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 |
|---|---|---|---|---|
| X-ray foot 2 views (both sides) CPT 73620 | $173.00 | $346.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $173.00 | $346.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $173.00 | $346.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $173.00 | $346.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $183.00 | $366.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $186.50 | $373.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $190.00 | $380.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $172.50 | $345.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $176.50 | $353.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $173.00 | $346.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $173.00 | $346.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $282.50 | $565.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $180.50 | $361.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $299.50 | $599.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $173.00 | $346.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $173.00 | $346.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $171.50 | $343.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $173.00 | $346.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $173.00 | $346.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $14.00 | $28.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $578.50 | $1,157.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $171.50 | $343.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $15.00 | $30.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $173.00 | $346.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $299.50 | $599.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $173.00 | $346.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $173.00 | $346.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $171.50 | $343.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $173.00 | $346.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $178.50 | $357.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $183.50 | $367.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $299.50 | $599.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $366.00 | $732.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $138.00 | $276.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $173.00 | $346.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $163.00 | $326.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $414.00 | $828.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $366.00 | $732.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $171.50 | $343.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $11.00 | $22.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $187.00 | $374.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $187.00 | $374.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $174.50 | $349.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $184.00 | $368.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $173.00 | $346.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $173.00 | $346.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $276.00 | $552.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $366.00 | $732.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $173.00 | $346.00 | not published | 0 |
| Ziconotide injection HCPCS J2278 | $17.50 | $35.00 | $14.92 – $14.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4.00 | $8.00 | $8.00 – $8.00 | 1 |
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.