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 |
|---|---|---|---|---|
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $458.00 | $916.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $140.00 | $280.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $2,266.62 | $4,533.24 | not published | 0 |
| Keratoprosthesis CPT 65770 | $1,404.50 | $2,809.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $109.98 | $219.96 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $5.24 | $10.48 | $0.81 – $0.81 | 1 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $254.00 | $508.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $6,027.50 | $12,055.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $119.50 | $239.00 | $41.81 – $41.81 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $4,707.50 | $9,415.00 | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | $566.00 | $1,132.00 | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $436.50 | $873.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $4,569.50 | $9,139.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | $5,025.50 | $10,051.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | $592.00 | $1,184.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | $4,336.50 | $8,673.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | $690.50 | $1,381.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | $4,035.50 | $8,071.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $7,121.50 | $14,243.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | $757.00 | $1,514.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $886.50 | $1,773.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | $654.50 | $1,309.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | $829.50 | $1,659.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | $12,321.50 | $24,643.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | $1,349.00 | $2,698.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,651.00 | $3,302.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $1,168.00 | $2,336.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $1,432.50 | $2,865.00 | not published | 0 |
| Knee X-ray CPT 73564 | $277.00 | $554.00 | not published | 0 |
| Kras gene addl variants CPT 81276 | $102.00 | $204.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $102.00 | $204.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $1.14 | $2.28 | $0.31 – $0.31 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $34.00 | $68.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $15.00 | $30.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $237.00 | $474.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $94.50 | $189.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $1,409.00 | $2,818.00 | not published | 0 |
| Laparo ablate renal cyst CPT 50541 | $958.50 | $1,917.00 | not published | 0 |
| Laparo-asst vag hysterectomy CPT 58550 | $981.50 | $1,963.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $1,259.50 | $2,519.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $7,275.50 | $14,551.00 | not published | 0 |
| Laparo partial colectomy 44204 CPT 44204 | $1,716.00 | $3,432.00 | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $595.50 | $1,191.00 | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | $953.00 | $1,906.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $1,188.50 | $2,377.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $838.00 | $1,676.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $401.50 | $803.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $4,972.50 | $9,945.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $962.00 | $1,924.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $3,103.00 | $6,206.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $1,161.50 | $2,323.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $694.00 | $1,388.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $944.50 | $1,889.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $571.50 | $1,143.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $729.50 | $1,459.00 | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | $5,497.50 | $10,995.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $1,139.00 | $2,278.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $1,024.00 | $2,048.00 | not published | 0 |
| Laparoscopy tubal block 58671 CPT 58671 | $390.50 | $781.00 | not published | 0 |
| Laparo sling operation 51992 CPT 51992 | $927.00 | $1,854.00 | not published | 0 |
| Laparo urethral suspension CPT 51990 | $778.50 | $1,557.00 | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | $7,436.00 | $14,872.00 | not published | 0 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $9,620.00 | $19,240.00 | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | $1,763.00 | $3,526.00 | not published | 0 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $2,015.50 | $4,031.00 | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $2,078.50 | $4,157.00 | not published | 0 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $1,417.00 | $2,834.00 | not published | 0 |
| Lap colostomy 44188 CPT 44188 | $1,282.50 | $2,565.00 | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | $1,486.50 | $2,973.00 | not published | 0 |
| Lap enterolysis CPT 44180 | $1,036.50 | $2,073.00 | not published | 0 |
| Lap ing hernia repair init CPT 49650 | $11,596.00 | $23,192.00 | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | $18,044.00 | $36,088.00 | not published | 0 |
| Lap insert tunnel ip cath CPT 49324 | $415.50 | $831.00 | not published | 0 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $208.50 | $417.00 | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | $1,655.50 | $3,311.00 | not published | 0 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,848.00 | $3,696.00 | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | $5,598.34 | $11,196.67 | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $1,202.00 | $2,404.00 | not published | 0 |
| Laps pelvic lymphadec CPT 38573 | $1,244.00 | $2,488.00 | not published | 0 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $203.50 | $407.00 | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $146.00 | $292.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $175.00 | $350.00 | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | $208.00 | $416.00 | not published | 0 |
| Laser surgery eye strands CPT 67031 | $351.50 | $703.00 | not published | 0 |
| Laser surgery of prostate CPT 52648 | $723.50 | $1,447.00 | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | $105.00 | $210.00 | not published | 0 |
| Lat retinacular release open CPT 27425 | $498.00 | $996.00 | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | $9,672.00 | $19,344.00 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $774.50 | $1,549.00 | not published | 0 |
| Lead capillary CPT 83655 | $68.00 | $136.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $576.50 | $1,153.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $268.00 | $536.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $405.40 | $810.80 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,464.65 | $2,929.29 | $299.15 – $299.15 | 1 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,607.50 | $5,215.00 | $2,581.59 – $2,581.59 | 1 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $585.50 | $1,171.00 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.00 | $4.00 | $0.08 – $0.08 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $6.89 | $13.77 | $0.10 – $0.10 | 1 |
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.