Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
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 |
|---|---|---|---|---|
| Intro long gi tube w/mult fluo CPT 74340 | $392.00 | $784.00 | $16.02 – $43.14 | 29 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,336.50 | $2,673.00 | $54.24 – $209.72 | 29 |
| Intubation endotracheal emergency procedure CPT 31500 | $556.50 | $1,113.00 | $75.60 – $232.87 | 34 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $370.50 | $741.00 | $299.31 – $299.31 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $2.00 | $4.00 | $0.61 – $0.61 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $121.22 | $242.44 | $0.20 – $0.20 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $28,406.98 | $56,813.95 | $123.78 – $333.25 | 24 |
| Ipratropium bromide non-comp HCPCS J7644 | $2.00 | $4.00 | $0.53 – $0.53 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $131.90 | $263.79 | $3.22 – $3.22 | 1 |
| Iron CPT 83540 | $340.00 | $680.00 | $4.21 – $10.22 | 34 |
| Iron binding capacity CPT 83550 | $81.50 | $163.00 | $5.25 – $13.81 | 34 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $733.64 | $1,467.27 | $12.34 – $33.23 | 24 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $404.40 | $808.79 | $0.36 – $0.36 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $145.50 | $291.00 | $11.07 – $56.33 | 29 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $139.00 | $278.00 | $16.21 – $98.54 | 34 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $103.50 | $207.00 | $28.40 – $107.00 | 34 |
| Ivc venogram s&i CPT 75825 | $2,803.00 | $5,606.00 | $23.63 – $5,274.48 | 34 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $294.00 | $588.00 | $18.78 – $120.28 | 34 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $231.00 | $462.00 | $12.00 – $13.64 | 10 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $772.00 | $1,544.00 | $12.90 – $78.22 | 34 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $997.00 | $1,994.00 | $40.92 – $355.32 | 34 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $990.50 | $1,981.00 | $17.24 – $293.00 | 34 |
| Jak2 targeted sequence analysis CPT 81279 | $147.50 | $295.00 | $120.38 – $292.62 | 34 |
| John cunningham antibody CPT 86711 | $2,686.00 | $5,372.00 | $10.98 – $26.69 | 34 |
| Ketamine and metabolite screen - quest CPT 80357 | $150.00 | $300.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $43.00 | $86.00 | $5.25 – $12.91 | 34 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $18.77 | $37.53 | $0.18 – $0.81 | 25 |
| Kidney imag w/bld flow multi CPT 78709 | $2,227.50 | $4,455.00 | $48.38 – $907.02 | 34 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,227.50 | $4,455.00 | $32.94 – $907.02 | 34 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $468.00 | $936.00 | $26.00 – $174.65 | 34 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $58.00 | $116.00 | $34.11 – $91.84 | 24 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | $81.17 – $197.29 | 30 |
| Kit hfx iq ipg bundle HCPCS C1822 | $1,050.50 | $2,101.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $3,753.00 | $7,506.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,271.50 | $2,543.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $143.50 | $287.00 | $41.81 – $221.41 | 25 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $5,771.50 | $11,543.00 | $2,030.15 – $5,465.79 | 24 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $4,922.00 | $9,844.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29873 | $2,774.67 | $5,549.34 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29875 | $7,608.00 | $15,216.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29876 | $3,754.00 | $7,508.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29879 | $3,408.00 | $6,816.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29880 | $5,397.00 | $10,794.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29882 | $4,484.67 | $8,969.34 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29883 | $19,134.50 | $38,269.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29884 | $7,202.00 | $14,404.00 | $2,030.15 – $5,465.79 | 24 |
| Knee arthroscopy/surgery CPT 29888 | $17,082.00 | $34,164.00 | $4,502.20 – $12,121.30 | 24 |
| Knee MRI (with and without contrast) CPT 73723 | $2,948.00 | $5,896.00 | $76.69 – $582.78 | 34 |
| Knee MRI (with contrast) CPT 73722 | $2,007.50 | $4,015.00 | $57.39 – $1,309.52 | 34 |
| Knee MRI (without contrast) CPT 73721 | $1,420.00 | $2,840.00 | $47.87 – $398.58 | 34 |
| Knee X-ray CPT 73564 | $637.00 | $1,274.00 | $8.23 – $69.84 | 34 |
| Ko swedish type pre ots HCPCS L1850 | $594.50 | $1,189.00 | $163.48 – $440.12 | 24 |
| Kras gene addl variants CPT 81276 | $235.00 | $470.00 | $125.61 – $305.33 | 34 |
| Kras gene variants exon 2 CPT 81275 | $265.00 | $530.00 | $125.61 – $305.33 | 34 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,733.00 | $5,466.00 | $984.96 – $2,290.45 | 7 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $13.31 | $26.61 | $0.31 – $0.31 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $46.00 | $92.00 | $3.93 – $9.54 | 34 |
| Lactated ringers intravenous solution HCPCS J7120 | $207.50 | $415.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $338.50 | $677.00 | $7.52 – $18.28 | 34 |
| Lactoferrin fecal qualitative CPT 83630 | $25.00 | $50.00 | $12.80 – $31.13 | 34 |
| Lactoferrin fecal quant CPT 83631 | $81.00 | $162.00 | $12.76 – $31.02 | 34 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $19,124.00 | $38,248.00 | $24.33 – $65.50 | 24 |
| Laparo cholecystectomy/graph CPT 47563 | $10,309.50 | $20,619.00 | $205.80 – $10,098.88 | 32 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $4,863.00 | $9,726.00 | $3,751.01 – $10,098.88 | 24 |
| Laparoscopy aspiration CPT 49322 | $10,729.00 | $21,458.00 | $205.80 – $10,098.88 | 32 |
| Laparoscopy excise lesions CPT 58662 | $8,152.00 | $16,304.00 | $205.80 – $10,098.88 | 32 |
| Laparoscopy remove adnexa CPT 58661 | $7,867.00 | $15,734.00 | $205.80 – $10,098.88 | 32 |
| Laparoscopy surg colpopexy CPT 57425 | $12,442.25 | $24,884.50 | $205.80 – $17,756.87 | 32 |
| Laparo-vag hyst incl t/o CPT 58552 | $9,197.00 | $18,394.00 | $205.80 – $17,756.87 | 32 |
| Lap enterolysis CPT 44180 | $5,476.00 | $10,952.00 | $205.80 – $10,098.88 | 32 |
| Lap ing hernia repair init CPT 49650 | $18,789.50 | $37,579.00 | $205.80 – $10,098.88 | 32 |
| Lap ing hernia repair recur CPT 49651 | $22,601.50 | $45,203.00 | $3,751.01 – $10,098.88 | 24 |
| Lap place gastr adj device CPT 43770 | $9,959.00 | $19,918.00 | $875.27 – $17,756.87 | 29 |
| Largsc w/laser dstrj les CPT 31572 | $6,301.00 | $12,602.00 | $136.66 – $6,228.11 | 34 |
| Largsc w/njx augmentation CPT 31574 | $3,021.00 | $6,042.00 | $112.72 – $2,973.27 | 34 |
| Largsc w/ther injection CPT 31573 | $3,021.00 | $6,042.00 | $112.20 – $2,973.27 | 34 |
| Laryngoplasty medialization CPT 31591 | $10,092.50 | $20,185.00 | $810.67 – $9,888.92 | 32 |
| Laryngoscope w/vc inj CPT 31570 | $6,301.00 | $12,602.00 | $198.45 – $6,228.11 | 34 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $3,021.00 | $6,042.00 | $105.00 – $2,973.27 | 34 |
| Laryngoscopy w/fb removal CPT 31530 | $2,596.00 | $5,192.00 | $205.80 – $2,973.27 | 30 |
| Laryngoscopy with biopsy CPT 31576 | $2,076.00 | $4,152.00 | $117.20 – $2,973.27 | 34 |
| Laser surgery of prostate CPT 52648 | $5,025.00 | $10,050.00 | $205.80 – $8,956.75 | 30 |
| Lateral canthopexy CPT 21282 | $5,378.00 | $10,756.00 | $205.80 – $5,538.40 | 32 |
| Lb with mastopexy 15839 CPT 15839 | $3,616.50 | $7,233.00 | $558.46 – $4,852.26 | 29 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,526.00 | $5,052.00 | not published | 0 |
| Lead capillary CPT 83655 | $40.00 | $80.00 | $7.87 – $19.13 | 34 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,077.00 | $2,154.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,718.50 | $9,437.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $659.50 | $1,319.00 | $24.44 – $398.58 | 34 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $75.00 | $150.00 | $94.72 – $255.03 | 24 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $349.07 | $698.14 | $7.38 – $7.38 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,196.97 | $4,393.94 | $104.22 – $299.15 | 25 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,911.00 | $7,822.00 | $1,196.82 – $3,222.20 | 25 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.50 | $5.00 | $0.08 – $0.08 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $41.31 | $82.62 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $40.00 | $80.00 | $8.61 – $20.93 | 34 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $25.88 | $51.75 | $1.50 – $1.50 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $2,889.50 | $5,779.00 | $189.67 – $5,415.55 | 32 |
| Liberta rc ipg HCPCS C1820 | $15,085.00 | $30,170.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $13.15 | $26.30 | 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.