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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $293.00 | $586.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $602.50 | $1,205.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $190.00 | $380.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,021.00 | $2,042.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $265.50 | $531.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $181.50 | $363.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $283.00 | $566.00 | not published | 0 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $36.50 | $73.00 | $27.56 – $27.56 | 1 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $266.50 | $533.00 | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $156.50 | $313.00 | not published | 0 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $338.00 | $676.00 | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $159.00 | $318.00 | not published | 0 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $185.00 | $370.00 | not published | 0 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $87.00 | $174.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $295.50 | $591.00 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $122.50 | $245.00 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $38.50 | $77.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $8.50 | $17.00 | $9.70 – $9.70 | 1 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10.00 | $20.00 | $11.24 – $11.24 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $69,210.00 | $138,420.00 | $101,970.00 – $101,970.00 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $344.00 | $688.00 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $27.50 | $55.00 | $28.35 – $28.35 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | $157.50 | $315.00 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $292.50 | $585.00 | $279.68 – $279.68 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $68.50 | $137.00 | $65.77 – $65.77 | 1 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $304.00 | $608.00 | $340.25 – $340.25 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | $2.00 | $4.00 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $12.50 | $25.00 | $12.16 – $12.16 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | $265.50 | $531.00 | not published | 0 |
| Inj dupuytren cord w/enzyme CPT 20527 | $294.00 | $588.00 | not published | 0 |
| Inj, durolane 1 mg HCPCS J7318 | $28.00 | $56.00 | $10.13 – $10.13 | 1 |
| Inj dx for sinogram CPT 20501 | $36.00 | $72.00 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | $845.50 | $1,691.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $676.50 | $1,353.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $456.50 | $913.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $294.00 | $588.00 | not published | 0 |
| Injection, casimersen, 10 mg HCPCS J1426 | $181.00 | $362.00 | $274.28 – $274.28 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $676.00 | $1,352.00 | not published | 0 |
| Injection eye drug CPT 67028 | $84.50 | $169.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $818.50 | $1,637.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $81.50 | $163.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $276.50 | $553.00 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $18.00 | $36.00 | $20.01 – $20.01 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | $208.00 | $416.00 | not published | 0 |
| Injection jugular CPT 36299 | $118.50 | $237.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $10.00 | $20.00 | $10.44 – $10.44 | 1 |
| Injection px peyronie ds CPT 54200 | $239.50 | $479.00 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $32.00 | $64.00 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $676.50 | $1,353.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $678.50 | $1,357.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $679.00 | $1,358.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $114.00 | $228.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $96.50 | $193.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $169.00 | $338.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $82.50 | $165.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $144.50 | $289.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,073.00 | $2,146.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $108.00 | $216.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $294.00 | $588.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $294.00 | $588.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $294.00 | $588.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $58.50 | $117.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $58.50 | $117.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $148.00 | $296.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $70.00 | $140.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $676.50 | $1,353.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $62.50 | $125.00 | not published | 0 |
| Inject/treat eye socket CPT 67515 | $304.50 | $609.00 | not published | 0 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $49.00 | $98.00 | $53.20 – $53.20 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,073.00 | $2,146.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $871.00 | $1,742.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $2.50 | $5.00 | $1.86 – $1.86 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $36.00 | $72.00 | $59.55 – $59.55 | 1 |
| Inj for ext venography CPT 36005 | $49.50 | $99.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $192.00 | $384.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | $19.00 | $38.00 | $20.15 – $20.15 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $55.00 | $110.00 | $79.68 – $79.68 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $765.50 | $1,531.00 | not published | 0 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $79.00 | $158.00 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $160.00 | $320.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $127.00 | $254.00 | not published | 0 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $67.50 | $135.00 | not published | 0 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $226.00 | $452.00 | $249.91 – $249.91 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $17.00 | $34.00 | $19.17 – $19.17 | 1 |
| Inj proc for lymphang CPT 38790 | $86.00 | $172.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $162.00 | $324.00 | not published | 0 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.50 | $3.00 | $1.29 – $1.29 | 1 |
| Inj retro urethrocysto CPT 51610 | $65.00 | $130.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $19.50 | $39.00 | $21.50 – $21.50 | 1 |
| Inj scleros sol mult veins CPT 36471 | $80.00 | $160.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $40.50 | $81.00 | not published | 0 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $59.00 | $118.00 | not published | 0 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $86.00 | $172.00 | $133.29 – $133.29 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $541.00 | $1,082.00 | $541.20 – $541.20 | 1 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.50 | $1.00 | $0.08 – $0.08 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $0.50 | $1.00 | $0.05 – $0.05 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $79.00 | $158.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $714.00 | $1,428.00 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $32.50 | $65.00 | $28.94 – $28.94 | 1 |
| Inj, trivisc 1 mg HCPCS J7329 | $25.00 | $50.00 | $13.05 – $13.05 | 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.