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 |
|---|---|---|---|---|
| Allergy injections; 2 or more 95117 CPT 95117 | $32.50 | $65.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $27.50 | $55.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $1,092.00 | $2,184.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $119.50 | $239.00 | $187.57 – $187.57 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $513.50 | $1,027.00 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $119.50 | $239.00 | $225.18 – $225.18 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | $62.00 | $124.00 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $3,047.76 | $6,095.52 | $8.05 – $8.05 | 1 |
| Alpha-fetoprotein amniotic CPT 82106 | $28.50 | $57.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $62.50 | $125.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $9.50 | $19.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $128.00 | $256.00 | $146.80 – $146.80 | 1 |
| Alt/sgpt CPT 84460 | $30.50 | $61.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $129.50 | $259.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.00 | $2.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | $590.00 | $1,180.00 | $647.33 – $647.33 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $47.85 | $95.70 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $9.61 | $19.21 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $11.00 | $22.00 | not published | 0 |
| Ammonia CPT 82140 | $65.50 | $131.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $726.50 | $1,453.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $172.09 | $344.17 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $172.10 | $344.19 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $3.35 | $6.70 | $1.67 – $1.67 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $5.60 | $11.19 | $2.92 – $2.92 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $2,534.50 | $5,069.00 | not published | 0 |
| Amputate leg at thigh CPT 27592 | $721.00 | $1,442.00 | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | $780.00 | $1,560.00 | not published | 0 |
| Amputation follow-up surgery CPT 25931 | $853.50 | $1,707.00 | not published | 0 |
| Amputation follow-up surgery CPT 27884 | $642.50 | $1,285.00 | not published | 0 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,010.50 | $2,021.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $721.50 | $1,443.00 | not published | 0 |
| Amputation of lower leg CPT 27882 | $663.50 | $1,327.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $777.00 | $1,554.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $191.50 | $383.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $2,387.50 | $4,775.00 | not published | 0 |
| Amylase CPT 82150 | $237.00 | $474.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $45.00 | $90.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $38.00 | $76.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $457.00 | $914.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $356.50 | $713.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $150.50 | $301.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $201.06 | $402.11 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $99.00 | $198.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $366.00 | $732.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $154.00 | $308.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $424.00 | $848.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $4,128.86 | $8,257.71 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $737.50 | $1,475.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | $672.00 | $1,344.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | $482.00 | $964.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | $543.50 | $1,087.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $613.00 | $1,226.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | $1,107.00 | $2,214.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $180.50 | $361.00 | not published | 0 |
| Annual alcohol screen 15 min HCPCS G0442 | $9.50 | $19.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $126.00 | $252.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $146.50 | $293.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $146.50 | $293.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $164.50 | $329.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $9.00 | $18.00 | not published | 0 |
| Anoscopy CPT 46611 | $84.00 | $168.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $79.50 | $159.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $72.50 | $145.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $70.50 | $141.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $91.00 | $182.00 | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | $84.50 | $169.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $102.50 | $205.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $5,339.50 | $10,679.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $378.00 | $756.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $77.00 | $154.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $455.00 | $910.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $107.50 | $215.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $48.50 | $97.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $22.50 | $45.00 | not published | 0 |
| Anticoag mgmt pt warfarin CPT 93793 | $11.50 | $23.00 | not published | 0 |
| Antigen therapy services CPT 95165 | $125.00 | $250.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $10.00 | $20.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $178.00 | $356.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $60.00 | $120.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $56.00 | $112.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $5.00 | $10.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $50.00 | $100.00 | not published | 0 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $917.50 | $1,835.00 | not published | 0 |
| Appendectomy CPT 44950 | $691.50 | $1,383.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $89.50 | $179.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $945.00 | $1,890.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $7,121.50 | $14,243.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $246.50 | $493.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $62.00 | $124.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $763.50 | $1,527.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $216.50 | $433.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $49.50 | $99.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $682.50 | $1,365.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $144.50 | $289.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $350.50 | $701.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $350.50 | $701.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $353.50 | $707.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $91.50 | $183.00 | 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.