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 |
|---|---|---|---|---|
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $127.00 | $254.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.00 | $2.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | $590.00 | $1,180.00 | $647.33 – $647.33 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $20.00 | $40.00 | not published | 0 |
| Ammonia CPT 82140 | $60.50 | $121.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $723.00 | $1,446.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $20.00 | $40.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $29.00 | $58.00 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $1.00 | $2.00 | $1.67 – $1.67 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $448.00 | $896.00 | not published | 0 |
| Amputate leg at thigh CPT 27592 | $735.00 | $1,470.00 | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | $807.00 | $1,614.00 | not published | 0 |
| Amputation follow-up surgery CPT 25931 | $854.00 | $1,708.00 | not published | 0 |
| Amputation follow-up surgery CPT 27884 | $631.50 | $1,263.00 | not published | 0 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $972.50 | $1,945.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $698.50 | $1,397.00 | not published | 0 |
| Amputation of lower leg CPT 27882 | $649.00 | $1,298.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $741.00 | $1,482.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $180.50 | $361.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $187.00 | $374.00 | not published | 0 |
| Amylase CPT 82150 | $237.00 | $474.00 | not published | 0 |
| Analgesics non-opioid 3-5 CPT 80330 | $5.00 | $10.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $45.00 | $90.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $71.50 | $143.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $519.00 | $1,038.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $519.00 | $1,038.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $91.00 | $182.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $110.00 | $220.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $101.50 | $203.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $151.50 | $303.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $7.00 | $14.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $711.50 | $1,423.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | $672.00 | $1,344.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | $487.50 | $975.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | $523.50 | $1,047.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $589.50 | $1,179.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | $1,050.00 | $2,100.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $121.00 | $242.00 | not published | 0 |
| Annual alcohol screen 15 min HCPCS G0442 | $9.00 | $18.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $93.00 | $186.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $168.50 | $337.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $126.00 | $252.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $129.00 | $258.00 | not published | 0 |
| Anoscopy CPT 46611 | $85.00 | $170.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $81.00 | $162.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $71.00 | $142.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $69.50 | $139.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $95.00 | $190.00 | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | $87.00 | $174.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $106.00 | $212.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $626.00 | $1,252.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $9.50 | $19.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $455.00 | $910.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $27.00 | $54.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $10.00 | $20.00 | not published | 0 |
| Anticoag mgmt pt warfarin CPT 93793 | $12.50 | $25.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $5.00 | $10.00 | not published | 0 |
| Antidepressants class 3-5 CPT 80333 | $5.00 | $10.00 | not published | 0 |
| Antiepileptics nos 4-6 CPT 80340 | $5.00 | $10.00 | not published | 0 |
| Antigen therapy services CPT 95165 | $3.00 | $6.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $10.00 | $20.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $68.00 | $136.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $39.00 | $78.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $30.00 | $60.00 | not published | 0 |
| Antipsychotics nos 7/more CPT 80344 | $5.00 | $10.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $14.00 | $28.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $45.00 | $90.00 | not published | 0 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $891.00 | $1,782.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $165.00 | $330.00 | not published | 0 |
| Appendectomy CPT 44950 | $710.50 | $1,421.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $89.50 | $179.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $971.00 | $1,942.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $672.50 | $1,345.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $231.00 | $462.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $57.50 | $115.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $26.00 | $52.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $201.00 | $402.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $46.00 | $92.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $17.50 | $35.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $127.50 | $255.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $231.00 | $462.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $278.00 | $556.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $26.00 | $52.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $92.50 | $185.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $268.00 | $536.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $268.00 | $536.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $103.50 | $207.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $265.00 | $530.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $454.00 | $908.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $97.00 | $194.00 | not published | 0 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $86.50 | $173.00 | not published | 0 |
| Appl mltpln uni ext fixj sys CPT 20692 | $1,184.50 | $2,369.00 | not published | 0 |
| Appl multlay comprs arm/hand CPT 29584 | $15.00 | $30.00 | not published | 0 |
| Appl unipln uni ext fixj sys CPT 20690 | $623.00 | $1,246.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $127.50 | $255.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $71.00 | $142.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $103.00 | $206.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $56.50 | $113.00 | not published | 0 |
| App topical fluoride varnish CPT 99188 | $9.50 | $19.00 | 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.