $14.50 | $29.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $708.00 | $1,416.00 | not published | 0 |
| Decalcification CPT 88311 | $12.50 | $25.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $327.00 | $654.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $520.50 | $1,041.00 | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | $772.50 | $1,545.00 | not published | 0 |
| Decompress forearm 1 space CPT 25023 | $1,384.50 | $2,769.00 | not published | 0 |
| Decompression of leg CPT 27894 | $875.50 | $1,751.00 | not published | 0 |
| Decompression of lower leg CPT 27601 | $469.50 | $939.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $381.50 | $763.00 | not published | 0 |
| Decompress small bowel CPT 44021 | $1,069.00 | $2,138.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $171.50 | $343.00 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.00 | $12.00 | $6.91 – $6.91 | 1 |
| Delivery of placenta 59414 CPT 59414 | $100.50 | $201.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $711.50 | $1,423.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $210.00 | $420.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $45.50 | $91.00 | $41.58 – $41.58 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $200.00 | $400.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $119.50 | $239.00 | $83.19 – $83.19 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | $759.00 | $1,518.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $82.50 | $165.00 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $111.50 | $223.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $128.00 | $256.00 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $99.50 | $199.00 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $114.00 | $228.00 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $82.50 | $165.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $115.00 | $230.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,902.00 | $3,804.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $951.00 | $1,902.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,146.50 | $2,293.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $296.00 | $592.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $215.00 | $430.00 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $132.50 | $265.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $376.00 | $752.00 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $341.50 | $683.00 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $265.50 | $531.00 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $507.50 | $1,015.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $44.50 | $89.00 | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | $145.00 | $290.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $146.50 | $293.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $207.00 | $414.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $209.50 | $419.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $905.50 | $1,811.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,902.00 | $3,804.00 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $158.00 | $316.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $105.50 | $211.00 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $167.50 | $335.00 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $91.50 | $183.00 | not published | 0 |
| Destruction vag lesions complex 57065 CPT 57065 | $188.00 | $376.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $116.00 | $232.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $95.50 | $191.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $198.00 | $396.00 | not published | 0 |
| Determine refractive state CPT 92015 | $19.00 | $38.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $12.50 | $25.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $2,074.00 | $4,148.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $10.50 | $21.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.50 | $1.00 | $0.20 – $0.20 | 1 |
| Dexamethasone intra implant HCPCS J7312 | $294.50 | $589.00 | $339.26 – $339.26 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $30.50 | $61.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $62.00 | $124.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $369.00 | $738.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $428.00 | $856.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $44.50 | $89.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $68.00 | $136.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $225.00 | $450.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $181.50 | $363.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $209.50 | $419.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $144.00 | $288.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $59.50 | $119.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $65.00 | $130.00 | $69.86 – $69.86 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $137.50 | $275.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $86.00 | $172.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $76.50 | $153.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $239.50 | $479.00 | not published | 0 |
| Dilate urethra stricture CPT 53601 | $55.00 | $110.00 | not published | 0 |
| Dilate urethra stricture CPT 53605 | $65.00 | $130.00 | not published | 0 |
| Dilate urethra stricture CPT 53621 | $239.50 | $479.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $42.50 | $85.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $188.50 | $377.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $211.50 | $423.00 | not published | 0 |
| Dilation of urethra CPT 53661 | $41.00 | $82.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $668.00 | $1,336.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,005.50 | $2,011.00 | $1,123.35 – $1,123.35 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.00 | $2.00 | $2.00 – $2.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.50 | $3.00 | $1.32 – $1.32 | 1 |
| Disability dlco CPT 94727 | $51.00 | $102.00 | not published | 0 |
| Disaccharidases CPT 82657 | $277.50 | $555.00 | not published | 0 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $106.50 | $213.00 | not published | 0 |
| Dist revas ligation hemo CPT 36838 | $1,247.00 | $2,494.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1.00 | $2.00 | $1.65 – $1.65 | 1 |
| Doppler echo complete CPT 93320 | $53.50 | $107.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.