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 |
|---|---|---|---|---|
| Cysto, litho, vacuum kidney HCPCS C9761 | $399.00 | $798.00 | not published | 0 |
| Cystometrogram w/up 51727 CPT 51727 | $109.50 | $219.00 | not published | 0 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $935.50 | $1,871.00 | not published | 0 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $780.50 | $1,561.00 | not published | 0 |
| Cysto rx balo cath urtl strx CPT 52284 | $169.00 | $338.00 | not published | 0 |
| Cystoscopy and biopsy CPT 52007 | $173.00 | $346.00 | not published | 0 |
| Cystoscopy and treatment CPT 52214 | $2,325.50 | $4,651.00 | not published | 0 |
| Cystoscopy and treatment CPT 52224 | $211.50 | $423.00 | not published | 0 |
| Cystoscopy and treatment CPT 52234 | $268.00 | $536.00 | not published | 0 |
| Cystoscopy and treatment CPT 52235 | $2,746.50 | $5,493.00 | not published | 0 |
| Cystoscopy and treatment CPT 52240 | $4,092.34 | $8,184.67 | not published | 0 |
| Cystoscopy and treatment CPT 52260 | $1,819.50 | $3,639.00 | not published | 0 |
| Cystoscopy and treatment CPT 52265 | $169.50 | $339.00 | not published | 0 |
| Cystoscopy and treatment CPT 52276 | $274.50 | $549.00 | not published | 0 |
| Cystoscopy and treatment CPT 52285 | $626.00 | $1,252.00 | not published | 0 |
| Cystoscopy and treatment CPT 52301 | $301.00 | $602.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $3,671.00 | $7,342.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $285.00 | $570.00 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | $256.50 | $513.00 | not published | 0 |
| Cystoscopy and treatment CPT 52330 | $273.50 | $547.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,040.50 | $4,081.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $1,683.50 | $3,367.00 | not published | 0 |
| Cystoscopy implant stent CPT 52282 | $350.50 | $701.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $2,881.00 | $5,762.00 | not published | 0 |
| Cystoscopy & revise urethra CPT 52275 | $258.50 | $517.00 | not published | 0 |
| Cystoscopy stone removal CPT 52325 | $332.00 | $664.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $2,046.17 | $4,092.33 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $317.00 | $634.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | $1,911.00 | $3,822.00 | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | $5,997.50 | $11,995.00 | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | $1,849.75 | $3,699.50 | not published | 0 |
| Cystouretero w/excise tumor CPT 52355 | $510.50 | $1,021.00 | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | $7,333.50 | $14,667.00 | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | $406.00 | $812.00 | not published | 0 |
| Cystouretero w/renal strict CPT 52346 | $463.00 | $926.00 | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | $924.88 | $1,849.75 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,537.67 | $5,075.34 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $2,994.50 | $5,989.00 | not published | 0 |
| Cystourethro w/addl implant 52442 CPT 52442 | $55.50 | $111.00 | not published | 0 |
| Cystourethro w/implant CPT 52441 | $228.50 | $457.00 | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | $357.50 | $715.00 | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | $294.50 | $589.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $165.50 | $331.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $72.50 | $145.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $77.50 | $155.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $34.00 | $68.00 | not published | 0 |
| Cytopath fl nongyn filter CPT 88106 | $19.00 | $38.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $72.00 | $144.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $90.50 | $181.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $92.50 | $185.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $46.00 | $92.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $152.00 | $304.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $21.50 | $43.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $68.50 | $137.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $109.00 | $218.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $38.50 | $77.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $25.00 | $50.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $4,134.15 | $8,268.30 | $25.23 – $25.23 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $67.50 | $135.00 | $0.07 – $0.07 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $279.82 | $559.63 | $4.83 – $4.83 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $11.50 | $23.00 | $4.83 – $4.83 | 1 |
| D&c after delivery 59160 CPT 59160 | $202.00 | $404.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $244.50 | $489.00 | not published | 0 |
| Dch validity tests CPT 81002 | $22.00 | $44.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,702.00 | $9,404.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $34.00 | $68.00 | not published | 0 |
| Debr g/per/abd wall 11006 CPT 11006 | $751.00 | $1,502.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $30.50 | $61.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $204.00 | $408.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,594.50 | $7,189.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $61.50 | $123.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $808.50 | $1,617.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $4,230.50 | $8,461.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $146.00 | $292.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $494.50 | $989.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $329.50 | $659.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $438.50 | $877.00 | not published | 0 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $636.00 | $1,272.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $831.50 | $1,663.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $306.50 | $613.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $54.00 | $108.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $301.50 | $603.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $15.50 | $31.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $3,173.67 | $6,347.34 | not published | 0 |
| Decalcification CPT 88311 | $29.50 | $59.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $819.00 | $1,638.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $510.00 | $1,020.00 | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | $738.50 | $1,477.00 | not published | 0 |
| Decompress forearm 1 space CPT 25023 | $1,336.00 | $2,672.00 | not published | 0 |
| Decompression of leg CPT 27894 | $905.00 | $1,810.00 | not published | 0 |
| Decompression of lower leg CPT 27601 | $461.00 | $922.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $389.00 | $778.00 | not published | 0 |
| Decompress small bowel CPT 44021 | $1,049.50 | $2,099.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $2,883.50 | $5,767.00 | 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 | $3,100.50 | $6,201.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $695.50 | $1,391.00 | 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 | $2,714.69 | $5,429.37 | $41.58 – $41.58 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $250.00 | $500.00 | 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.