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 |
|---|---|---|---|---|
| Hernia Repair (Inguinal) CPT 49505 | $588.00 | $1,176.00 | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $30.00 | $60.00 | not published | 0 |
| Herpes simplex 2 ag if CPT 87273 | $59.00 | $118.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $49.50 | $99.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $49.50 | $99.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $30.00 | $60.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $31.00 | $62.00 | not published | 0 |
| High inten beh couns std 30m HCPCS G0445 | $30.50 | $61.00 | not published | 0 |
| Hip X-ray CPT 73502 | $83.50 | $167.00 | not published | 0 |
| Histamine CPT 83088 | $54.50 | $109.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $84.50 | $169.00 | not published | 0 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $10.50 | $21.00 | $12.77 – $12.77 | 1 |
| Hla i & ii typing hr CPT 81378 | $804.00 | $1,608.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $276.00 | $552.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $125.00 | $250.00 | not published | 0 |
| Home health care supervision HCPCS G0181 | $120.50 | $241.00 | not published | 0 |
| Home health re-certification physician g0179 HCPCS G0179 | $47.00 | $94.00 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $215.50 | $431.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $147.50 | $295.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $51.00 | $102.00 | not published | 0 |
| Home/res vst new high mdm 75 CPT 99345 | $234.00 | $468.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $88.00 | $176.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $163.50 | $327.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $54.50 | $109.00 | not published | 0 |
| Home visit est patient 99348 CPT 99348 | $135.00 | $270.00 | not published | 0 |
| Homocysteine CPT 83090 | $92.50 | $185.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $46.00 | $92.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $85.00 | $170.00 | not published | 0 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $36.00 | $72.00 | not published | 0 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $97.50 | $195.00 | not published | 0 |
| Hopd mntl hlt, grp HCPCS C7903 | $36.00 | $72.00 | not published | 0 |
| Hpv combo assay ca screen HCPCS G0476 | $71.00 | $142.00 | not published | 0 |
| H pylori ag ia CPT 87339 | $63.50 | $127.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,134.00 | $2,268.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $256.00 | $512.00 | not published | 0 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $1.00 | $2.00 | $0.83 – $0.83 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $0.50 | $1.00 | $0.59 – $0.59 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $45.00 | $90.00 | $27.00 – $27.00 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $290.50 | $581.00 | $69.00 – $69.00 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1.00 | $2.00 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $27.50 | $55.00 | $16.35 – $16.35 | 1 |
| Hyperbaric oxygen therapy CPT 99183 | $125.00 | $250.00 | not published | 0 |
| Hypnotherapy CPT 90880 | $90.50 | $181.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $254.50 | $509.00 | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $257.50 | $515.00 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | $156.50 | $313.00 | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | $228.00 | $456.00 | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $369.50 | $739.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $261.50 | $523.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $92.50 | $185.00 | $185.00 – $185.00 | 1 |
| Icut allergy test drug/bug CPT 95024 | $1.50 | $3.00 | not published | 0 |
| Icut allergy titrate-airborn CPT 95027 | $5.00 | $10.00 | not published | 0 |
| I&d/bursa/foot 28001 CPT 28001 | $100.00 | $200.00 | not published | 0 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $734.50 | $1,469.00 | not published | 0 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $501.00 | $1,002.00 | not published | 0 |
| I&d lacrimal gland CPT 68400 | $124.00 | $248.00 | not published | 0 |
| I&d lacrimal sac CPT 68420 | $155.50 | $311.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $232.00 | $464.00 | not published | 0 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $326.50 | $653.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $41.50 | $83.00 | $44.14 – $44.14 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $465.00 | $930.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $89.00 | $178.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $40.00 | $80.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $87.50 | $175.00 | not published | 0 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,131.50 | $2,263.00 | not published | 0 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $1,017.00 | $2,034.00 | not published | 0 |
| Img rta detcj/mntr ds staff CPT 92227 | $29.50 | $59.00 | not published | 0 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $19.50 | $39.00 | not published | 0 |
| Img rta detc/mntr ds poc aly CPT 92229 | $57.00 | $114.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $75.00 | $150.00 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $84.50 | $169.00 | $72.85 – $72.85 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $116.00 | $232.00 | $129.53 – $129.53 | 1 |
| Immune globulin ig human im use 90281 CPT 90281 | $143.00 | $286.00 | $92.80 – $92.80 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $63.00 | $126.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $31.00 | $62.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $9.00 | $18.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $150.00 | $300.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $128.00 | $256.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $230.00 | $460.00 | not published | 0 |
| Immunoglobulin assay CPT 86023 | $34.00 | $68.00 | not published | 0 |
| Immunology procedure CPT 86849 | $72.00 | $144.00 | not published | 0 |
| Impl absrb msh/prsth dly cls CPT 15778 | $422.00 | $844.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $2,949.00 | $5,898.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $312.50 | $625.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $425.50 | $851.00 | not published | 0 |
| Implnt spinl canal catheter 62350 CPT 62350 | $4,963.00 | $9,926.00 | not published | 0 |
| Inactivated je vacc im CPT 90738 | $531.50 | $1,063.00 | $504.42 – $504.42 | 1 |
| Incise/drain eyelid lining CPT 68020 | $103.00 | $206.00 | not published | 0 |
| Incise perq finger tendon 26060 CPT 26060 | $266.00 | $532.00 | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | $97.00 | $194.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,590.00 | $3,180.00 | not published | 0 |
| Incision of anal sphincter CPT 46080 | $172.00 | $344.00 | not published | 0 |
| Incision of bile duct CPT 47425 | $1,512.00 | $3,024.00 | not published | 0 |
| Incision of bile duct 47420 CPT 47420 | $1,456.00 | $2,912.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $352.50 | $705.00 | not published | 0 |
| Incision of eyelid CPT 67710 | $93.50 | $187.00 | not published | 0 |
| Incision of fibula CPT 27707 | $433.00 | $866.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $306.50 | $613.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | $1,540.00 | $3,080.00 | not published | 0 |
| Incision of gallbladder 47480 CPT 47480 | $966.00 | $1,932.00 | 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.