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 |
|---|---|---|---|---|
| Ins pm gen w/exist mlt leads CPT 33221 | $372.00 | $744.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $202.50 | $405.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $365.00 | $730.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $4,365.00 | $8,730.00 | not published | 0 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $340.50 | $681.00 | not published | 0 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $469.50 | $939.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $3,493.50 | $6,987.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $44.50 | $89.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,387.50 | $4,775.00 | not published | 0 |
| Inst via cath agent pleurds CPT 32560 | $80.50 | $161.00 | not published | 0 |
| Insulin total CPT 83525 | $22.50 | $45.00 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | $39.50 | $79.00 | not published | 0 |
| Intermediate visual field xm CPT 92082 | $49.50 | $99.00 | not published | 0 |
| Internal nerve revision 64727 CPT 64727 | $165.00 | $330.00 | not published | 0 |
| Interrogate subq defib CPT 93261 | $74.00 | $148.00 | not published | 0 |
| Interrog dev eval scrms ip CPT 93291 | $50.00 | $100.00 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $57.50 | $115.00 | not published | 0 |
| Int hrhc lig 1 hroid without img CPT 46945 | $380.00 | $760.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $418.50 | $837.00 | not published | 0 |
| Intraop colon lavage add-on CPT 44701 | $184.00 | $368.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $24.00 | $48.00 | not published | 0 |
| Intrm oph exam est patient CPT 92012 | $46.50 | $93.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $248.00 | $496.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $329.50 | $659.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $114.00 | $228.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $19.00 | $38.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $112.00 | $224.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $95.50 | $191.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $75.00 | $150.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $273.00 | $546.00 | not published | 0 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $111.00 | $222.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $154.00 | $308.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $208.00 | $416.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $79.00 | $158.00 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.50 | $3.00 | $0.53 – $0.53 | 1 |
| Iron CPT 83540 | $25.50 | $51.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.50 | $1.00 | $0.36 – $0.36 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $87.50 | $175.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $86.00 | $172.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $125.50 | $251.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $45.00 | $90.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $204.00 | $408.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $137.50 | $275.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $8.50 | $17.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | $1,306.00 | $2,612.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $30.50 | $61.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $1.50 | $3.00 | $0.81 – $0.81 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $420.00 | $840.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $119.50 | $239.00 | $41.81 – $41.81 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $660.00 | $1,320.00 | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | $551.00 | $1,102.00 | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $445.50 | $891.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $578.00 | $1,156.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | $576.00 | $1,152.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | $569.00 | $1,138.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | $531.50 | $1,063.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | $693.00 | $1,386.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | $703.00 | $1,406.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $598.00 | $1,196.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | $725.50 | $1,451.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $891.50 | $1,783.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | $659.50 | $1,319.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | $802.00 | $1,604.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | $1,013.50 | $2,027.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | $1,289.50 | $2,579.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,191.50 | $2,383.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $868.50 | $1,737.00 | not published | 0 |
| Knee X-ray CPT 73564 | $220.00 | $440.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $28.00 | $56.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $21.50 | $43.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $7.00 | $14.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $62.50 | $125.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $76.00 | $152.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $1,467.50 | $2,935.00 | not published | 0 |
| Laparo ablate renal cyst CPT 50541 | $945.50 | $1,891.00 | not published | 0 |
| Laparo-asst vag hysterectomy CPT 58550 | $912.50 | $1,825.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $1,243.00 | $2,486.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $800.00 | $1,600.00 | not published | 0 |
| Laparo partial colectomy 44204 CPT 44204 | $1,659.50 | $3,319.00 | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $463.50 | $927.00 | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | $941.50 | $1,883.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $1,206.50 | $2,413.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $816.50 | $1,633.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $413.50 | $827.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $381.50 | $763.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $962.00 | $1,924.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $751.50 | $1,503.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $1,193.00 | $2,386.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $688.00 | $1,376.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $960.50 | $1,921.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $557.00 | $1,114.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $732.00 | $1,464.00 | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | $727.00 | $1,454.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $1,168.00 | $2,336.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $997.50 | $1,995.00 | not published | 0 |
| Laparoscopy tubal block 58671 CPT 58671 | $382.00 | $764.00 | not published | 0 |
| Laparo sling operation 51992 CPT 51992 | $866.50 | $1,733.00 | not published | 0 |
| Laparo urethral suspension CPT 51990 | $769.50 | $1,539.00 | 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.