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 |
|---|---|---|---|---|
| Established Patient Office Visit (level 3) CPT 99213 | $72.00 | $144.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $105.50 | $211.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $157.00 | $314.00 | not published | 0 |
| Estradiol total CPT 82670 | $110.00 | $220.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $7.00 | $14.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $828.50 | $1,657.00 | $1,657.00 – $1,657.00 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $501.50 | $1,003.00 | $210.05 – $210.05 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $170.00 | $340.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $196.00 | $392.00 | not published | 0 |
| Event monitor CPT 93270 | $35.50 | $71.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $191.00 | $382.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $20.00 | $40.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $95.00 | $190.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $17.50 | $35.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $587.50 | $1,175.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $491.50 | $983.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $446.50 | $893.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $359.00 | $718.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $397.00 | $794.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $808.00 | $1,616.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $224.00 | $448.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $319.00 | $638.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $83.00 | $166.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $678.50 | $1,357.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $144.50 | $289.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $176.50 | $353.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $678.50 | $1,357.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $277.50 | $555.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $389.50 | $779.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $678.50 | $1,357.00 | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $150.00 | $300.00 | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $218.50 | $437.00 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $459.00 | $918.00 | not published | 0 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $572.00 | $1,144.00 | not published | 0 |
| Exc hand les sc < 1.5 cm CPT 26115 | $355.00 | $710.00 | not published | 0 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $2,782.00 | $5,564.00 | not published | 0 |
| Excise anal ext tag/papilla CPT 46220 | $133.00 | $266.00 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | $185.50 | $371.00 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $373.50 | $747.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $131.00 | $262.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,238.50 | $4,477.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $678.50 | $1,357.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $257.50 | $515.00 | not published | 0 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $132.50 | $265.00 | not published | 0 |
| Excision olecranon bursa CPT 24105 | $391.00 | $782.00 | not published | 0 |
| Excision tongue lesion without closure 41110 CPT 41110 | $130.50 | $261.00 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $520.50 | $1,041.00 | not published | 0 |
| Exc les conjunctiva <1 cm CPT 68110 | $140.00 | $280.00 | not published | 0 |
| Exc les conjunctiva >1 cm CPT 68115 | $172.00 | $344.00 | not published | 0 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $125.00 | $250.00 | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $123.00 | $246.00 | not published | 0 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $173.00 | $346.00 | not published | 0 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc malig feenl >4cm 11646 CPT 11646 | $382.00 | $764.00 | not published | 0 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $121.00 | $242.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $143.50 | $287.00 | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $200.00 | $400.00 | not published | 0 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $120.50 | $241.00 | not published | 0 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $143.00 | $286.00 | not published | 0 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $389.50 | $779.00 | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $678.50 | $1,357.00 | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $204.00 | $408.00 | not published | 0 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $438.50 | $877.00 | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $206.50 | $413.00 | not published | 0 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $160.50 | $321.00 | not published | 0 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $291.50 | $583.00 | not published | 0 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $333.00 | $666.00 | not published | 0 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $491.00 | $982.00 | not published | 0 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $333.00 | $666.00 | not published | 0 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $342.00 | $684.00 | not published | 0 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $463.50 | $927.00 | not published | 0 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $2,782.50 | $5,565.00 | not published | 0 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $338.50 | $677.00 | not published | 0 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $345.50 | $691.00 | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $121.50 | $243.00 | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $316.50 | $633.00 | not published | 0 |
| Exc vagina lesion 57135 CPT 57135 | $190.50 | $381.00 | not published | 0 |
| Exploration of foot joint CPT 28020 | $389.50 | $779.00 | not published | 0 |
| Explore/irrigate tear ducts CPT 68840 | $112.50 | $225.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $363.50 | $727.00 | not published | 0 |
| Explore/treat wrist joint CPT 25101 | $434.00 | $868.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $275.00 | $550.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $363.50 | $727.00 | not published | 0 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $25.50 | $51.00 | not published | 0 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $27.50 | $55.00 | not published | 0 |
| Extended visual field xm CPT 92083 | $29.00 | $58.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $335.50 | $671.00 | not published | 0 |
| Extnd color vision xm CPT 92283 | $9.50 | $19.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $157.00 | $314.00 | not published | 0 |
| Extraction of lens CPT 66930 | $799.00 | $1,598.00 | not published | 0 |
| Extraction of lens CPT 66940 | $732.50 | $1,465.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $427.00 | $854.00 | $647.79 – $647.79 | 1 |
| Facial bones <3 CPT 70140 | $173.00 | $346.00 | not published | 0 |
| Factor ix CPT 85250 | $154.50 | $309.00 | not published | 0 |
| Factor viii CPT 85240 | $208.50 | $417.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $113.00 | $226.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $117.00 | $234.00 | 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.