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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $209.50 | $419.00 | $7.98 – $187.02 | 31 |
| Lso flex no ri stays pre ots HCPCS L0628 | $277.00 | $554.00 | $65.17 – $114.05 | 24 |
| Lso full corset HCPCS L0976 | $364.50 | $729.00 | $183.75 – $321.56 | 24 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $395.50 | $791.00 | $194.26 – $339.96 | 24 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $660.50 | $1,321.00 | $343.97 – $601.95 | 24 |
| Lung function test (mbc/mvv) CPT 94200 | $177.50 | $355.00 | $2.06 – $105.54 | 31 |
| Lung Function Test (Spirometry) CPT 94010 | $281.00 | $562.00 | $5.92 – $386.30 | 31 |
| Lung perfusion imaging CPT 78580 | $739.50 | $1,479.00 | $26.00 – $715.22 | 31 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $333.50 | $667.00 | $350.21 – $612.87 | 25 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $271.50 | $543.00 | $267.32 – $467.81 | 25 |
| Lymphatics/lymph node imaging CPT 78195 | $905.00 | $1,810.00 | $41.43 – $971.42 | 31 |
| Lymphocyte transformation mitogen CPT 86353 | $350.00 | $700.00 | $46.34 – $77.47 | 31 |
| Lysis of labial adhesions CPT 56441 | $3,711.50 | $7,423.00 | $69.30 – $5,791.45 | 31 |
| Lysis penil circumic lesion CPT 54162 | $2,434.50 | $4,869.00 | $170.23 – $3,739.86 | 31 |
| Macroscopic exam parasite CPT 87169 | $64.50 | $129.00 | $4.07 – $6.81 | 30 |
| Magnesium CPT 83735 | $69.50 | $139.00 | $6.33 – $10.59 | 31 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $8.89 | $17.78 | $1.14 – $1.14 | 1 |
| Makena, 10 mg HCPCS J1726 | $69.00 | $138.00 | $19.93 – $19.93 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $234.50 | $469.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $139.50 | $279.00 | not published | 0 |
| Manipulat palm cord post inj CPT 26341 | $272.00 | $544.00 | $58.16 – $853.60 | 31 |
| Mastoids complete CPT 70130 | $273.00 | $546.00 | $12.35 – $187.02 | 31 |
| Matrion 1 sq cm HCPCS Q4201 | $143.50 | $287.00 | $126.52 – $221.41 | 25 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $143.50 | $287.00 | $30.61 – $221.41 | 25 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $87.00 | $174.00 | $13.66 – $22.85 | 31 |
| Mayo aathr protein s free CPT 85306 | $184.00 | $368.00 | $14.48 – $24.21 | 31 |
| Mayo activated protein c resistance assay CPT 85307 | $56.00 | $112.00 | $14.48 – $24.21 | 31 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $455.00 | $910.00 | $36.45 – $60.94 | 30 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $140.00 | $280.00 | $12.94 – $12.94 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $91.00 | $182.00 | $12.94 – $12.94 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1.50 | $3.00 | $3.00 – $23.35 | 30 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $70.00 | $140.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $241.50 | $483.00 | $12.71 – $21.24 | 31 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $175.50 | $351.00 | $12.10 – $23.83 | 31 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $77.50 | $155.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $741.50 | $1,483.00 | $121.63 – $192.18 | 24 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,912.50 | $3,825.00 | $86.61 – $144.82 | 31 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $510.50 | $1,021.00 | $120.56 – $216.46 | 31 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,591.00 | $3,182.00 | $1,096.20 – $1,832.80 | 30 |
| Mayo androstenedione CPT 82157 | $153.00 | $306.00 | $27.50 – $46.26 | 31 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $82.00 | $164.00 | $13.80 – $23.07 | 31 |
| Mayo antithrombin iii antigen CPT 85301 | $18.50 | $37.00 | $10.22 – $17.08 | 31 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $112.50 | $225.00 | $14.23 – $23.78 | 31 |
| Mayo avwpr vw factor activity CPT 85397 | $120.00 | $240.00 | $28.93 – $48.76 | 25 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $140.00 | $280.00 | $30.88 – $55.44 | 31 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $174.00 | $348.00 | $13.71 – $13.71 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $37.00 | $74.00 | $9.62 – $16.08 | 31 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $697.50 | $1,395.00 | $100.00 – $228.85 | 30 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $11.00 | $22.00 | $12.19 – $20.38 | 31 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $77.00 | $154.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $112.00 | $224.00 | $12.46 – $20.84 | 31 |
| Mayo brcmg brucella antibody igm CPT 86622 | $36.00 | $72.00 | $8.44 – $14.11 | 31 |
| Mayo c1 esterase inhibitor CPT 83883 | $128.50 | $257.00 | $12.85 – $21.49 | 30 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $115.00 | $230.00 | $14.12 – $14.12 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $137.50 | $275.00 | $15.94 – $26.65 | 30 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $121.00 | $242.00 | $25.31 – $42.31 | 31 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $121.00 | $242.00 | $58.00 – $193.11 | 31 |
| Mayo ceruloplasmin CPT 82390 | $61.00 | $122.00 | $10.15 – $16.97 | 31 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $264.00 | $528.00 | $13.35 – $22.31 | 30 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $85.00 | $170.00 | $12.17 – $20.35 | 30 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $123.50 | $247.00 | $10.87 – $18.68 | 31 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $60.00 | $120.00 | $11.98 – $20.03 | 31 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $716.00 | $1,432.00 | $110.08 – $184.05 | 31 |
| Mayo chromium CPT 82495 | $130.50 | $261.00 | $6.60 – $32.04 | 31 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $100.00 | $200.00 | $16.71 – $16.71 | 1 |
| Mayo coccidioides antibody CPT 86635 | $60.00 | $120.00 | $10.84 – $18.12 | 31 |
| Mayo cocou cortisone urine CPT 82542 | $550.50 | $1,101.00 | $21.20 – $38.06 | 31 |
| Mayo cortisol free CPT 82530 | $91.50 | $183.00 | $15.79 – $26.40 | 31 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $65.00 | $130.00 | $12.28 – $66.57 | 31 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $34.00 | $68.00 | $11.46 – $19.15 | 31 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $29.50 | $59.00 | $18.83 – $18.83 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $29.50 | $59.00 | $23.30 – $23.30 | 1 |
| Mayo cyanide CPT 82600 | $14.00 | $28.00 | $18.33 – $30.65 | 31 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $300.50 | $601.00 | $174.17 – $340.70 | 25 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $62.00 | $124.00 | $12.53 – $20.94 | 31 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $177.50 | $355.00 | $23.10 – $39.93 | 31 |
| Mayo dihydrotestosterone CPT 82642 | $26.00 | $52.00 | $27.67 – $46.26 | 30 |
| Mayo efpo chloride stool CPT 82438 | $41.50 | $83.00 | $3.30 – $7.90 | 31 |
| Mayo estriol CPT 82677 | $136.00 | $272.00 | $19.25 – $38.20 | 31 |
| Mayo estrone CPT 82679 | $19.00 | $38.00 | $14.30 – $39.42 | 31 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $9.00 | $18.00 | $14.30 – $25.82 | 31 |
| Mayo everolimus therapeutic drug level CPT 80169 | $34.00 | $68.00 | $12.98 – $21.69 | 31 |
| Mayo factor ii CPT 85210 | $32.00 | $64.00 | $4.40 – $20.51 | 31 |
| Mayo factor v CPT 85220 | $162.00 | $324.00 | $5.50 – $27.89 | 31 |
| Mayo factor vii CPT 85230 | $207.50 | $415.00 | $5.50 – $28.28 | 31 |
| Mayo factor viii vw factor antigen CPT 85246 | $146.00 | $292.00 | $21.68 – $36.25 | 31 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $130.00 | $260.00 | $21.68 – $36.25 | 31 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $146.00 | $292.00 | $21.68 – $36.25 | 31 |
| Mayo factor x CPT 85260 | $525.00 | $1,050.00 | $13.20 – $28.28 | 31 |
| Mayo fat/lipids feces quantitative CPT 82710 | $25.00 | $50.00 | $4.42 – $26.54 | 31 |
| Mayo fbl culture fungi blood CPT 87103 | $120.00 | $240.00 | $13.71 – $32.33 | 31 |
| Mayo ffspg allergen clam igg CPT 86001 | $39.00 | $78.00 | $6.36 – $12.36 | 31 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $26.50 | $53.00 | $15.92 – $34.24 | 31 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,547.00 | $3,094.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $49.00 | $98.00 | $3.30 – $7.50 | 31 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $91.00 | $182.00 | $33.16 – $55.44 | 30 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $150.00 | $300.00 | $33.16 – $55.44 | 30 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $174.00 | $348.00 | $13.03 – $21.79 | 31 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $13.50 | $27.00 | $13.20 – $40.78 | 31 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $23.50 | $47.00 | $8.40 – $14.05 | 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.