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 |
|---|---|---|---|---|
| Conditioning play audiometry 92582 CPT 92582 | $123.00 | $246.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $198.00 | $396.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $262.00 | $524.00 | not published | 0 |
| Conization of cervix CPT 57520 | $308.50 | $617.00 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $32.00 | $64.00 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $63.50 | $127.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $32.00 | $64.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $63.50 | $127.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $91.50 | $183.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $76.50 | $153.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $128.50 | $257.00 | not published | 0 |
| Contact lens fitting for tx CPT 92071 | $29.50 | $59.00 | not published | 0 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $39.50 | $79.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $226.50 | $453.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $83.00 | $166.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $184.50 | $369.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $514.50 | $1,029.00 | not published | 0 |
| Copper intrauterine device HCPCS J7300 | $1,563.50 | $3,127.00 | $2,148.30 – $2,148.30 | 1 |
| Cor hlx vlgs double osteot CPT 28299 | $630.50 | $1,261.00 | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $540.00 | $1,080.00 | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $540.00 | $1,080.00 | not published | 0 |
| Corneal smear CPT 65430 | $94.50 | $189.00 | not published | 0 |
| Corneal transplant CPT 65710 | $1,073.00 | $2,146.00 | not published | 0 |
| Corneal transplant CPT 65730 | $1,170.00 | $2,340.00 | not published | 0 |
| Corneal transplant CPT 65750 | $1,176.00 | $2,352.00 | not published | 0 |
| Corneal transplant CPT 65755 | $1,169.50 | $2,339.00 | not published | 0 |
| Corneal trnspl endothelial CPT 65756 | $1,097.50 | $2,195.00 | not published | 0 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $510.50 | $1,021.00 | not published | 0 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | $308.00 | $616.00 | not published | 0 |
| Correction eyelid w/implant CPT 67912 | $467.50 | $935.00 | not published | 0 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $628.00 | $1,256.00 | not published | 0 |
| Correction of astigmatism CPT 65772 | $382.50 | $765.00 | not published | 0 |
| Correction of everted punctum 68705 CPT 68705 | $156.50 | $313.00 | not published | 0 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $21.00 | $42.00 | not published | 0 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $955.00 | $1,910.00 | not published | 0 |
| Correct malrotation of bowel 44055 CPT 44055 | $1,632.50 | $3,265.00 | not published | 0 |
| Correct rectal prolapse CPT 45541 | $1,022.00 | $2,044.00 | not published | 0 |
| Corrj halux rigdus w/implt CPT 28291 | $495.50 | $991.00 | not published | 0 |
| Corrj halux rigdus without implt CPT 28289 | $488.50 | $977.00 | not published | 0 |
| Cortisol total am CPT 82533 | $155.00 | $310.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $45.00 | $90.00 | $44.73 – $44.73 | 1 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.50 | $83.00 | not published | 0 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $86.50 | $173.00 | not published | 0 |
| Cover eye w/membrane CPT 65778 | $40.50 | $81.00 | not published | 0 |
| Cover eye w/membrane suture CPT 65779 | $96.00 | $192.00 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $39.50 | $79.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $104.50 | $209.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $124.50 | $249.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $10.00 | $20.00 | not published | 0 |
| C-peptide CPT 84681 | $37.00 | $74.00 | not published | 0 |
| Cptrized corneal topography CPT 92025 | $38.50 | $77.00 | not published | 0 |
| Cptr ophth dx img post segmt CPT 92134 | $34.50 | $69.00 | not published | 0 |
| C-reactive protein CPT 86140 | $26.50 | $53.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $35.00 | $70.00 | not published | 0 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $863.00 | $1,726.00 | not published | 0 |
| Create tear duct drain CPT 68750 | $3,311.00 | $6,622.00 | not published | 0 |
| Create tear sac drain CPT 68720 | $765.50 | $1,531.00 | not published | 0 |
| Creatine kinase CPT 82550 | $25.50 | $51.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $16.50 | $33.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $88.00 | $176.00 | not published | 0 |
| Creatinine CPT 82565 | $27.50 | $55.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $85.50 | $171.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $44.50 | $89.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $185.00 | $370.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $147.50 | $295.00 | not published | 0 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $71.00 | $142.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $465.50 | $931.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $353.00 | $706.00 | not published | 0 |
| Crnec exc tum/bone les skull CPT 61500 | $1,406.00 | $2,812.00 | not published | 0 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $869.50 | $1,739.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $112.00 | $224.00 | not published | 0 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $108.00 | $216.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $64.00 | $128.00 | not published | 0 |
| C-Section Delivery (full care) CPT 59510 | $2,946.50 | $5,893.00 | not published | 0 |
| C-section delivery incl p/p care 59515 CPT 59515 | $1,489.00 | $2,978.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,241.50 | $2,483.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $841.50 | $1,683.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $219.00 | $438.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $669.00 | $1,338.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,351.50 | $2,703.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $941.50 | $1,883.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $669.00 | $1,338.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $124.50 | $249.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $296.50 | $593.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $422.00 | $844.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $287.50 | $575.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $400.50 | $801.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $442.50 | $885.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $304.00 | $608.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $542.50 | $1,085.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $407.00 | $814.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $340.50 | $681.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $295.00 | $590.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $227.00 | $454.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,583.00 | $3,166.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,316.50 | $2,633.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,166.00 | $2,332.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $718.50 | $1,437.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $120.00 | $240.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $422.00 | $844.00 | 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.