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 |
|---|---|---|---|---|
| Exploration retroperitoneal area 49010 CPT 49010 | $1,021.50 | $2,043.00 | not published | 0 |
| Explore/biopsy eye socket CPT 67400 | $981.00 | $1,962.00 | not published | 0 |
| Explore chest vessels 35820 CPT 35820 | $2,231.00 | $4,462.00 | not published | 0 |
| Explore deep node(s) neck CPT 38542 | $534.50 | $1,069.00 | not published | 0 |
| Explore/irrigate tear ducts CPT 68840 | $112.50 | $225.00 | not published | 0 |
| Explore limb vessels 35860 CPT 35860 | $925.50 | $1,851.00 | not published | 0 |
| Explore neck vessels 35800 CPT 35800 | $767.00 | $1,534.00 | not published | 0 |
| Explore parathyroid glands CPT 60500 | $1,036.00 | $2,072.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $363.50 | $727.00 | not published | 0 |
| Explore scrotum CPT 55110 | $410.50 | $821.00 | not published | 0 |
| Explore small intestine 44020 CPT 44020 | $1,076.50 | $2,153.00 | not published | 0 |
| Explore/treat ankle joint CPT 27620 | $485.50 | $971.00 | not published | 0 |
| Explore/treat eye socket CPT 67412 | $938.00 | $1,876.00 | not published | 0 |
| Explore/treat finger joint CPT 26075 | $363.00 | $726.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $426.00 | $852.00 | not published | 0 |
| Explore/treat wrist joint CPT 25101 | $434.00 | $868.00 | not published | 0 |
| Explore wound abdomen 20102 CPT 20102 | $284.50 | $569.00 | not published | 0 |
| Explore woundchest 20101 CPT 20101 | $234.50 | $469.00 | not published | 0 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $452.50 | $905.00 | not published | 0 |
| Explr/decompress eye socket CPT 67414 | $1,364.00 | $2,728.00 | not published | 0 |
| Expose art endoprosth iliac 34820 CPT 34820 | $374.50 | $749.00 | not published | 0 |
| Expose endoprosth brachial 34834 CPT 34834 | $143.00 | $286.00 | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $456.00 | $912.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,503.00 | $5,006.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $363.50 | $727.00 | not published | 0 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $25.50 | $51.00 | not published | 0 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $27.50 | $55.00 | not published | 0 |
| Extended visual field xm CPT 92083 | $66.50 | $133.00 | not published | 0 |
| External cannula declotting CPT 36860 | $118.50 | $237.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $335.50 | $671.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $475.00 | $950.00 | not published | 0 |
| Extnd color vision xm CPT 92283 | $56.00 | $112.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $157.00 | $314.00 | not published | 0 |
| Extraction of lens CPT 66930 | $799.00 | $1,598.00 | not published | 0 |
| Extraction of lens CPT 66940 | $732.50 | $1,465.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $427.00 | $854.00 | $647.79 – $647.79 | 1 |
| Facial bones <3 CPT 70140 | $11.00 | $22.00 | not published | 0 |
| Factor viii CPT 85240 | $22.50 | $45.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $170.50 | $341.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $170.50 | $341.00 | not published | 0 |
| #fecal-sodium CPT 84302 | $12.50 | $25.00 | not published | 0 |
| Femoral endovas graft add-on 34813 CPT 34813 | $260.00 | $520.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $2.00 | $4.00 | $1.60 – $1.60 | 1 |
| Ferritin CPT 82728 | $30.50 | $61.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1.50 | $3.00 | $0.59 – $0.59 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $128.50 | $257.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $318.50 | $637.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $85.00 | $170.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $55.00 | $110.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $25.50 | $51.00 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1.00 | $2.00 | $0.53 – $0.53 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $43.50 | $87.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $50.00 | $100.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $393.50 | $787.00 | not published | 0 |
| Fistula repair transperine 57308 CPT 57308 | $710.50 | $1,421.00 | not published | 0 |
| Fitg c-lens keratoconus 1st CPT 92072 | $86.00 | $172.00 | not published | 0 |
| Fixation of knee joint CPT 27570 | $1,658.00 | $3,316.00 | not published | 0 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $715.50 | $1,431.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $14.00 | $28.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $61.00 | $122.00 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $88.50 | $177.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $115.00 | $230.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $206.50 | $413.00 | not published | 0 |
| #flow interp 9 - 15 markers CPT 88188 | $65.50 | $131.00 | not published | 0 |
| Fluocinol acet intravit imp HCPCS J7313 | $727.00 | $1,454.00 | $810.07 – $810.07 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | $165.50 | $331.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $50.00 | $100.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $249.00 | $498.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $272.50 | $545.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $17.50 | $35.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $3.50 | $7.00 | $5.31 – $5.31 | 1 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $27.00 | $54.00 | $54.00 – $54.00 | 1 |
| Folic acid CPT 82746 | $51.50 | $103.00 | not published | 0 |
| Follow-up surgery of eye CPT 66250 | $522.00 | $1,044.00 | not published | 0 |
| Foot X-ray CPT 73630 | $121.00 | $242.00 | not published | 0 |
| Forensic cytopathology CPT 88125 | $14.00 | $28.00 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $59.00 | $118.00 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $39.50 | $79.00 | $79.00 – $79.00 | 1 |
| Fragmenting of kidney stone CPT 50590 | $592.50 | $1,185.00 | not published | 0 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,203.00 | $2,406.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | $206.00 | $412.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $70.00 | $140.00 | not published | 0 |
| Fth/gft fr trnk each addl CPT 15201 | $76.00 | $152.00 | not published | 0 |
| Full field erg w/i&r CPT 92273 | $126.50 | $253.00 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $809.00 | $1,618.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $598.50 | $1,197.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $747.00 | $1,494.00 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $773.50 | $1,547.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $39.50 | $79.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $0.50 | $1.00 | not published | 0 |
| Fusion of ankle joint open CPT 27870 | $1,056.50 | $2,113.00 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $602.00 | $1,204.00 | not published | 0 |
| Fusion of big toe joint CPT 28755 | $521.00 | $1,042.00 | not published | 0 |
| Fusion of finger joint CPT 26860 | $647.50 | $1,295.00 | not published | 0 |
| Fusion of foot bones CPT 28730 | $762.00 | $1,524.00 | not published | 0 |
| Fusion of foot bones CPT 28740 | $647.50 | $1,295.00 | not published | 0 |
| Fusion of tibiofibular joint CPT 27871 | $730.50 | $1,461.00 | not published | 0 |
| G0180 home health certification HCPCS G0180 | $61.00 | $122.00 | not published | 0 |
| Gabapentin non-blood CPT 80355 | $20.00 | $40.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $743.50 | $1,487.00 | 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.