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 |
|---|---|---|---|---|
| Drainage of pelvis lesion 26990 CPT 26990 | $707.00 | $1,414.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,574.00 | $3,148.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $250.00 | $500.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $214.00 | $428.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $200.50 | $401.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $624.00 | $1,248.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $448.50 | $897.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $405.50 | $811.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $353.50 | $707.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $352.00 | $704.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $269.00 | $538.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $560.50 | $1,121.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $348.00 | $696.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $462.50 | $925.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $141.00 | $282.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $813.00 | $1,626.00 | 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 hand tendon sheath 26020 CPT 26020 | $607.50 | $1,215.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $121.00 | $242.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $200.50 | $401.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $1,046.00 | $2,092.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $206.00 | $412.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $175.50 | $351.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,229.00 | $2,458.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,708.50 | $3,417.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.73 | $5.46 | $2.73 – $2.73 | 1 |
| 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 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 | $31.50 | $63.00 | not published | 0 |
| Drug screening tapentadol CPT 80372 | $37.79 | $75.58 | 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 | $415.71 | $831.42 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $423.00 | $846.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $415.69 | $831.38 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $130.00 | $260.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $349.00 | $698.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,011.50 | $8,023.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $488.50 | $977.00 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $135.00 | $270.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $144.50 | $289.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $144.50 | $289.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $419.00 | $838.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $364.00 | $728.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $129.00 | $258.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $216.00 | $432.00 | not published | 0 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $7.00 | $14.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $57.00 | $114.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $73.00 | $146.00 | not published | 0 |
| Ecg/review interpret only CPT 93272 | $24.50 | $49.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,220.50 | $2,441.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $233.50 | $467.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,692.00 | $3,384.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $468.50 | $937.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $468.50 | $937.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $391.00 | $782.00 | not published | 0 |
| Echo exam of eye CPT 76519 | $30.50 | $61.00 | not published | 0 |
| Echo exam of eye CPT 76529 | $82.50 | $165.00 | not published | 0 |
| Echo exam of eye thickness CPT 76514 | $8.00 | $16.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $35.00 | $70.00 | not published | 0 |
| Echo stress CPT 93350 | $69.50 | $139.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $107.50 | $215.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $134.50 | $269.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $44.00 | $88.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $43.00 | $86.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $56.50 | $113.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $354.00 | $708.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $210.50 | $421.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $137.00 | $274.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $56.50 | $113.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $354.00 | $708.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $8.00 | $16.00 | not published | 0 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $238.50 | $477.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $216.00 | $432.00 | not published | 0 |
| Egd dilate stricture CPT 43245 | $788.67 | $1,577.34 | not published | 0 |
| Egd endoscopic stent place CPT 43266 | $225.00 | $450.00 | not published | 0 |
| Egd guide wire insertion CPT 43248 | $171.00 | $342.00 | not published | 0 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $154.50 | $309.00 | not published | 0 |
| Egd lesion ablation CPT 43270 | $231.50 | $463.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $1,001.00 | $2,002.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $606.67 | $1,213.34 | not published | 0 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $177.00 | $354.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $239.50 | $479.00 | not published | 0 |
| Egd varices ligation CPT 43244 | $251.50 | $503.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $28.00 | $56.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $201.06 | $402.12 | not published | 0 |
| EKG (Electrocardiogram) CPT 93000 | $127.00 | $254.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $94.50 | $189.00 | not published | 0 |
| Electroconvulsive therapy 90870 CPT 90870 | $497.50 | $995.00 | 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 | $43.00 | $86.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $1,281.00 | $2,562.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $8.00 | $16.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $8.00 | $16.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $8.00 | $16.00 | 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.