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 |
|---|---|---|---|---|
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $100.00 | $200.00 | not published | 0 |
| Positional nystagmus test CPT 92532 | $26.50 | $53.00 | not published | 0 |
| Postpartum Care Only CPT 59430 | $196.00 | $392.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $26.50 | $53.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $28.50 | $57.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $4,834.00 | $9,668.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,597.50 | $3,195.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,134.00 | $6,268.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,134.00 | $6,268.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $750.50 | $1,501.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $262.00 | $524.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $184.00 | $368.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $66.00 | $132.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $389.50 | $779.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $38.00 | $76.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $286.00 | $572.00 | not published | 0 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $84.50 | $169.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $120.00 | $240.00 | not published | 0 |
| Prealbumin CPT 84134 | $89.00 | $178.00 | not published | 0 |
| Pr ecg 12 lead report only CPT 93010 | $9.50 | $19.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $19.50 | $39.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.50 | $1.00 | $0.69 – $0.69 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $447.50 | $895.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $465.50 | $931.00 | not published | 0 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $97.50 | $195.00 | not published | 0 |
| Prep corneal endo allograft CPT 65757 | $123.50 | $247.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $389.50 | $779.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $155.50 | $311.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $109.00 | $218.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $47.50 | $95.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $99.50 | $199.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $183.00 | $366.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $23.50 | $47.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $48.00 | $96.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $130.50 | $261.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,581.50 | $3,163.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,582.00 | $3,164.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $591.00 | $1,182.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $34.00 | $68.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $28.00 | $56.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $45.00 | $90.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $60.50 | $121.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $66.00 | $132.00 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $179.00 | $358.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $134.50 | $269.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $86.50 | $173.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $122.00 | $244.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $80.50 | $161.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $50.50 | $101.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $50.50 | $101.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $473.50 | $947.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $322.50 | $645.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $462.50 | $925.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $389.50 | $779.00 | not published | 0 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $189.50 | $379.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $139.50 | $279.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $158.50 | $317.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $122.00 | $244.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $2,277.50 | $4,555.00 | not published | 0 |
| Procalcitonin CPT 84145 | $169.50 | $339.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $4.00 | $8.00 | $5.66 – $5.66 | 1 |
| Progesterone CPT 84144 | $100.00 | $200.00 | not published | 0 |
| Prolactin CPT 84146 | $66.50 | $133.00 | not published | 0 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $39.50 | $79.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $85.50 | $171.00 | not published | 0 |
| Prolong service without contact CPT 99358 | $88.00 | $176.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $37.00 | $74.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $5.50 | $11.00 | $5.92 – $5.92 | 1 |
| Proph rta dtchmnt pc CPT 67145 | $204.50 | $409.00 | not published | 0 |
| _propoxygc/msur CPT 80367 | $20.00 | $40.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $185.50 | $371.00 | not published | 0 |
| Prostatic microwave thermotx CPT 53850 | $370.50 | $741.00 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $849.00 | $1,698.00 | not published | 0 |
| Protein c activity CPT 85303 | $132.00 | $264.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $59.50 | $119.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $63.00 | $126.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $22.00 | $44.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $38.00 | $76.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $17.50 | $35.00 | not published | 0 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $75.00 | $150.00 | not published | 0 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $31.50 | $63.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $428.00 | $856.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $184.00 | $368.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $292.00 | $584.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $591.00 | $1,182.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $342.00 | $684.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $286.00 | $572.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $286.00 | $572.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $286.00 | $572.00 | not published | 0 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $40.50 | $81.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | $664.50 | $1,329.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,502.00 | $3,004.00 | not published | 0 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $16.50 | $33.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $111.50 | $223.00 | not published | 0 |
| Psychoanalysis CPT 90845 | $100.50 | $201.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $93.50 | $187.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $147.00 | $294.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $196.00 | $392.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $574.00 | $1,148.00 | not published | 0 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $174.50 | $349.00 | 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.