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 |
|---|---|---|---|---|
| Dermapure 1 square cm HCPCS Q4152 | $47.00 | $94.00 | $83.19 – $83.19 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | $784.50 | $1,569.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $5.00 | $10.00 | $10.00 – $10.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $449.31 | $898.62 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $122.00 | $244.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $140.50 | $281.00 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $108.50 | $217.00 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $124.50 | $249.00 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $90.00 | $180.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $131.00 | $262.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,223.00 | $6,446.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,029.50 | $2,059.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,056.00 | $2,112.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $510.75 | $1,021.50 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $3,170.50 | $6,341.00 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $247.50 | $495.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $85.00 | $170.00 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $383.00 | $766.00 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $295.00 | $590.00 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $569.00 | $1,138.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $510.75 | $1,021.50 | not published | 0 |
| Destruction anal lesion(s) CPT 46910 | $1,219.00 | $2,438.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $143.50 | $287.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $1,198.17 | $2,396.33 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $202.00 | $404.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,349.50 | $2,699.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,451.00 | $6,902.00 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $158.00 | $316.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $110.00 | $220.00 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $179.00 | $358.00 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $105.00 | $210.00 | not published | 0 |
| Destruction vag lesions complex 57065 CPT 57065 | $193.00 | $386.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $118.00 | $236.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $99.50 | $199.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $198.00 | $396.00 | not published | 0 |
| Determine refractive state CPT 92015 | $20.00 | $40.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $47.00 | $94.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $1,933.00 | $3,866.00 | 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 | $117.50 | $235.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.41 | $8.82 | $0.13 – $0.13 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $5.00 | $10.00 | $0.20 – $0.20 | 1 |
| Dexamethasone intra implant HCPCS J7312 | $294.50 | $589.00 | $339.26 – $339.26 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.50 | $15.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $96.00 | $192.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $57.00 | $114.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $369.00 | $738.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | $170.00 | $340.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $179.75 | $359.50 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $55.00 | $110.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $35.50 | $71.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $316.50 | $633.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $397.50 | $795.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $190.50 | $381.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $210.00 | $420.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $32.04 | $64.08 | $9.03 – $9.03 | 1 |
| Dicyclomine injection HCPCS J0500 | $21.44 | $42.88 | $11.03 – $11.03 | 1 |
| Diffusing capacity CPT 94729 | $245.00 | $490.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $2.12 | $4.24 | $2.12 – $2.12 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $81.00 | $162.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $113.80 | $227.60 | $69.86 – $69.86 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $139.50 | $279.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $257.83 | $515.66 | not published | 0 |
| Dilate tear duct opening CPT 68801 | $78.00 | $156.00 | not published | 0 |
| Dilate urethra stricture CPT 53600 | $474.50 | $949.00 | not published | 0 |
| Dilate urethra stricture CPT 53601 | $56.00 | $112.00 | not published | 0 |
| Dilate urethra stricture CPT 53605 | $67.00 | $134.00 | not published | 0 |
| Dilate urethra stricture CPT 53621 | $228.00 | $456.00 | not published | 0 |
| Dilation/female urethra/initial 53660 CPT 53660 | $146.50 | $293.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $185.50 | $371.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $203.00 | $406.00 | not published | 0 |
| Dilation of urethra CPT 53661 | $44.00 | $88.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $626.00 | $1,252.00 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $3.67 | $7.33 | 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 | $0.81 – $0.81 | 1 |
| Disability dlco CPT 94727 | $185.50 | $371.00 | not published | 0 |
| Disaccharidases CPT 82657 | $497.21 | $994.42 | not published | 0 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $103.00 | $206.00 | not published | 0 |
| Dist revas ligation hemo CPT 36838 | $1,220.00 | $2,440.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $72.50 | $145.00 | 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 | $19.00 | $38.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $244.50 | $489.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $255.00 | $510.00 | not published | 0 |
| Double transfer toe-hand CPT 26554 | $4,001.00 | $8,002.00 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $800.00 | $1,600.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,017.50 | $2,035.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $145.50 | $291.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $1,370.00 | $2,740.00 | not published | 0 |
| Drainage lymph node lesion 38300 CPT 38300 | $228.00 | $456.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $112.00 | $224.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,750.50 | $3,501.00 | not published | 0 |
| Drainage of eye CPT 65800 | $91.00 | $182.00 | not published | 0 |
| Drainage of eye CPT 65815 | $475.50 | $951.00 | not published | 0 |
| Drainage of forearm bursa CPT 25031 | $390.00 | $780.00 | not published | 0 |
| Drainage of mouth lesion CPT 41005 | $227.00 | $454.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $349.00 | $698.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $125.50 | $251.00 | 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.