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 |
|---|---|---|---|---|
| Platelet automated CPT 85049 | $27.50 | $55.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $774.50 | $1,549.00 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $264.00 | $528.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $216.50 | $433.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $83.00 | $166.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $42.00 | $84.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $65.50 | $131.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $370.00 | $740.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $41.00 | $82.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $87.50 | $175.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $995.00 | $1,990.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $39.00 | $78.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $244.00 | $488.00 | not published | 0 |
| Positional nystagmus test CPT 92532 | $26.50 | $53.00 | not published | 0 |
| Postpartum Care Only CPT 59430 | $196.00 | $392.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $14.50 | $29.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.00 | $48.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $99.00 | $198.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $4,937.50 | $9,875.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,445.50 | $2,891.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,134.00 | $6,268.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,134.00 | $6,268.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $750.50 | $1,501.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $278.00 | $556.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $215.50 | $431.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $71.00 | $142.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $570.50 | $1,141.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $628.50 | $1,257.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $410.00 | $820.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $43.50 | $87.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $303.50 | $607.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $258.50 | $517.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $160.50 | $321.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $197.50 | $395.00 | not published | 0 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $87.50 | $175.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $123.50 | $247.00 | not published | 0 |
| Prealbumin CPT 84134 | $30.50 | $61.00 | not published | 0 |
| Pr ecg 12 lead report only CPT 93010 | $9.50 | $19.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $19.50 | $39.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.50 | $1.00 | $0.69 – $0.69 | 1 |
| Pregabalin - sendout CPT 80366 | $5.00 | $10.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,286.00 | $4,572.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $141.50 | $283.00 | not published | 0 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $123.50 | $247.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $477.00 | $954.00 | not published | 0 |
| Prenatal Care Only (7+ visits) CPT 59426 | $874.50 | $1,749.00 | not published | 0 |
| Prep corneal endo allograft CPT 65757 | $123.50 | $247.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $603.00 | $1,206.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $228.00 | $456.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $47.50 | $95.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $123.50 | $247.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $183.00 | $366.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $23.50 | $47.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $48.00 | $96.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $349.50 | $699.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,673.00 | $3,346.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,582.00 | $3,164.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $393.50 | $787.00 | not published | 0 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $1,501.00 | $3,002.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $70.50 | $141.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $62.50 | $125.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $83.50 | $167.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $102.50 | $205.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $111.00 | $222.00 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $188.50 | $377.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $142.50 | $285.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $86.50 | $173.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $129.00 | $258.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $86.00 | $172.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $54.00 | $108.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $50.50 | $101.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $529.50 | $1,059.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $296.00 | $592.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $299.50 | $599.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $393.00 | $786.00 | not published | 0 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $300.00 | $600.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $259.50 | $519.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $166.50 | $333.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $638.50 | $1,277.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $122.00 | $244.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $2,296.50 | $4,593.00 | not published | 0 |
| Procalcitonin CPT 84145 | $123.00 | $246.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $4.00 | $8.00 | $5.66 – $5.66 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $91.50 | $183.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $51.50 | $103.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | $95.00 | $190.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45309 | $100.50 | $201.00 | not published | 0 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $117.50 | $235.00 | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $78.50 | $157.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $112.00 | $224.00 | not published | 0 |
| Progesterone CPT 84144 | $155.00 | $310.00 | not published | 0 |
| Prolactin CPT 84146 | $42.50 | $85.00 | not published | 0 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $43.00 | $86.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $30.00 | $60.00 | not published | 0 |
| Prolong service without contact CPT 99358 | $88.00 | $176.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $37.00 | $74.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $5.50 | $11.00 | $5.92 – $5.92 | 1 |
| Proph rta dtchmnt pc CPT 67145 | $204.50 | $409.00 | not published | 0 |
| _propoxygc/msur CPT 80367 | $132.00 | $264.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $185.50 | $371.00 | 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.