Jefferson Medical Center
300 S Preston St, Ranson, WV · Wvumedicine · · NPI 1891722377
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $22.50 | $45.00 | not published | 0 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $92.50 | $185.00 | not published | 0 |
| 1st psyc collab care mgmt CPT 99492 | $94.00 | $188.00 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $70.00 | $140.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $496.50 | $993.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $8.00 | $16.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $38.50 | $77.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $72.50 | $145.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $77.50 | $155.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $83.50 | $167.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $66.50 | $133.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $72.50 | $145.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $72.50 | $145.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $83.50 | $167.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $97.50 | $195.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,021.50 | $2,043.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $851.50 | $1,703.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $714.50 | $1,429.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,854.00 | $3,708.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,205.50 | $2,411.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,276.00 | $2,552.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $440.50 | $881.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $440.00 | $880.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,150.00 | $2,300.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $6,540.00 | $13,080.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $675.50 | $1,351.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $13.00 | $26.00 | $14.54 – $14.54 | 1 |
| Acetaminophen level CPT 80143 | $15.50 | $31.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $15.50 | $31.00 | $31.00 – $31.00 | 1 |
| Acetylcholine receptor modulating antibody CPT 86043 | $50.00 | $100.00 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $48.50 | $97.00 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $190.00 | $380.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $149.50 | $299.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $97.50 | $195.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $64.50 | $129.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $76.50 | $153.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $170.50 | $341.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $153.00 | $306.00 | not published | 0 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $26.00 | $52.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $221.00 | $442.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $66.00 | $132.00 | not published | 0 |
| Adh-sendout CPT 84588 | $31.00 | $62.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $730.00 | $1,460.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4.00 | $8.00 | $0.92 – $0.92 | 1 |
| Admin ecg contrast agent CPT 93352 | $37.00 | $74.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $148.50 | $297.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $471.00 | $942.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $169.00 | $338.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $40.00 | $80.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $40.00 | $80.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $14.00 | $28.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $23.50 | $47.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $14.00 | $28.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $37.50 | $75.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $13.50 | $27.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $76.50 | $153.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $25.00 | $50.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $25.00 | $50.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $25.00 | $50.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $76.50 | $153.00 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $72.00 | $144.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | $168.00 | $336.00 | not published | 0 |
| Aflibercept injection HCPCS J0178 | $847.00 | $1,694.00 | $1,422.76 – $1,422.76 | 1 |
| After cataract laser surgery CPT 66821 | $296.00 | $592.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $121.00 | $242.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $31.50 | $63.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $52.50 | $105.00 | $87.58 – $87.58 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $53.50 | $107.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $30.50 | $61.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.00 | $2.00 | $0.28 – $0.28 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $28.00 | $56.00 | not published | 0 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $36.00 | $72.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $34.50 | $69.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $61.00 | $122.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $138.00 | $276.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $12.50 | $25.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $10.50 | $21.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $4.00 | $8.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $119.50 | $239.00 | $187.57 – $187.57 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $0.01 | $0.01 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $85.00 | $170.00 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $119.50 | $239.00 | $225.18 – $225.18 | 1 |
| Alpha-fetoprotein amniotic CPT 82106 | $28.50 | $57.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $91.50 | $183.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $9.50 | $19.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $128.00 | $256.00 | $146.80 – $146.80 | 1 |
| Alt/sgpt CPT 84460 | $44.50 | $89.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $91.50 | $183.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.00 | $2.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | $590.00 | $1,180.00 | $647.33 – $647.33 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $11.00 | $22.00 | not published | 0 |
| Ammonia CPT 82140 | $98.50 | $197.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $20.00 | $40.00 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $1.00 | $2.00 | $1.67 – $1.67 | 1 |
| Amputate metacarpal bone 26910 CPT 26910 | $807.00 | $1,614.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $180.50 | $361.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $187.00 | $374.00 | not published | 0 |
| Amylase CPT 82150 | $237.00 | $474.00 | not published | 0 |
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.