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 |
|---|---|---|---|---|
| Ultrasound hips infant dynamic CPT 76885 | $368.50 | $737.00 | $25.74 – $518.16 | 26 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $670.00 | $1,340.00 | $7.85 – $622.48 | 26 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $194.50 | $389.00 | $34.48 – $268.34 | 26 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $92.50 | $185.00 | $21.98 – $224.48 | 26 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $360.50 | $721.00 | $29.85 – $622.48 | 26 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $558.00 | $1,116.00 | $23.16 – $622.48 | 26 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $600.00 | $1,200.00 | $26.51 – $622.48 | 26 |
| Ultrasound retroperitoneal limited CPT 76775 | $600.00 | $1,200.00 | $20.59 – $622.48 | 26 |
| Ultrasound scrotum and contents CPT 76870 | $600.00 | $1,200.00 | $22.65 – $622.48 | 26 |
| Ultrasound spinal canal and contents CPT 76800 | $368.50 | $737.00 | $47.09 – $622.48 | 26 |
| Ultrasound transvaginal non obstetric CPT 76830 | $569.50 | $1,139.00 | $24.44 – $622.48 | 26 |
| Unlisted chemotherapy px CPT 96549 | $62.50 | $125.00 | $47.87 – $278.82 | 17 |
| Unlisted dialysis procedure CPT 90999 | $752.00 | $1,504.00 | not published | 0 |
| Unlisted hematology&coagj px CPT 85999 | $48.50 | $97.00 | not published | 0 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $7,925.50 | $15,851.00 | $6,180.53 – $35,999.12 | 17 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $8,679.50 | $17,359.00 | $6,180.53 – $35,999.12 | 17 |
| Unlisted maaa CPT 81599 | $587.00 | $1,174.00 | not published | 0 |
| Unlisted procedure colon CPT 45399 | $1,553.50 | $3,107.00 | $950.73 – $5,537.62 | 17 |
| Unlisted procedure esophagus CPT 43499 | $2,933.00 | $5,866.00 | $927.23 – $5,400.74 | 17 |
| Unlisted procedure microbiology CPT 87999 | $6.00 | $12.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $1,550.33 | $3,100.66 | $252.17 – $1,468.79 | 17 |
| Unlisted px arthroscopy CPT 29999 | $2,249.17 | $4,498.33 | $252.17 – $1,468.79 | 17 |
| Unlisted px forearm/wrist CPT 25999 | $3,322.50 | $6,645.00 | $252.17 – $1,468.79 | 17 |
| Unlisted px hands/fingers CPT 26989 | $308.50 | $617.00 | $252.17 – $1,468.79 | 17 |
| Unlisted px leg/ankle CPT 27899 | $369.00 | $738.00 | $252.17 – $1,468.79 | 17 |
| Unlisted px pelvis/hip joint CPT 27299 | $5,862.00 | $11,724.00 | $252.17 – $1,468.79 | 17 |
| Unlisted urinalysis px CPT 81099 | $77.50 | $155.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $3,954.33 | $7,908.66 | $6,180.53 – $35,999.12 | 17 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $683.50 | $1,367.00 | $701.64 – $4,086.77 | 17 |
| Upgrade pm system CPT 33214 | $5,363.00 | $10,726.00 | $205.80 – $62,238.06 | 25 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,992.50 | $5,985.00 | $81.84 – $2,077.40 | 26 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,783.50 | $5,567.00 | $63.05 – $2,077.40 | 26 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,817.50 | $3,635.00 | $52.50 – $530.62 | 26 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $3,726.00 | $7,452.00 | $105.00 – $5,400.74 | 26 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,140.00 | $4,280.00 | $148.58 – $5,400.74 | 26 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,774.00 | $3,548.00 | $151.55 – $5,400.74 | 26 |
| Urea nitrogen CPT 84520 | $20.50 | $41.00 | $3.74 – $23.01 | 26 |
| Urea nitrogen 24 hour urine CPT 84540 | $23.50 | $47.00 | $5.25 – $32.38 | 24 |
| Ureter endoscopy & treatment CPT 50980 | $5,400.50 | $10,801.00 | $205.80 – $31,927.66 | 26 |
| Urethrocystography void s&i CPT 74455 | $1,224.50 | $2,449.00 | $11.32 – $1,420.79 | 26 |
| Uric acid blood CPT 84550 | $23.50 | $47.00 | $4.27 – $26.33 | 26 |
| Uric acid urine CPT 84560 | $23.00 | $46.00 | $4.50 – $29.59 | 26 |
| Urinalysis microscopic only CPT 81015 | $28.50 | $57.00 | $2.71 – $17.77 | 26 |
| Urinalysis (with microscopy) CPT 81001 | $27.00 | $54.00 | $2.99 – $18.46 | 26 |
| Urinalysis (without microscopy) CPT 81003 | $12.50 | $25.00 | $2.13 – $13.11 | 26 |
| Urine Culture Test CPT 87086 | $44.00 | $88.00 | $7.62 – $47.00 | 26 |
| Urine pregnancy test CPT 81025 | $33.50 | $67.00 | $4.00 – $50.15 | 26 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $16,188.02 | $32,376.04 | $11.36 – $66.17 | 17 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $124.00 | $248.00 | $40.00 – $248.00 | 3 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $113.00 | $226.00 | $40.00 – $226.00 | 3 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $100.50 | $201.00 | $40.00 – $201.00 | 3 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $45.00 | $90.00 | $40.00 – $90.00 | 3 |
| Vaccine dtap < 7 years im CPT 90700 | $27.50 | $55.00 | $10.00 – $41.26 | 3 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $63.00 | $126.00 | $10.00 – $126.00 | 3 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $57.50 | $115.00 | $10.00 – $92.00 | 3 |
| Vaccine dtap-ipv/hib im CPT 90698 | $106.00 | $212.00 | $10.00 – $202.00 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $28.00 | $56.00 | $10.00 – $56.00 | 3 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $12.50 | $25.00 | $10.00 – $23.00 | 3 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $68.00 | $136.00 | $10.00 – $121.34 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $95.50 | $191.00 | $10.00 – $191.00 | 3 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $32.50 | $65.00 | $10.00 – $53.00 | 3 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $46.50 | $93.00 | $10.00 – $93.00 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $46.50 | $93.00 | $10.00 – $87.00 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $127.00 | $254.00 | $10.00 – $254.00 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $22.00 | $44.00 | $10.00 – $41.00 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $290.50 | $581.00 | $10.00 – $549.00 | 3 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $282.50 | $565.00 | $186.83 – $186.83 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $79.50 | $159.00 | $10.00 – $135.00 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $73.00 | $146.00 | $10.00 – $116.00 | 3 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $19.50 | $39.00 | $10.00 – $26.00 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $69.00 | $138.00 | $10.00 – $11.00 | 2 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $10.00 | $20.00 | $10.00 – $11.00 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $59.00 | $118.00 | $10.00 – $11.00 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $66.00 | $132.00 | $10.00 – $11.00 | 2 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $32.50 | $65.00 | $10.00 – $65.00 | 3 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $10.00 | $20.00 | $10.00 – $18.00 | 3 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $154.50 | $309.00 | $10.00 – $306.00 | 3 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $170.00 | $340.00 | $10.00 – $340.00 | 3 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $147.00 | $294.00 | $10.00 – $294.00 | 3 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $104.50 | $209.00 | $10.00 – $203.00 | 3 |
| Vaccine mmr live subcutaneous CPT 90707 | $86.00 | $172.00 | $10.00 – $155.00 | 3 |
| Vaccine mmrv live subcutaneous CPT 90710 | $269.50 | $539.00 | $10.00 – $518.00 | 3 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $105.50 | $211.00 | $10.00 – $209.00 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $196.00 | $392.00 | $10.00 – $363.00 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $242.50 | $485.00 | $10.00 – $436.00 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $41.00 | $82.00 | $10.00 – $82.00 | 3 |
| Vaccine rabies im CPT 90675 | $406.00 | $812.00 | $10.00 – $1,933.65 | 20 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $271.00 | $542.00 | $10.00 – $542.00 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,183.50 | $2,367.00 | $10.00 – $1,178.22 | 3 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,183.50 | $2,367.00 | $10.00 – $1,178.22 | 3 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $228.00 | $456.00 | $10.00 – $456.00 | 3 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $103.00 | $206.00 | $10.00 – $206.00 | 3 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $84.50 | $169.00 | $10.00 – $162.00 | 3 |
| Vaccine tdap >=7 years im CPT 90715 | $45.50 | $91.00 | $10.00 – $65.49 | 3 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $46.50 | $93.00 | $10.00 – $43.70 | 3 |
| Vaccine typhoid vicps im CPT 90691 | $141.50 | $283.00 | $10.00 – $270.00 | 3 |
| Vaccine varicella live subcutaneous CPT 90716 | $183.00 | $366.00 | $10.00 – $348.00 | 3 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $205.50 | $411.00 | $10.00 – $411.00 | 3 |
| Vag hyst including t/o CPT 58262 | $9,645.50 | $19,291.00 | $205.80 – $29,787.94 | 25 |
| Vaginal bx CPT 58999 | $4,195.00 | $8,390.00 | $206.69 – $1,203.89 | 17 |
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.