Jackson General Hospital
122 Pinnell St, Ripley, WV · Wvumedicine · · NPI 1649277476
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $146.50 | $293.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $146.50 | $293.00 | not published | 0 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $95.00 | $190.00 | not published | 0 |
| 1st psyc collab care mgmt CPT 99492 | $102.00 | $204.00 | not published | 0 |
| 1st/sbsq psyc collab care CPT 99494 | $70.00 | $140.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $184.00 | $368.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $391.00 | $782.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $8.00 | $16.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $37.00 | $74.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $135.00 | $270.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $126.00 | $252.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $126.00 | $252.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $95.00 | $190.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $112.00 | $224.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $114.50 | $229.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $116.50 | $233.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $146.50 | $293.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $6,350.81 | $12,701.61 | not published | 0 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $1,364.50 | $2,729.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $248.50 | $497.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $267.00 | $534.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $312.00 | $624.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,129.50 | $2,259.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $988.50 | $1,977.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $942.00 | $1,884.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,816.50 | $3,633.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $526.50 | $1,053.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,346.50 | $2,693.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,245.00 | $2,490.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $439.00 | $878.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $376.50 | $753.00 | not published | 0 |
| Abdominoplasty 15830 CPT 15830 | $1,235.50 | $2,471.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,390.00 | $2,780.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $6,180.00 | $12,360.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $119.00 | $238.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $679.50 | $1,359.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $118.50 | $237.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $544.50 | $1,089.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $997.50 | $1,995.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | $13.00 | $26.00 | $14.54 – $14.54 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $200.50 | $401.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $7.95 | $15.90 | $0.08 – $0.08 | 1 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $82.71 | $165.41 | not published | 0 |
| Acetaminophen level CPT 80143 | $73.00 | $146.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $15.50 | $31.00 | $31.00 – $31.00 | 1 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $232.12 | $464.24 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $54.00 | $108.00 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $213.00 | $426.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $138.50 | $277.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $95.00 | $190.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $67.50 | $135.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $72.50 | $145.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $278.00 | $556.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $136.00 | $272.00 | not published | 0 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $22.50 | $45.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | $678.00 | $1,356.00 | not published | 0 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $40.00 | $80.00 | not published | 0 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $26.50 | $53.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $28.00 | $56.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $40.00 | $80.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $221.00 | $442.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $80.46 | $160.92 | $0.10 – $0.10 | 1 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $15.25 | $30.49 | $0.99 – $0.99 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $39.50 | $79.00 | not published | 0 |
| Adh-sendout CPT 84588 | $233.05 | $466.10 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $943.50 | $1,887.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $3,413.76 | $6,827.51 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $26.84 | $53.67 | $0.92 – $0.92 | 1 |
| Admin ecg contrast agent CPT 93352 | $34.00 | $68.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $338.00 | $676.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $84.50 | $169.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $455.00 | $910.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $288.00 | $576.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $92.50 | $185.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $84.50 | $169.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $44.50 | $89.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $168.00 | $336.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $29.50 | $59.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $56.00 | $112.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $42.00 | $84.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $43.50 | $87.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $54.50 | $109.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $30.50 | $61.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $29.00 | $58.00 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $77.00 | $154.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $204.00 | $408.00 | not published | 0 |
| Aflibercept injection HCPCS J0178 | $847.00 | $1,694.00 | $1,422.76 – $1,422.76 | 1 |
| After cataract laser surgery CPT 66821 | $322.00 | $644.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $127.50 | $255.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $25.50 | $51.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $246.00 | $492.00 | $87.58 – $87.58 | 1 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $30.50 | $61.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $30.50 | $61.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.00 | $2.00 | $0.28 – $0.28 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $28.00 | $56.00 | not published | 0 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $28.00 | $56.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $29.00 | $58.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.90 | $67.80 | not published | 0 |
| Allergen egg white ige CPT 86003 | $277.00 | $554.00 | 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.