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 |
|---|---|---|---|---|
| Hla i low res one antigen equiv ea CPT 81374 | $109.80 | $183.00 | $66.90 – $66.90 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $296.40 | $494.00 | $0.22 – $0.22 | 1 |
| Homocysteine CPT 83090 | $258.60 | $431.00 | $16.13 – $16.13 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $42.60 | $71.00 | $4.29 – $4.29 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $17.40 | $29.00 | $0.10 – $0.10 | 1 |
| #hypersens-actinomyces ab CPT 86602 | $16.80 | $28.00 | $9.16 – $9.16 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $699.60 | $1,166.00 | $18.73 – $18.73 | 1 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $192.60 | $321.00 | $18.73 – $18.73 | 1 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $20.40 | $34.00 | $10.78 – $10.78 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $319.80 | $533.00 | $117.32 – $117.32 | 1 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $1,112.40 | $1,854.00 | $231.71 – $231.71 | 1 |
| Infect ag ia optc obs influenza CPT 87804 | $41.40 | $69.00 | $14.90 – $14.90 | 1 |
| Infect ag na hpv high-risk types CPT 87624 | $44.40 | $74.00 | $31.58 – $31.58 | 1 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $154.80 | $258.00 | $86.22 – $86.22 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $208.80 | $348.00 | $12.94 – $12.94 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $247.80 | $413.00 | $9.30 – $9.30 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $260.40 | $434.00 | $21.67 – $21.67 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $445.80 | $743.00 | $10.78 – $10.78 | 1 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $20.40 | $34.00 | $10.78 – $10.78 | 1 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $64.20 | $107.00 | $31.58 – $31.58 | 1 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $202.80 | $338.00 | $33.54 – $33.54 | 1 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $265.20 | $442.00 | $31.58 – $31.58 | 1 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $146.40 | $244.00 | $128.37 – $128.37 | 1 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $63.00 | $105.00 | $31.58 – $31.58 | 1 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $279.00 | $465.00 | $375.10 – $375.10 | 1 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $239.40 | $399.00 | $38.56 – $38.56 | 1 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $492.00 | $820.00 | $38.56 – $38.56 | 1 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $210.60 | $351.00 | $38.56 – $38.56 | 1 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $703.80 | $1,173.00 | $76.59 – $76.59 | 1 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $262.80 | $438.00 | $128.37 – $128.37 | 1 |
| Inj ceftolozane tazobactam HCPCS J0695 | $695.70 | $1,159.50 | $8.84 – $8.84 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | $601.80 | $1,003.00 | $0.22 – $0.22 | 1 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $48.00 | $80.00 | $0.16 – $0.16 | 1 |
| Insulin total CPT 83525 | $155.40 | $259.00 | $10.29 – $10.29 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $368.40 | $614.00 | $0.43 – $0.43 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $576.00 | $960.00 | $0.15 – $0.15 | 1 |
| Iron CPT 83540 | $153.60 | $256.00 | $5.82 – $5.82 | 1 |
| Iron binding capacity CPT 83550 | $135.60 | $226.00 | $7.87 – $7.87 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $89.40 | $149.00 | $18.11 – $18.11 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $321.00 | $535.00 | $0.22 – $0.22 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $251.40 | $419.00 | $7.35 – $7.35 | 1 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $18.00 | $30.00 | $0.34 – $0.34 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $33.60 | $56.00 | $0.26 – $0.26 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $89.40 | $149.00 | $5.44 – $5.44 | 1 |
| Lactated ringers intravenous solution HCPCS J7120 | $21.00 | $35.00 | $2.60 – $2.60 | 1 |
| Lactic acid CPT 83605 | $189.00 | $315.00 | $10.41 – $10.41 | 1 |
| Lactoferrin fecal qualitative CPT 83630 | $320.40 | $534.00 | $17.73 – $17.73 | 1 |
| Lead capillary CPT 83655 | $181.20 | $302.00 | $10.90 – $10.90 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $27.00 | $45.00 | $0.03 – $0.03 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $184.80 | $308.00 | $11.93 – $11.93 | 1 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $39.00 | $65.00 | $2.16 – $2.16 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $135.60 | $226.00 | $2.48 – $2.48 | 1 |
| Lipase CPT 83690 | $189.60 | $316.00 | $6.20 – $6.20 | 1 |
| Lipoprotein blood quant CPT 83704 | $100.20 | $167.00 | $30.77 – $30.77 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $105.00 | $175.00 | $7.37 – $7.37 | 1 |
| Lipoprotein direct measurement ldl CPT 83721 | $120.00 | $200.00 | $9.45 – $9.45 | 1 |
| Lithium therapeutic drug level CPT 80178 | $120.60 | $201.00 | $5.95 – $5.95 | 1 |
| Liver Function Test CPT 80076 | $189.60 | $316.00 | $7.35 – $7.35 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $4.20 | $7.00 | $1.66 – $1.66 | 1 |
| Magnesium CPT 83735 | $144.00 | $240.00 | $6.03 – $6.03 | 1 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.20 | $47.00 | $0.43 – $0.43 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $28.80 | $48.00 | $13.01 – $13.01 | 1 |
| Mayo aathr protein s free CPT 85306 | $210.60 | $351.00 | $13.79 – $13.79 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $186.60 | $311.00 | $13.30 – $13.30 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $373.80 | $623.00 | $12.10 – $12.10 | 1 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $277.20 | $462.00 | $82.49 – $82.49 | 1 |
| Mayo androstenedione CPT 82157 | $391.20 | $652.00 | $26.35 – $26.35 | 1 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $184.20 | $307.00 | $13.14 – $13.14 | 1 |
| Mayo antithrombin iii antigen CPT 85301 | $137.40 | $229.00 | $9.73 – $9.73 | 1 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $120.00 | $200.00 | $13.55 – $13.55 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $93.60 | $156.00 | $9.16 – $9.16 | 1 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $103.20 | $172.00 | $11.61 – $11.61 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $180.60 | $301.00 | $11.87 – $11.87 | 1 |
| Mayo brcmg brucella antibody igm CPT 86622 | $13.80 | $23.00 | $8.04 – $8.04 | 1 |
| Mayo ceruloplasmin CPT 82390 | $210.60 | $351.00 | $9.67 – $9.67 | 1 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $51.60 | $86.00 | $12.71 – $12.71 | 1 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $112.80 | $188.00 | $11.59 – $11.59 | 1 |
| Mayo chromium CPT 82495 | $247.20 | $412.00 | $18.25 – $18.25 | 1 |
| Mayo coccidioides antibody CPT 86635 | $85.20 | $142.00 | $10.32 – $10.32 | 1 |
| Mayo cortisol free CPT 82530 | $85.20 | $142.00 | $15.04 – $15.04 | 1 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $67.20 | $112.00 | $10.91 – $10.91 | 1 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $27.60 | $46.00 | $11.93 – $11.93 | 1 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $216.60 | $361.00 | $22.74 – $22.74 | 1 |
| Mayo estriol CPT 82677 | $127.80 | $213.00 | $21.76 – $21.76 | 1 |
| Mayo estrone CPT 82679 | $544.20 | $907.00 | $22.46 – $22.46 | 1 |
| Mayo factor ii CPT 85210 | $149.40 | $249.00 | $11.68 – $11.68 | 1 |
| Mayo factor v CPT 85220 | $640.20 | $1,067.00 | $15.89 – $15.89 | 1 |
| Mayo factor vii CPT 85230 | $640.20 | $1,067.00 | $16.11 – $16.11 | 1 |
| Mayo factor viii vw factor antigen CPT 85246 | $429.00 | $715.00 | $20.65 – $20.65 | 1 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $322.80 | $538.00 | $20.65 – $20.65 | 1 |
| Mayo factor x CPT 85260 | $640.20 | $1,067.00 | $16.11 – $16.11 | 1 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $339.60 | $566.00 | $19.50 – $19.50 | 1 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $82.80 | $138.00 | $24.45 – $24.45 | 1 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $24.60 | $41.00 | $13.49 – $13.49 | 1 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $90.60 | $151.00 | $18.73 – $18.73 | 1 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $445.20 | $742.00 | $14.46 – $14.46 | 1 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $525.60 | $876.00 | $38.56 – $38.56 | 1 |
| Mayo insft insulin free CPT 83527 | $66.60 | $111.00 | $11.66 – $11.66 | 1 |
| Mayo insulin antibodies CPT 86337 | $153.60 | $256.00 | $19.27 – $19.27 | 1 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $339.60 | $566.00 | $11.93 – $11.93 | 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.