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 |
|---|---|---|---|---|
| Rmvl tv pm lead dual CPT 33235 | $662.50 | $1,325.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $502.00 | $1,004.00 | not published | 0 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $294.50 | $589.00 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $19.00 | $38.00 | $17.70 – $17.70 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $73.50 | $147.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $300.50 | $601.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $189.00 | $378.00 | not published | 0 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $30.00 | $60.00 | not published | 0 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $30.00 | $60.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,123.50 | $2,247.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $843.50 | $1,687.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $818.50 | $1,637.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $628.00 | $1,256.00 | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $388.00 | $776.00 | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $541.00 | $1,082.00 | not published | 0 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $1,360.00 | $2,720.00 | not published | 0 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $968.50 | $1,937.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $940.50 | $1,881.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $699.00 | $1,398.00 | not published | 0 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $627.00 | $1,254.00 | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $461.50 | $923.00 | not published | 0 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $1,091.50 | $2,183.00 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $1,013.00 | $2,026.00 | not published | 0 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | $1,643.50 | $3,287.00 | not published | 0 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | $1,786.50 | $3,573.00 | not published | 0 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | $1,881.00 | $3,762.00 | not published | 0 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $1,046.00 | $2,092.00 | not published | 0 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $944.50 | $1,889.00 | not published | 0 |
| Rpr fem hernia init blocked CPT 49553 | $708.50 | $1,417.00 | not published | 0 |
| Rpr ing hernia init reduce CPT 49500 | $471.50 | $943.00 | not published | 0 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $815.00 | $1,630.00 | not published | 0 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,017.00 | $2,034.00 | not published | 0 |
| Rpr rem hernia init reduce CPT 49550 | $648.50 | $1,297.00 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $380.50 | $761.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $37.50 | $75.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $49.50 | $99.00 | not published | 0 |
| Same day nb discharge 99463 CPT 99463 | $108.00 | $216.00 | not published | 0 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $157.50 | $315.00 | $244.53 – $244.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $57.00 | $114.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $124.00 | $248.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $166.00 | $332.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $80.00 | $160.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $116.00 | $232.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $43.00 | $86.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | $102.50 | $205.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $650.50 | $1,301.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $160.50 | $321.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $355.50 | $711.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $346.50 | $693.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $296.50 | $593.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $338.50 | $677.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $483.00 | $966.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $417.00 | $834.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $458.50 | $917.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $68.00 | $136.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $200.50 | $401.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $200.00 | $400.00 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $109.00 | $218.00 | not published | 0 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $85.00 | $170.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $189.50 | $379.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $42.50 | $85.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $3.50 | $7.00 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $922.00 | $1,844.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $18.00 | $36.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $61.50 | $123.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $29.50 | $59.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $67.50 | $135.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $104.00 | $208.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $49.50 | $99.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $358.50 | $717.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $80.00 | $160.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $88.50 | $177.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $192.50 | $385.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $53.50 | $107.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $68.00 | $136.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $69.50 | $139.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $411.50 | $823.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $296.00 | $592.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $64.50 | $129.00 | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | $502.00 | $1,004.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $959.00 | $1,918.00 | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | $1,107.00 | $2,214.00 | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $578.00 | $1,156.00 | not published | 0 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,134.00 | $6,268.00 | not published | 0 |
| Sho arthrs srg prtl synvct CPT 29820 | $563.50 | $1,127.00 | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | $1,082.00 | $2,164.00 | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $628.00 | $1,256.00 | not published | 0 |
| Shorten radius or ulna CPT 25390 | $796.50 | $1,593.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $1,113.00 | $2,226.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,445.50 | $2,891.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $868.50 | $1,737.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23334 | $1,113.00 | $2,226.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23335 | $1,316.00 | $2,632.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $166.00 | $332.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $104.50 | $209.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $167.50 | $335.00 | not published | 0 |
| Sickling rbc CPT 85660 | $124.00 | $248.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $78.00 | $156.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $115.00 | $230.00 | 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.