Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $147.50 | $295.00 | $18.73 – $46.26 | 25 |
| 17-hydroxypregnenolone CPT 84143 | $147.50 | $295.00 | $21.56 – $36.04 | 25 |
| 1st psyc collab care mgmt CPT 99492 | $117.00 | $234.00 | $39.12 – $71.86 | 25 |
| 1st/sbsq psyc collab care CPT 99494 | $210.00 | $420.00 | $29.85 – $63.10 | 25 |
| 2nd order venous cath CPT 36012 | $3,285.00 | $6,570.00 | $122.52 – $280.21 | 25 |
| 3-d radiotherapy plan CPT 77295 | $1,791.00 | $3,582.00 | $168.57 – $2,331.21 | 25 |
| 3d recon without postprocess indpndt CPT 76376 | $456.00 | $912.00 | $6.95 – $16.08 | 25 |
| 5' nucleotidase - sendout CPT 83915 | $8.00 | $16.00 | $10.54 – $17.62 | 25 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $73.50 | $147.00 | $54.56 – $55.60 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $78.50 | $157.00 | $58.42 – $59.53 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $75.50 | $151.00 | $62.02 – $63.20 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $56.50 | $113.00 | $49.67 – $50.61 | 7 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $62.50 | $125.00 | $54.56 – $55.60 | 7 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $62.00 | $124.00 | $54.56 – $55.60 | 7 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $59.50 | $119.00 | $62.02 – $63.20 | 7 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $73.00 | $146.00 | $73.34 – $74.74 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $11,290.32 | $22,580.64 | $45.86 – $80.26 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $82.72 | $165.44 | $11.35 – $18.98 | 25 |
| Abd aorta w/runoff s&i CPT 75630 | $3,132.00 | $6,264.00 | $71.03 – $5,317.97 | 25 |
| Abd/low ext cath 1st CPT 36245 | $15,355.00 | $30,710.00 | $143.92 – $377.86 | 25 |
| Abd/low ext cath 2nd CPT 36246 | $24,357.50 | $48,715.00 | $205.80 – $408.71 | 25 |
| Abd/low ext cath 3rd CPT 36247 | $18,714.00 | $37,428.00 | $205.80 – $471.27 | 25 |
| Abd/low ext cath addl CPT 36248 | $4,162.00 | $8,324.00 | $42.53 – $209.72 | 25 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,247.00 | $2,494.00 | $47.87 – $295.42 | 25 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,050.00 | $2,100.00 | $45.03 – $295.42 | 25 |
| Abdominal CT scan (without contrast) CPT 74150 | $822.50 | $1,645.00 | $41.95 – $176.07 | 25 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,859.00 | $3,718.00 | $78.24 – $587.60 | 25 |
| Abdominal MRI (with contrast) CPT 74182 | $1,353.50 | $2,707.00 | $60.99 – $587.60 | 25 |
| Abdominal MRI (without contrast) CPT 74181 | $1,208.50 | $2,417.00 | $51.47 – $401.87 | 25 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,504.50 | $3,009.00 | $90.23 – $1,527.58 | 25 |
| Abdominal Ultrasound (complete) CPT 76700 | $438.00 | $876.00 | $28.57 – $70.42 | 25 |
| Abdominal Ultrasound (limited) CPT 76705 | $437.50 | $875.00 | $20.84 – $70.42 | 25 |
| Abdominoplasty 15830 CPT 15830 | $20,258.00 | $40,516.00 | $205.80 – $11,183.66 | 25 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,331.00 | $2,662.00 | $58.35 – $1,527.58 | 24 |
| Abl1 gene CPT 81170 | $297.00 | $594.00 | $282.06 – $474.00 | 25 |
| Ablate bone tumor(s) perq CPT 20982 | $14,180.50 | $28,361.00 | $205.80 – $29,531.23 | 25 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,783.50 | $3,567.00 | $40.66 – $2,613.26 | 25 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,314.00 | $2,628.00 | $40.66 – $2,613.26 | 25 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $291.50 | $583.00 | $123.84 – $216.72 | 18 |
| Ablation cryo abd perit om CPT 49999 | $5,376.00 | $10,752.00 | $872.90 – $1,527.58 | 18 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $1,829.00 | $3,658.00 | $237.40 – $415.45 | 18 |
| Ablation of upper extremity nerves rf CPT 64999 | $994.00 | $1,988.00 | $295.42 – $516.98 | 18 |
| Abobotulinumtoxina HCPCS J0586 | $9.00 | $18.00 | $8.95 – $15.66 | 19 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,884.50 | $7,769.00 | $185.78 – $2,781.70 | 25 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $14.18 | $28.35 | $0.08 – $0.08 | 1 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $5.54 | $11.07 | not published | 0 |
| Acetaminophen level CPT 80143 | $15.00 | $30.00 | $17.62 – $29.45 | 25 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $124.02 | $248.04 | $0.73 – $0.73 | 1 |
| Acetone qualitative CPT 82009 | $21.50 | $43.00 | $4.27 – $7.14 | 25 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $118.80 | $237.60 | $1.16 – $1.16 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | $6.42 | $12.84 | $11.27 – $11.27 | 1 |
| Acne surgery 10040 CPT 10040 | $281.00 | $562.00 | $77.24 – $135.17 | 18 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $182.00 | $364.00 | $121.21 – $290.64 | 25 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $110.50 | $221.00 | $94.96 – $228.23 | 25 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $117.00 | $234.00 | $27.56 – $68.46 | 25 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $65.00 | $130.00 | $25.47 – $53.74 | 25 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $942.50 | $1,885.00 | $36.54 – $76.51 | 25 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $204.50 | $409.00 | $67.68 – $119.58 | 25 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $214.50 | $429.00 | $51.26 – $97.82 | 25 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $23.50 | $47.00 | $6.69 – $63.10 | 25 |
| Acoustic refl threshold tst CPT 92568 | $43.00 | $86.00 | $10.17 – $62.90 | 25 |
| Acromp/acromionectomy prtl CPT 23130 | $2,628.00 | $5,256.00 | $3,149.05 – $5,510.84 | 18 |
| Actinotherapy uv light CPT 96900 | $48.00 | $96.00 | $16.73 – $62.90 | 25 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $39.00 | $78.00 | $27.79 – $48.70 | 25 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $29.00 | $58.00 | $18.02 – $36.59 | 25 |
| Acup 1/> without estim ea add 15 CPT 97811 | $37.50 | $75.00 | $17.76 – $36.00 | 25 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $39.00 | $78.00 | $23.16 – $48.70 | 25 |
| Acute hepatitis panel CPT 80074 | $221.00 | $442.00 | $45.01 – $75.26 | 25 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $6.53 | $13.05 | $0.10 – $0.10 | 1 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | $15.94 – $26.65 | 25 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,668.50 | $3,337.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $94.03 | $188.06 | $0.99 – $0.99 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $66.00 | $132.00 | $12.16 – $20.33 | 25 |
| Adh-sendout CPT 84588 | $31.00 | $62.00 | $32.08 – $53.63 | 25 |
| Adj gastric band via subq port CPT 43999 | $8,176.00 | $16,352.00 | $872.90 – $1,527.58 | 18 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $4,400.67 | $8,801.34 | $169.06 – $12,221.23 | 25 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $5,402.00 | $10,804.00 | $205.80 – $3,475.06 | 25 |
| Adjustment gastric band HCPCS S2083 | $122.50 | $245.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $40.26 | $80.51 | $0.54 – $0.54 | 1 |
| Admin ecg contrast agent CPT 93352 | $29.50 | $59.00 | $24.19 – $56.46 | 25 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $215.50 | $431.00 | $18.27 – $121.28 | 25 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $234.00 | $468.00 | $41.43 – $121.28 | 25 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $785.00 | $1,570.00 | $83.64 – $556.31 | 25 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $255.00 | $510.00 | $65.11 – $556.31 | 25 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $255.00 | $510.00 | $24.96 – $121.28 | 25 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $255.00 | $510.00 | $46.58 – $121.28 | 25 |
| Administration immunization 1 vaccine CPT 90471 | $49.00 | $98.00 | $12.60 – $48.49 | 25 |
| Administration immunization each additional component CPT 90461 | $60.00 | $120.00 | $6.44 – $14.91 | 25 |
| Administration immunization each additional vaccine CPT 90472 | $55.00 | $110.00 | $12.60 – $12.84 | 7 |
| Administration immunization first component each vaccine CPT 90460 | $39.00 | $78.00 | $16.47 – $37.97 | 25 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $35.50 | $71.00 | $11.83 – $121.28 | 25 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $12.50 | $25.00 | $8.49 – $20.26 | 25 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $86.50 | $173.00 | $16.21 – $48.51 | 25 |
| Administration vaccine hepatitis b HCPCS G0010 | $38.50 | $77.00 | $45.07 – $78.87 | 18 |
| Administration vaccine influenza virus HCPCS G0008 | $31.50 | $63.00 | $10.70 – $78.87 | 19 |
| Administration vaccine pneumococcal HCPCS G0009 | $48.00 | $96.00 | $10.70 – $78.87 | 19 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $86.50 | $173.00 | $13.64 – $38.71 | 25 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $12,578.12 | $25,156.24 | $43.63 – $76.35 | 19 |
| Adrenalin epinephrine inject HCPCS J0171 | $168.75 | $337.50 | $1.24 – $1.24 | 1 |
| Aep hearing status deter i&r CPT 92651 | $224.00 | $448.00 | $56.62 – $363.67 | 25 |
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.