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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,028.00 | $2,056.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $346.00 | $692.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $49.50 | $99.00 | not published | 0 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $847.50 | $1,695.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $847.50 | $1,695.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $294.00 | $588.00 | not published | 0 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $438.50 | $877.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $847.50 | $1,695.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $550.50 | $1,101.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $591.00 | $1,182.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $309.00 | $618.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $354.00 | $708.00 | not published | 0 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $92.50 | $185.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $150.00 | $300.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $533.50 | $1,067.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $184.50 | $369.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $210.00 | $420.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $700.00 | $1,400.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $301.00 | $602.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $591.00 | $1,182.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $357.00 | $714.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $24.00 | $48.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $96.00 | $192.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $83.00 | $166.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $104.00 | $208.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $104.00 | $208.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $50.00 | $100.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $20.00 | $40.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $889.50 | $1,779.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $847.50 | $1,695.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $676.50 | $1,353.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $847.50 | $1,695.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,593.00 | $3,186.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $847.50 | $1,695.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $847.50 | $1,695.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $847.50 | $1,695.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $676.50 | $1,353.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $676.50 | $1,353.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $598.00 | $1,196.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $22.50 | $45.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $34.00 | $68.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $20.50 | $41.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $438.50 | $877.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $438.50 | $877.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $25.50 | $51.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $330.00 | $660.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $175.00 | $350.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $353.00 | $706.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $31.00 | $62.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $8.00 | $16.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $8.00 | $16.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $167.50 | $335.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $184.00 | $368.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $638.50 | $1,277.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $24.00 | $48.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $43.00 | $86.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $591.00 | $1,182.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $551.00 | $1,102.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $591.00 | $1,182.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $286.00 | $572.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $342.00 | $684.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $286.00 | $572.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $207.00 | $414.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $294.00 | $588.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $10.00 | $20.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $200.00 | $400.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $150.00 | $300.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $328.50 | $657.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $15.00 | $30.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $876.50 | $1,753.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $81.50 | $163.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $130.00 | $260.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $205.00 | $410.00 | $310.81 – $310.81 | 1 |
| Glucose 1 hr post dose CPT 82950 | $29.50 | $59.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.00 | $20.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $23.50 | $47.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $81.00 | $162.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $80.50 | $161.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $79.00 | $158.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $67.00 | $134.00 | not published | 0 |
| Gonioscopy CPT 92020 | $18.50 | $37.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,686.00 | $3,372.00 | $1,004.87 – $1,004.87 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $119.50 | $239.00 | $50.16 – $50.16 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $10.00 | $20.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $119.50 | $239.00 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $2,037.50 | $4,075.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $119.50 | $239.00 | $64.45 – $64.45 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $119.50 | $239.00 | $171.22 – $171.22 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $119.50 | $239.00 | $224.93 – $224.93 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $119.50 | $239.00 | $74.25 – $74.25 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,800.00 | $3,600.00 | 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.