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 |
|---|---|---|---|---|
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $1,393.50 | $2,787.00 | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $288.00 | $576.00 | not published | 0 |
| Opn ilac art expos cndt crtj CPT 34833 | $424.00 | $848.00 | not published | 0 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $640.50 | $1,281.00 | not published | 0 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $714.50 | $1,429.00 | not published | 0 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $630.00 | $1,260.00 | not published | 0 |
| Optx acute shoulder dislc CPT 23660 | $644.00 | $1,288.00 | not published | 0 |
| Optx carpl scphd fx int fixj CPT 25628 | $789.00 | $1,578.00 | not published | 0 |
| Optx clavicular fx w/int fix CPT 23515 | $7,875.50 | $15,751.00 | not published | 0 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $12,540.50 | $25,081.00 | not published | 0 |
| Optx medial ankle fx CPT 27766 | $4,575.75 | $9,151.50 | not published | 0 |
| Optx post ankle fx CPT 27769 | $799.00 | $1,598.00 | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | $12,941.50 | $25,883.00 | not published | 0 |
| Optx radial shaft fracture CPT 25515 | $737.50 | $1,475.00 | not published | 0 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $693.00 | $1,386.00 | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $9,557.50 | $19,115.00 | not published | 0 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $718.50 | $1,437.00 | not published | 0 |
| Optx scapular fx w/int fixj CPT 23585 | $1,075.00 | $2,150.00 | not published | 0 |
| Optx sho dislc fx CPT 23670 | $962.00 | $1,924.00 | not published | 0 |
| Optx thigh fx CPT 27269 | $1,291.50 | $2,583.00 | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | $11,645.50 | $23,291.00 | not published | 0 |
| Optx ulnar styloid fracture CPT 25652 | $661.00 | $1,322.00 | not published | 0 |
| Orchiectomy partial CPT 54522 | $614.00 | $1,228.00 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $475.00 | $950.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $279.00 | $558.00 | not published | 0 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $61.50 | $123.00 | $67.52 – $67.52 | 1 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $40.00 | $80.00 | $45.54 – $45.54 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $6.50 | $13.00 | $11.15 – $11.15 | 1 |
| Orthovisc inj per dose HCPCS J7324 | $293.79 | $587.58 | $215.56 – $215.56 | 1 |
| Osmolality blood CPT 83930 | $233.05 | $466.10 | not published | 0 |
| Osmolality urine CPT 83935 | $51.00 | $102.00 | not published | 0 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $347.00 | $694.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $47.50 | $95.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $150.00 | $300.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $157.50 | $315.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $157.50 | $315.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $83.00 | $166.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $210.00 | $420.00 | not published | 0 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $10.00 | $20.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $82.50 | $165.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $62.00 | $124.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $248.00 | $496.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $282.00 | $564.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $60.00 | $120.00 | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $1.50 | $3.00 | $1.73 – $1.73 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $2.15 | $4.30 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | $126.00 | $252.00 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $21.50 | $43.00 | $23.63 – $23.63 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,731.00 | $5,462.00 | $560.47 – $560.47 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $4.96 | $9.92 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $118.00 | $236.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $816.00 | $1,632.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $560.50 | $1,121.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $636.00 | $1,272.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $972.50 | $1,945.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $166.50 | $333.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $211.00 | $422.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $2,771.50 | $5,543.00 | not published | 0 |
| Partial hip replacement CPT 27125 | $1,248.00 | $2,496.00 | not published | 0 |
| Partial hysterectomy CPT 58180 | $8,840.00 | $17,680.00 | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | $1,169.00 | $2,338.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | $519.00 | $1,038.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $485.00 | $970.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $390.50 | $781.00 | not published | 0 |
| Partial removal leg bone(s) CPT 27360 | $984.00 | $1,968.00 | not published | 0 |
| Partial removal of eye fluid CPT 67005 | $476.00 | $952.00 | not published | 0 |
| Partial removal of eye fluid CPT 67010 | $544.00 | $1,088.00 | not published | 0 |
| Partial removal of fibula CPT 27641 | $691.00 | $1,382.00 | not published | 0 |
| Partial removal of foot bone CPT 28288 | $3,912.50 | $7,825.00 | not published | 0 |
| Partial removal of heart sac 33030 CPT 33030 | $2,133.00 | $4,266.00 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $1,577.50 | $3,155.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $748.00 | $1,496.00 | not published | 0 |
| Partial removal of thyroid CPT 60225 | $994.50 | $1,989.00 | not published | 0 |
| Partial removal of toe CPT 28160 | $288.00 | $576.00 | not published | 0 |
| Partial thyroid excision CPT 60210 | $753.00 | $1,506.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $8.00 | $16.00 | $4.21 – $4.21 | 1 |
| Part removal of metatarsal CPT 28110 | $317.00 | $634.00 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $2,675.50 | $5,351.00 | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | $326.00 | $652.00 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $333.50 | $667.00 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $179.00 | $358.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,027.50 | $2,055.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $906.00 | $1,812.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $835.50 | $1,671.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,743.00 | $3,486.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $1,252.50 | $2,505.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $377.00 | $754.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $346.00 | $692.00 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $28.00 | $56.00 | $29.01 – $29.01 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $210.13 | $420.25 | $35.85 – $35.85 | 1 |
| Penile injection CPT 54235 | $80.00 | $160.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,234.50 | $4,469.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $882.00 | $1,764.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $748.50 | $1,497.00 | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | $284.00 | $568.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $22.00 | $44.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $91.00 | $182.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $442.50 | $885.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $92.50 | $185.00 | not published | 0 |
| Perq skel fix ulnar styld fx CPT 25651 | $518.00 | $1,036.00 | 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.