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 |
|---|---|---|---|---|
| Repair eyelid defect CPT 67908 | $408.00 | $816.00 | not published | 0 |
| Repair eyelid defect CPT 67914 | $316.00 | $632.00 | not published | 0 |
| Repair eyelid defect CPT 67916 | $2,277.50 | $4,555.00 | not published | 0 |
| Repair eyelid defect CPT 67917 | $429.50 | $859.00 | not published | 0 |
| Repair eyelid defect CPT 67924 | $429.00 | $858.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $791.00 | $1,582.00 | not published | 0 |
| Repair iris & ciliary body CPT 66680 | $557.00 | $1,114.00 | not published | 0 |
| Repair iris & ciliary body CPT 66682 | $620.50 | $1,241.00 | not published | 0 |
| Repair lac palate<2 cm CPT 42180 | $188.00 | $376.00 | not published | 0 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $399.50 | $799.00 | not published | 0 |
| Repair of eye wound CPT 65280 | $622.50 | $1,245.00 | not published | 0 |
| Repair of eye wound CPT 65285 | $1,025.50 | $2,051.00 | not published | 0 |
| Repair of knee ligament CPT 27405 | $717.00 | $1,434.00 | not published | 0 |
| Repair pm/icd lead dual CPT 33220 | $2,537.50 | $5,075.00 | not published | 0 |
| Repair pm/icd lead sgl CPT 33218 | $2,537.50 | $5,075.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $384.00 | $768.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $668.00 | $1,336.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $249.00 | $498.00 | not published | 0 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $7,099.00 | $14,198.00 | not published | 0 |
| Repair urethrovaginal lesion CPT 57311 | $569.00 | $1,138.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $66.00 | $132.00 | not published | 0 |
| Reposition intraocular lens CPT 66825 | $785.50 | $1,571.00 | not published | 0 |
| Repos sq defib eltrd CPT 33273 | $2,537.50 | $5,075.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $713.00 | $1,426.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $808.00 | $1,616.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $13.50 | $27.00 | not published | 0 |
| Revise eyelashes CPT 67825 | $116.50 | $233.00 | not published | 0 |
| Revise eyelid defect CPT 67911 | $524.50 | $1,049.00 | not published | 0 |
| Revise eyelid lining CPT 68330 | $433.00 | $866.00 | not published | 0 |
| Revise eyelid lining CPT 68360 | $387.00 | $774.00 | not published | 0 |
| Revise eyelid lining CPT 68362 | $613.00 | $1,226.00 | not published | 0 |
| Revise/graft eyelid lining CPT 68320 | $509.50 | $1,019.00 | not published | 0 |
| Revise/graft eyelid lining CPT 68326 | $605.00 | $1,210.00 | not published | 0 |
| Revise/graft eyelid lining CPT 68335 | $607.00 | $1,214.00 | not published | 0 |
| Revise spine eltrd perq aray CPT 63663 | $3,018.00 | $6,036.00 | not published | 0 |
| Revision of bladder/urethra CPT 51800 | $1,070.00 | $2,140.00 | not published | 0 |
| Revision of collar bone CPT 23480 | $868.00 | $1,736.00 | not published | 0 |
| Revision of colostomy CPT 44340 | $692.50 | $1,385.00 | not published | 0 |
| Revision of cornea CPT 65600 | $326.00 | $652.00 | not published | 0 |
| Revision of eyelid CPT 67880 | $349.00 | $698.00 | not published | 0 |
| Revision of eyelid CPT 67966 | $611.50 | $1,223.00 | not published | 0 |
| Revision of iris CPT 66761 | $220.50 | $441.00 | not published | 0 |
| Revision of knee joint CPT 27446 | $1,201.00 | $2,402.00 | not published | 0 |
| Revision of sciatic nerve CPT 64712 | $630.00 | $1,260.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $2,843.00 | $5,686.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,870.50 | $3,741.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $37.00 | $74.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $131.50 | $263.00 | $133.91 – $133.91 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $6,840.00 | $13,680.00 | $4,108.50 – $4,108.50 | 1 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $28.00 | $56.00 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $18.00 | $36.00 | $20.05 – $20.05 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $678.50 | $1,357.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $434.50 | $869.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $159.00 | $318.00 | not published | 0 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $125.50 | $251.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $167.00 | $334.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $2,537.50 | $5,075.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $89.50 | $179.00 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $19.00 | $38.00 | $17.70 – $17.70 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,661.00 | $5,322.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,018.00 | $6,036.00 | not published | 0 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $30.00 | $60.00 | not published | 0 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $30.00 | $60.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $32.00 | $64.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $27.50 | $55.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $34.50 | $69.00 | not published | 0 |
| Same day nb discharge 99463 CPT 99463 | $108.00 | $216.00 | not published | 0 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $157.50 | $315.00 | $244.53 – $244.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $57.00 | $114.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $85.00 | $170.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $158.00 | $316.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $75.50 | $151.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $110.50 | $221.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $41.50 | $83.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | $102.50 | $205.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $666.50 | $1,333.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $666.50 | $1,333.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $660.00 | $1,320.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $628.50 | $1,257.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $27.00 | $54.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $666.50 | $1,333.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $42.00 | $84.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $26.00 | $52.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $26.00 | $52.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $66.50 | $133.00 | not published | 0 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $60.50 | $121.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $343.50 | $687.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $75.50 | $151.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $28.50 | $57.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $24.00 | $48.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $61.50 | $123.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $98.50 | $197.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $39.50 | $79.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $41.50 | $83.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $58.00 | $116.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $69.50 | $139.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $88.50 | $177.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $38.00 | $76.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $47.00 | $94.00 | 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.