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 |
|---|---|---|---|---|
| Alcohol/subs interv 15-30mn HCPCS G0396 | $35.50 | $71.00 | $24.19 – $67.04 | 30 |
| Alginate dressing <=16 sq in HCPCS A6196 | $76.00 | $152.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $47.00 | $94.00 | $4.89 – $8.18 | 31 |
| Allergen alpha lactalbumin ige CPT 86008 | $28.25 | $56.50 | $10.00 – $28.33 | 31 |
| Allergen egg white ige CPT 86003 | $150.00 | $300.00 | $4.94 – $8.25 | 31 |
| Allergy injections; 2 or more 95117 CPT 95117 | $57.00 | $114.00 | $8.23 – $83.77 | 30 |
| Allergy injection; single 95115 CPT 95115 | $41.50 | $83.00 | $7.20 – $83.77 | 30 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $143.50 | $287.00 | $126.52 – $221.41 | 25 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $0.01 | $0.01 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $129.00 | $258.00 | $126.52 – $221.41 | 24 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $46.00 | $92.00 | $50.70 – $221.41 | 25 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $229.50 | $459.00 | $126.52 – $250.14 | 25 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $151.50 | $303.00 | $126.52 – $225.18 | 25 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $719.50 | $1,439.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $273.00 | $546.00 | $126.52 – $510.94 | 25 |
| All tstg perq&iq drugs/biol CPT 95018 | $53.50 | $107.00 | $5.15 – $66.82 | 31 |
| Alpha-fetoprotein amniotic CPT 82106 | $28.50 | $57.00 | $16.07 – $26.86 | 31 |
| Alpha-fetoprotein tumor marker CPT 82105 | $136.00 | $272.00 | $12.00 – $26.50 | 31 |
| Alprostadil for injection HCPCS J0270 | $14.00 | $28.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $364.53 | $729.05 | $98.59 – $172.53 | 25 |
| Alt/sgpt CPT 84460 | $47.50 | $95.00 | $5.01 – $8.37 | 31 |
| Aluminum - quest CPT 82108 | $25.00 | $50.00 | $24.08 – $40.26 | 31 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $124.50 | $249.00 | $29.85 – $170.10 | 31 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | $19.50 – $19.50 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.50 | $3.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid delta CPT 82135 | $23.00 | $46.00 | $13.20 – $25.99 | 31 |
| Aminolevulinic acid hcl top HCPCS J7308 | $885.00 | $1,770.00 | $389.28 – $681.24 | 25 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $9.67 | $19.33 | $8.46 – $8.46 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $41.40 | $82.80 | $10.68 – $10.68 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $27.83 | $55.65 | $1.35 – $1.35 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $62.00 | $124.00 | $16.23 – $16.23 | 1 |
| Ammonia CPT 82140 | $132.50 | $265.00 | $5.50 – $23.02 | 31 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $923.50 | $1,847.00 | $55.00 – $1,647.82 | 31 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,907.50 | $7,815.00 | $205.80 – $5,853.86 | 31 |
| Amphetamine confirm urine -sendout CPT 80324 | $32.00 | $64.00 | $17.38 – $17.38 | 1 |
| Amphetamines 5 or more CPT 80326 | $29.50 | $59.00 | $17.38 – $17.38 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $14.58 | $29.16 | $1.67 – $1.67 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $7.86 | $15.71 | $2.92 – $2.92 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $3,981.50 | $7,963.00 | $205.80 – $5,853.86 | 30 |
| Amputation toe interphalangeal joint CPT 28825 | $3,986.50 | $7,973.00 | $205.80 – $5,853.85 | 31 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $6,473.00 | $12,946.00 | $205.80 – $5,853.85 | 31 |
| Amylase CPT 82150 | $237.00 | $474.00 | $5.50 – $10.24 | 31 |
| Ana ds-dna CPT 86226 | $58.50 | $117.00 | $11.45 – $19.13 | 31 |
| Analgesics non-opioid 3-5 CPT 80330 | $5.00 | $10.00 | $8.50 – $8.50 | 1 |
| Analgesics non-opioid 6/more CPT 80331 | $5.00 | $10.00 | $8.50 – $8.50 | 1 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $45.00 | $90.00 | $8.50 – $8.50 | 1 |
| Anal/urinary muscle study CPT 51785 | $282.00 | $564.00 | $73.09 – $446.98 | 30 |
| Analysis gene f2 20210g>a variant CPT 81240 | $689.00 | $1,378.00 | $59.07 – $103.79 | 31 |
| Analysis gene f5 leiden variant CPT 81241 | $915.00 | $1,830.00 | $69.33 – $115.92 | 31 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $124.50 | $249.00 | $29.09 – $170.10 | 31 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $115.50 | $231.00 | $30.88 – $55.44 | 31 |
| Anca screen with reflex to titer -quest CPT 86021 | $99.00 | $198.00 | $5.50 – $23.78 | 31 |
| An cholangiogram percutaneous compl CPT 47531 | $3,255.00 | $6,510.00 | $85.71 – $6,405.61 | 31 |
| An fluoro guide for cvp CPT 77001 | $197.50 | $395.00 | $13.64 – $50.89 | 31 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $186.00 | $372.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $329.50 | $659.00 | $6.17 – $155.68 | 31 |
| Annual alcohol screen 15 min HCPCS G0442 | $47.50 | $95.00 | $6.69 – $67.04 | 30 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $131.00 | $262.00 | $64.34 – $311.30 | 8 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $151.50 | $303.00 | $70.00 – $311.30 | 8 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $151.50 | $303.00 | $70.52 – $311.30 | 8 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $170.50 | $341.00 | $85.19 – $311.30 | 8 |
| Anterior thoracic extension HCPCS L1220 | $556.00 | $1,112.00 | $287.24 – $502.67 | 24 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $696.00 | $1,392.00 | $12.17 – $20.35 | 30 |
| Antibody elution rbc reference CPT 86860 | $203.00 | $406.00 | $9.30 – $275.19 | 31 |
| Antibody htlv/hiv confirm test CPT 86689 | $168.00 | $336.00 | $18.29 – $30.57 | 31 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $455.00 | $910.00 | $5.50 – $29.02 | 31 |
| Antibody id rbc panel CPT 86870 | $338.00 | $676.00 | $9.30 – $578.99 | 31 |
| Antibody influenza virus CPT 86710 | $216.00 | $432.00 | $12.81 – $21.41 | 30 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $25.50 | $51.00 | $12.16 – $20.33 | 31 |
| Antibody screen rbc CPT 86850 | $57.50 | $115.00 | $9.23 – $84.18 | 31 |
| Antibody tetanus CPT 86774 | $15.00 | $30.00 | $13.99 – $23.38 | 30 |
| Anticoag mgmt pt warfarin CPT 93793 | $18.00 | $36.00 | $8.23 – $19.48 | 30 |
| Antidepressant not specified CPT 80338 | $5.00 | $10.00 | not published | 0 |
| Antidepressants class 3-5 CPT 80333 | $5.00 | $10.00 | not published | 0 |
| Antidepressants class 6/more CPT 80334 | $5.00 | $10.00 | not published | 0 |
| Antiepileptics nos 4-6 CPT 80340 | $5.00 | $10.00 | not published | 0 |
| Antiepileptics nos 7/more CPT 80341 | $5.00 | $10.00 | not published | 0 |
| Antigen therapy services CPT 95145 | $54.00 | $108.00 | $2.57 – $83.77 | 30 |
| Antigen therapy services CPT 95146 | $54.00 | $108.00 | $2.57 – $83.77 | 30 |
| Antigen therapy services CPT 95147 | $79.50 | $159.00 | $2.57 – $128.82 | 30 |
| Antigen therapy services CPT 95148 | $79.50 | $159.00 | $2.57 – $128.82 | 30 |
| Antigen therapy services CPT 95149 | $79.50 | $159.00 | $2.57 – $128.82 | 30 |
| Antigen therapy services CPT 95165 | $6.00 | $12.00 | $2.57 – $83.77 | 30 |
| Anti mog serum - sendout CPT 86362 | $785.00 | $1,570.00 | $10.60 – $19.04 | 31 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $24.00 | $48.00 | $10.60 – $19.04 | 31 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $68.00 | $136.00 | $10.60 – $19.04 | 31 |
| Antinuclear antibodies CPT 86038 | $68.50 | $137.00 | $11.42 – $19.10 | 31 |
| Antinuclear antibodies titer CPT 86039 | $46.00 | $92.00 | $10.54 – $17.63 | 31 |
| Antipsychotics nos 7/more CPT 80344 | $5.00 | $10.00 | $18.65 – $18.65 | 1 |
| Antistreptolysin o screen CPT 86063 | $33.50 | $67.00 | $5.45 – $9.12 | 31 |
| Antistreptolysin o titer CPT 86060 | $41.00 | $82.00 | $6.90 – $11.53 | 31 |
| Antithrombin iii activity CPT 85300 | $306.00 | $612.00 | $10.34 – $18.72 | 31 |
| Apl(pml-rara) quant - sendout CPT 81315 | $165.00 | $330.00 | $195.91 – $327.55 | 31 |
| Appendix Removal (Laparoscopic) CPT 44970 | $15,977.00 | $31,954.00 | $205.80 – $10,815.93 | 31 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,161.00 | $4,322.00 | $205.80 – $3,691.36 | 31 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,432.00 | $2,864.00 | $19.05 – $39.59 | 30 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $398.00 | $796.00 | $205.80 – $3,691.36 | 31 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $259.00 | $518.00 | $33.72 – $71.00 | 30 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $398.00 | $796.00 | $12.61 – $26.44 | 30 |
| Application clubfoot cast CPT 29450 | $191.50 | $383.00 | $45.10 – $290.73 | 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.