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 |
|---|---|---|---|---|
| Cystourethro w/addl implant 52442 CPT 52442 | $53.00 | $106.00 | not published | 0 |
| Cystourethro w/implant CPT 52441 | $218.50 | $437.00 | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | $350.50 | $701.00 | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | $294.50 | $589.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $165.50 | $331.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $63.00 | $126.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $13.00 | $26.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $36.00 | $72.00 | not published | 0 |
| Cytopath fl nongyn filter CPT 88106 | $19.50 | $39.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $79.50 | $159.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $212.00 | $424.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $50.00 | $100.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $39.00 | $78.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $29.50 | $59.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $22.50 | $45.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $186.00 | $372.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $40.50 | $81.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $26.50 | $53.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $13.50 | $27.00 | $25.23 – $25.23 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.50 | $1.00 | $0.07 – $0.07 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $11.50 | $23.00 | $4.83 – $4.83 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $11.50 | $23.00 | $4.83 – $4.83 | 1 |
| D&c after delivery 59160 CPT 59160 | $199.00 | $398.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $240.50 | $481.00 | not published | 0 |
| Dch validity tests CPT 81002 | $9.50 | $19.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,870.50 | $3,741.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $50.50 | $101.00 | not published | 0 |
| Debr g/per/abd wall 11006 CPT 11006 | $745.00 | $1,490.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $28.00 | $56.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $27.00 | $54.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,582.00 | $3,164.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $57.50 | $115.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $101.00 | $202.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $389.50 | $779.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $90.50 | $181.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $99.00 | $198.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $307.50 | $615.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $422.50 | $845.00 | not published | 0 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $636.00 | $1,272.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $832.50 | $1,665.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $213.00 | $426.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $51.00 | $102.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $285.00 | $570.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $14.50 | $29.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $708.00 | $1,416.00 | not published | 0 |
| Decalcification CPT 88311 | $19.50 | $39.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $449.00 | $898.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $520.50 | $1,041.00 | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | $772.50 | $1,545.00 | not published | 0 |
| Decompress forearm 1 space CPT 25023 | $1,384.50 | $2,769.00 | not published | 0 |
| Decompression of leg CPT 27894 | $875.50 | $1,751.00 | not published | 0 |
| Decompression of lower leg CPT 27601 | $469.50 | $939.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $381.50 | $763.00 | not published | 0 |
| Decompress small bowel CPT 44021 | $1,069.00 | $2,138.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $171.50 | $343.00 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.00 | $12.00 | $6.91 – $6.91 | 1 |
| Delivery of placenta 59414 CPT 59414 | $100.50 | $201.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $711.50 | $1,423.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $113.50 | $227.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $45.50 | $91.00 | $41.58 – $41.58 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $200.00 | $400.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $119.50 | $239.00 | $83.19 – $83.19 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | $759.00 | $1,518.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $82.50 | $165.00 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $111.50 | $223.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $128.00 | $256.00 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $99.50 | $199.00 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $114.00 | $228.00 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $82.50 | $165.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $115.00 | $230.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $194.50 | $389.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $66.50 | $133.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,146.50 | $2,293.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $196.00 | $392.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $221.00 | $442.00 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $132.50 | $265.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $80.00 | $160.00 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $341.50 | $683.00 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $265.50 | $531.00 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $507.50 | $1,015.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $2.00 | $4.00 | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | $147.50 | $295.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $146.50 | $293.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $341.00 | $682.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $209.50 | $419.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $58.50 | $117.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $194.50 | $389.00 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $143.50 | $287.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $105.50 | $211.00 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $167.50 | $335.00 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $91.50 | $183.00 | not published | 0 |
| Destruction vag lesions complex 57065 CPT 57065 | $188.00 | $376.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $116.00 | $232.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $95.50 | $191.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $198.00 | $396.00 | not published | 0 |
| Determine refractive state CPT 92015 | $20.00 | $40.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $12.50 | $25.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $2,193.00 | $4,386.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 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.