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 |
|---|---|---|---|---|
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $59.50 | $119.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $69.50 | $139.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $389.50 | $779.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $192.50 | $385.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $192.50 | $385.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,854.00 | $3,708.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $1,381.50 | $2,763.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,205.50 | $2,411.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $178.00 | $356.00 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,442.00 | $4,884.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $99.50 | $199.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $167.50 | $335.00 | not published | 0 |
| Sickling rbc CPT 85660 | $124.00 | $248.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | $87.00 | $174.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,071.00 | $2,142.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $919.50 | $1,839.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $665.00 | $1,330.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $389.50 | $779.00 | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | $1,517.50 | $3,035.00 | $1,907.17 – $1,907.17 | 1 |
| Sleep study unattended CPT 95806 | $403.00 | $806.00 | not published | 0 |
| Slitting of prepuce CPT 54001 | $145.50 | $291.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $29.50 | $59.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $42.50 | $85.00 | not published | 0 |
| Smear gram stain CPT 87205 | $30.00 | $60.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $54.00 | $108.00 | not published | 0 |
| Smear wet mount CPT 87210 | $36.00 | $72.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $30.00 | $60.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.00 | $14.00 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $6.00 | $12.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $2.50 | $5.00 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $356.00 | $712.00 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $43.00 | $86.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $16.00 | $32.00 | not published | 0 |
| Speech recep thresh CPT 92555 | $30.00 | $60.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $85.50 | $171.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $329.50 | $659.00 | not published | 0 |
| Sputum specimen collection CPT 89220 | $114.50 | $229.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $377.00 | $754.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $299.50 | $599.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $299.50 | $599.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $319.00 | $638.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $319.00 | $638.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $85.00 | $170.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $18.00 | $36.00 | not published | 0 |
| Strapping of knee CPT 29530 | $17.50 | $35.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $11.50 | $23.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $27.00 | $54.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $66.50 | $133.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $303.00 | $606.00 | not published | 0 |
| Stress tte complete CPT 93351 | $90.50 | $181.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $751.50 | $1,503.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $143.00 | $286.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $168.50 | $337.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | $51.50 | $103.00 | not published | 0 |
| Sugars single quant CPT 84378 | $520.00 | $1,040.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $236.50 | $473.00 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $110.00 | $220.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $8.50 | $17.00 | $17.00 – $17.00 | 1 |
| Supprelin la implant HCPCS J9226 | $75,271.50 | $150,543.00 | $73,550.30 – $73,550.30 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $77.50 | $155.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $99.00 | $198.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $115.00 | $230.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $134.00 | $268.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $234.50 | $469.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $303.00 | $606.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $3.00 | $6.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $71.50 | $143.00 | not published | 0 |
| Synch audio-only est high 40 CPT 98015 | $127.00 | $254.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $58.50 | $117.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $85.50 | $171.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $31.50 | $63.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $156.50 | $313.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $75.50 | $151.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $118.50 | $237.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $44.50 | $89.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $20.00 | $40.00 | $15.05 – $15.05 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $27.50 | $55.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $64.00 | $128.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $87.50 | $175.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $109.00 | $218.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $76.50 | $153.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $2.50 | $5.00 | $2.85 – $2.85 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $130.50 | $261.00 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,912.50 | $5,825.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,062.50 | $2,125.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,600.00 | $5,200.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $1,100.00 | $2,200.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.00 | $278.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $198.00 | $396.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $1,558.50 | $3,117.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $335.50 | $671.00 | $52.95 – $52.95 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $93.50 | $187.00 | $187.00 – $187.00 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $639.00 | $1,278.00 | $1,278.00 – $1,278.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $50.50 | $101.00 | $84.28 – $84.28 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $107.50 | $215.00 | $34.04 – $34.04 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $370.00 | $740.00 | $740.00 – $740.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $347.00 | $694.00 | $585.12 – $585.12 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $29.50 | $59.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $32.00 | $64.00 | not published | 0 |
| T cells total count CPT 86359 | $24.00 | $48.00 | 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.