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 |
|---|---|---|---|---|
| Dpyd gene common variants CPT 81232 | $800.00 | $1,600.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,028.00 | $2,056.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $144.00 | $288.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $129.00 | $258.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $337.50 | $675.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,610.50 | $3,221.00 | not published | 0 |
| Drainage of eye CPT 65800 | $81.00 | $162.00 | not published | 0 |
| Drainage of eye CPT 65815 | $448.50 | $897.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $194.00 | $388.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $184.00 | $368.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $102.00 | $204.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $323.00 | $646.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $342.50 | $685.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $115.50 | $231.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $342.00 | $684.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $141.50 | $283.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $45.50 | $91.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $119.50 | $239.00 | $73.19 – $73.19 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $916.50 | $1,833.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $111.50 | $223.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $201.50 | $403.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $87.50 | $175.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $208.50 | $417.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,582.00 | $3,164.00 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $699.00 | $1,398.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $119.50 | $239.00 | $21.43 – $21.43 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $119.50 | $239.00 | $22.13 – $22.13 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $119.50 | $239.00 | $15.31 – $15.31 | 1 |
| Drug assay posaconazole CPT 80187 | $150.00 | $300.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $51.00 | $102.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $455.00 | $910.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $119.50 | $239.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $95.00 | $190.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $160.00 | $320.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $182.50 | $365.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $41.00 | $82.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $181.00 | $362.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $35.50 | $71.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $232.50 | $465.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,870.50 | $3,741.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $42.50 | $85.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $52.00 | $104.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $374.50 | $749.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $108.50 | $217.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $117.00 | $234.00 | not published | 0 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $8.00 | $16.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $58.50 | $117.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $48.50 | $97.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $79.00 | $158.00 | not published | 0 |
| Ecg/review interpret only CPT 93272 | $26.50 | $53.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,622.00 | $3,244.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $342.50 | $685.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,014.00 | $2,028.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $339.50 | $679.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $342.50 | $685.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $412.00 | $824.00 | not published | 0 |
| Echo exam of eye CPT 76519 | $33.00 | $66.00 | not published | 0 |
| Echo exam of eye CPT 76529 | $87.50 | $175.00 | not published | 0 |
| Echo exam of eye thickness CPT 76514 | $8.50 | $17.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $39.00 | $78.00 | not published | 0 |
| Echo stress CPT 93350 | $75.50 | $151.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $48.00 | $96.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $71.00 | $142.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $62.50 | $125.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $196.00 | $392.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $127.50 | $255.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $63.00 | $126.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $63.00 | $126.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $202.00 | $404.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $146.00 | $292.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $38.00 | $76.00 | not published | 0 |
| Electroconvulsive therapy 90870 CPT 90870 | $522.50 | $1,045.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $32.50 | $65.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,120.00 | $2,240.00 | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | $95.50 | $191.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $194.00 | $388.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $295.00 | $590.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $292.00 | $584.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $109.50 | $219.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $2,412.50 | $4,825.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $1.50 | $3.00 | $1.12 – $1.12 | 1 |
| Enzyme histochemistry CPT 88319 | $28.00 | $56.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $417.50 | $835.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $243.50 | $487.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.00 | $8.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $13.50 | $27.00 | $12.90 – $12.90 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $24.00 | $48.00 | $14.67 – $14.67 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $29.00 | $58.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $40.00 | $80.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $40.00 | $80.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $15.00 | $30.00 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $139.00 | $278.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $199.50 | $399.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $269.50 | $539.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $446.00 | $892.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $679.00 | $1,358.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $32.50 | $65.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $90.50 | $181.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $92.50 | $185.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $92.50 | $185.00 | 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.