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 |
|---|---|---|---|---|
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $90.50 | $181.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $261.00 | $522.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $67.00 | $134.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $110.50 | $221.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $62.50 | $125.00 | not published | 0 |
| Inject/treat eye socket CPT 67515 | $304.50 | $609.00 | not published | 0 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $49.00 | $98.00 | $53.20 – $53.20 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $676.50 | $1,353.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $885.00 | $1,770.00 | not published | 0 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $2.50 | $5.00 | $1.86 – $1.86 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $36.00 | $72.00 | $59.55 – $59.55 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $27.50 | $55.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | $19.00 | $38.00 | $20.15 – $20.15 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $55.00 | $110.00 | $79.68 – $79.68 | 1 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $729.00 | $1,458.00 | not published | 0 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $79.00 | $158.00 | not published | 0 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $67.50 | $135.00 | not published | 0 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $226.00 | $452.00 | $249.91 – $249.91 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $17.00 | $34.00 | $19.17 – $19.17 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | $619.00 | $1,238.00 | not published | 0 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $1.50 | $3.00 | $1.29 – $1.29 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $19.50 | $39.00 | $21.50 – $21.50 | 1 |
| Inj scleros sol mult veins CPT 36471 | $80.00 | $160.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $40.50 | $81.00 | not published | 0 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $54.50 | $109.00 | not published | 0 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $86.00 | $172.00 | $133.29 – $133.29 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $541.00 | $1,082.00 | $541.20 – $541.20 | 1 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.50 | $1.00 | $0.08 – $0.08 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $0.50 | $1.00 | $0.05 – $0.05 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $79.00 | $158.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $688.00 | $1,376.00 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $32.50 | $65.00 | $28.94 – $28.94 | 1 |
| Inj, trivisc 1 mg HCPCS J7329 | $25.00 | $50.00 | $13.05 – $13.05 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | $34.00 | $68.00 | $40.76 – $40.76 | 1 |
| Inj xipere 1 mg HCPCS J3299 | $62.00 | $124.00 | $80.16 – $80.16 | 1 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | $772.50 | $1,545.00 | $872.85 – $872.85 | 1 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | $45.50 | $91.00 | not published | 0 |
| Inpt/ed teleconsult30 HCPCS G0425 | $97.50 | $195.00 | not published | 0 |
| Inpt/ed teleconsult50 HCPCS G0426 | $134.50 | $269.00 | not published | 0 |
| Inpt/ed teleconsult70 HCPCS G0427 | $193.00 | $386.00 | not published | 0 |
| Inpt/tele follow up 15 HCPCS G0406 | $41.50 | $83.00 | not published | 0 |
| Inpt/tele follow up 25 HCPCS G0407 | $73.00 | $146.00 | not published | 0 |
| Inpt/tele follow up 35 HCPCS G0408 | $107.00 | $214.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $501.00 | $1,002.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $151.00 | $302.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $3,361.00 | $6,722.00 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $127.50 | $255.00 | not published | 0 |
| Insert epicardial lead open 33202 CPT 33202 | $8,158.00 | $16,316.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $173.00 | $346.00 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $127.50 | $255.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $229.50 | $459.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,388.00 | $4,776.00 | not published | 0 |
| Insertion of heart electrode 33211 CPT 33211 | $2,502.50 | $5,005.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $102.00 | $204.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,508.00 | $3,016.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $169.00 | $338.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $2,628.00 | $5,256.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $2,619.50 | $5,239.00 | not published | 0 |
| Insert pessary/other device CPT 57160 | $194.00 | $388.00 | not published | 0 |
| Insert pm/icd lead dual CPT 33217 | $2,502.50 | $5,005.00 | not published | 0 |
| Insert/repl sq defib w/eltrd CPT 33270 | $8,735.00 | $17,470.00 | not published | 0 |
| Insert sq defib electrode CPT 33271 | $2,502.50 | $5,005.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $34.50 | $69.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $187.50 | $375.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $35.00 | $70.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $35.00 | $70.00 | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $4,157.00 | $8,314.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $4,998.00 | $9,996.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $4,157.00 | $8,314.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,388.00 | $4,776.00 | not published | 0 |
| Insulin total CPT 83525 | $62.50 | $125.00 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | $30.00 | $60.00 | not published | 0 |
| Intermediate visual field xm CPT 92082 | $22.50 | $45.00 | not published | 0 |
| Interrogate subq defib CPT 93261 | $39.50 | $79.00 | not published | 0 |
| Interrog dev eval scrms ip CPT 93291 | $19.50 | $39.00 | not published | 0 |
| Interrog device eval heart CPT 93289 | $111.50 | $223.00 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $36.00 | $72.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $24.00 | $48.00 | not published | 0 |
| Intrm oph exam est patient CPT 92012 | $46.50 | $93.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $19.00 | $38.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $805.00 | $1,610.00 | not published | 0 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $111.00 | $222.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $154.00 | $308.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $208.00 | $416.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $79.00 | $158.00 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.50 | $3.00 | $0.53 – $0.53 | 1 |
| Iron CPT 83540 | $54.00 | $108.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.50 | $1.00 | $0.36 – $0.36 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $112.00 | $224.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $123.50 | $247.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $43.00 | $86.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $175.00 | $350.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $394.00 | $788.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $140.00 | $280.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | $1,306.00 | $2,612.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $39.50 | $79.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $1.50 | $3.00 | $0.81 – $0.81 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $440.50 | $881.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,237.50 | $2,475.00 | 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.