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 |
|---|---|---|---|---|
| Revise eyelid lining CPT 68330 | $2,834.50 | $5,669.00 | $205.80 – $4,128.86 | 31 |
| Revise eye socket implant CPT 67560 | $4,675.50 | $9,351.00 | $205.80 – $7,033.58 | 30 |
| Revise/remove sling repair CPT 57287 | $3,756.00 | $7,512.00 | $205.80 – $5,791.45 | 31 |
| Revise spine eltrd perq aray CPT 63663 | $3,538.50 | $7,077.00 | $205.80 – $11,401.78 | 31 |
| Revision of cervix CPT 57720 | $3,711.50 | $7,423.00 | $205.80 – $5,791.45 | 31 |
| Revision of colostomy CPT 44340 | $5,051.00 | $10,102.00 | $205.80 – $6,339.99 | 30 |
| Revision of cornea CPT 65600 | $2,775.50 | $5,551.00 | $245.52 – $4,253.50 | 31 |
| Revision of eyelid CPT 67950 | $2,409.00 | $4,818.00 | $205.80 – $4,253.50 | 31 |
| Revision of eyelid CPT 67966 | $2,775.50 | $5,551.00 | $205.80 – $4,253.50 | 31 |
| Revision of iris CPT 66761 | $754.00 | $1,508.00 | $198.55 – $983.99 | 31 |
| Revision of nose CPT 30430 | $7,008.50 | $14,017.00 | $205.80 – $10,591.04 | 30 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $13,325.00 | $26,650.00 | $205.80 – $6,254.80 | 31 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $3,249.00 | $6,498.00 | $205.80 – $6,254.80 | 31 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $5,465.00 | $10,930.00 | $1,996.33 – $3,493.58 | 24 |
| Rheumatoid factor qualitative CPT 86430 | $50.50 | $101.00 | $5.81 – $9.70 | 31 |
| Rheumatoid factor quantitative CPT 86431 | $33.50 | $67.00 | $5.36 – $8.96 | 31 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $162.23 | $324.45 | $7.97 – $7.97 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $19.50 | $39.00 | $35.79 – $62.63 | 25 |
| Rho d immune globulin inj HCPCS J2790 | $197.50 | $395.00 | $133.91 – $133.91 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $10,260.00 | $20,520.00 | $4,108.50 – $4,108.50 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,049.50 | $2,099.00 | not published | 0 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $33.50 | $67.00 | $6.69 – $67.04 | 30 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $27.00 | $54.00 | $11.10 – $20.05 | 25 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $18,790.40 | $37,580.80 | $73.28 – $130.68 | 25 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $10,088.78 | $20,177.55 | $16.16 – $33.74 | 25 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $931.00 | $1,862.00 | $33.55 – $473.16 | 31 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,925.00 | $7,850.00 | $71.50 – $5,196.77 | 31 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,968.50 | $3,937.00 | $33.55 – $2,954.84 | 31 |
| Rmvl sq defib electrode CPT 33272 | $3,045.00 | $6,090.00 | $205.80 – $6,685.72 | 30 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $16,149.40 | $32,298.79 | $11.62 – $20.33 | 24 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $5,477.31 | $10,954.62 | $12.73 – $22.28 | 25 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Rpl tun-cvad w subq port CPT 36582 | $2,803.00 | $5,606.00 | $205.80 – $5,648.96 | 31 |
| Rpl tun cvc wo subq port CPT 36581 | $2,803.00 | $5,606.00 | $204.48 – $5,648.96 | 31 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $32.50 | $65.00 | $22.39 – $46.11 | 29 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $41.00 | $82.00 | $22.39 – $46.11 | 29 |
| Rsv assay w/optic CPT 87807 | $113.50 | $227.00 | $12.38 – $20.70 | 31 |
| Rubella antibody igg CPT 86762 | $130.50 | $261.00 | $13.60 – $22.74 | 31 |
| Rubeola antibody igg CPT 86765 | $157.50 | $315.00 | $12.17 – $20.35 | 31 |
| Russell viper venom diluted CPT 85613 | $514.00 | $1,028.00 | $9.05 – $15.14 | 31 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $105.00 | $210.00 | $44.00 – $210.00 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $59.50 | $119.00 | $33.39 – $55.82 | 31 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $119.50 | $239.00 | $34.03 – $111.06 | 31 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $134.50 | $269.00 | $114.26 – $241.68 | 29 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $68.50 | $137.00 | $54.82 – $115.69 | 29 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $90.50 | $181.00 | $79.78 – $169.14 | 29 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $44.50 | $89.00 | $29.34 – $63.38 | 29 |
| Sbsq psyc collab care mgmt CPT 99493 | $106.00 | $212.00 | $70.80 – $181.76 | 31 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $542.00 | $1,084.00 | $41.18 – $426.88 | 31 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $631.50 | $1,263.00 | $27.28 – $187.02 | 31 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $455.00 | $910.00 | $29.60 – $426.88 | 31 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $183.50 | $367.00 | $17.76 – $187.02 | 31 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $201.50 | $403.00 | $17.76 – $187.02 | 31 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $399.50 | $799.00 | $15.70 – $187.02 | 31 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $509.00 | $1,018.00 | $28.06 – $426.88 | 31 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $349.50 | $699.00 | $16.73 – $187.02 | 31 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $318.00 | $636.00 | $17.24 – $187.02 | 31 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $82.00 | $164.00 | $26.49 – $46.36 | 24 |
| Screen cerv/vag thin layer HCPCS G0123 | $103.50 | $207.00 | $20.26 – $35.46 | 24 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $4,949.00 | $9,898.00 | $138.72 – $1,663.78 | 30 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $6,157.00 | $12,314.00 | $138.20 – $1,663.78 | 30 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $67.50 | $135.00 | $24.08 – $42.14 | 24 |
| Screening Mammogram CPT 77067 | $453.50 | $907.00 | $27.03 – $82.52 | 31 |
| Screening prostate cancer PSA HCPCS G0103 | $104.00 | $208.00 | $19.31 – $33.79 | 24 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $25.50 | $51.00 | $2.32 – $6.60 | 8 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $6,510.00 | $13,020.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $36.00 | $72.00 | $2.55 – $4.27 | 31 |
| Semen analysis presence/motility CPT 89321 | $88.50 | $177.00 | $12.05 – $19.04 | 24 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $261.00 | $522.00 | $35.20 – $358.94 | 30 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $290.50 | $581.00 | $41.80 – $358.94 | 31 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $493.50 | $987.00 | $55.00 – $727.28 | 30 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $224.50 | $449.00 | $69.30 – $727.28 | 30 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $225.50 | $451.00 | $30.80 – $358.94 | 31 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $225.50 | $451.00 | $38.50 – $358.94 | 31 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $225.50 | $451.00 | $45.10 – $358.94 | 31 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $449.00 | $898.00 | $27.50 – $727.28 | 31 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $225.50 | $451.00 | $35.20 – $358.94 | 31 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $225.50 | $451.00 | $41.80 – $358.94 | 31 |
| Shoe outflare wedge HCPCS L3390 | $117.50 | $235.00 | $59.46 – $104.06 | 24 |
| Sho lift taper to metatarsal HCPCS L3300 | $122.50 | $245.00 | $62.55 – $109.46 | 24 |
| Shoulder MRI (with and without contrast) CPT 73223 | $5,474.50 | $10,949.00 | $76.69 – $624.16 | 31 |
| Shoulder MRI (with contrast) CPT 73222 | $2,273.50 | $4,547.00 | $57.39 – $1,402.48 | 31 |
| Shoulder MRI (without contrast) CPT 73221 | $2,463.50 | $4,927.00 | $47.87 – $426.88 | 31 |
| Shoulder X-ray CPT 73030 | $338.00 | $676.00 | $6.69 – $155.68 | 31 |
| Shrinker prosth below knee HCPCS L8440 | $101.50 | $203.00 | $51.20 – $89.60 | 24 |
| Shrinker upper limb HCPCS L8465 | $138.50 | $277.00 | $72.23 – $126.40 | 24 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,137.50 | $4,275.00 | not published | 0 |
| Sialography s&i CPT 70390 | $576.00 | $1,152.00 | $13.64 – $426.88 | 31 |
| Sickling rbc CPT 85660 | $124.00 | $248.00 | $3.30 – $8.71 | 31 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $267.00 | $534.00 | $219.62 – $219.62 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,075.00 | $2,150.00 | $44.78 – $313.81 | 31 |
| Sinus CT scan (with contrast) CPT 70487 | $888.00 | $1,776.00 | $39.89 – $313.81 | 31 |
| Sinus CT scan (without contrast) CPT 70486 | $751.00 | $1,502.00 | $30.37 – $187.02 | 31 |
| Skel musc relaxant 3 or more CPT 80370 | $5.00 | $10.00 | $21.10 – $21.10 | 1 |
| Skin Biopsy CPT 11102 | $269.00 | $538.00 | $35.45 – $727.28 | 31 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,265.50 | $4,531.00 | $205.80 – $3,691.36 | 31 |
| Skyla, 13.5 mg HCPCS J7301 | $2,276.00 | $4,552.00 | $918.49 – $1,907.17 | 2 |
| Sleep study attended CPT 95807 | $920.00 | $1,840.00 | $43.24 – $667.61 | 31 |
| Sleep Study (Polysomnography) CPT 95810 | $3,135.50 | $6,271.00 | $86.98 – $1,536.36 | 31 |
| Sleep study unattended CPT 95806 | $382.00 | $764.00 | $32.17 – $386.29 | 30 |
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.