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 |
|---|---|---|---|---|
| Slitting of prepuce CPT 54001 | $2,733.50 | $5,467.00 | $52.80 – $3,739.86 | 31 |
| Slp pure tone screening CPT 92551 | $36.50 | $73.00 | $8.49 – $8.80 | 8 |
| Slp stdy unatnd w/anal CPT 95801 | $212.50 | $425.00 | $30.11 – $105.54 | 30 |
| Slp ther svc non-spch gen CPT 92606 | $111.50 | $223.00 | $50.96 – $51.93 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $36.00 | $72.00 | $3.30 – $8.52 | 31 |
| Smear gram stain CPT 87205 | $33.00 | $66.00 | $4.03 – $6.75 | 31 |
| Smear nasal eosinophil CPT 89190 | $25.00 | $50.00 | $5.47 – $9.15 | 31 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $184.00 | $368.00 | $4.95 – $9.46 | 31 |
| Smear wet mount CPT 87210 | $56.50 | $113.00 | $5.50 – $9.20 | 31 |
| Snrpn/ube3a gene CPT 81331 | $178.00 | $356.00 | $48.26 – $80.69 | 31 |
| Socket insert without lock mech HCPCS L5679 | $1,319.00 | $2,638.00 | $716.74 – $1,254.29 | 24 |
| Socket insert w lock mech HCPCS L5673 | $1,544.50 | $3,089.00 | $860.10 – $1,505.18 | 24 |
| Sodium 24 hour urine CPT 84300 | $39.50 | $79.00 | $4.78 – $7.99 | 31 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $120.00 | $240.00 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $85.00 | $170.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $72.34 | $144.68 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $541.00 | $1,082.00 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $27.50 | $55.00 | $4.55 – $7.60 | 31 |
| Specific gravity body fluid CPT 84315 | $14.50 | $29.00 | $3.10 – $5.18 | 30 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | $545.50 | $1,091.00 | $103.20 – $386.30 | 30 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $562.50 | $1,125.00 | $7.47 – $667.61 | 31 |
| Spirometry up to 2 yrs old CPT 94011 | $297.00 | $594.00 | $63.30 – $230.20 | 30 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $90.50 | $181.00 | $56.51 – $98.89 | 24 |
| Split flat caliper stirr & p HCPCS L2230 | $164.50 | $329.00 | $88.17 – $154.30 | 24 |
| Sprchoroidal spc njx rx agt CPT 67516 | $424.00 | $848.00 | $205.80 – $590.94 | 30 |
| Sputum specimen collection CPT 89220 | $488.00 | $976.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $149.00 | $298.00 | $80.81 – $182.30 | 30 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $148.50 | $297.00 | $75.15 – $170.78 | 30 |
| Sterile needle HCPCS A4215 | $320.50 | $641.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $142.50 | $285.00 | $82.10 – $186.18 | 30 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $295.50 | $591.00 | $168.05 – $374.12 | 30 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $272.00 | $544.00 | $46.55 – $150.85 | 31 |
| St evaluation swallow function CPT 92610 | $266.50 | $533.00 | $52.25 – $139.30 | 30 |
| Stimulants synthetic CPT 80371 | $85.00 | $170.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $127.00 | $254.00 | $22.00 – $290.73 | 31 |
| Strapping of elbow or wrist 29260 CPT 29260 | $225.00 | $450.00 | $14.15 – $105.54 | 31 |
| Strapping of hand or finger CPT 29280 | $120.50 | $241.00 | $14.93 – $105.54 | 30 |
| Strapping of knee CPT 29530 | $225.00 | $450.00 | $28.05 – $238.04 | 31 |
| Strapping of toes 29550 CPT 29550 | $129.00 | $258.00 | $22.00 – $153.00 | 31 |
| Strep a ag ia CPT 87430 | $35.50 | $71.00 | $6.93 – $26.56 | 31 |
| Stress test pulmonary CPT 94618 | $279.00 | $558.00 | $9.53 – $238.04 | 31 |
| Stress tte complete CPT 93351 | $939.50 | $1,879.00 | $60.48 – $977.59 | 31 |
| Str markers specimen anal CPT 81265 | $751.50 | $1,503.00 | $220.25 – $368.25 | 30 |
| St treatment speech individual CPT 92507 | $167.00 | $334.00 | $23.87 – $126.09 | 31 |
| St treatment swallow dysfunction/oral CPT 92526 | $219.00 | $438.00 | $62.02 – $138.58 | 30 |
| Subq njx filling matrl 1cc/< CPT 11950 | $237.00 | $474.00 | $39.64 – $358.94 | 30 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $4.71 | $9.41 | $2.87 – $2.87 | 1 |
| Sugars single quant CPT 84378 | $520.00 | $1,040.00 | $10.90 – $18.22 | 31 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $354.50 | $709.00 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $110.00 | $220.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $12.50 | $25.00 | $15.40 – $15.40 | 1 |
| Supprelin la implant HCPCS J9226 | $75,271.50 | $150,543.00 | $37,491.97 – $73,550.30 | 25 |
| Surgical pathology level 1 gross examination only CPT 88300 | $48.50 | $97.00 | $1.65 – $46.72 | 25 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $67.50 | $135.00 | $5.50 – $60.32 | 25 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $218.00 | $436.00 | $7.15 – $84.18 | 25 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $822.00 | $1,644.00 | $9.90 – $84.18 | 25 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $529.50 | $1,059.00 | $12.65 – $578.99 | 25 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $720.50 | $1,441.00 | $19.25 – $1,301.38 | 25 |
| Susceptibility agar dilution per agent CPT 87181 | $51.00 | $102.00 | $4.49 – $7.50 | 31 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $12.50 | $25.00 | $4.49 – $7.51 | 31 |
| Susceptibility mic per plate CPT 87186 | $462.00 | $924.00 | $8.18 – $13.67 | 31 |
| Suscept studies macrobroth dilution ea CPT 87188 | $169.00 | $338.00 | $6.28 – $10.49 | 31 |
| Synch audio-only est low 20 CPT 98013 | $59.50 | $119.00 | $43.49 – $44.32 | 7 |
| Synch audio-only est mod 30 CPT 98014 | $88.50 | $177.00 | $64.34 – $65.57 | 7 |
| Synch audio-only est sf 10 CPT 98012 | $33.00 | $66.00 | $23.68 – $24.13 | 7 |
| Synch audio-only new high 60 CPT 98011 | $160.00 | $320.00 | $116.58 – $118.80 | 7 |
| Synch audio-only new mod 45 CPT 98010 | $122.00 | $244.00 | $88.79 – $90.48 | 7 |
| Synvisc or synvisc-one HCPCS J7325 | $1,912.41 | $3,824.82 | $6.02 – $15.05 | 25 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $25.00 | $50.00 | $4.16 – $6.95 | 31 |
| T3 (triiodothyronine) free CPT 84481 | $202.00 | $404.00 | $16.01 – $26.77 | 31 |
| T3 (triiodothyronine) total CPT 84480 | $92.50 | $185.00 | $8.80 – $22.40 | 31 |
| T4 (thyroxine) free CPT 84439 | $79.50 | $159.00 | $8.53 – $14.25 | 31 |
| T4 (thyroxine) total CPT 84436 | $49.50 | $99.00 | $6.49 – $10.85 | 31 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $3.50 | $7.00 | $2.85 – $2.85 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $322.50 | $645.00 | $12.98 – $21.69 | 31 |
| Tap block bilat cont infusion 64489 CPT 64489 | $3,494.50 | $6,989.00 | $71.83 – $209.72 | 30 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,274.50 | $2,549.00 | $56.78 – $209.72 | 30 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,600.00 | $5,200.00 | $668.38 – $1,200.06 | 31 |
| Target gsa panel organ neop CPT 81445 | $1,550.00 | $3,100.00 | $526.16 – $944.70 | 31 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.00 | $278.00 | $76.76 – $158.00 | 31 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $106.50 | $213.00 | $58.57 – $97.93 | 31 |
| Tc-99m bicisate HCPCS A9557 | $1,672.50 | $3,345.00 | $775.52 – $2,054.68 | 25 |
| Tc-99m disofenin HCPCS A9510 | $114.50 | $229.00 | $114.54 – $114.54 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $276.50 | $553.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $37.00 | $74.00 | $52.95 – $52.95 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $163.00 | $326.00 | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | $37.00 | $74.00 | $61.59 – $61.59 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $1,112.00 | $2,224.00 | $1,283.16 – $1,283.16 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $77.00 | $154.00 | $84.28 – $84.28 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $76.50 | $153.00 | $49.17 – $49.17 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $139.00 | $278.00 | $34.04 – $34.04 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.50 | $7.00 | $5.00 – $5.00 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $84.00 | $168.00 | $72.93 – $72.93 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $644.00 | $1,288.00 | $743.46 – $743.46 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $214.00 | $428.00 | $376.00 – $376.00 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $300.50 | $601.00 | $44.39 – $74.23 | 31 |
| T cells absolute cd 4 count CPT 86361 | $246.50 | $493.00 | $25.31 – $42.31 | 31 |
| T cells total count CPT 86359 | $72.00 | $144.00 | $35.66 – $59.61 | 31 |
| Telehealth original site facility fee HCPCS Q3014 | $104.00 | $208.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $15,242.06 | $30,484.12 | $217.42 – $380.48 | 25 |
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.