Summers County ARH Hospital
115 Summers Hospital Road, Hinton, WV · Arh · · NPI 1689664179
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $339.00 | $565.00 | $20.53 – $20.53 | 1 |
| Acetaminophen level CPT 80143 | $34.20 | $57.00 | $16.78 – $16.78 | 1 |
| Acetone qualitative CPT 82009 | $100.20 | $167.00 | $4.07 – $4.07 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1,237.20 | $2,062.00 | $10.85 – $10.85 | 1 |
| Acute hepatitis panel CPT 80074 | $353.40 | $589.00 | $42.87 – $42.87 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $37.80 | $63.00 | $0.02 – $0.02 | 1 |
| Adh-sendout CPT 84588 | $163.80 | $273.00 | $30.55 – $30.55 | 1 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $257.40 | $429.00 | $53.08 – $53.08 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $85.20 | $142.00 | $5.20 – $5.20 | 1 |
| Albumin serum plasma or whole blood CPT 82040 | $100.20 | $167.00 | $4.46 – $4.46 | 1 |
| Alkaline phosphatase CPT 84075 | $87.00 | $145.00 | $4.66 – $4.66 | 1 |
| Allergen alpha lactalbumin ige CPT 86008 | $112.80 | $188.00 | $16.14 – $16.14 | 1 |
| Allergen egg white ige CPT 86003 | $10.20 | $17.00 | $4.70 – $4.70 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $184.20 | $307.00 | $15.09 – $15.09 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $32,310.00 | $53,850.00 | $95.09 – $95.09 | 1 |
| Alt/sgpt CPT 84460 | $135.60 | $226.00 | $4.77 – $4.77 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $154.80 | $258.00 | $2.49 – $2.49 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $7.80 | $13.00 | $0.39 – $0.39 | 1 |
| Ammonia CPT 82140 | $218.40 | $364.00 | $13.11 – $13.11 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $825.00 | $1,375.00 | $22.81 – $22.81 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $23.40 | $39.00 | $0.64 – $0.64 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $55.20 | $92.00 | $1.35 – $1.35 | 1 |
| Amylase CPT 82150 | $412.80 | $688.00 | $5.83 – $5.83 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $351.00 | $585.00 | $59.12 – $59.12 | 1 |
| Analysis gene f5 leiden variant CPT 81241 | $292.80 | $488.00 | $66.03 – $66.03 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $22.80 | $38.00 | $11.59 – $11.59 | 1 |
| Antibody id rbc panel CPT 86870 | $199.80 | $333.00 | $22.58 – $22.58 | 1 |
| Antibody screen rbc CPT 86850 | $91.20 | $152.00 | $8.79 – $8.79 | 1 |
| Antinuclear antibodies CPT 86038 | $310.20 | $517.00 | $10.88 – $10.88 | 1 |
| Antistreptolysin o titer CPT 86060 | $25.20 | $42.00 | $6.57 – $6.57 | 1 |
| Antithrombin iii activity CPT 85300 | $223.80 | $373.00 | $10.67 – $10.67 | 1 |
| Assay toxin or antitoxin CPT 87230 | $540.00 | $900.00 | $17.77 – $17.77 | 1 |
| Ast/sgot CPT 84450 | $130.80 | $218.00 | $4.66 – $4.66 | 1 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $30.60 | $51.00 | $0.10 – $0.10 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $25.20 | $42.00 | $1.94 – $1.94 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $42.60 | $71.00 | $22.91 – $22.91 | 1 |
| Bilirubin direct CPT 82248 | $89.40 | $149.00 | $4.52 – $4.52 | 1 |
| Bilirubin total CPT 82247 | $135.60 | $226.00 | $4.52 – $4.52 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $133.20 | $222.00 | $3.86 – $3.86 | 1 |
| Blood Clotting (PTT) Test CPT 85730 | $301.20 | $502.00 | $5.41 – $5.41 | 1 |
| Blood Count (CBC) Test CPT 85025 | $82.20 | $137.00 | $6.99 – $6.99 | 1 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $64.20 | $107.00 | $5.82 – $5.82 | 1 |
| Blood Culture Test CPT 87040 | $208.20 | $347.00 | $9.29 – $9.29 | 1 |
| Blood gases ph venous CPT 82800 | $124.20 | $207.00 | $9.90 – $9.90 | 1 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $285.60 | $476.00 | $14.33 – $14.33 | 1 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $144.00 | $240.00 | $4.79 – $4.79 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $100.20 | $167.00 | $3.42 – $3.42 | 1 |
| Blood typing abo CPT 86900 | $61.20 | $102.00 | $2.69 – $2.69 | 1 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $87.60 | $146.00 | $3.45 – $3.45 | 1 |
| Blood typing rh (d) CPT 86901 | $61.20 | $102.00 | $2.69 – $2.69 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $24.60 | $41.00 | $15.33 – $15.33 | 1 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $9.00 | $15.00 | $0.01 – $0.01 | 1 |
| C1 esterase inhibitor func - sendout CPT 86161 | $438.00 | $730.00 | $10.80 – $10.80 | 1 |
| Calcium 24 hour urine CPT 82340 | $159.00 | $265.00 | $5.43 – $5.43 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $41.40 | $69.00 | $0.03 – $0.03 | 1 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $76.80 | $128.00 | $0.07 – $0.07 | 1 |
| Calcium ionized CPT 82330 | $218.40 | $364.00 | $12.31 – $12.31 | 1 |
| Calcium total CPT 82310 | $87.00 | $145.00 | $4.64 – $4.64 | 1 |
| Calprotectin fecal CPT 83993 | $542.40 | $904.00 | $17.67 – $17.67 | 1 |
| Candida dna CPT 87480 | $37.20 | $62.00 | $18.05 – $18.05 | 1 |
| Capsaicin 8% patch HCPCS J7336 | $14,219.40 | $23,699.00 | $3.42 – $3.42 | 1 |
| Carbamazepine free -sendout CPT 80161 | $218.40 | $364.00 | $16.78 – $16.78 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $366.60 | $611.00 | $11.09 – $11.09 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $512.40 | $854.00 | $17.06 – $17.06 | 1 |
| Cardiolipin antibody iga CPT 86147 | $82.80 | $138.00 | $22.91 – $22.91 | 1 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $6.60 | $11.00 | $0.85 – $0.85 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $34.20 | $57.00 | $1.27 – $1.27 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $3.90 | $6.50 | $0.43 – $0.43 | 1 |
| #celiac hla-dq2 CPT 81377 | $158.40 | $264.00 | $85.27 – $85.27 | 1 |
| Chloride 24 hour urine CPT 82436 | $108.00 | $180.00 | $5.18 – $5.18 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $84.00 | $140.00 | $20.96 – $20.96 | 1 |
| Cholesterol CPT 82465 | $130.80 | $218.00 | $3.92 – $3.92 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $246.60 | $411.00 | $12.05 – $12.05 | 1 |
| Cholinesterase CPT 82480 | $10.80 | $18.00 | $7.08 – $7.08 | 1 |
| Chromatography CPT 83021 | $231.60 | $386.00 | $16.25 – $16.25 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $48.00 | $80.00 | $1.86 – $1.86 | 1 |
| Clot factor xii hageman CPT 85280 | $640.20 | $1,067.00 | $17.42 – $17.42 | 1 |
| Clot factor xiii fibrin scrn CPT 85291 | $212.40 | $354.00 | $8.20 – $8.20 | 1 |
| Cmv pcr-sendout CPT 87496 | $323.40 | $539.00 | $31.58 – $31.58 | 1 |
| Coagulation time activated teg CPT 85347 | $85.20 | $142.00 | $3.85 – $3.85 | 1 |
| Collection of venous blood by venipuncture CPT 36415 | $22.80 | $38.00 | $9.09 – $9.09 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $139.20 | $232.00 | $21.45 – $21.45 | 1 |
| Complement antigen each component c3 CPT 86160 | $438.00 | $730.00 | $10.80 – $10.80 | 1 |
| Coombs direct CPT 86880 | $87.60 | $146.00 | $4.85 – $4.85 | 1 |
| Cortisol total am CPT 82533 | $197.40 | $329.00 | $14.67 – $14.67 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $392.40 | $654.00 | $16.26 – $16.26 | 1 |
| Covid-19 lab test non-cdc HCPCS U0002 | $87.60 | $146.00 | $46.18 – $46.18 | 1 |
| #covid19rsv-rsv CPT 87634 | $126.00 | $210.00 | $63.18 – $63.18 | 1 |
| C-peptide CPT 84681 | $199.20 | $332.00 | $18.73 – $18.73 | 1 |
| C-reactive protein CPT 86140 | $105.00 | $175.00 | $4.66 – $4.66 | 1 |
| C-reactive protein high sensitivity CPT 86141 | $114.00 | $190.00 | $11.66 – $11.66 | 1 |
| Creatine kinase CPT 82550 | $93.60 | $156.00 | $5.86 – $5.86 | 1 |
| Creatine kinase isoenzymes CPT 82552 | $34.20 | $57.00 | $12.05 – $12.05 | 1 |
| Creatine kinase mb CPT 82553 | $199.20 | $332.00 | $10.40 – $10.40 | 1 |
| Creatine - sendout CPT 82540 | $12.00 | $20.00 | $4.18 – $4.18 | 1 |
| Creatinine CPT 82565 | $89.40 | $149.00 | $4.61 – $4.61 | 1 |
| Creatinine 24 hour urine CPT 82570 | $259.80 | $433.00 | $4.66 – $4.66 | 1 |
| Crotalidae poly immune fab HCPCS J0840 | $10,873.20 | $18,122.00 | $1,841.02 – $1,841.02 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $110.40 | $184.00 | $7.27 – $7.27 | 1 |
| Culture afb any source CPT 87116 | $171.60 | $286.00 | $9.72 – $9.72 | 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.