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 |
|---|---|---|---|---|
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $1.50 | $3.00 | $0.81 – $0.81 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $490.50 | $981.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $119.50 | $239.00 | $41.81 – $41.81 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $682.00 | $1,364.00 | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | $566.00 | $1,132.00 | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $450.00 | $900.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $922.50 | $1,845.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | $576.00 | $1,152.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | $569.00 | $1,138.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | $524.50 | $1,049.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | $690.50 | $1,381.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | $703.00 | $1,406.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $983.00 | $1,966.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | $757.00 | $1,514.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $891.50 | $1,783.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | $654.50 | $1,309.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | $802.00 | $1,604.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | $1,072.50 | $2,145.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | $1,349.00 | $2,698.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,727.50 | $3,455.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $1,313.00 | $2,626.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $1,121.50 | $2,243.00 | not published | 0 |
| Knee X-ray CPT 73564 | $156.50 | $313.00 | not published | 0 |
| Kras gene addl variants CPT 81276 | $95.00 | $190.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $95.00 | $190.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $14.50 | $29.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $7.00 | $14.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $65.00 | $130.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $115.50 | $231.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $1,467.50 | $2,935.00 | not published | 0 |
| Laparo ablate renal cyst CPT 50541 | $945.50 | $1,891.00 | not published | 0 |
| Laparo-asst vag hysterectomy CPT 58550 | $912.50 | $1,825.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $1,205.00 | $2,410.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $809.00 | $1,618.00 | not published | 0 |
| Laparo partial colectomy 44204 CPT 44204 | $1,716.00 | $3,432.00 | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $463.50 | $927.00 | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | $941.50 | $1,883.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $1,188.50 | $2,377.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $816.50 | $1,633.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $413.50 | $827.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $381.50 | $763.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $962.00 | $1,924.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $751.50 | $1,503.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $1,193.00 | $2,386.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $688.00 | $1,376.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $960.50 | $1,921.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $557.00 | $1,114.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $732.00 | $1,464.00 | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | $684.50 | $1,369.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $1,168.00 | $2,336.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $997.50 | $1,995.00 | not published | 0 |
| Laparoscopy tubal block 58671 CPT 58671 | $382.00 | $764.00 | not published | 0 |
| Laparo sling operation 51992 CPT 51992 | $866.50 | $1,733.00 | not published | 0 |
| Laparo urethral suspension CPT 51990 | $769.50 | $1,539.00 | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | $1,036.50 | $2,073.00 | not published | 0 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $1,357.50 | $2,715.00 | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | $1,785.00 | $3,570.00 | not published | 0 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $1,933.50 | $3,867.00 | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $2,102.50 | $4,205.00 | not published | 0 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $1,435.00 | $2,870.00 | not published | 0 |
| Lap colostomy 44188 CPT 44188 | $1,319.00 | $2,638.00 | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | $1,517.00 | $3,034.00 | not published | 0 |
| Lap enterolysis CPT 44180 | $1,016.00 | $2,032.00 | not published | 0 |
| Lap ing hernia repair init CPT 49650 | $488.00 | $976.00 | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | $634.50 | $1,269.00 | not published | 0 |
| Lap insert tunnel ip cath CPT 49324 | $429.50 | $859.00 | not published | 0 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $196.50 | $393.00 | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | $1,693.00 | $3,386.00 | not published | 0 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,878.50 | $3,757.00 | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,067.00 | $2,134.00 | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $1,202.00 | $2,404.00 | not published | 0 |
| Laps pelvic lymphadec CPT 38573 | $1,264.00 | $2,528.00 | not published | 0 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $205.00 | $410.00 | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $136.50 | $273.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $158.00 | $316.00 | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | $199.50 | $399.00 | not published | 0 |
| Laser surgery eye strands CPT 67031 | $333.50 | $667.00 | not published | 0 |
| Laser surgery of prostate CPT 52648 | $723.50 | $1,447.00 | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | $100.50 | $201.00 | not published | 0 |
| Lat retinacular release open CPT 27425 | $491.00 | $982.00 | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | $1,152.00 | $2,304.00 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $772.00 | $1,544.00 | not published | 0 |
| Lead capillary CPT 83655 | $117.50 | $235.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $458.00 | $916.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $75.00 | $150.00 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $256.50 | $513.00 | $299.15 – $299.15 | 1 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,607.50 | $5,215.00 | $2,581.59 – $2,581.59 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.00 | $4.00 | $0.08 – $0.08 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $31.00 | $62.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $3.50 | $7.00 | $1.50 – $1.50 | 1 |
| Ligate leg veins open CPT 37761 | $577.50 | $1,155.00 | not published | 0 |
| Ligate leg veins radical 37760 CPT 37760 | $637.00 | $1,274.00 | not published | 0 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $77.00 | $154.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $506.00 | $1,012.00 | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | $433.50 | $867.00 | not published | 0 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $381.50 | $763.00 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $216.00 | $432.00 | not published | 0 |
| Ligation common iliac vein CPT 37660 | $1,448.50 | $2,897.00 | 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.