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 |
|---|---|---|---|---|
| Interrog dev eval scrms ip CPT 93291 | $47.50 | $95.00 | $12.87 – $51.75 | 31 |
| Interrog device eval heart CPT 93289 | $49.50 | $99.00 | $13.44 – $66.78 | 31 |
| Interrog evl pm/ldls pm ip CPT 93288 | $116.00 | $232.00 | $10.90 – $66.78 | 31 |
| Interrog without prgrmg ipnss CPT 93153 | $109.50 | $219.00 | $16.21 – $170.10 | 30 |
| Int hrhc lig 2+hroid without img CPT 46946 | $3,160.00 | $6,320.00 | $50.60 – $4,965.87 | 31 |
| Intrinsic factor antibody CPT 86340 | $24.00 | $48.00 | $14.25 – $23.83 | 31 |
| Intro long gi tube CPT 44500 | $534.00 | $1,068.00 | $21.64 – $1,622.65 | 31 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,495.50 | $2,991.00 | $79.20 – $423.74 | 31 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $370.50 | $741.00 | $299.31 – $299.31 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $24.78 | $49.55 | $0.61 – $0.61 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $1,578.00 | $3,156.00 | $0.20 – $0.20 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $2.00 | $4.00 | $0.53 – $0.53 | 1 |
| Iron CPT 83540 | $340.00 | $680.00 | $6.11 – $10.22 | 31 |
| Iron binding capacity CPT 83550 | $80.00 | $160.00 | $5.50 – $13.81 | 31 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $715.30 | $1,430.59 | $18.99 – $33.23 | 24 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $269.60 | $539.19 | $0.36 – $0.36 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $102.00 | $204.00 | $16.21 – $105.54 | 31 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $78.50 | $157.00 | $29.76 – $107.00 | 31 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $99.00 | $198.00 | $18.78 – $128.82 | 31 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $99.00 | $198.00 | $12.57 – $13.64 | 8 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $392.00 | $784.00 | $13.52 – $83.77 | 31 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $269.00 | $538.00 | $40.92 – $380.54 | 31 |
| Ivp w/nephrotomography CPT 74415 | $696.50 | $1,393.00 | $17.50 – $313.81 | 31 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $592.50 | $1,185.00 | $17.24 – $313.81 | 31 |
| Jak2 targeted sequence analysis CPT 81279 | $162.50 | $325.00 | $162.98 – $292.62 | 31 |
| Ketamine and metabolite screen - quest CPT 80357 | $150.00 | $300.00 | not published | 0 |
| Ketogenic steroids fract CPT 83582 | $80.00 | $160.00 | $14.62 – $24.44 | 31 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $61.00 | $122.00 | $5.50 – $12.91 | 31 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $21.33 | $42.66 | $0.27 – $0.81 | 25 |
| Kidney imaging morphology CPT 78700 | $604.00 | $1,208.00 | $15.70 – $715.22 | 31 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $696.50 | $1,393.00 | $32.94 – $971.42 | 31 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $643.00 | $1,286.00 | $26.00 – $187.02 | 31 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $57.00 | $114.00 | $52.48 – $91.84 | 24 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | $109.89 – $197.29 | 25 |
| Kit hfx iq ipg bundle HCPCS C1822 | $1,187.50 | $2,375.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $2,951.25 | $5,902.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,436.50 | $2,873.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $143.50 | $287.00 | $41.81 – $221.41 | 25 |
| Knee MRI (with and without contrast) CPT 73723 | $4,688.00 | $9,376.00 | $76.69 – $624.16 | 31 |
| Knee MRI (with contrast) CPT 73722 | $2,781.50 | $5,563.00 | $57.39 – $1,402.48 | 31 |
| Knee MRI (without contrast) CPT 73721 | $2,094.50 | $4,189.00 | $47.87 – $426.88 | 31 |
| Knee X-ray CPT 73564 | $325.00 | $650.00 | $8.23 – $187.02 | 31 |
| Ko single upright pre cst HCPCS L1843 | $641.00 | $1,282.00 | $1,076.26 – $1,883.46 | 24 |
| Ko swedish type pre ots HCPCS L1850 | $671.00 | $1,342.00 | $251.50 – $440.12 | 24 |
| Kras gene addl variants CPT 81276 | $320.00 | $640.00 | $173.53 – $305.33 | 31 |
| Kras gene variants exon 2 CPT 81275 | $320.00 | $640.00 | $173.78 – $305.33 | 31 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,733.00 | $5,466.00 | $1,031.87 – $2,290.45 | 2 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $3.15 | $6.30 | $0.31 – $0.31 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $46.00 | $92.00 | $5.71 – $9.54 | 31 |
| Lactated ringers intravenous solution HCPCS J7120 | $209.00 | $418.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $338.50 | $677.00 | $8.80 – $18.28 | 31 |
| Lactoferrin fecal qualitative CPT 83630 | $105.00 | $210.00 | $13.54 – $31.13 | 31 |
| Lactoferrin fecal quant CPT 83631 | $78.00 | $156.00 | $18.55 – $31.02 | 31 |
| Lap place gastr adj device CPT 43770 | $9,959.00 | $19,918.00 | $875.27 – $19,017.58 | 30 |
| Largsc w/laser dstrj les CPT 31572 | $4,375.50 | $8,751.00 | $136.66 – $6,670.30 | 31 |
| Largsc w/njx augmentation CPT 31574 | $2,098.00 | $4,196.00 | $112.72 – $3,184.37 | 31 |
| Largsc w/ther injection CPT 31573 | $2,098.00 | $4,196.00 | $112.20 – $3,184.37 | 31 |
| Laryngoplasty medialization CPT 31591 | $7,008.50 | $14,017.00 | $810.67 – $10,591.04 | 31 |
| Laryngoscope w/vc inj CPT 31570 | $4,375.50 | $8,751.00 | $205.80 – $6,670.30 | 31 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,098.00 | $4,196.00 | $105.00 – $3,184.37 | 31 |
| Laryngoscopy with biopsy CPT 31576 | $2,076.00 | $4,152.00 | $122.78 – $3,184.37 | 31 |
| Lateral canthopexy CPT 21282 | $3,734.50 | $7,469.00 | $205.80 – $5,931.62 | 31 |
| Lb with mastopexy 15839 CPT 15839 | $3,381.00 | $6,762.00 | $558.46 – $5,196.77 | 30 |
| Lead capillary CPT 83655 | $77.00 | $154.00 | $11.00 – $19.13 | 31 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,499.50 | $8,999.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $473.50 | $947.00 | $24.44 – $426.88 | 31 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $75.00 | $150.00 | $145.73 – $255.03 | 24 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $384.50 | $769.00 | $160.34 – $299.15 | 25 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,911.00 | $7,822.00 | $1,841.26 – $3,222.20 | 25 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.50 | $5.00 | $0.08 – $0.08 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $97.20 | $194.40 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $141.00 | $282.00 | $12.53 – $20.94 | 31 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.77 | $15.53 | $1.50 – $1.50 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $9.08 | $18.15 | 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 | $197.50 | $395.00 | $13.88 – $23.21 | 31 |
| Liletta, 52 mg HCPCS J7297 | $2,096.50 | $4,193.00 | $846.16 – $1,756.97 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $107.50 | $215.00 | $54.63 – $95.60 | 24 |
| Limited visual field xm CPT 92081 | $83.00 | $166.00 | $11.58 – $105.54 | 31 |
| 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 | $14.18 | $28.35 | $5.45 – $5.45 | 1 |
| Lipase CPT 83690 | $76.50 | $153.00 | $5.50 – $10.89 | 31 |
| Lipoprotein blood high res frac & quant CPT 83701 | $216.00 | $432.00 | $30.51 – $53.50 | 31 |
| Lipoprotein blood quant CPT 83704 | $50.00 | $100.00 | $30.00 – $54.02 | 30 |
| Lipoprotein direct measurement hdl CPT 83718 | $50.00 | $100.00 | $7.70 – $12.94 | 31 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.50 | $115.00 | $9.92 – $16.59 | 31 |
| Lithium therapeutic drug level CPT 80178 | $65.50 | $131.00 | $6.25 – $10.44 | 31 |
| Liver elastography 91200 CPT 91200 | $175.00 | $350.00 | $7.72 – $230.20 | 31 |
| Liver Function Test CPT 80076 | $38.00 | $76.00 | $7.72 – $12.91 | 31 |
| Liver imaging CPT 78201 | $1,721.00 | $3,442.00 | $15.18 – $971.42 | 31 |
| Liver/spleen imag static only CPT 78215 | $594.50 | $1,189.00 | $17.24 – $715.22 | 31 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,643.00 | $7,286.00 | $71.61 – $5,853.85 | 31 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.19 | $120.38 | $1.85 – $1.85 | 1 |
| Low back disk surgery CPT 63030 | $5,642.50 | $11,285.00 | $205.80 – $12,981.92 | 31 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $758.50 | $1,517.00 | $44.78 – $313.81 | 31 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,009.50 | $2,019.00 | $42.98 – $624.16 | 31 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $892.00 | $1,784.00 | $35.00 – $187.02 | 31 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,688.00 | $5,376.00 | $81.84 – $624.16 | 31 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,450.00 | $2,900.00 | $63.57 – $624.16 | 31 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,343.50 | $2,687.00 | $52.50 – $426.88 | 31 |
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.