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 |
|---|---|---|---|---|
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $10.50 | $21.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.50 | $1.00 | $0.20 – $0.20 | 1 |
| Dexamethasone intra implant HCPCS J7312 | $294.50 | $589.00 | $339.26 – $339.26 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $100.00 | $200.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $75.00 | $150.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $24.00 | $48.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $354.00 | $708.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $428.00 | $856.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $44.50 | $89.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $286.50 | $573.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $204.50 | $409.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $164.00 | $328.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $209.50 | $419.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $97.00 | $194.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $39.00 | $78.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $65.00 | $130.00 | $69.86 – $69.86 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $137.50 | $275.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $82.50 | $165.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $76.50 | $153.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $239.50 | $479.00 | not published | 0 |
| Dilate urethra stricture CPT 53601 | $55.00 | $110.00 | not published | 0 |
| Dilate urethra stricture CPT 53605 | $65.00 | $130.00 | not published | 0 |
| Dilate urethra stricture CPT 53621 | $239.50 | $479.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $42.50 | $85.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $188.50 | $377.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $211.50 | $423.00 | not published | 0 |
| Dilation of urethra CPT 53661 | $41.00 | $82.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $668.00 | $1,336.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,005.50 | $2,011.00 | $1,123.35 – $1,123.35 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.00 | $2.00 | $2.00 – $2.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.50 | $3.00 | $1.32 – $1.32 | 1 |
| Disability dlco CPT 94727 | $207.50 | $415.00 | not published | 0 |
| Disaccharidases CPT 82657 | $415.00 | $830.00 | not published | 0 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $103.00 | $206.00 | not published | 0 |
| Dist revas ligation hemo CPT 36838 | $1,247.00 | $2,494.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $7.50 | $15.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1.00 | $2.00 | $1.65 – $1.65 | 1 |
| Doppler echo complete CPT 93320 | $19.50 | $39.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $272.00 | $544.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $268.00 | $536.00 | not published | 0 |
| Double transfer toe-hand CPT 26554 | $3,942.50 | $7,885.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $800.00 | $1,600.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $125.00 | $250.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $144.00 | $288.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $129.00 | $258.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | $239.50 | $479.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $109.00 | $218.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,586.50 | $3,173.00 | not published | 0 |
| Drainage of eye CPT 65800 | $81.00 | $162.00 | not published | 0 |
| Drainage of eye CPT 65815 | $448.50 | $897.00 | not published | 0 |
| Drainage of forearm bursa CPT 25031 | $402.00 | $804.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $227.00 | $454.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $352.00 | $704.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $121.50 | $243.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $732.50 | $1,465.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $194.00 | $388.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $128.00 | $256.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $211.00 | $422.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $194.50 | $389.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,193.50 | $2,387.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $192.50 | $385.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $415.00 | $830.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $363.50 | $727.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $342.50 | $685.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $275.00 | $550.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $546.50 | $1,093.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $192.50 | $385.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $325.50 | $651.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $141.50 | $283.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $708.00 | $1,416.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $119.50 | $239.00 | $73.19 – $73.19 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $916.50 | $1,833.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $586.00 | $1,172.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $111.50 | $223.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $201.50 | $403.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $678.50 | $1,357.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $208.50 | $417.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $183.50 | $367.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,202.50 | $2,405.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,747.00 | $3,494.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $119.50 | $239.00 | $21.43 – $21.43 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $153.50 | $307.00 | $22.13 – $22.13 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $613.00 | $1,226.00 | $15.31 – $15.31 | 1 |
| Drug assay rufinamide CPT 80210 | $51.00 | $102.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $455.00 | $910.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $119.50 | $239.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $96.00 | $192.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $160.00 | $320.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $163.00 | $326.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $423.00 | $846.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $197.00 | $394.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $37.00 | $74.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $200.00 | $400.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $149.50 | $299.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $295.00 | $590.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $417.50 | $835.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $136.50 | $273.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,011.00 | $4,022.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $138.50 | $277.00 | 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.