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 |
|---|---|---|---|---|
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $294.00 | $588.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $475.00 | $950.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $816.50 | $1,633.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $241.50 | $483.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $1,365.00 | $2,730.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | $91.50 | $183.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $75.00 | $150.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $2,412.50 | $4,825.00 | not published | 0 |
| Endovasc visc aorta 1 graft CPT 34841 | $1,267.50 | $2,535.00 | not published | 0 |
| Endovasc visc aorta 3 graft CPT 34843 | $1,492.50 | $2,985.00 | not published | 0 |
| Endovasc visc aorta 4 graft CPT 34844 | $1,605.00 | $3,210.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $217.50 | $435.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $144.00 | $288.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $191.50 | $383.00 | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | $95.50 | $191.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $190.50 | $381.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $23.76 | $47.52 | $1.12 – $1.12 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | $258.50 | $517.00 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $5,979.50 | $11,959.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $1,414.00 | $2,828.00 | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $1,511.50 | $3,023.00 | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $1,734.50 | $3,469.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $532.00 | $1,064.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,125.50 | $2,251.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $254.50 | $509.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $30.00 | $60.00 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $24.12 | $48.23 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $160.50 | $321.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.00 | $8.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $267.52 | $535.03 | $12.90 – $12.90 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $835.59 | $1,671.17 | $14.67 – $14.67 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $85.00 | $170.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $76.00 | $152.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $80.00 | $160.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $45.47 | $90.93 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $156.00 | $312.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $291.00 | $582.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $585.50 | $1,171.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,023.00 | $2,046.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,667.50 | $3,335.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $27.50 | $55.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $122.50 | $245.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $111.50 | $223.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $91.00 | $182.00 | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | $165.00 | $330.00 | not published | 0 |
| Esoph balloon distension tst CPT 91040 | $49.50 | $99.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $1,433.25 | $2,866.50 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $110.50 | $221.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $63.00 | $126.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $126.00 | $252.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $200.00 | $400.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $157.00 | $314.00 | not published | 0 |
| Estradiol total CPT 82670 | $106.00 | $212.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $60.83 | $121.65 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $7.00 | $14.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $1,402.23 | $2,804.46 | $1,657.00 – $1,657.00 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $1,002.25 | $2,004.50 | $210.05 – $210.05 | 1 |
| Euglobulin lysis CPT 85360 | $66.00 | $132.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $164.50 | $329.00 | not published | 0 |
| Event monitor CPT 93270 | $7.50 | $15.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $29.00 | $58.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $18.50 | $37.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $493.50 | $987.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $22.00 | $44.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $111.00 | $222.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $580.00 | $1,160.00 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $739.50 | $1,479.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $491.50 | $983.00 | not published | 0 |
| Exc abdl tum deep < 5 cm CPT 22900 | $605.50 | $1,211.00 | not published | 0 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $714.50 | $1,429.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $2,640.50 | $5,281.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $362.00 | $724.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $403.00 | $806.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $788.50 | $1,577.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $347.00 | $694.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,782.00 | $5,564.00 | 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 | $1,017.88 | $2,035.75 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,686.50 | $3,373.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,427.67 | $2,855.34 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,582.00 | $3,164.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,262.50 | $2,525.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,845.50 | $3,691.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,782.00 | $5,564.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,209.50 | $2,419.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $3,382.50 | $6,765.00 | not published | 0 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $565.50 | $1,131.00 | not published | 0 |
| Exc excessive skin leg CPT 15833 | $916.00 | $1,832.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $332.00 | $664.00 | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | $419.50 | $839.00 | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $570.00 | $1,140.00 | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $1,145.17 | $2,290.33 | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $2,502.50 | $5,005.00 | not published | 0 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $469.50 | $939.00 | not published | 0 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $3,556.00 | $7,112.00 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $469.50 | $939.00 | not published | 0 |
| Exc forearm tum deep < 3 cm CPT 25076 | $549.00 | $1,098.00 | 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 | $363.00 | $726.00 | 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.