Princeton Community Hospital
122 12th St, Princeton, WV · Wvumedicine · · NPI 1558313213
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 |
|---|---|---|---|---|
| Lactoferrin fecal qualitative CPT 83630 | $101.50 | $203.00 | $12.31 – $114.74 | 26 |
| Lactoferrin fecal quant CPT 83631 | $84.00 | $168.00 | $18.55 – $114.34 | 26 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $19,124.00 | $38,248.00 | $37.43 – $218.01 | 18 |
| Laparo-asst vag hysterectomy CPT 58550 | $11,658.00 | $23,316.00 | $205.80 – $35,999.12 | 25 |
| Laparo cholecystectomy/explr CPT 47564 | $6,216.50 | $12,433.00 | $205.80 – $63,297.03 | 25 |
| Laparo cholecystectomy/graph CPT 47563 | $6,345.00 | $12,690.00 | $205.80 – $35,999.12 | 25 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $6,399.00 | $12,798.00 | $6,180.53 – $35,999.12 | 17 |
| Laparoscopy biopsy CPT 49321 | $7,150.00 | $14,300.00 | $205.80 – $35,999.12 | 25 |
| Laparoscopy excise lesions CPT 58662 | $6,779.00 | $13,558.00 | $205.80 – $35,999.12 | 25 |
| Laparoscopy fundoplasty CPT 43280 | $13,263.00 | $26,526.00 | $205.80 – $63,297.03 | 25 |
| Laparoscopy lysis CPT 58660 | $8,035.50 | $16,071.00 | $205.80 – $35,999.12 | 25 |
| Laparoscopy remove adnexa CPT 58661 | $7,713.50 | $15,427.00 | $205.80 – $35,999.12 | 25 |
| Laparo-vag hyst incl t/o CPT 58552 | $10,289.50 | $20,579.00 | $205.80 – $63,297.03 | 25 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $11,579.00 | $23,158.00 | $205.80 – $63,297.03 | 25 |
| Lap ing hernia repair init CPT 49650 | $8,888.00 | $17,776.00 | $205.80 – $35,999.12 | 25 |
| Lap ing hernia repair recur CPT 49651 | $12,388.00 | $24,776.00 | $6,180.53 – $35,999.12 | 17 |
| Lap insert tunnel ip cath CPT 49324 | $5,459.50 | $10,919.00 | $205.80 – $35,999.12 | 25 |
| Lap jejunostomy 44186 CPT 44186 | $5,540.00 | $11,080.00 | $205.80 – $35,999.12 | 25 |
| Lap paraesophag hern repair CPT 43281 | $9,588.00 | $19,176.00 | $853.60 – $63,297.03 | 25 |
| Lap revision perm ip cath CPT 49325 | $4,423.00 | $8,846.00 | $205.80 – $35,999.12 | 25 |
| Laps abltj uterine fibroids CPT 58674 | $4,424.34 | $8,848.67 | $621.52 – $63,297.03 | 25 |
| Laps surg prst8ect rpbic rad CPT 55866 | $22,756.34 | $45,512.67 | $906.15 – $63,297.03 | 24 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $10,599.34 | $21,198.67 | $105.00 – $10,598.68 | 26 |
| Laryngoscopy w/biopsy CPT 31535 | $3,283.00 | $6,566.00 | $205.80 – $22,201.05 | 25 |
| Laryngoscopy w/bx & op scope CPT 31536 | $4,423.00 | $8,846.00 | $196.06 – $22,201.05 | 26 |
| Laryngoscopy w/exc of tumor CPT 31540 | $4,815.50 | $9,631.00 | $205.80 – $22,201.05 | 26 |
| Laryngoscopy with biopsy CPT 31576 | $1,940.00 | $3,880.00 | $111.62 – $10,598.68 | 26 |
| Larynscop w/tumr exc + scope CPT 31541 | $4,060.50 | $8,121.00 | $205.80 – $22,201.05 | 26 |
| Laser surgery of prostate CPT 52648 | $9,434.00 | $18,868.00 | $205.80 – $31,927.66 | 25 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $231.02 | $462.04 | not published | 0 |
| Lead capillary CPT 83655 | $62.50 | $125.00 | $10.00 – $70.54 | 26 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,085.00 | $2,170.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $3,684.18 | $7,368.36 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $600.00 | $1,200.00 | $24.44 – $1,420.79 | 26 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $77.00 | $154.00 | $145.73 – $848.82 | 17 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $196.75 | $393.50 | $6.34 – $6.34 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,693.58 | $3,387.15 | $160.34 – $933.92 | 18 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,911.00 | $7,822.00 | $1,841.26 – $10,724.60 | 18 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $247.00 | $494.00 | $75.99 – $442.61 | 17 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $446.00 | $892.00 | $94.96 – $553.10 | 17 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $671.50 | $1,343.00 | $175.72 – $1,023.50 | 17 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $1,091.00 | $2,182.00 | $270.21 – $1,573.87 | 17 |
| Lev 5 hosp type b ed visit HCPCS G0384 | $1,621.00 | $3,242.00 | $419.89 – $2,445.69 | 17 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.50 | $5.00 | $0.13 – $0.13 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $58.50 | $117.00 | $0.07 – $0.07 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.50 | $67.00 | $12.53 – $77.18 | 26 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.77 | $15.53 | $3.56 – $3.56 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $56.20 | $112.40 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $15,085.00 | $30,170.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $19.83 | $39.65 | $0.08 – $0.08 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $76.00 | $152.00 | $13.00 – $85.56 | 26 |
| Ligation/major artery/extremity 37618 CPT 37618 | $4,651.00 | $9,302.00 | $205.80 – $2,174.91 | 24 |
| Lig/band angioaccess av fistula CPT 37607 | $3,993.33 | $7,986.66 | $3,227.98 – $18,801.69 | 17 |
| Liletta, 52 mg HCPCS J7297 | $2,096.50 | $4,193.00 | $769.24 – $1,937.07 | 3 |
| Lincomycin injection HCPCS J2010 | $34.50 | $69.00 | $8.91 – $8.91 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $144.45 | $288.90 | $4.52 – $4.52 | 1 |
| Lipase CPT 83690 | $37.50 | $75.00 | $5.00 – $40.13 | 26 |
| Lipoprotein blood high res frac & quant CPT 83701 | $128.00 | $256.00 | $27.74 – $197.22 | 26 |
| Lipoprotein blood quant CPT 83704 | $53.80 | $107.60 | $32.00 – $199.14 | 24 |
| Lipoprotein direct measurement hdl CPT 83718 | $42.00 | $84.00 | $3.40 – $47.70 | 26 |
| Lipoprotein direct measurement ldl CPT 83721 | $41.50 | $83.00 | $9.92 – $61.16 | 26 |
| Lithium therapeutic drug level CPT 80178 | $34.50 | $69.00 | $6.25 – $38.50 | 26 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,870.00 | $7,740.00 | $109.38 – $715.67 | 24 |
| Liver elastography 91200 CPT 91200 | $148.00 | $296.00 | $7.72 – $766.17 | 26 |
| Liver Function Test CPT 80076 | $42.00 | $84.00 | $6.18 – $47.59 | 26 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,187.51 | $8,375.02 | $65.10 – $19,483.64 | 26 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $39.50 | $79.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $10.50 | $21.00 | $2.33 – $2.33 | 1 |
| Low back disk surgery CPT 63030 | $5,373.50 | $10,747.00 | $205.80 – $43,208.28 | 25 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,395.50 | $2,791.00 | $44.78 – $1,044.47 | 26 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $246.50 | $493.00 | $42.98 – $2,077.40 | 26 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $706.50 | $1,413.00 | $35.00 – $232.46 | 26 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,992.50 | $5,985.00 | $81.84 – $2,077.40 | 26 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,783.50 | $5,567.00 | $63.57 – $2,077.40 | 26 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,724.50 | $3,449.00 | $52.50 – $530.62 | 26 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $322.50 | $645.00 | $7.98 – $232.46 | 26 |
| Lumbar diskogram s&i CPT 72295 | $2,197.00 | $4,394.00 | $29.60 – $11,627.82 | 26 |
| Lung Function Test (Spirometry) CPT 94010 | $313.50 | $627.00 | $5.92 – $480.18 | 26 |
| Lung perfusion imaging CPT 78580 | $1,063.50 | $2,127.00 | $26.00 – $2,380.51 | 26 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $22,139.08 | $44,278.16 | $43.51 – $253.43 | 17 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $333.50 | $667.00 | $350.21 – $2,039.83 | 17 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $288.00 | $576.00 | $267.32 – $1,557.03 | 17 |
| Lymphatics/lymph node imaging CPT 78195 | $1,516.50 | $3,033.00 | $41.43 – $3,233.24 | 26 |
| Lymphocyte transformation mitogen CPT 86353 | $350.00 | $700.00 | $46.34 – $285.58 | 26 |
| Magnesium CPT 83735 | $36.00 | $72.00 | $6.33 – $39.02 | 26 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $69.00 | $138.00 | $0.68 – $0.68 | 1 |
| Makena, 10 mg HCPCS J1726 | $73.50 | $147.00 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $340.00 | $680.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $85.00 | $170.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $2,057.88 | $4,115.75 | $128.56 – $748.81 | 24 |
| Marker biop eviva buckle ss HCPCS A4648 | $516.50 | $1,033.00 | not published | 0 |
| Mastectomy partial CPT 19301 | $8,644.00 | $17,288.00 | $4,002.87 – $23,315.12 | 17 |
| Mast mod rad CPT 19307 | $6,636.50 | $13,273.00 | $6,788.43 – $39,539.89 | 17 |
| Mastoids complete CPT 70130 | $319.50 | $639.00 | $12.35 – $622.48 | 26 |
| Mast simple complete CPT 19303 | $9,211.00 | $18,422.00 | $6,788.43 – $39,539.89 | 17 |
| Matrion 1 sq cm HCPCS Q4201 | $566.50 | $1,133.00 | $126.52 – $736.93 | 18 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $143.50 | $287.00 | $126.52 – $736.93 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $57.50 | $115.00 | $13.66 – $84.22 | 26 |
| Mayo aathr protein s free CPT 85306 | $79.00 | $158.00 | $14.48 – $89.23 | 26 |
| Mayo activated protein c resistance assay CPT 85307 | $54.00 | $108.00 | $14.48 – $89.23 | 26 |
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.