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 |
|---|---|---|---|---|
| Egd varices ligation CPT 43244 | $246.00 | $492.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $28.00 | $56.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $146.00 | $292.00 | not published | 0 |
| EKG (Electrocardiogram) CPT 93000 | $170.00 | $340.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $40.00 | $80.00 | not published | 0 |
| Electroconvulsive therapy 90870 CPT 90870 | $823.00 | $1,646.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $32.50 | $65.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,120.00 | $2,240.00 | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | $42.00 | $84.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $275.00 | $550.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $30.00 | $60.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $295.00 | $590.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $105.00 | $210.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $109.50 | $219.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $233.50 | $467.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $205.00 | $410.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | $92.00 | $184.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $76.50 | $153.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $2,412.50 | $4,825.00 | not published | 0 |
| Endovasc visc aorta 1 graft CPT 34841 | $1,290.50 | $2,581.00 | not published | 0 |
| Endovasc visc aorta 3 graft CPT 34843 | $1,519.50 | $3,039.00 | not published | 0 |
| Endovasc visc aorta 4 graft CPT 34844 | $1,634.00 | $3,268.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $223.00 | $446.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $143.00 | $286.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $190.50 | $381.00 | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | $94.50 | $189.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $191.00 | $382.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $1.50 | $3.00 | $1.12 – $1.12 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $58.50 | $117.00 | not published | 0 |
| Enterectomy small intestine addl 44121 CPT 44121 | $260.00 | $520.00 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $1,342.00 | $2,684.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $1,447.00 | $2,894.00 | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $1,532.50 | $3,065.00 | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $1,757.50 | $3,515.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $135.00 | $270.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $50.00 | $100.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $243.50 | $487.00 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $161.00 | $322.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.00 | $8.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $13.50 | $27.00 | $12.90 – $12.90 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $24.00 | $48.00 | $14.67 – $14.67 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $27.00 | $54.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $43.50 | $87.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $43.50 | $87.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $15.00 | $30.00 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $82.00 | $164.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $142.00 | $284.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $207.00 | $414.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $331.00 | $662.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $496.00 | $992.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $116.50 | $233.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $120.50 | $241.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $105.50 | $211.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $90.50 | $181.00 | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | $161.50 | $323.00 | not published | 0 |
| Esoph balloon distension tst CPT 91040 | $581.00 | $1,162.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $158.00 | $316.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $25.00 | $50.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $38.50 | $77.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $72.00 | $144.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $105.50 | $211.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $157.00 | $314.00 | not published | 0 |
| Estradiol total CPT 82670 | $47.50 | $95.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $828.50 | $1,657.00 | $1,657.00 – $1,657.00 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $501.50 | $1,003.00 | $210.05 – $210.05 | 1 |
| Euglobulin lysis CPT 85360 | $66.00 | $132.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $156.50 | $313.00 | not published | 0 |
| Event monitor CPT 93270 | $39.50 | $79.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $37.00 | $74.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $24.00 | $48.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $299.50 | $599.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $17.50 | $35.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $111.00 | $222.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $587.50 | $1,175.00 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $748.00 | $1,496.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $491.50 | $983.00 | not published | 0 |
| Exc abdl tum deep < 5 cm CPT 22900 | $628.00 | $1,256.00 | not published | 0 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $741.00 | $1,482.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $446.50 | $893.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $359.00 | $718.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $2,711.00 | $5,422.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $823.50 | $1,647.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $324.00 | $648.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $224.00 | $448.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $319.00 | $638.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $693.00 | $1,386.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $105.00 | $210.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $693.00 | $1,386.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $185.00 | $370.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $726.50 | $1,453.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,847.00 | $5,694.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $277.50 | $555.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $389.50 | $779.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $693.00 | $1,386.00 | not published | 0 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $567.00 | $1,134.00 | not published | 0 |
| Exc excessive skin leg CPT 15833 | $898.50 | $1,797.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $327.50 | $655.00 | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | $419.50 | $839.00 | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $547.00 | $1,094.00 | 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.