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 |
|---|---|---|---|---|
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $60.00 | $120.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $60.00 | $120.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $11.50 | $23.00 | $13.88 – $23.21 | 25 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,017.50 | $2,035.00 | $1,589.54 – $2,781.70 | 18 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $7,300.00 | $14,600.00 | $3,038.84 – $5,317.97 | 18 |
| Ligation/major artery/extremity 37618 CPT 37618 | $3,912.50 | $7,825.00 | $13,403.91 – $23,456.84 | 17 |
| Lig/band angioaccess av fistula CPT 37607 | $5,037.00 | $10,074.00 | $205.80 – $5,317.97 | 25 |
| Liletta, 52 mg HCPCS J7297 | $2,096.50 | $4,193.00 | $823.09 – $1,756.97 | 2 |
| Lincomycin injection HCPCS J2010 | $34.50 | $69.00 | $16.24 – $16.24 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $56.03 | $112.05 | $5.45 – $5.45 | 1 |
| Lipase CPT 83690 | $47.00 | $94.00 | $5.35 – $10.89 | 25 |
| Lipoprotein blood high res frac & quant CPT 83701 | $134.00 | $268.00 | $29.68 – $53.50 | 25 |
| Lipoprotein blood quant CPT 83704 | $50.00 | $100.00 | $32.31 – $54.02 | 25 |
| Lipoprotein direct measurement hdl CPT 83718 | $39.00 | $78.00 | $7.49 – $12.94 | 25 |
| Lipoprotein direct measurement ldl CPT 83721 | $25.00 | $50.00 | $9.92 – $16.59 | 25 |
| Lip surgery procedure CPT 40799 | $358.00 | $716.00 | $227.95 – $398.91 | 17 |
| Lithium therapeutic drug level CPT 80178 | $60.50 | $121.00 | $6.25 – $10.44 | 25 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $6,402.00 | $12,804.00 | $109.38 – $215.02 | 25 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $340.00 | $680.00 | $150.82 – $278.38 | 19 |
| Liver elastography 91200 CPT 91200 | $148.00 | $296.00 | $7.72 – $216.72 | 25 |
| Liver Function Test CPT 80076 | $38.00 | $76.00 | $7.72 – $12.91 | 25 |
| Liver imaging CPT 78201 | $605.50 | $1,211.00 | $15.18 – $914.50 | 25 |
| Liver imag w/vasclr flow CPT 78202 | $624.00 | $1,248.00 | $18.02 – $914.50 | 25 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $5,913.00 | $11,826.00 | $69.66 – $5,510.84 | 25 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $21.00 | $42.00 | $1.85 – $1.85 | 1 |
| Low back disk surgery CPT 63030 | $12,912.00 | $25,824.00 | $205.80 – $12,221.23 | 25 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,221.00 | $2,442.00 | $44.78 – $295.42 | 25 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,050.00 | $2,100.00 | $42.98 – $587.60 | 25 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $822.50 | $1,645.00 | $35.00 – $176.07 | 25 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,859.50 | $3,719.00 | $81.84 – $587.60 | 25 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,353.50 | $2,707.00 | $63.57 – $587.60 | 25 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,208.50 | $2,417.00 | $52.50 – $401.87 | 25 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $192.50 | $385.00 | $7.98 – $70.42 | 25 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $18,866.00 | $37,732.00 | $205.80 – $17,903.22 | 25 |
| Lumbar diskogram s&i CPT 72295 | $2,244.50 | $4,489.00 | $29.60 – $3,288.88 | 25 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $14,232.00 | $28,464.00 | $1,229.64 – $29,531.23 | 25 |
| Lung Function Test (Spirometry) CPT 94010 | $240.00 | $480.00 | $5.92 – $363.67 | 25 |
| Lung perfusion imaging CPT 78580 | $621.50 | $1,243.00 | $26.00 – $673.31 | 25 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $36,506.25 | $73,012.50 | $215.95 – $377.91 | 19 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $24,678.74 | $49,357.48 | $43.51 – $76.14 | 18 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $333.50 | $667.00 | $350.21 – $612.87 | 19 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $292.00 | $584.00 | $267.32 – $467.81 | 19 |
| Lymphatics/lymph node imaging CPT 78195 | $718.00 | $1,436.00 | $41.43 – $914.50 | 25 |
| Lymphocyte transformation mitogen CPT 86353 | $350.00 | $700.00 | $46.34 – $77.47 | 25 |
| Lysis intranasal synechia 30560 CPT 30560 | $1,405.25 | $2,810.50 | $37.45 – $908.35 | 25 |
| Lysis penil circumic lesion CPT 54162 | $2,403.00 | $4,806.00 | $165.58 – $3,520.70 | 25 |
| Magnesium CPT 83735 | $46.00 | $92.00 | $6.33 – $10.59 | 25 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.35 | $56.70 | $1.14 – $1.14 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $100.50 | $201.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $184.00 | $368.00 | not published | 0 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $453.50 | $907.00 | $42.15 – $312.06 | 25 |
| Mapping io sentinel lymph node CPT 38900 | $4,115.00 | $8,230.00 | $128.56 – $224.98 | 25 |
| Marker biop eviva buckle ss HCPCS A4648 | $501.50 | $1,003.00 | not published | 0 |
| Mastectomy partial CPT 19301 | $4,550.33 | $9,100.66 | $3,768.31 – $6,594.54 | 18 |
| Mast mod rad CPT 19307 | $11,680.00 | $23,360.00 | $6,390.66 – $11,183.66 | 18 |
| Mastoids complete CPT 70130 | $177.00 | $354.00 | $12.35 – $176.07 | 25 |
| Mastopexy CPT 19316 | $8,673.00 | $17,346.00 | $6,390.66 – $11,183.66 | 18 |
| Mast simple complete CPT 19303 | $16,687.34 | $33,374.67 | $6,390.66 – $11,183.66 | 18 |
| Matrion 1 sq cm HCPCS Q4201 | $566.50 | $1,133.00 | $126.52 – $221.41 | 19 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,776.57 | $3,553.13 | $30.61 – $221.41 | 19 |
| M.avium-intra dna amp prob CPT 87561 | $126.50 | $253.00 | $33.16 – $55.44 | 25 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $78.00 | $156.00 | $13.66 – $22.85 | 25 |
| Mayo aathr protein s free CPT 85306 | $71.00 | $142.00 | $14.48 – $24.21 | 25 |
| Mayo activated protein c resistance assay CPT 85307 | $56.00 | $112.00 | $14.48 – $24.21 | 25 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $455.00 | $910.00 | $36.45 – $60.94 | 25 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $112.00 | $224.00 | $12.58 – $12.58 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $91.00 | $182.00 | $12.58 – $12.58 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1.50 | $3.00 | $13.97 – $23.35 | 25 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $70.20 | $140.40 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $126.57 | $253.13 | $12.71 – $21.24 | 25 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $135.00 | $270.00 | $11.77 – $23.83 | 25 |
| 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 | $406.50 | $813.00 | $121.63 – $192.18 | 18 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $650.00 | $1,300.00 | $86.61 – $144.82 | 25 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $510.50 | $1,021.00 | $117.27 – $216.46 | 25 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,962.50 | $3,925.00 | $1,096.20 – $1,832.80 | 25 |
| Mayo androstenedione CPT 82157 | $147.50 | $295.00 | $26.75 – $46.26 | 25 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $14.50 | $29.00 | $13.80 – $23.07 | 25 |
| Mayo antithrombin iii antigen CPT 85301 | $18.50 | $37.00 | $10.22 – $17.08 | 25 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $112.50 | $225.00 | $14.23 – $23.78 | 25 |
| Mayo avwpr vw factor activity CPT 85397 | $139.50 | $279.00 | $28.14 – $48.76 | 19 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $133.00 | $266.00 | $30.03 – $55.44 | 25 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $61.00 | $122.00 | $13.33 – $13.33 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $37.00 | $74.00 | $9.62 – $16.08 | 25 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $256.00 | $512.00 | $136.88 – $228.85 | 25 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $37.50 | $75.00 | $12.19 – $20.38 | 25 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $77.00 | $154.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $286.00 | $572.00 | $12.46 – $20.84 | 25 |
| Mayo brcmg brucella antibody igm CPT 86622 | $21.50 | $43.00 | $8.44 – $14.11 | 25 |
| Mayo c1 esterase inhibitor CPT 83883 | $128.50 | $257.00 | $12.85 – $21.49 | 25 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $115.00 | $230.00 | $13.74 – $13.74 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $91.00 | $182.00 | $15.94 – $26.65 | 25 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $170.78 | $341.56 | $25.31 – $42.31 | 25 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $492.00 | $984.00 | $115.50 – $193.11 | 25 |
| Mayo ceruloplasmin CPT 82390 | $89.00 | $178.00 | $10.15 – $16.97 | 25 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $264.00 | $528.00 | $13.35 – $22.31 | 25 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $178.00 | $356.00 | $12.17 – $20.35 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $61.00 | $122.00 | $10.57 – $18.68 | 25 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $65.00 | $130.00 | $11.98 – $20.03 | 25 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $626.00 | $1,252.00 | $110.08 – $184.05 | 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.