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 |
|---|---|---|---|---|
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $628.50 | $1,257.00 | not published | 0 |
| Ghs low level laser therapy CPT 97039 | $32.50 | $65.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $26.00 | $52.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $87.50 | $175.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $98.00 | $196.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $122.50 | $245.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $65.00 | $130.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $261.50 | $523.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $226.00 | $452.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,013.00 | $2,026.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $27.50 | $55.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $63.00 | $126.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $70.50 | $141.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,717.50 | $3,435.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $1,130.00 | $2,260.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $78.50 | $157.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,359.50 | $2,719.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,425.00 | $2,850.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $1,228.00 | $2,456.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $592.00 | $1,184.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $3,699.50 | $7,399.00 | not published | 0 |
| Ghs optokenetic CPT 92544 | $208.50 | $417.00 | not published | 0 |
| Ghs oscillating trac CPT 92545 | $419.00 | $838.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $55.50 | $111.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $37.50 | $75.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $20.50 | $41.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $98.00 | $196.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $3,434.50 | $6,869.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $62.50 | $125.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $56.50 | $113.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $24.50 | $49.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $326.00 | $652.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $178.56 | $357.12 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $2,920.17 | $5,840.33 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $28.50 | $57.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $8.00 | $16.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $110.50 | $221.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $196.00 | $392.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $167.50 | $335.00 | not published | 0 |
| Ghs refill of implantable pump CPT 95990 | $320.50 | $641.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $313.00 | $626.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $541.00 | $1,082.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,538.50 | $3,077.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $542.50 | $1,085.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $22.50 | $45.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $24.00 | $48.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $46.50 | $93.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $673.00 | $1,346.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $728.50 | $1,457.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $606.50 | $1,213.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $167.00 | $334.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $458.50 | $917.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $494.00 | $988.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $325.50 | $651.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $188.00 | $376.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $193.50 | $387.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,018.00 | $2,036.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $11.50 | $23.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $589.00 | $1,178.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $522.50 | $1,045.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $396.50 | $793.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $870.50 | $1,741.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $96.50 | $193.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $112.50 | $225.00 | not published | 0 |
| Gi wireless capsule measure CPT 91112 | $809.50 | $1,619.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,124.10 | $2,248.20 | $310.81 – $310.81 | 1 |
| Glucose 1 hr post dose CPT 82950 | $28.50 | $57.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $75.00 | $150.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $29.50 | $59.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $81.00 | $162.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $58.50 | $117.00 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $7,230.95 | $14,461.89 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $97.00 | $194.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $65.50 | $131.00 | not published | 0 |
| Gonioscopy CPT 92020 | $20.50 | $41.00 | not published | 0 |
| Goniotomy CPT 65820 | $881.00 | $1,762.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,686.00 | $3,372.00 | $1,004.87 – $1,004.87 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $119.50 | $239.00 | $50.16 – $50.16 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $10.00 | $20.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $119.50 | $239.00 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $2,866.00 | $5,732.00 | $3,295.88 – $3,295.88 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $2,466.50 | $4,933.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $119.50 | $239.00 | $64.45 – $64.45 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,940.00 | $3,880.00 | $131.00 – $131.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $119.50 | $239.00 | $224.93 – $224.93 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $119.50 | $239.00 | $74.25 – $74.25 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,441.88 | $2,883.75 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $161.00 | $322.00 | not published | 0 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $2,076.50 | $4,153.00 | not published | 0 |
| Gstrst open wo constj tube CPT 43830 | $752.00 | $1,504.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $822.50 | $1,645.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $79.00 | $158.00 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $234.20 | $468.40 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $455.00 | $910.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $2.10 | $4.19 | $1.86 – $1.86 | 1 |
| Hand X-ray CPT 73130 | $315.00 | $630.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $41.50 | $83.00 | not published | 0 |
| Harvest allogeneic stem cell CPT 38205 | $2,900.00 | $5,800.00 | 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.