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 |
|---|---|---|---|---|
| Ligation/divis of long saph vein 37700 CPT 37700 | $265.00 | $530.00 | not published | 0 |
| Ligation external carotid artery 37600 CPT 37600 | $765.50 | $1,531.00 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $818.50 | $1,637.00 | not published | 0 |
| Ligation internal jugular vein 37565 CPT 37565 | $760.00 | $1,520.00 | not published | 0 |
| Ligation major artery chest CPT 37616 | $1,256.00 | $2,512.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $427.50 | $855.00 | not published | 0 |
| Ligation major artery neck CPT 37615 | $529.00 | $1,058.00 | not published | 0 |
| Ligation of abdomen artery 37617 CPT 37617 | $1,433.00 | $2,866.00 | not published | 0 |
| Ligation of femoral vein CPT 37650 | $508.00 | $1,016.00 | not published | 0 |
| Ligation of inf vena cava CPT 37619 | $1,889.00 | $3,778.00 | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $273.00 | $546.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $406.50 | $813.00 | not published | 0 |
| Lig&div&compl strpg saph vn CPT 37735 | $643.50 | $1,287.00 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $1,398.00 | $2,796.00 | $1,756.97 – $1,756.97 | 1 |
| Limited visual field xm CPT 92081 | $17.50 | $35.00 | not published | 0 |
| Lincomycin injection HCPCS J2010 | $23.00 | $46.00 | $16.24 – $16.24 | 1 |
| Lipase CPT 83690 | $27.00 | $54.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $50.00 | $100.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $25.50 | $51.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $59.50 | $119.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $213.50 | $427.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $29.00 | $58.00 | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,336.00 | $2,672.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $340.00 | $680.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $123.00 | $246.00 | not published | 0 |
| Liver Function Test CPT 80076 | $38.00 | $76.00 | not published | 0 |
| Lmtd oph exam general anes CPT 92019 | $66.00 | $132.00 | not published | 0 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $494.00 | $988.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $3.00 | $6.00 | $1.85 – $1.85 | 1 |
| Low back disk surgery CPT 63030 | $4,834.00 | $9,668.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $860.50 | $1,721.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $771.50 | $1,543.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $630.00 | $1,260.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,755.00 | $3,510.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,228.00 | $2,456.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,133.00 | $2,266.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $159.00 | $318.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $849.50 | $1,699.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $45.00 | $90.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $387.00 | $774.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $609.50 | $1,219.00 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $278.00 | $556.00 | $479.23 – $479.23 | 1 |
| Lymphocyte transformation mitogen CPT 86353 | $350.00 | $700.00 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $208.50 | $417.00 | not published | 0 |
| Magnesium CPT 83735 | $31.50 | $63.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $88.00 | $176.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $88.50 | $177.00 | not published | 0 |
| Manipulat palm cord post inj CPT 26341 | $81.00 | $162.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $147.00 | $294.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $153.00 | $306.00 | not published | 0 |
| Mastectomy partial CPT 19301 | $733.50 | $1,467.00 | not published | 0 |
| Mast mod rad CPT 19307 | $1,306.00 | $2,612.00 | not published | 0 |
| Mastoids complete CPT 70130 | $210.00 | $420.00 | not published | 0 |
| Mast radical CPT 19305 | $1,270.50 | $2,541.00 | not published | 0 |
| Mast simple complete CPT 19303 | $1,065.00 | $2,130.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $595.00 | $1,190.00 | $163.00 – $163.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $119.50 | $239.00 | $30.61 – $30.61 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $19.00 | $38.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $187.00 | $374.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $56.00 | $112.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $455.00 | $910.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $20.00 | $40.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $91.00 | $182.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1.50 | $3.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $47.50 | $95.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $154.50 | $309.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $62.00 | $124.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $387.00 | $774.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $650.00 | $1,300.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $510.50 | $1,021.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,515.00 | $3,030.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $152.00 | $304.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $9.00 | $18.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $18.50 | $37.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $18.00 | $36.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $120.00 | $240.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $133.00 | $266.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $60.00 | $120.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $8.50 | $17.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $50.00 | $100.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $11.00 | $22.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $34.00 | $68.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $21.50 | $43.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $115.00 | $230.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $18.50 | $37.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $115.00 | $230.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $29.00 | $58.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $31.50 | $63.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $87.50 | $175.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $88.00 | $176.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $9.50 | $19.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $9.50 | $19.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $40.00 | $80.00 | not published | 0 |
| Mayo chromium CPT 82495 | $54.00 | $108.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $100.00 | $200.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $60.00 | $120.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $550.50 | $1,101.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $50.00 | $100.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $79.00 | $158.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $8.00 | $16.00 | 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.