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 |
|---|---|---|---|---|
| Cystatin c CPT 82610 | $27.00 | $54.00 | not published | 0 |
| Cystoscopy and treatment CPT 52234 | $250.50 | $501.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $571.00 | $1,142.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $2,881.00 | $5,762.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $2,458.00 | $4,916.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $32.00 | $64.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $10.00 | $20.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $36.00 | $72.00 | not published | 0 |
| Cytopath fl nongyn filter CPT 88106 | $19.50 | $39.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $81.50 | $163.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $82.00 | $164.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $50.50 | $101.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $23.50 | $47.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $29.50 | $59.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $22.50 | $45.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $72.50 | $145.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $40.50 | $81.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $26.50 | $53.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $13.50 | $27.00 | $25.23 – $25.23 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.50 | $1.00 | $0.07 – $0.07 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $11.50 | $23.00 | $4.83 – $4.83 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $11.50 | $23.00 | $4.83 – $4.83 | 1 |
| Dch validity tests CPT 81002 | $13.50 | $27.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $33.00 | $66.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $28.00 | $56.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $25.50 | $51.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $234.00 | $468.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $56.50 | $113.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $101.00 | $202.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $389.50 | $779.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $15.00 | $30.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $56.50 | $113.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $307.50 | $615.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $422.50 | $845.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $26.00 | $52.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $51.00 | $102.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $285.00 | $570.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $708.00 | $1,416.00 | not published | 0 |
| Decalcification CPT 88311 | $53.00 | $106.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $527.50 | $1,055.00 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $6.00 | $12.00 | $6.91 – $6.91 | 1 |
| Delivery of placenta 59414 CPT 59414 | $100.50 | $201.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $112.50 | $225.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $45.50 | $91.00 | $41.58 – $41.58 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $200.00 | $400.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $119.50 | $239.00 | $83.19 – $83.19 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $192.50 | $385.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $128.00 | $256.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $115.00 | $230.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,870.50 | $3,741.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $961.50 | $1,923.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $192.50 | $385.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $215.00 | $430.00 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $1,976.50 | $3,953.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $80.00 | $160.00 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $341.50 | $683.00 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $507.50 | $1,015.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $44.50 | $89.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $192.50 | $385.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $847.50 | $1,695.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $915.50 | $1,831.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,870.50 | $3,741.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $105.50 | $211.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $116.00 | $232.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $95.50 | $191.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $198.00 | $396.00 | not published | 0 |
| Determine refractive state CPT 92015 | $18.00 | $36.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $13.50 | $27.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $10.50 | $21.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.50 | $1.00 | $0.13 – $0.13 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.50 | $1.00 | $0.20 – $0.20 | 1 |
| Dexamethasone intra implant HCPCS J7312 | $294.50 | $589.00 | $339.26 – $339.26 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $62.00 | $124.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $67.00 | $134.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $97.50 | $195.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $44.50 | $89.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $191.50 | $383.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $343.50 | $687.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $212.00 | $424.00 | not published | 0 |
| Diffusing capacity CPT 94729 | $177.50 | $355.00 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $112.50 | $225.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $65.00 | $130.00 | $69.86 – $69.86 | 1 |
| Dilate tear duct opening CPT 68801 | $76.50 | $153.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $239.50 | $479.00 | not published | 0 |
| Dilate urethra stricture CPT 53601 | $55.00 | $110.00 | not published | 0 |
| Dilate urethra stricture CPT 53621 | $239.50 | $479.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $42.50 | $85.00 | not published | 0 |
| Dilation of urethra CPT 53661 | $41.00 | $82.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $668.00 | $1,336.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,005.50 | $2,011.00 | $1,123.35 – $1,123.35 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.00 | $2.00 | $2.00 – $2.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.50 | $3.00 | $1.32 – $1.32 | 1 |
| Disability dlco CPT 94727 | $13.50 | $27.00 | not published | 0 |
| Disaccharidases CPT 82657 | $415.00 | $830.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1.00 | $2.00 | $1.65 – $1.65 | 1 |
| Doppler echo complete CPT 93320 | $19.50 | $39.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $25.00 | $50.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $13.50 | $27.00 | 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.