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 |
|---|---|---|---|---|
| T3 (triiodothyronine) free CPT 84481 | $353.40 | $589.00 | $15.25 – $15.25 | 1 |
| T3 (triiodothyronine) total CPT 84480 | $202.80 | $338.00 | $12.76 – $12.76 | 1 |
| T4 (thyroxine) free CPT 84439 | $189.00 | $315.00 | $8.12 – $8.12 | 1 |
| T4 (thyroxine) total CPT 84436 | $189.00 | $315.00 | $6.18 – $6.18 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.60 | $16.00 | $0.23 – $0.23 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $132.60 | $221.00 | $12.36 – $12.36 | 1 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $132.60 | $221.00 | $55.78 – $55.78 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $273.00 | $455.00 | $42.28 – $42.28 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $21,126.00 | $35,210.00 | $197.44 – $197.44 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $141.00 | $235.00 | $12.73 – $12.73 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $17.40 | $29.00 | $1.55 – $1.55 | 1 |
| Thrombin time CPT 85670 | $76.80 | $128.00 | $5.19 – $5.19 | 1 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $208.80 | $348.00 | $5.82 – $5.82 | 1 |
| Thyroglobulin antibody CPT 86800 | $556.80 | $928.00 | $14.32 – $14.32 | 1 |
| Thyroid (TSH) Test CPT 84443 | $184.20 | $307.00 | $15.12 – $15.12 | 1 |
| Toxoplasma antibody igg CPT 86777 | $216.60 | $361.00 | $12.95 – $12.95 | 1 |
| Toxoplasma antibody igm CPT 86778 | $505.80 | $843.00 | $12.97 – $12.97 | 1 |
| Transferrin CPT 84466 | $120.60 | $201.00 | $11.48 – $11.48 | 1 |
| Treponema pallidum antibody CPT 86780 | $192.60 | $321.00 | $11.92 – $11.92 | 1 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $31.80 | $53.00 | $0.90 – $0.90 | 1 |
| Triglycerides CPT 84478 | $95.40 | $159.00 | $5.17 – $5.17 | 1 |
| Troponin quantitative CPT 84484 | $171.60 | $286.00 | $11.22 – $11.22 | 1 |
| Urea nitrogen CPT 84520 | $73.80 | $123.00 | $3.56 – $3.56 | 1 |
| Uric acid blood CPT 84550 | $67.80 | $113.00 | $4.07 – $4.07 | 1 |
| Urinalysis microscopic only CPT 81015 | $58.20 | $97.00 | $2.75 – $2.75 | 1 |
| Urinalysis (with microscopy) CPT 81001 | $61.20 | $102.00 | $2.85 – $2.85 | 1 |
| Urinalysis (without microscopy) CPT 81003 | $58.20 | $97.00 | $2.03 – $2.03 | 1 |
| Urine Culture Test CPT 87086 | $127.80 | $213.00 | $7.26 – $7.26 | 1 |
| Urine pregnancy test CPT 81025 | $142.20 | $237.00 | $7.75 – $7.75 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $589.50 | $982.50 | $168.37 – $168.37 | 1 |
| Vaccine rabies im CPT 90675 | $1,326.00 | $2,210.00 | $315.22 – $315.22 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $173.40 | $289.00 | $39.48 – $39.48 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $27.60 | $46.00 | $12.19 – $12.19 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $66.00 | $110.00 | $0.03 – $0.03 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $192.60 | $321.00 | $12.19 – $12.19 | 1 |
| Varicella zoster antibody igg CPT 86787 | $297.00 | $495.00 | $11.59 – $11.59 | 1 |
| Vitamin b-12 CPT 82607 | $223.20 | $372.00 | $13.57 – $13.57 | 1 |
| Vitamin D Test CPT 82306 | $255.00 | $425.00 | $26.64 – $26.64 | 1 |
| Warde 1003990 aldosterone CPT 82088 | $87.00 | $145.00 | $36.68 – $36.68 | 1 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $110.40 | $184.00 | $22.73 – $22.73 | 1 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $218.40 | $364.00 | $13.95 – $13.95 | 1 |
| Warde 1015200 kappa light chain free CPT 83521 | $294.00 | $490.00 | $15.54 – $15.54 | 1 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $34.20 | $57.00 | $7.22 – $7.22 | 1 |
| Warde 3016000 west nile virus antibody CPT 86788 | $100.80 | $168.00 | $15.17 – $15.17 | 1 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $100.80 | $168.00 | $12.95 – $12.95 | 1 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $73.20 | $122.00 | $11.03 – $11.03 | 1 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $165.60 | $276.00 | $8.01 – $8.01 | 1 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $82.80 | $138.00 | $16.18 – $16.18 | 1 |
| Warde 3400852 arsenic CPT 82175 | $260.40 | $434.00 | $17.07 – $17.07 | 1 |
| Warde 3708165 mercury urine CPT 83825 | $181.20 | $302.00 | $14.63 – $14.63 | 1 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $15.00 | $25.00 | $10.85 – $10.85 | 1 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $602.40 | $1,004.00 | $34.76 – $34.76 | 1 |
| Warde aldolase CPT 82085 | $127.80 | $213.00 | $8.74 – $8.74 | 1 |
| Warde amiodarone therapeutic drug level CPT 80151 | $1,205.40 | $2,009.00 | $16.78 – $16.78 | 1 |
| Warde analysis gene hfe common variants CPT 81256 | $461.40 | $769.00 | $58.82 – $58.82 | 1 |
| Warde apolipoprotein b CPT 82172 | $165.60 | $276.00 | $18.98 – $18.98 | 1 |
| Warde cadmium blood CPT 82300 | $319.20 | $532.00 | $21.28 – $21.28 | 1 |
| Warde clozapine therapeutic drug level CPT 80159 | $57.60 | $96.00 | $18.14 – $18.14 | 1 |
| Warde collagen cross links c-telopeptide CPT 82523 | $113.40 | $189.00 | $16.81 – $16.81 | 1 |
| Warde complement total hemolytic CPT 86162 | $438.00 | $730.00 | $18.29 – $18.29 | 1 |
| Warde copper CPT 82525 | $30.00 | $50.00 | $11.17 – $11.17 | 1 |
| Warde cryoglobulin CPT 82595 | $20.40 | $34.00 | $5.82 – $5.82 | 1 |
| Warde erythropoietin CPT 82668 | $104.40 | $174.00 | $16.91 – $16.91 | 1 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $27.00 | $45.00 | $10.88 – $10.88 | 1 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $164.40 | $274.00 | $8.73 – $8.73 | 1 |
| Warde gastrin CPT 82941 | $301.20 | $502.00 | $15.87 – $15.87 | 1 |
| Warde growth hormone (hgh) CPT 83003 | $67.80 | $113.00 | $15.00 – $15.00 | 1 |
| Warde hepatitis a antibody CPT 86708 | $149.40 | $249.00 | $11.15 – $11.15 | 1 |
| Warde hepatitis be antibody CPT 86707 | $149.40 | $249.00 | $10.41 – $10.41 | 1 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $150.00 | $250.00 | $10.38 – $10.38 | 1 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $993.60 | $1,656.00 | $231.71 – $231.71 | 1 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $246.60 | $411.00 | $21.21 – $21.21 | 1 |
| Warde lipoprotein (a) CPT 83695 | $114.00 | $190.00 | $12.89 – $12.89 | 1 |
| Warde mitochondrial antibody each CPT 86381 | $15.00 | $25.00 | $22.91 – $22.91 | 1 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $339.60 | $566.00 | $11.93 – $11.93 | 1 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $234.60 | $391.00 | $20.67 – $20.67 | 1 |
| Warde protein c antigen CPT 85302 | $199.80 | $333.00 | $10.81 – $10.81 | 1 |
| Warde sex hormone binding globulin CPT 84270 | $126.00 | $210.00 | $19.56 – $19.56 | 1 |
| Warde somatomedin CPT 84305 | $166.80 | $278.00 | $19.13 – $19.13 | 1 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $200.40 | $334.00 | $14.18 – $14.18 | 1 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $388.80 | $648.00 | $45.77 – $45.77 | 1 |
| Warde topiramate therapeutic drug level CPT 80201 | $164.40 | $274.00 | $10.73 – $10.73 | 1 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $67.20 | $112.00 | $23.46 – $23.46 | 1 |
| Warde vitamin a CPT 84590 | $67.20 | $112.00 | $10.45 – $10.45 | 1 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $272.40 | $454.00 | $19.11 – $19.11 | 1 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $209.40 | $349.00 | $25.29 – $25.29 | 1 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $128.40 | $214.00 | $8.90 – $8.90 | 1 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $159.00 | $265.00 | $34.65 – $34.65 | 1 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $91.20 | $152.00 | $12.76 – $12.76 | 1 |
| Warde zinc CPT 84630 | $159.00 | $265.00 | $10.25 – $10.25 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $166.80 | $278.00 | $5.87 – $5.87 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $952.20 | $1,587.00 | $30.88 – $30.88 | 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.