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 |
|---|---|---|---|---|
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $493.50 | $987.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $276.50 | $553.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $259.00 | $518.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $465.50 | $931.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $35.50 | $71.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $436.50 | $873.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $440.50 | $881.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $440.50 | $881.00 | not published | 0 |
| Unlisted hematology&coagj px CPT 85999 | $18.00 | $36.00 | not published | 0 |
| Unlisted maaa CPT 81599 | $587.00 | $1,174.00 | not published | 0 |
| Unlisted muscskel px head CPT 21499 | $109.50 | $219.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $133.50 | $267.00 | not published | 0 |
| Unlisted px conjunctiva CPT 68399 | $387.00 | $774.00 | not published | 0 |
| Unlisted px small intestine CPT 44799 | $333.50 | $667.00 | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | $113.00 | $226.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | $23.50 | $47.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $4,157.00 | $8,314.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,854.50 | $3,709.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,205.50 | $2,411.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $140.50 | $281.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $39.00 | $78.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $29.50 | $59.00 | not published | 0 |
| Uric acid blood CPT 84550 | $42.50 | $85.00 | not published | 0 |
| Uric acid urine CPT 84560 | $29.50 | $59.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $21.00 | $42.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $33.00 | $66.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $19.00 | $38.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $66.50 | $133.00 | not published | 0 |
| Urine flow measurement 51736 CPT 51736 | $10.00 | $20.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $41.00 | $82.00 | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $186.00 | $372.00 | $240.77 – $240.77 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $169.50 | $339.00 | $240.77 – $240.77 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $150.50 | $301.00 | $216.32 – $216.32 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $67.50 | $135.00 | $135.00 – $135.00 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $41.00 | $82.00 | $56.96 – $56.96 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $94.50 | $189.00 | $187.79 – $187.79 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $86.00 | $172.00 | $138.00 – $138.00 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $159.00 | $318.00 | $217.26 – $217.26 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $41.50 | $83.00 | $58.58 – $58.58 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $18.50 | $37.00 | $25.21 – $25.21 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $102.00 | $204.00 | $115.93 – $115.93 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $143.00 | $286.00 | $213.39 – $213.39 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $49.00 | $98.00 | $68.72 – $68.72 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $69.50 | $139.00 | $124.00 – $124.00 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $69.50 | $139.00 | $116.13 – $116.13 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $190.00 | $380.00 | $264.46 – $264.46 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $33.00 | $66.00 | $50.77 – $50.77 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $435.50 | $871.00 | $569.07 – $569.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $119.00 | $238.00 | $121.11 – $121.11 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $109.50 | $219.00 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $29.00 | $58.00 | $21.07 – $21.07 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $48.50 | $97.00 | not published | 0 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $14.50 | $29.00 | $21.62 – $21.62 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $229.00 | $458.00 | $411.10 – $411.10 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $254.50 | $509.00 | $376.46 – $376.46 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $220.50 | $441.00 | $330.38 – $330.38 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $156.50 | $313.00 | $299.95 – $299.95 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $129.00 | $258.00 | $182.39 – $182.39 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | $404.00 | $808.00 | $218.94 – $218.94 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $158.00 | $316.00 | $220.23 – $220.23 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $272.50 | $545.00 | $418.37 – $418.37 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $363.50 | $727.00 | $476.29 – $476.29 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $61.50 | $123.00 | $84.18 – $84.18 | 1 |
| Vaccine rabies im CPT 90675 | $609.00 | $1,218.00 | $535.82 – $535.82 | 1 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $406.00 | $812.00 | $584.10 – $584.10 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $789.00 | $1,578.00 | $1,578.00 – $1,578.00 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $789.00 | $1,578.00 | $980.10 – $980.10 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $342.00 | $684.00 | $554.40 – $554.40 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $154.50 | $309.00 | $182.97 – $182.97 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $126.50 | $253.00 | $189.75 – $189.75 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $68.00 | $136.00 | $63.21 – $63.21 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $69.50 | $139.00 | $50.06 – $50.06 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $212.50 | $425.00 | $180.23 – $180.23 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $274.00 | $548.00 | $344.92 – $344.92 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $308.50 | $617.00 | $263.36 – $263.36 | 1 |
| Vaginal bx CPT 58999 | $58.50 | $117.00 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $3,160.00 | $6,320.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $74.50 | $149.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | $2,044.00 | $4,088.00 | $2,250.35 – $2,250.35 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $0.50 | $1.00 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $74.50 | $149.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $41.00 | $82.00 | not published | 0 |
| Vasectomy CPT 55250 | $2,002.50 | $4,005.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $449.50 | $899.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $9.00 | $18.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $866.50 | $1,733.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $874.50 | $1,749.00 | not published | 0 |
| Verteporfin injection HCPCS J3396 | $13.00 | $26.00 | $19.02 – $19.02 | 1 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $103.50 | $207.00 | not published | 0 |
| Visual audiometry (vra) CPT 92579 | $33.00 | $66.00 | not published | 0 |
| Vital capacity test CPT 94150 | $4.00 | $8.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $92.50 | $185.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $71.50 | $143.00 | not published | 0 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $1.50 | $3.00 | $1.91 – $1.91 | 1 |
| Warde 1003990 aldosterone CPT 82088 | $26.00 | $52.00 | not published | 0 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $56.50 | $113.00 | not published | 0 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $49.00 | $98.00 | not published | 0 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $20.50 | $41.00 | not published | 0 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $5.00 | $10.00 | not published | 0 |
| Warde 1015200 kappa light chain free CPT 83521 | $182.00 | $364.00 | 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.