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 |
|---|---|---|---|---|
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $818.00 | $1,636.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $898.00 | $1,796.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $681.00 | $1,362.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,219.50 | $2,439.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $430.50 | $861.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $294.00 | $588.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $46.00 | $92.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $45.00 | $90.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $23.50 | $47.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $204.00 | $408.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $69.00 | $138.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $110.50 | $221.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $62.50 | $125.00 | not published | 0 |
| Inject/treat eye socket CPT 67515 | $304.50 | $609.00 | not published | 0 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $49.00 | $98.00 | $53.20 – $53.20 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $951.50 | $1,903.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $963.00 | $1,926.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $2.50 | $5.00 | $1.86 – $1.86 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $36.00 | $72.00 | $59.55 – $59.55 | 1 |
| Inj for ext venography CPT 36005 | $49.50 | $99.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $345.50 | $691.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | $19.00 | $38.00 | $20.15 – $20.15 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $55.00 | $110.00 | $79.68 – $79.68 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $765.50 | $1,531.00 | not published | 0 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $79.00 | $158.00 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $160.00 | $320.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $127.00 | $254.00 | not published | 0 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $67.50 | $135.00 | not published | 0 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $226.00 | $452.00 | $249.91 – $249.91 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $17.00 | $34.00 | $19.17 – $19.17 | 1 |
| Inj proc for lymphang CPT 38790 | $86.00 | $172.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $162.00 | $324.00 | not published | 0 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.50 | $3.00 | $1.29 – $1.29 | 1 |
| Inj retro urethrocysto CPT 51610 | $65.00 | $130.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $19.50 | $39.00 | $21.50 – $21.50 | 1 |
| Inj scleros sol mult veins CPT 36471 | $80.00 | $160.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $40.50 | $81.00 | not published | 0 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $59.00 | $118.00 | not published | 0 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $86.00 | $172.00 | $133.29 – $133.29 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $541.00 | $1,082.00 | $541.20 – $541.20 | 1 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.50 | $1.00 | $0.08 – $0.08 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $0.50 | $1.00 | $0.05 – $0.05 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $79.00 | $158.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $681.50 | $1,363.00 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $32.50 | $65.00 | $28.94 – $28.94 | 1 |
| Inj, trivisc 1 mg HCPCS J7329 | $25.00 | $50.00 | $13.05 – $13.05 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | $34.00 | $68.00 | $40.76 – $40.76 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $35.50 | $71.00 | not published | 0 |
| Inj xipere 1 mg HCPCS J3299 | $62.00 | $124.00 | $80.16 – $80.16 | 1 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | $772.50 | $1,545.00 | $872.85 – $872.85 | 1 |
| Inpatient consultation CPT 99251 | $73.00 | $146.00 | not published | 0 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | $45.50 | $91.00 | not published | 0 |
| Inpt/ed teleconsult30 HCPCS G0425 | $97.50 | $195.00 | not published | 0 |
| Inpt/ed teleconsult50 HCPCS G0426 | $134.50 | $269.00 | not published | 0 |
| Inpt/ed teleconsult70 HCPCS G0427 | $193.00 | $386.00 | not published | 0 |
| Inpt/tele follow up 15 HCPCS G0406 | $41.50 | $83.00 | not published | 0 |
| Inpt/tele follow up 25 HCPCS G0407 | $73.00 | $146.00 | not published | 0 |
| Inpt/tele follow up 35 HCPCS G0408 | $107.00 | $214.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $373.00 | $746.00 | not published | 0 |
| Ins cath ren art 2nd+ bi CPT 36254 | $436.50 | $873.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $358.00 | $716.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $73.00 | $146.00 | not published | 0 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $124.50 | $249.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $151.00 | $302.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $2,766.00 | $5,532.00 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $215.50 | $431.00 | not published | 0 |
| Insert epicardial lead open 33202 CPT 33202 | $8,566.00 | $17,132.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $154.00 | $308.00 | not published | 0 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | $113.50 | $227.00 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $226.50 | $453.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $127.50 | $255.00 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $210.50 | $421.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $225.50 | $451.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,452.50 | $4,905.00 | not published | 0 |
| Insertion of cannula CPT 36810 | $203.00 | $406.00 | not published | 0 |
| Insertion of cannula(s) CPT 36823 | $1,550.50 | $3,101.00 | not published | 0 |
| Insertion of heart electrode 33211 CPT 33211 | $2,628.00 | $5,256.00 | not published | 0 |
| Insertion of infusion pump CPT 36260 | $734.00 | $1,468.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $537.00 | $1,074.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $496.50 | $993.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $474.00 | $948.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,735.00 | $3,470.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,508.00 | $3,016.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $169.00 | $338.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $2,628.00 | $5,256.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $2,619.50 | $5,239.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $346.50 | $693.00 | not published | 0 |
| Insertion ureth cath CPT 51045 | $518.50 | $1,037.00 | not published | 0 |
| Insert lens prosthesis CPT 66985 | $720.50 | $1,441.00 | not published | 0 |
| Insert multi-comp penis pros CPT 54405 | $835.00 | $1,670.00 | not published | 0 |
| Insert pessary/other device CPT 57160 | $198.00 | $396.00 | not published | 0 |
| Insert pm/icd lead dual CPT 33217 | $2,628.00 | $5,256.00 | not published | 0 |
| Insert/repl sq defib w/eltrd CPT 33270 | $9,172.00 | $18,344.00 | not published | 0 |
| Insert sq defib electrode CPT 33271 | $2,628.00 | $5,256.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $34.50 | $69.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $44.50 | $89.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $35.00 | $70.00 | not published | 0 |
| Insj biomechanical device 22853 CPT 22853 | $277.00 | $554.00 | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $4,365.00 | $8,730.00 | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $340.00 | $680.00 | 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.