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 |
|---|---|---|---|---|
| Mayo receptor assay transferrin soluble CPT 84238 | $90.50 | $181.00 | not published | 0 |
| Mayo renin CPT 84244 | $12.50 | $25.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $54.50 | $109.00 | not published | 0 |
| Mayo selenium CPT 84255 | $31.50 | $63.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $26.50 | $53.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $15.00 | $30.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $164.00 | $328.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $28.76 | $57.51 | not published | 0 |
| Mayo tau phosphorylated 217 each CPT 84393 | $431.00 | $862.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $270.00 | $540.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $251.16 | $502.32 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $146.50 | $293.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $100.00 | $200.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $47.66 | $95.31 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $49.00 | $98.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $38.00 | $76.00 | not published | 0 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $37.81 | $75.62 | not published | 0 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $90.00 | $180.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $21.50 | $43.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $99.50 | $199.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $28.00 | $56.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $95.00 | $190.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $70.00 | $140.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $28.50 | $57.00 | not published | 0 |
| Mcp joint arthroscopy surg CPT 29901 | $572.00 | $1,144.00 | not published | 0 |
| Md service required for pmd HCPCS G0372 | $9.50 | $19.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $146.00 | $292.00 | not published | 0 |
| #mec-opiates CPT 80356 | $20.00 | $40.00 | not published | 0 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $49.50 | $99.00 | not published | 0 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $432.00 | $864.00 | not published | 0 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $330.00 | $660.00 | not published | 0 |
| Medical testimony CPT 99075 | $129.00 | $258.00 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $96.45 | $192.90 | $0.87 – $0.87 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $485.00 | $970.00 | $239.00 – $239.00 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $119.50 | $239.00 | $219.25 – $219.25 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $12.00 | $24.00 | $12.05 – $12.05 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $58.00 | $116.00 | $50.34 – $50.34 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $5.81 | $11.61 | $0.74 – $0.74 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $279.50 | $559.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $39.00 | $78.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $115.00 | $230.00 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $8.03 | $16.05 | $9.34 – $9.34 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $2.50 | $5.00 | $5.00 – $5.00 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $322.50 | $645.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $135.05 | $270.10 | $5.51 – $5.51 | 1 |
| Methylphenidate CPT 80360 | $127.50 | $255.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $80.00 | $160.00 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $13.42 | $26.84 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $1.50 | $3.00 | $1.80 – $1.80 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $1.95 | $3.90 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $63.25 | $126.50 | not published | 0 |
| Microdissection laser CPT 88380 | $1,050.00 | $2,100.00 | not published | 0 |
| Microdissection manual CPT 88381 | $23.50 | $47.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $185.00 | $370.00 | not published | 0 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $242.00 | $484.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $28.50 | $57.00 | $0.23 – $0.23 | 1 |
| Mifepristone 200 mg ta HCPCS S0190 | $66.00 | $132.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $121.00 | $242.00 | $104.53 – $104.53 | 1 |
| Mnl appl strs jt radiography CPT 77071 | $61.50 | $123.00 | not published | 0 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $94.00 | $188.00 | not published | 0 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $159.50 | $319.00 | not published | 0 |
| Mnl prep&insj imed rx dev CPT 20702 | $158.50 | $317.00 | not published | 0 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $758.00 | $1,516.00 | not published | 0 |
| Mnpj elbow under anes CPT 24300 | $459.00 | $918.00 | not published | 0 |
| Mobilization of colon 44139 CPT 44139 | $129.00 | $258.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $501.00 | $1,002.00 | not published | 0 |
| Molecular pathology interpr HCPCS G0452 | $46.00 | $92.00 | not published | 0 |
| Mometasone sinus sinuva HCPCS J7402 | $16.50 | $33.00 | $18.73 – $18.73 | 1 |
| Monovisc inj per dose HCPCS J7327 | $901.00 | $1,802.00 | $1,178.71 – $1,178.71 | 1 |
| Mopath procedure level 5 CPT 81404 | $1,853.00 | $3,706.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $2,400.00 | $4,800.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $2,242.66 | $4,485.32 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $1,200.00 | $2,400.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $27.51 | $55.02 | $6.07 – $6.07 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $6.09 | $12.18 | $4.93 – $4.93 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $27.50 | $55.00 | $18.55 – $18.55 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $364.50 | $729.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $43.00 | $86.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $426.50 | $853.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $103.50 | $207.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $34.00 | $68.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $388.00 | $776.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | $526.50 | $1,053.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,352.00 | $2,704.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $1,533.50 | $3,067.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $2,264.00 | $4,528.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,305.50 | $2,611.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,651.00 | $3,302.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,248.00 | $2,496.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,237.50 | $4,475.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,265.00 | $2,530.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,651.00 | $3,302.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $1,376.00 | $2,752.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $86.00 | $172.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $471.50 | $943.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $72.50 | $145.00 | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | $1,589.50 | $3,179.00 | not published | 0 |
| Muscle test one fiber CPT 95872 | $149.50 | $299.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $17.00 | $34.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $122.50 | $245.00 | 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.