Potomac Valley Hospital
100 Pin Oak Ln, Keyser, WV · Wvumedicine · · NPI 1912979873
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $152.00 | $304.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $152.00 | $304.00 | not published | 0 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $92.50 | $185.00 | not published | 0 |
| 1st psyc collab care mgmt CPT 99492 | $94.00 | $188.00 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $70.00 | $140.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $128.00 | $256.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $183.50 | $367.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $389.50 | $779.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $8.00 | $16.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $38.50 | $77.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $72.50 | $145.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $77.50 | $155.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $104.50 | $209.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $66.50 | $133.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $79.50 | $159.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $79.50 | $159.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $131.50 | $263.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $168.00 | $336.00 | not published | 0 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $1,327.00 | $2,654.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $247.00 | $494.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $267.50 | $535.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $308.50 | $617.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $868.00 | $1,736.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $720.00 | $1,440.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $615.00 | $1,230.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,740.50 | $3,481.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $1,313.00 | $2,626.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,132.00 | $2,264.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $878.50 | $1,757.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $457.50 | $915.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $442.00 | $884.00 | not published | 0 |
| Abdominoplasty 15830 CPT 15830 | $1,217.50 | $2,435.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,193.00 | $2,386.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $6,540.00 | $13,080.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $880.50 | $1,761.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $679.50 | $1,359.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $532.50 | $1,065.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $675.50 | $1,351.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $13.00 | $26.00 | $14.54 – $14.54 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,586.50 | $3,173.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $30.00 | $60.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $15.50 | $31.00 | $31.00 – $31.00 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | $50.00 | $100.00 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $48.50 | $97.00 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $177.00 | $354.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $158.00 | $316.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $152.00 | $304.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $152.00 | $304.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $50.50 | $101.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $170.50 | $341.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $153.00 | $306.00 | not published | 0 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $36.00 | $72.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | $678.00 | $1,356.00 | not published | 0 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $35.50 | $71.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $35.50 | $71.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $221.00 | $442.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $19.00 | $38.00 | not published | 0 |
| Adh-sendout CPT 84588 | $31.00 | $62.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $962.00 | $1,924.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,976.50 | $3,953.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4.00 | $8.00 | $0.92 – $0.92 | 1 |
| Admin ecg contrast agent CPT 93352 | $37.00 | $74.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $133.00 | $266.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $119.00 | $238.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $680.50 | $1,361.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $343.00 | $686.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $195.00 | $390.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $133.00 | $266.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $39.00 | $78.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $13.00 | $26.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $26.50 | $53.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $14.50 | $29.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $37.50 | $75.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $16.00 | $32.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $39.00 | $78.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $21.00 | $42.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $32.50 | $65.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $32.50 | $65.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $36.00 | $72.00 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $97.50 | $195.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $186.50 | $373.00 | not published | 0 |
| Aflibercept injection HCPCS J0178 | $847.00 | $1,694.00 | $1,422.76 – $1,422.76 | 1 |
| After cataract laser surgery CPT 66821 | $296.00 | $592.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $121.00 | $242.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $12.00 | $24.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $52.50 | $105.00 | $87.58 – $87.58 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $25.50 | $51.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $15.00 | $30.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.00 | $2.00 | $0.28 – $0.28 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $28.00 | $56.00 | not published | 0 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $36.00 | $72.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $18.00 | $36.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $13.00 | $26.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $138.00 | $276.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $12.50 | $25.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $45.00 | $90.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $4.00 | $8.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $119.50 | $239.00 | $187.57 – $187.57 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $0.01 | $0.01 | not published | 0 |
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.