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 |
|---|---|---|---|---|
| Mayo lipoprotein electrophoresis CPT 83700 | $243.00 | $405.00 | $10.13 – $10.13 | 1 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $77.40 | $129.00 | $13.94 – $13.94 | 1 |
| Mayo metanephrines plasma CPT 83835 | $218.40 | $364.00 | $15.25 – $15.25 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $168.00 | $280.00 | $10.85 – $10.85 | 1 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $25.80 | $43.00 | $16.56 – $16.56 | 1 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $208.20 | $347.00 | $13.10 – $13.10 | 1 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $27.60 | $46.00 | $16.78 – $16.78 | 1 |
| Mayo muramidase CPT 85549 | $120.00 | $200.00 | $16.88 – $16.88 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $492.00 | $820.00 | $19.09 – $19.09 | 1 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $39.60 | $66.00 | $13.53 – $13.53 | 1 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $648.00 | $1,080.00 | $31.58 – $31.58 | 1 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $88.80 | $148.00 | $16.18 – $16.18 | 1 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $199.20 | $332.00 | $12.38 – $12.38 | 1 |
| Mayo proinsulin CPT 84206 | $216.60 | $361.00 | $24.02 – $24.02 | 1 |
| Mayo psaft prostate specific antigen free CPT 84154 | $188.40 | $314.00 | $16.55 – $16.55 | 1 |
| Mayo renin CPT 84244 | $443.40 | $739.00 | $19.79 – $19.79 | 1 |
| Mayo selenium CPT 84255 | $325.80 | $543.00 | $22.98 – $22.98 | 1 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $97.80 | $163.00 | $12.36 – $12.36 | 1 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $67.80 | $113.00 | $3.84 – $3.84 | 1 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $671.40 | $1,119.00 | $188.03 – $188.03 | 1 |
| Mayo tgrp testosterone free CPT 84402 | $58.20 | $97.00 | $22.92 – $22.92 | 1 |
| Mayo tgrp testosterone total CPT 84403 | $47.40 | $79.00 | $23.23 – $23.23 | 1 |
| Mayo thyroglobulin CPT 84432 | $526.20 | $877.00 | $14.45 – $14.45 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $40.20 | $67.00 | $46.15 – $46.15 | 1 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $27.60 | $46.00 | $12.19 – $12.19 | 1 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $310.20 | $517.00 | $18.22 – $18.22 | 1 |
| Mayo vitamin b3 (niacin) CPT 84591 | $397.20 | $662.00 | $15.35 – $15.35 | 1 |
| Mayo vitamin k CPT 84597 | $579.00 | $965.00 | $12.35 – $12.35 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $119.70 | $199.50 | $0.37 – $0.37 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $148.80 | $248.00 | $7.61 – $7.61 | 1 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $172.80 | $288.00 | $9.50 – $9.50 | 1 |
| Metabolic panel ionized ca CPT 80047 | $151.20 | $252.00 | $12.36 – $12.36 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $39.00 | $65.00 | $0.11 – $0.11 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $33.00 | $55.00 | $0.24 – $0.24 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.40 | $19.00 | $0.95 – $0.95 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $5.40 | $9.00 | $0.13 – $0.13 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $9.60 | $16.00 | $0.03 – $0.03 | 1 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $361.20 | $602.00 | $0.26 – $0.26 | 1 |
| Microalbumin urine screen CPT 82044 | $54.00 | $90.00 | $5.61 – $5.61 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $27.00 | $45.00 | $0.17 – $0.17 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $10.20 | $17.00 | $4.45 – $4.45 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $9.60 | $16.00 | $8.34 – $8.34 | 1 |
| Mumps antibody igg CPT 86735 | $383.40 | $639.00 | $11.75 – $11.75 | 1 |
| Mycoplasma antibody igm CPT 86738 | $432.60 | $721.00 | $11.92 – $11.92 | 1 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $155.40 | $259.00 | $10.38 – $10.38 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $110.40 | $184.00 | $0.07 – $0.07 | 1 |
| Natriuretic peptide CPT 83880 | $230.40 | $384.00 | $35.33 – $35.33 | 1 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $103.20 | $172.00 | $0.07 – $0.07 | 1 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $1.20 | $2.00 | $0.09 – $0.09 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $53.40 | $89.00 | $8.22 – $8.22 | 1 |
| Osmolality blood CPT 83930 | $181.20 | $302.00 | $5.95 – $5.95 | 1 |
| Osmolality urine CPT 83935 | $116.40 | $194.00 | $6.14 – $6.14 | 1 |
| Parathormone (pth) intact CPT 83970 | $469.80 | $783.00 | $37.15 – $37.15 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $202.80 | $338.00 | $13.77 – $13.77 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $199.20 | $332.00 | $11.93 – $11.93 | 1 |
| Phosphorus CPT 84100 | $73.80 | $123.00 | $4.27 – $4.27 | 1 |
| Phosphorus 24 hour urine CPT 84105 | $71.40 | $119.00 | $5.20 – $5.20 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $16.80 | $28.00 | $3.16 – $3.16 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $26.40 | $44.00 | $1.09 – $1.09 | 1 |
| Platelet automated CPT 85049 | $61.20 | $102.00 | $4.03 – $4.03 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $303.60 | $506.00 | $23.46 – $23.46 | 1 |
| Potassium 24 hour urine CPT 84133 | $108.00 | $180.00 | $4.26 – $4.26 | 1 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $15.90 | $26.50 | $0.13 – $0.13 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $82.80 | $138.00 | $4.28 – $4.28 | 1 |
| Prealbumin CPT 84134 | $122.40 | $204.00 | $13.13 – $13.13 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.60 | $6.00 | $0.74 – $0.74 | 1 |
| Procalcitonin CPT 84145 | $382.80 | $638.00 | $24.50 – $24.50 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $62.40 | $104.00 | $3.33 – $3.33 | 1 |
| Progesterone CPT 84144 | $213.00 | $355.00 | $18.77 – $18.77 | 1 |
| Prolactin CPT 84146 | $223.20 | $372.00 | $17.44 – $17.44 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $86.40 | $144.00 | $0.09 – $0.09 | 1 |
| Protein c activity CPT 85303 | $126.00 | $210.00 | $12.46 – $12.46 | 1 |
| Protein s total CPT 85305 | $71.40 | $119.00 | $10.45 – $10.45 | 1 |
| Protein total 24 hour urine CPT 84156 | $111.00 | $185.00 | $3.30 – $3.30 | 1 |
| Protein total serum plasma whole blood CPT 84155 | $111.00 | $185.00 | $3.30 – $3.30 | 1 |
| PSA (Prostate) Test CPT 84153 | $184.20 | $307.00 | $16.55 – $16.55 | 1 |
| Quest t3 uptake CPT 84479 | $135.00 | $225.00 | $5.82 – $5.82 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | $13,679.40 | $22,799.00 | $242.18 – $242.18 | 1 |
| Rapid Strep Test CPT 87880 | $19.20 | $32.00 | $14.88 – $14.88 | 1 |
| Rbc count only automated CPT 85041 | $57.60 | $96.00 | $2.72 – $2.72 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $811.20 | $1,352.00 | $2.90 – $2.90 | 1 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,909.80 | $3,183.00 | $6.90 – $6.90 | 1 |
| Renal function panel CPT 80069 | $213.60 | $356.00 | $7.81 – $7.81 | 1 |
| Reticulocyte automated CPT 85045 | $39.60 | $66.00 | $3.59 – $3.59 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $30.60 | $51.00 | $5.53 – $5.53 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $230.40 | $384.00 | $5.10 – $5.10 | 1 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,042.60 | $5,071.00 | $12.19 – $12.19 | 1 |
| Rubella antibody igg CPT 86762 | $121.80 | $203.00 | $12.95 – $12.95 | 1 |
| Rubeola antibody igg CPT 86765 | $121.80 | $203.00 | $11.59 – $11.59 | 1 |
| Russell viper venom diluted CPT 85613 | $301.20 | $502.00 | $8.62 – $8.62 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $67.80 | $113.00 | $2.43 – $2.43 | 1 |
| Sickling rbc CPT 85660 | $89.40 | $149.00 | $4.96 – $4.96 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $545.40 | $909.00 | $108.20 – $108.20 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $205.80 | $343.00 | $4.85 – $4.85 | 1 |
| Smear gram stain CPT 87205 | $12.00 | $20.00 | $3.84 – $3.84 | 1 |
| Sodium 24 hour urine CPT 84300 | $108.00 | $180.00 | $4.55 – $4.55 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $89.40 | $149.00 | $4.33 – $4.33 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $67.20 | $112.00 | $4.28 – $4.28 | 1 |
| Susceptibility mic per plate CPT 87186 | $200.40 | $334.00 | $7.79 – $7.79 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $37.20 | $62.00 | $3.96 – $3.96 | 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.