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 |
|---|---|---|---|---|
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $127.50 | $255.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $93.50 | $187.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $75.50 | $151.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $95.50 | $191.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $126.50 | $253.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $16.00 | $32.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $7.00 | $14.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $15.50 | $31.00 | not published | 0 |
| Pt/caregiver traing home inr CPT 93792 | $73.00 | $146.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $174.00 | $348.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $174.00 | $348.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $174.00 | $348.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $86.50 | $173.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $92.00 | $184.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $13.50 | $27.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $64.00 | $128.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $31.50 | $63.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $265.50 | $531.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $102.00 | $204.00 | not published | 0 |
| Pulse ox single CPT 94760 | $54.50 | $109.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $676.50 | $1,353.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $114.00 | $228.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $591.00 | $1,182.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,135.50 | $2,271.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Puraply xt 1 sq cm HCPCS Q4197 | $119.50 | $239.00 | $202.92 – $202.92 | 1 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $51.50 | $103.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | $89.00 | $178.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $83.50 | $167.00 | not published | 0 |
| Pyruvate CPT 84210 | $10.50 | $21.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $158.50 | $317.00 | $265.91 – $265.91 | 1 |
| Ranibizumab injection HCPCS J2778 | $90.00 | $180.00 | $180.00 – $180.00 | 1 |
| Rapid desensitization CPT 95180 | $98.00 | $196.00 | not published | 0 |
| Rapid Strep Test CPT 87880 | $41.00 | $82.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $5.00 | $10.00 | not published | 0 |
| Reconstruction of nail bed CPT 11762 | $196.00 | $392.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $344.00 | $688.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $238.00 | $476.00 | not published | 0 |
| Reduce testis torsion CPT 54600 | $3,428.00 | $6,856.00 | not published | 0 |
| Reduction of procidentia 45900 CPT 45900 | $241.50 | $483.00 | not published | 0 |
| Refill maint impl spine pump CPT 95991 | $294.00 | $588.00 | not published | 0 |
| Reinforce thigh CPT 27495 | $1,184.50 | $2,369.00 | not published | 0 |
| Release palm contracture CPT 26121 | $628.00 | $1,256.00 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $1,715.00 | $3,430.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $47.00 | $94.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $10.00 | $20.00 | $10.00 – $10.00 | 1 |
| Rem interrog evl pm/ids CPT 93296 | $32.00 | $64.00 | not published | 0 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $47.50 | $95.00 | not published | 0 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $127.50 | $255.00 | not published | 0 |
| Removal anal seton other marker 46030 CPT 46030 | $1,146.50 | $2,293.00 | not published | 0 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $143.50 | $287.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $198.50 | $397.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $335.50 | $671.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $108.00 | $216.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $192.50 | $385.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $125.50 | $251.00 | not published | 0 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $96.50 | $193.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,057.00 | $2,114.00 | not published | 0 |
| Removal implant superficial separate procedure CPT 20670 | $154.00 | $308.00 | not published | 0 |
| Removal of breast lesion CPT 19120 | $466.00 | $932.00 | not published | 0 |
| Removal of eye lesion CPT 65400 | $570.50 | $1,141.00 | not published | 0 |
| Removal of eye lesion CPT 65426 | $450.50 | $901.00 | not published | 0 |
| Removal of hip foreign body 27087 CPT 27087 | $679.50 | $1,359.00 | not published | 0 |
| Removal of implant deep CPT 20680 | $444.50 | $889.00 | not published | 0 |
| Removal of inner eye fluid CPT 67036 | $834.50 | $1,669.00 | not published | 0 |
| Removal of knee cyst CPT 27345 | $523.00 | $1,046.00 | not published | 0 |
| Removal of lens material CPT 66850 | $736.00 | $1,472.00 | not published | 0 |
| Removal of scrotum lesion CPT 55120 | $373.00 | $746.00 | not published | 0 |
| Removal of skin tags each add'l 10 CPT 11201 | $20.00 | $40.00 | not published | 0 |
| Removal of toe lesions CPT 28092 | $286.50 | $573.00 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $192.50 | $385.00 | not published | 0 |
| Removal sutr and stapl no anes CPT 15854 | $18.00 | $36.00 | not published | 0 |
| Removal sutr or stapl no anes CPT 15853 | $270.50 | $541.00 | not published | 0 |
| Removal sutr/staple req anes CPT 15851 | $66.50 | $133.00 | not published | 0 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $428.00 | $856.00 | not published | 0 |
| Remove ankle joint lining CPT 27626 | $634.50 | $1,269.00 | not published | 0 |
| Remove ext hem groups 2+ CPT 46250 | $356.00 | $712.00 | not published | 0 |
| Remove eyelid lesion CPT 67800 | $95.50 | $191.00 | not published | 0 |
| Remove eyelid lesion CPT 67840 | $147.50 | $295.00 | not published | 0 |
| Remove eyelid lesions CPT 67801 | $122.00 | $244.00 | not published | 0 |
| Remove eyelid lesions CPT 67805 | $153.00 | $306.00 | not published | 0 |
| Remove foreign body from eye CPT 65235 | $691.50 | $1,383.00 | not published | 0 |
| Remove hip/pelvis lesion 27047 CPT 27047 | $2,782.00 | $5,564.00 | not published | 0 |
| Remove implant of eye CPT 65920 | $743.00 | $1,486.00 | not published | 0 |
| Remove spine eltrd perq aray CPT 63661 | $1,870.50 | $3,741.00 | not published | 0 |
| Remove tonsils and adenoids CPT 42820 | $293.00 | $586.00 | not published | 0 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,160.00 | $6,320.00 | not published | 0 |
| Remove wrist/forearm lesion CPT 25115 | $789.50 | $1,579.00 | not published | 0 |
| Renal function panel CPT 80069 | $40.00 | $80.00 | not published | 0 |
| Repair blood vessel direct hand finger CPT 35207 | $777.50 | $1,555.00 | not published | 0 |
| Repair blood vessel dir lower extr CPT 35226 | $907.50 | $1,815.00 | not published | 0 |
| Repair blood vessel dir upper extr CPT 35206 | $2,449.50 | $4,899.00 | not published | 0 |
| Repair brow defect CPT 67900 | $477.00 | $954.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $943.00 | $1,886.00 | not published | 0 |
| Repair degenerated kneecap CPT 27418 | $864.50 | $1,729.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $28.50 | $57.00 | not published | 0 |
| Repair detached retina CPT 67110 | $762.50 | $1,525.00 | not published | 0 |
| Repair extns tendon finger without grft ea CPT 26418 | $664.50 | $1,329.00 | not published | 0 |
| Repair eyelid defect CPT 67902 | $677.00 | $1,354.00 | not published | 0 |
| Repair eyelid defect CPT 67904 | $558.50 | $1,117.00 | 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.