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 |
|---|---|---|---|---|
| Warde sex hormone binding globulin CPT 84270 | $13.50 | $27.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $19.00 | $38.00 | not published | 0 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $6.50 | $13.00 | not published | 0 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $12.00 | $24.00 | not published | 0 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $43.50 | $87.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $20.00 | $40.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $37.00 | $74.00 | not published | 0 |
| Warde viscosity CPT 85810 | $11.00 | $22.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $10.00 | $20.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $12.00 | $24.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $11.00 | $22.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $7.00 | $14.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $14.00 | $28.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $14.00 | $28.00 | not published | 0 |
| Warde zinc CPT 84630 | $10.00 | $20.00 | not published | 0 |
| Wedge biopsy of liver 47100 CPT 47100 | $942.00 | $1,884.00 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $638.00 | $1,276.00 | not published | 0 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $93.00 | $186.00 | not published | 0 |
| Wound closure by adhesive HCPCS G0168 | $17.00 | $34.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $22.00 | $44.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $25.50 | $51.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $192.50 | $385.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $26.00 | $52.00 | not published | 0 |
| Wrist endoscopy/surgery CPT 29848 | $540.50 | $1,081.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $139.00 | $278.00 | not published | 0 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $695.00 | $1,390.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $608.50 | $1,217.00 | not published | 0 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $558.50 | $1,117.00 | not published | 0 |
| Xm archive tissue molec anal CPT 88363 | $17.50 | $35.00 | not published | 0 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $409.00 | $818.00 | not published | 0 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $226.50 | $453.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $83.50 | $167.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $159.50 | $319.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $176.50 | $353.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $247.50 | $495.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $126.00 | $252.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $104.00 | $208.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $183.50 | $367.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $342.50 | $685.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $185.50 | $371.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $121.00 | $242.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $220.50 | $441.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $220.50 | $441.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $121.00 | $242.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $121.00 | $242.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $139.00 | $278.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $354.00 | $708.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $220.00 | $440.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $205.50 | $411.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $119.00 | $238.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $232.50 | $465.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $34.00 | $68.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $229.00 | $458.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $126.00 | $252.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $83.50 | $167.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $104.00 | $208.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $121.00 | $242.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $104.00 | $208.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $109.50 | $219.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $203.50 | $407.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $203.50 | $407.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $331.00 | $662.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $331.00 | $662.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $120.50 | $241.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $156.00 | $312.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $120.50 | $241.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $164.00 | $328.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $284.00 | $568.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $220.00 | $440.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $121.00 | $242.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $121.00 | $242.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $116.50 | $233.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $100.50 | $201.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $208.50 | $417.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $27.50 | $55.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $129.50 | $259.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $166.50 | $333.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $152.50 | $305.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $184.00 | $368.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $205.50 | $411.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $126.00 | $252.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $166.00 | $332.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $121.00 | $242.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $220.00 | $440.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $208.00 | $416.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $234.50 | $469.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $8.50 | $17.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $126.00 | $252.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $156.00 | $312.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $126.00 | $252.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $209.50 | $419.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $83.50 | $167.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $126.00 | $252.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $126.00 | $252.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $233.00 | $466.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $121.00 | $242.00 | not published | 0 |
| Ziconotide injection HCPCS J2278 | $17.50 | $35.00 | $14.92 – $14.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4.00 | $8.00 | $8.00 – $8.00 | 1 |
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.