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 |
|---|---|---|---|---|
| Tc-99m sulfur colloid HCPCS A9541 | $308.50 | $617.00 | $585.12 – $585.12 | 1 |
| T cells absolute cd 4 count CPT 86361 | $32.00 | $64.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,131.00 | $2,262.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $63.00 | $126.00 | not published | 0 |
| Tenodesis biceps tdn at elbw CPT 24340 | $655.00 | $1,310.00 | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $642.00 | $1,284.00 | not published | 0 |
| Tenosynovectomy radic 26145 CPT 26145 | $542.50 | $1,085.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $254.50 | $509.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $207.00 | $414.00 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $33.50 | $67.00 | $30.67 – $30.67 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $59.00 | $118.00 | not published | 0 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $79.00 | $158.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.50 | $5.00 | $4.06 – $4.06 | 1 |
| Thorabd diaphr hern repair CPT 43336 | $1,619.50 | $3,239.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $601.00 | $1,202.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $380.00 | $760.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $455.50 | $911.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $526.00 | $1,052.00 | not published | 0 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $1,238.00 | $2,476.00 | not published | 0 |
| Thrombin time CPT 85670 | $13.00 | $26.00 | not published | 0 |
| Thromboendarterectomy common femoral CPT 35371 | $892.50 | $1,785.00 | not published | 0 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $992.00 | $1,984.00 | not published | 0 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $1,416.00 | $2,832.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $1,225.00 | $2,450.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $40.00 | $80.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $39.00 | $78.00 | not published | 0 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $1,436.50 | $2,873.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $53.00 | $106.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $309.50 | $619.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $3,033.50 | $6,067.00 | $3,334.93 – $3,334.93 | 1 |
| Tibial arthroscopy/surgery CPT 29855 | $825.00 | $1,650.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $110.00 | $220.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $136.00 | $272.00 | $140.00 – $140.00 | 1 |
| Tissue transglutaminase iga CPT 86364 | $61.50 | $123.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $842.00 | $1,684.00 | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | $961.50 | $1,923.00 | not published | 0 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $1,289.00 | $2,578.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $77.00 | $154.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $79.00 | $158.00 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $257.50 | $515.00 | not published | 0 |
| Tonsillectomy (child under 12) CPT 42825 | $269.50 | $539.00 | not published | 0 |
| Total hip arthroplasty CPT 27132 | $1,735.50 | $3,471.00 | not published | 0 |
| Total Hip Replacement CPT 27130 | $1,338.50 | $2,677.00 | not published | 0 |
| Total hysterectomy CPT 58150 | $1,086.50 | $2,173.00 | not published | 0 |
| Total Knee Replacement CPT 27447 | $1,336.00 | $2,672.00 | not published | 0 |
| Total tau CPT 84394 | $431.00 | $862.00 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $14.00 | $28.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $14.50 | $29.00 | not published | 0 |
| Tp53 gene full gene sequence CPT 81351 | $126.00 | $252.00 | not published | 0 |
| Tpmt gene com vrnts CPT 81335 | $175.00 | $350.00 | not published | 0 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $164.00 | $328.00 | not published | 0 |
| Trabeculoplasty laser surg CPT 65855 | $190.00 | $380.00 | not published | 0 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | $383.50 | $767.00 | not published | 0 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $3,175.50 | $6,351.00 | not published | 0 |
| Transab esoph hiat hern repair 43332 CPT 43332 | $1,273.00 | $2,546.00 | not published | 0 |
| Transab esoph hiat hern rpr CPT 43333 | $1,391.00 | $2,782.00 | not published | 0 |
| Transferrin CPT 84466 | $47.50 | $95.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $439.50 | $879.00 | not published | 0 |
| Transplant forearm tendon CPT 25310 | $745.00 | $1,490.00 | not published | 0 |
| Transplant forearm tendon CPT 25312 | $749.00 | $1,498.00 | not published | 0 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,395.50 | $2,791.00 | not published | 0 |
| Treat ankle dislocation CPT 27842 | $548.50 | $1,097.00 | not published | 0 |
| Treat ankle fracture CPT 28445 | $1,108.00 | $2,216.00 | not published | 0 |
| Treat big toe fracture CPT 28505 | $524.50 | $1,049.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59150 | $852.00 | $1,704.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $831.50 | $1,663.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $530.50 | $1,061.00 | not published | 0 |
| Treat elbow dislocation CPT 24615 | $751.50 | $1,503.00 | not published | 0 |
| Treat elbow fracture CPT 24586 | $1,129.00 | $2,258.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $632.50 | $1,265.00 | not published | 0 |
| Treat eyelid by injection CPT 68200 | $32.00 | $64.00 | not published | 0 |
| Treat finger fracture each CPT 26727 | $503.50 | $1,007.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $375.50 | $751.00 | not published | 0 |
| Treat foot bone lesion CPT 28005 | $599.00 | $1,198.00 | not published | 0 |
| Treat foot dislocation CPT 28540 | $184.50 | $369.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $170.50 | $341.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $2,278.50 | $4,557.00 | not published | 0 |
| Treat fracture of radius CPT 25520 | $590.50 | $1,181.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $500.50 | $1,001.00 | not published | 0 |
| Treat hand dislocation CPT 26675 | $462.50 | $925.00 | not published | 0 |
| Treat heel fracture CPT 28415 | $1,181.00 | $2,362.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $819.50 | $1,639.00 | not published | 0 |
| Treat hip dislocation CPT 27257 | $378.50 | $757.00 | not published | 0 |
| Treat hip socket fracture CPT 27222 | $249.50 | $499.00 | not published | 0 |
| Treat humerus fracture CPT 24515 | $930.50 | $1,861.00 | not published | 0 |
| Treat humerus fracture CPT 24516 | $907.00 | $1,814.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $628.50 | $1,257.00 | not published | 0 |
| Treat humerus fracture CPT 24545 | $977.00 | $1,954.00 | not published | 0 |
| Treat humerus fracture CPT 24546 | $1,086.00 | $2,172.00 | not published | 0 |
| Treat humerus fracture CPT 24575 | $780.50 | $1,561.00 | not published | 0 |
| Treat humerus fracture CPT 24579 | $881.50 | $1,763.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $530.00 | $1,060.00 | not published | 0 |
| Treat kneecap fracture CPT 27524 | $797.50 | $1,595.00 | not published | 0 |
| Treat knee dislocation CPT 27552 | $1,540.50 | $3,081.00 | not published | 0 |
| Treat knee fracture CPT 27535 | $935.50 | $1,871.00 | not published | 0 |
| Treat knee fracture CPT 27536 | $1,247.00 | $2,494.00 | not published | 0 |
| Treat knee fracture CPT 27540 | $864.00 | $1,728.00 | not published | 0 |
| Treat knee fracture 27530 CPT 27530 | $425.00 | $850.00 | not published | 0 |
| Treat knee fracture(s) CPT 27538 | $496.00 | $992.00 | not published | 0 |
| Treat knuckle dislocation CPT 26705 | $435.50 | $871.00 | 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.