Wetzel County Hospital
3 E Benjamin Dr, New Martinsville, WV · Wvumedicine · · NPI 1376175240
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 | $144.00 | $288.00 | $19.25 – $46.26 | 31 |
| 17-hydroxypregnenolone CPT 84143 | $144.00 | $288.00 | $21.56 – $36.04 | 31 |
| 17-ketosteroids CPT 83586 | $72.50 | $145.00 | $12.10 – $20.22 | 31 |
| 1st psyc collab care mgmt CPT 99492 | $100.00 | $200.00 | $70.52 – $181.76 | 31 |
| 1st/sbsq psyc collab care CPT 99494 | $41.50 | $83.00 | $29.85 – $63.10 | 30 |
| 3d recon without postprocess indpndt CPT 76376 | $533.00 | $1,066.00 | $6.95 – $16.08 | 30 |
| 5' nucleotidase - sendout CPT 83915 | $603.00 | $1,206.00 | $10.54 – $17.62 | 31 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $140.00 | $280.00 | $54.56 – $55.60 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $131.00 | $262.00 | $58.42 – $59.53 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $131.00 | $262.00 | $62.02 – $63.20 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $98.50 | $197.00 | $49.67 – $50.61 | 7 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $115.50 | $231.00 | $54.56 – $55.60 | 7 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $119.00 | $238.00 | $54.56 – $55.60 | 7 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $121.00 | $242.00 | $62.02 – $311.30 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $151.50 | $303.00 | $73.34 – $74.74 | 7 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $103.40 | $206.80 | $11.35 – $18.98 | 31 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,235.50 | $2,471.00 | $47.87 – $313.81 | 31 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,021.50 | $2,043.00 | $45.03 – $313.81 | 31 |
| Abdominal CT scan (without contrast) CPT 74150 | $867.50 | $1,735.00 | $41.95 – $187.02 | 31 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,730.00 | $5,460.00 | $78.24 – $624.16 | 31 |
| Abdominal MRI (without contrast) CPT 74181 | $1,269.00 | $2,538.00 | $51.47 – $426.88 | 31 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,729.00 | $3,458.00 | $92.76 – $1,622.65 | 31 |
| Abdominal Ultrasound (complete) CPT 76700 | $643.00 | $1,286.00 | $28.57 – $187.02 | 31 |
| Abdominal Ultrasound (limited) CPT 76705 | $456.00 | $912.00 | $20.84 – $187.02 | 31 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,172.00 | $2,344.00 | $59.98 – $1,622.65 | 31 |
| Abl1 gene CPT 81170 | $297.00 | $594.00 | $283.50 – $474.00 | 31 |
| Ablate bone tumor(s) perq CPT 20982 | $7,416.00 | $14,832.00 | $205.80 – $31,369.33 | 31 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,716.50 | $3,433.00 | $41.80 – $2,775.90 | 31 |
| Ablation cryo thigh/knee CPT 27599 | $272.00 | $544.00 | $252.17 – $441.30 | 24 |
| Ablation of upper extremity nerves rf CPT 64999 | $576.00 | $1,152.00 | $313.81 – $549.17 | 24 |
| Abobotulinumtoxina HCPCS J0586 | $9.00 | $18.00 | $8.95 – $15.66 | 25 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $89.10 | $178.20 | $0.08 – $0.08 | 1 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $0.30 | $0.59 | not published | 0 |
| Acetaminophen level CPT 80143 | $148.50 | $297.00 | $17.62 – $29.45 | 30 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $23.50 | $47.00 | $46.40 – $46.40 | 1 |
| Acetone qualitative CPT 82009 | $47.50 | $95.00 | $4.27 – $7.14 | 31 |
| Acetylcholine receptor modulating antibody CPT 86043 | $50.00 | $100.00 | $10.60 – $19.04 | 31 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $142.56 | $285.12 | $1.16 – $1.16 | 1 |
| Acne surgery 10040 CPT 10040 | $265.50 | $531.00 | $22.00 – $358.94 | 30 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $180.00 | $360.00 | $121.21 – $290.64 | 30 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $139.00 | $278.00 | $94.96 – $228.23 | 30 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $152.00 | $304.00 | $28.34 – $67.88 | 31 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $152.00 | $304.00 | $25.47 – $53.74 | 30 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $235.00 | $470.00 | $16.00 – $76.51 | 30 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $278.00 | $556.00 | $27.00 – $118.62 | 30 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $285.00 | $570.00 | $95.99 – $238.19 | 31 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $55.50 | $111.00 | $6.69 – $67.04 | 30 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $17.00 | $34.00 | $11.07 – $21.04 | 30 |
| Actinotherapy uv light CPT 96900 | $48.00 | $96.00 | $16.73 – $66.82 | 30 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $37.50 | $75.00 | $27.79 – $51.75 | 30 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $26.50 | $53.00 | $18.02 – $36.59 | 30 |
| Acup 1/> without estim ea add 15 CPT 97811 | $34.00 | $68.00 | $17.76 – $36.00 | 30 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $37.50 | $75.00 | $23.16 – $51.75 | 30 |
| Acute hepatitis panel CPT 80074 | $239.00 | $478.00 | $45.01 – $75.26 | 31 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $7.74 | $15.48 | $0.10 – $0.10 | 1 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | $15.94 – $26.65 | 30 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,506.50 | $3,013.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $53.70 | $107.40 | $0.99 – $0.99 | 1 |
| Adh-sendout CPT 84588 | $115.50 | $231.00 | $32.08 – $53.63 | 31 |
| Adj gastric band via subq port CPT 43999 | $1,084.00 | $2,168.00 | $927.23 – $1,622.65 | 24 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,265.50 | $4,531.00 | $205.80 – $3,691.36 | 31 |
| Adjustment gastric band HCPCS S2083 | $118.50 | $237.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $83.77 | $167.53 | $0.92 – $0.92 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $666.00 | $1,332.00 | $18.27 – $128.82 | 31 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $201.50 | $403.00 | $41.43 – $128.82 | 31 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $716.50 | $1,433.00 | $83.64 – $590.94 | 31 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $258.00 | $516.00 | $65.11 – $590.94 | 31 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $75.50 | $151.00 | $24.96 – $128.82 | 31 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $153.50 | $307.00 | $46.58 – $128.82 | 31 |
| Administration immunization 1 vaccine CPT 90471 | $107.00 | $214.00 | $12.60 – $48.09 | 30 |
| Administration immunization each additional component CPT 90461 | $74.00 | $148.00 | $6.44 – $14.91 | 30 |
| Administration immunization each additional vaccine CPT 90472 | $180.00 | $360.00 | $12.60 – $12.84 | 7 |
| Administration immunization first component each vaccine CPT 90460 | $74.00 | $148.00 | $16.47 – $37.98 | 30 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $67.00 | $134.00 | $11.83 – $128.82 | 30 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $59.50 | $119.00 | $8.49 – $20.26 | 30 |
| Administration vaccine hepatitis b HCPCS G0010 | $80.50 | $161.00 | $44.70 – $78.23 | 24 |
| Administration vaccine influenza virus HCPCS G0008 | $86.00 | $172.00 | $11.00 – $78.23 | 25 |
| Administration vaccine pneumococcal HCPCS G0009 | $86.00 | $172.00 | $11.00 – $78.23 | 25 |
| Adrenalin epinephrine inject HCPCS J0171 | $50.97 | $101.93 | $1.24 – $1.24 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $128.00 | $256.00 | $53.01 – $110.18 | 30 |
| Aep hearing status deter i&r CPT 92651 | $174.50 | $349.00 | $56.62 – $386.30 | 31 |
| Aep neurodiagnostic i&r CPT 92653 | $330.50 | $661.00 | $58.42 – $386.30 | 31 |
| Aep thrshld est mlt freq i&r CPT 92652 | $330.50 | $661.00 | $78.24 – $386.30 | 31 |
| _afb id by dna probe rflx ast CPT 87149 | $54.00 | $108.00 | $18.95 – $31.68 | 31 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.00 | $48.00 | $6.91 – $11.55 | 31 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $472.00 | $944.00 | $77.00 – $182.27 | 31 |
| Aflibercept injection HCPCS J0178 | $2,185.50 | $4,371.00 | $743.60 – $1,422.76 | 25 |
| Afo molded to patient plasti HCPCS L1940 | $1,077.50 | $2,155.00 | $568.30 – $994.52 | 24 |
| Afo sing bar clasp attach sh HCPCS L1910 | $194.00 | $388.00 | $313.83 – $549.20 | 24 |
| Afo sing solid stirrup calf HCPCS L1980 | $805.50 | $1,611.00 | $421.73 – $738.03 | 24 |
| Afo, walk boot type, cus fab HCPCS L4631 | $251.00 | $502.00 | $1,912.64 – $3,347.12 | 24 |
| After cataract laser surgery CPT 66821 | $727.50 | $1,455.00 | $205.80 – $983.99 | 31 |
| Air conduction bilat CPT 92552 | $77.00 | $154.00 | $8.80 – $238.04 | 31 |
| Albumin body fluid quantitative each specimen CPT 82042 | $43.00 | $86.00 | $7.00 – $12.29 | 30 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $175.50 | $351.00 | $53.32 – $93.31 | 25 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $144.00 | $288.00 | $53.08 – $92.89 | 24 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $33.00 | $66.00 | $5.46 – $9.13 | 31 |
| Albumin serum plasma or whole blood CPT 82040 | $43.00 | $86.00 | $4.02 – $7.82 | 31 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.00 | $2.00 | $0.28 – $0.28 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $61.00 | $122.00 | $17.27 – $27.29 | 24 |
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.