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 |
|---|---|---|---|---|
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,686.00 | $3,372.00 | $1,004.87 – $1,004.87 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $119.50 | $239.00 | $50.16 – $50.16 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $10.00 | $20.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $119.50 | $239.00 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $666.50 | $1,333.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $119.50 | $239.00 | $64.45 – $64.45 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $353.00 | $706.00 | $171.22 – $171.22 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $119.50 | $239.00 | $224.93 – $224.93 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $119.50 | $239.00 | $74.25 – $74.25 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $2,127.50 | $4,255.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $166.00 | $332.00 | not published | 0 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $2,105.50 | $4,211.00 | not published | 0 |
| Gstrst open wo constj tube CPT 43830 | $783.50 | $1,567.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $138.50 | $277.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $476.00 | $952.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.50 | $3.00 | $2.34 – $2.34 | 1 |
| Hand X-ray CPT 73130 | $127.00 | $254.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $49.00 | $98.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | $76.50 | $153.00 | not published | 0 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $375.00 | $750.00 | not published | 0 |
| Harvest vein for bypass 35500 CPT 35500 | $351.00 | $702.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $827.50 | $1,655.00 | not published | 0 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $279.50 | $559.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $707.00 | $1,414.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $675.00 | $1,350.00 | not published | 0 |
| Hb glycosylated a1c home dev CPT 83037 | $15.50 | $31.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $20.00 | $40.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $42.50 | $85.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $137.00 | $274.00 | not published | 0 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $328.50 | $657.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $725.00 | $1,450.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $596.00 | $1,192.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $480.00 | $960.00 | not published | 0 |
| Hemoglobin CPT 85018 | $20.00 | $40.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $69.00 | $138.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $38.00 | $76.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $215.50 | $431.00 | not published | 0 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $431.00 | $862.00 | not published | 0 |
| Heparin assay CPT 85520 | $317.50 | $635.00 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.00 | $2.00 | $0.03 – $0.03 | 1 |
| Hepatitis a antibody igm CPT 86709 | $51.00 | $102.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $65.50 | $131.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $89.00 | $178.00 | not published | 0 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $249.00 | $498.00 | $227.52 – $227.52 | 1 |
| Hepatitis b surface antibody CPT 86706 | $72.00 | $144.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $51.00 | $102.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $602.00 | $1,204.00 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $723.00 | $1,446.00 | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $30.00 | $60.00 | not published | 0 |
| Herpes simplex 2 ag if CPT 87273 | $59.00 | $118.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $44.50 | $89.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $65.50 | $131.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $30.00 | $60.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $27.50 | $55.00 | not published | 0 |
| High inten beh couns std 30m HCPCS G0445 | $30.50 | $61.00 | not published | 0 |
| Hip X-ray CPT 73502 | $154.00 | $308.00 | not published | 0 |
| Histamine CPT 83088 | $54.50 | $109.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $21.00 | $42.00 | not published | 0 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $10.50 | $21.00 | $12.77 – $12.77 | 1 |
| Hla class i high defin qual CPT 86832 | $497.00 | $994.00 | not published | 0 |
| Hla class ii high defin qual CPT 86833 | $431.50 | $863.00 | not published | 0 |
| Hla class i&ii antibody qual CPT 86828 | $135.00 | $270.00 | not published | 0 |
| Hla i & ii typing hr CPT 81378 | $804.00 | $1,608.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $276.00 | $552.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $125.00 | $250.00 | not published | 0 |
| Home health care supervision HCPCS G0181 | $120.50 | $241.00 | not published | 0 |
| Home health re-certification physician g0179 HCPCS G0179 | $47.00 | $94.00 | not published | 0 |
| Home/res vst est high mdm 60 CPT 99350 | $215.50 | $431.00 | not published | 0 |
| Home/res vst est mod mdm 40 CPT 99349 | $147.50 | $295.00 | not published | 0 |
| Home/res vst est sf mdm 20 CPT 99347 | $51.00 | $102.00 | not published | 0 |
| Home/res vst new high mdm 75 CPT 99345 | $234.00 | $468.00 | not published | 0 |
| Home/res vst new low mdm 30 CPT 99342 | $88.00 | $176.00 | not published | 0 |
| Home/res vst new mod mdm 60 CPT 99344 | $163.50 | $327.00 | not published | 0 |
| Home/res vst new sf mdm 15 CPT 99341 | $54.50 | $109.00 | not published | 0 |
| Home visit est patient 99348 CPT 99348 | $87.50 | $175.00 | not published | 0 |
| Homocysteine CPT 83090 | $47.50 | $95.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $48.00 | $96.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $85.00 | $170.00 | not published | 0 |
| Hpv combo assay ca screen HCPCS G0476 | $73.50 | $147.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $60.00 | $120.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,134.00 | $2,268.00 | not published | 0 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $1.00 | $2.00 | $0.83 – $0.83 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $0.50 | $1.00 | $0.59 – $0.59 | 1 |
| Hydration IV infusion each additional hour CPT 96361 | $190.00 | $380.00 | $27.00 – $27.00 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $238.00 | $476.00 | $69.00 – $69.00 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1.00 | $2.00 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $27.50 | $55.00 | $16.35 – $16.35 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $233.50 | $467.00 | not published | 0 |
| Hyperbaric oxygen therapy CPT 99183 | $125.00 | $250.00 | not published | 0 |
| Hypnotherapy CPT 90880 | $90.50 | $181.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $259.50 | $519.00 | not published | 0 |
| Hysteroscopy biopsy CPT 58558 | $257.50 | $515.00 | not published | 0 |
| Hysteroscopy dx sep proc CPT 58555 | $167.50 | $335.00 | not published | 0 |
| Hysteroscopy remove fb CPT 58562 | $228.00 | $456.00 | not published | 0 |
| Hysteroscopy remove myoma CPT 58561 | $369.50 | $739.00 | not published | 0 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $261.50 | $523.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $92.50 | $185.00 | $185.00 – $185.00 | 1 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $32.50 | $65.00 | 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.