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 |
|---|---|---|---|---|
| Gamma globulin 1 cc inj HCPCS J1460 | $71.50 | $143.00 | $83.70 – $83.70 | 1 |
| Gammaglobulin iga CPT 82784 | $349.00 | $698.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $33.00 | $66.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $15.00 | $30.00 | not published | 0 |
| Gammagraft HCPCS Q4111 | $119.50 | $239.00 | $12.28 – $12.28 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $89.00 | $178.00 | $82.15 – $82.15 | 1 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $1,480.00 | $2,960.00 | not published | 0 |
| Gel-one HCPCS J7326 | $742.50 | $1,485.00 | $820.53 – $820.53 | 1 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $3.50 | $7.00 | $0.81 – $0.81 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $7.00 | $14.00 | $6.02 – $6.02 | 1 |
| General health panel CPT 80050 | $485.50 | $971.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $1,916.00 | $3,832.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $2.00 | $4.00 | $4.00 – $4.00 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $45.00 | $90.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $511.00 | $1,022.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $1,351.50 | $2,703.00 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $197.00 | $394.00 | not published | 0 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $127.50 | $255.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $78.50 | $157.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $56.50 | $113.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $91.50 | $183.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $487.50 | $975.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $336.50 | $673.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $497.50 | $995.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $513.00 | $1,026.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,278.50 | $4,557.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $841.50 | $1,683.00 | not published | 0 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $346.50 | $693.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,576.00 | $3,152.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $538.50 | $1,077.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $578.00 | $1,156.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $383.00 | $766.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $33.50 | $67.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $169.00 | $338.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $496.00 | $992.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $159.00 | $318.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $362.00 | $724.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $443.50 | $887.00 | not published | 0 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $115.00 | $230.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $34.50 | $69.00 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $66.50 | $133.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $393.50 | $787.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $304.50 | $609.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $325.50 | $651.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $263.50 | $527.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $2,381.50 | $4,763.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $159.00 | $318.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $66.50 | $133.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $128.50 | $257.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $44.00 | $88.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $368.50 | $737.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $226.50 | $453.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,082.50 | $4,165.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,030.50 | $2,061.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,030.50 | $2,061.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $239.50 | $479.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $95.00 | $190.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $72.00 | $144.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $49.50 | $99.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $188.50 | $377.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $125.50 | $251.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $430.50 | $861.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $61.00 | $122.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $131.50 | $263.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $548.50 | $1,097.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $593.00 | $1,186.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $309.00 | $618.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $354.00 | $708.00 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $196.00 | $392.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $150.00 | $300.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $58.00 | $116.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $618.50 | $1,237.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $184.50 | $369.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $389.50 | $779.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $593.00 | $1,186.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $593.00 | $1,186.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $593.00 | $1,186.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $593.00 | $1,186.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $564.50 | $1,129.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $593.00 | $1,186.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $215.00 | $430.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $564.50 | $1,129.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $301.00 | $602.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $333.50 | $667.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $708.00 | $1,416.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $24.00 | $48.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $96.00 | $192.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $83.00 | $166.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $13.00 | $26.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $63.00 | $126.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $104.50 | $209.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $66.00 | $132.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $104.50 | $209.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $115.50 | $231.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $25.00 | $50.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $59.50 | $119.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $70.50 | $141.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $76.00 | $152.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $96.00 | $192.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $78.00 | $156.00 | 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.