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 |
|---|---|---|---|---|
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $137.00 | $274.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $216.00 | $432.00 | not published | 0 |
| Double transfer toe-hand CPT 26554 | $3,942.50 | $7,885.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $800.00 | $1,600.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $125.00 | $250.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $144.00 | $288.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $129.00 | $258.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | $239.50 | $479.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $336.00 | $672.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,582.00 | $3,164.00 | not published | 0 |
| Drainage of eye CPT 65800 | $81.00 | $162.00 | not published | 0 |
| Drainage of eye CPT 65815 | $448.50 | $897.00 | not published | 0 |
| Drainage of forearm bursa CPT 25031 | $402.00 | $804.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $227.00 | $454.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $352.00 | $704.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $121.50 | $243.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $732.50 | $1,465.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $194.00 | $388.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $184.50 | $369.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $211.00 | $422.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $194.50 | $389.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,269.50 | $2,539.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $335.50 | $671.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $415.00 | $830.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $363.50 | $727.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $342.50 | $685.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $275.00 | $550.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $546.50 | $1,093.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $115.50 | $231.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $362.50 | $725.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $141.50 | $283.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $838.50 | $1,677.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $119.50 | $239.00 | $73.19 – $73.19 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $916.50 | $1,833.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $591.50 | $1,183.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $111.50 | $223.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $201.50 | $403.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $87.50 | $175.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $208.50 | $417.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $183.50 | $367.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,202.50 | $2,405.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,747.00 | $3,494.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $119.50 | $239.00 | $21.43 – $21.43 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $119.50 | $239.00 | $22.13 – $22.13 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $119.50 | $239.00 | $15.31 – $15.31 | 1 |
| Drug assay rufinamide CPT 80210 | $51.00 | $102.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $119.50 | $239.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $32.50 | $65.00 | not published | 0 |
| Drug screening tapentadol CPT 80372 | $5.00 | $10.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $165.00 | $330.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $163.00 | $326.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $41.00 | $82.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $90.00 | $180.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $32.50 | $65.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $200.00 | $400.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $149.50 | $299.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $417.00 | $834.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $136.50 | $273.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $138.50 | $277.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $138.50 | $277.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $432.50 | $865.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $382.50 | $765.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $114.50 | $229.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $96.00 | $192.00 | not published | 0 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $8.00 | $16.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $91.00 | $182.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $127.50 | $255.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $56.50 | $113.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $54.50 | $109.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $88.50 | $177.00 | not published | 0 |
| Ecg/review interpret only CPT 93272 | $26.50 | $53.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $523.50 | $1,047.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $108.50 | $217.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,302.00 | $2,604.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $258.50 | $517.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $468.50 | $937.00 | not published | 0 |
| Echo exam of eye CPT 76519 | $72.00 | $144.00 | not published | 0 |
| Echo exam of eye CPT 76529 | $90.00 | $180.00 | not published | 0 |
| Echo exam of eye thickness CPT 76514 | $13.00 | $26.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $121.00 | $242.00 | not published | 0 |
| Echo stress CPT 93350 | $75.50 | $151.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $251.50 | $503.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $563.00 | $1,126.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $143.00 | $286.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $419.00 | $838.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $196.00 | $392.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $127.50 | $255.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $452.50 | $905.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $488.00 | $976.00 | not published | 0 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $236.50 | $473.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $216.00 | $432.00 | not published | 0 |
| Egd dilate stricture CPT 43245 | $180.50 | $361.00 | not published | 0 |
| Egd endoscopic stent place CPT 43266 | $221.00 | $442.00 | not published | 0 |
| Egd guide wire insertion CPT 43248 | $169.00 | $338.00 | not published | 0 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $145.00 | $290.00 | not published | 0 |
| Egd lesion ablation CPT 43270 | $226.00 | $452.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $180.00 | $360.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $212.00 | $424.00 | not published | 0 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $175.50 | $351.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $233.00 | $466.00 | 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.