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 |
|---|---|---|---|---|
| Culture anaerobic except blood CPT 87075 | $189.60 | $316.00 | $8.52 – $8.52 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $34.20 | $57.00 | $8.50 – $8.50 | 1 |
| Culture body fluid CPT 87070 | $180.60 | $301.00 | $7.76 – $7.76 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $24.00 | $40.00 | $0.67 – $0.67 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $137.40 | $229.00 | $11.66 – $11.66 | 1 |
| Cyclosporine 2 hour CPT 80158 | $199.80 | $333.00 | $16.25 – $16.25 | 1 |
| Cystatin c CPT 82610 | $142.20 | $237.00 | $16.67 – $16.67 | 1 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $91.20 | $152.00 | $12.95 – $12.95 | 1 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $111.00 | $185.00 | $15.17 – $15.17 | 1 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $39.00 | $65.00 | $23.95 – $23.95 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $116.40 | $194.00 | $0.03 – $0.03 | 1 |
| Dch glucoscan CPT 82948 | $30.00 | $50.00 | $4.54 – $4.54 | 1 |
| Dch validity tests CPT 81002 | $13.80 | $23.00 | $3.13 – $3.13 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,946.80 | $6,578.00 | $29.51 – $29.51 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.20 | $7.00 | $0.03 – $0.03 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $5.40 | $9.00 | $0.11 – $0.11 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $293.40 | $489.00 | $20.01 – $20.01 | 1 |
| Diabetes (HbA1c) Test CPT 83036 | $80.40 | $134.00 | $8.74 – $8.74 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $91.80 | $153.00 | $8.51 – $8.51 | 1 |
| Dicyclomine injection HCPCS J0500 | $268.20 | $447.00 | $9.37 – $9.37 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.20 | $32.00 | $10.37 – $10.37 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $189.00 | $315.00 | $11.95 – $11.95 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $8.40 | $14.00 | $0.04 – $0.04 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $4.80 | $8.00 | $0.69 – $0.69 | 1 |
| Disaccharidases CPT 82657 | $315.00 | $525.00 | $19.95 – $19.95 | 1 |
| Dna antibody native/double stranded CPT 86225 | $304.20 | $507.00 | $12.37 – $12.37 | 1 |
| Dna gardnerella CPT 87510 | $37.20 | $62.00 | $18.05 – $18.05 | 1 |
| Dna trichomonas CPT 87660 | $37.20 | $62.00 | $18.05 – $18.05 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $96.60 | $161.00 | $0.09 – $0.09 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | $203.40 | $339.00 | $102.99 – $102.99 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | $156.60 | $261.00 | $140.93 – $140.93 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $249.00 | $415.00 | $55.93 – $55.93 | 1 |
| Drvvt confirm - quest CPT 85597 | $229.20 | $382.00 | $16.18 – $16.18 | 1 |
| Electrolyte panel CPT 80051 | $117.00 | $195.00 | $6.31 – $6.31 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $249.00 | $415.00 | $0.54 – $0.54 | 1 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $54.90 | $91.50 | $2.88 – $2.88 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $897.90 | $1,496.50 | $0.31 – $0.31 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $45.00 | $75.00 | $0.84 – $0.84 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $45.00 | $75.00 | $11.81 – $11.81 | 1 |
| Epstein barr nuclear antigen antibody CPT 86664 | $30.00 | $50.00 | $13.76 – $13.76 | 1 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $67.80 | $113.00 | $16.33 – $16.33 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $6,681.60 | $11,136.00 | $20.55 – $20.55 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $429.60 | $716.00 | $7.22 – $7.22 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $141.60 | $236.00 | $20.00 – $20.00 | 1 |
| ER Visit (level 2) CPT 99282 | $279.00 | $465.00 | $50.00 – $50.00 | 1 |
| ER Visit (level 3) CPT 99283 | $378.00 | $630.00 | $97.75 – $97.75 | 1 |
| ER Visit (level 4) CPT 99284 | $552.00 | $920.00 | $191.80 – $191.80 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $1,376.40 | $2,294.00 | $580.30 – $580.30 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,298.40 | $2,164.00 | $0.24 – $0.24 | 1 |
| Estradiol total CPT 82670 | $223.20 | $372.00 | $25.15 – $25.15 | 1 |
| Estrogens total-sendout CPT 82672 | $293.40 | $489.00 | $19.53 – $19.53 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $198.00 | $330.00 | $16.14 – $16.14 | 1 |
| Factor ix CPT 85250 | $640.20 | $1,067.00 | $17.14 – $17.14 | 1 |
| Factor viii CPT 85240 | $640.20 | $1,067.00 | $16.11 – $16.11 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.20 | $7.00 | $0.01 – $0.01 | 1 |
| Fat/lipids feces qualitative CPT 82705 | $40.80 | $68.00 | $4.59 – $4.59 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $37.20 | $62.00 | $1.16 – $1.16 | 1 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $3,310.20 | $5,517.00 | $1.10 – $1.10 | 1 |
| Ferritin CPT 82728 | $247.20 | $412.00 | $12.27 – $12.27 | 1 |
| Fibrin degrade semiquant CPT 85378 | $69.60 | $116.00 | $8.75 – $8.75 | 1 |
| Fibrinogen activity CPT 85384 | $155.40 | $259.00 | $8.75 – $8.75 | 1 |
| Fibrinolytic antiplasmin CPT 85410 | $152.40 | $254.00 | $6.94 – $6.94 | 1 |
| Fibrinolytic plasminogen CPT 85415 | $129.00 | $215.00 | $15.47 – $15.47 | 1 |
| Folic acid CPT 82746 | $273.00 | $455.00 | $13.23 – $13.23 | 1 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $139.80 | $233.00 | $0.05 – $0.05 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $11.40 | $19.00 | $0.02 – $0.02 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $363.00 | $605.00 | $0.09 – $0.09 | 1 |
| Gammaglobulin iga CPT 82784 | $16.80 | $28.00 | $8.37 – $8.37 | 1 |
| Gammaglobulin ige CPT 82785 | $198.60 | $331.00 | $14.81 – $14.81 | 1 |
| Gamma glutamyltransferase CPT 82977 | $135.60 | $226.00 | $6.48 – $6.48 | 1 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $326.40 | $544.00 | $34.05 – $34.05 | 1 |
| Ghs fish cytogen CPT 88271 | $101.40 | $169.00 | $19.28 – $19.28 | 1 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $222.60 | $371.00 | $46.07 – $46.07 | 1 |
| Ghs histoplasma antigen CPT 87385 | $109.80 | $183.00 | $11.93 – $11.93 | 1 |
| Ghs sensitivity (per antimicro) CPT 87184 | $133.20 | $222.00 | $6.73 – $6.73 | 1 |
| Gi inhouse confirmation CPT 87045 | $34.20 | $57.00 | $8.50 – $8.50 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,080.00 | $1,800.00 | $146.33 – $146.33 | 1 |
| Glucose 1 hr post dose CPT 82950 | $127.80 | $213.00 | $4.28 – $4.28 | 1 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $13.80 | $23.00 | $2.95 – $2.95 | 1 |
| Glucose blood quantitative CPT 82947 | $130.80 | $218.00 | $3.54 – $3.54 | 1 |
| Glucose body fluid CPT 82945 | $4.80 | $8.00 | $3.54 – $3.54 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $189.00 | $315.00 | $11.58 – $11.58 | 1 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $121.80 | $203.00 | $3.53 – $3.53 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $286.80 | $478.00 | $16.72 – $16.72 | 1 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $286.80 | $478.00 | $16.67 – $16.67 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $4.80 | $8.00 | $0.79 – $0.79 | 1 |
| Haptoglobin quantitative CPT 83010 | $155.40 | $259.00 | $11.32 – $11.32 | 1 |
| Hcg qualitative CPT 84703 | $120.00 | $200.00 | $6.77 – $6.77 | 1 |
| Hcg quantitative CPT 84702 | $189.00 | $315.00 | $13.55 – $13.55 | 1 |
| Hematocrit CPT 85014 | $61.20 | $102.00 | $2.13 – $2.13 | 1 |
| Hemoglobin CPT 85018 | $60.60 | $101.00 | $2.13 – $2.13 | 1 |
| Heparin bolus from bag HCPCS J1644 | $33.00 | $55.00 | $0.22 – $0.22 | 1 |
| Hepatitis a antibody igm CPT 86709 | $161.40 | $269.00 | $10.13 – $10.13 | 1 |
| Hepatitis b core antibody igm CPT 86705 | $164.40 | $274.00 | $10.59 – $10.59 | 1 |
| Hepatitis b core antibody total CPT 86704 | $156.00 | $260.00 | $10.85 – $10.85 | 1 |
| Hepatitis b surface antibody CPT 86706 | $216.60 | $361.00 | $9.67 – $9.67 | 1 |
| Hepatitis c antibody CPT 86803 | $149.40 | $249.00 | $12.84 – $12.84 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $135.60 | $226.00 | $11.87 – $11.87 | 1 |
| Herpes simplex type 2 antibody igg CPT 86696 | $109.80 | $183.00 | $17.42 – $17.42 | 1 |
| Heterophile antibodies screening CPT 86308 | $111.60 | $186.00 | $4.66 – $4.66 | 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.