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 |
|---|---|---|---|---|
| Sbsq psyc collab care mgmt CPT 99493 | $111.50 | $223.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $675.00 | $1,350.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $491.50 | $983.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $709.50 | $1,419.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $239.50 | $479.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $440.00 | $880.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $439.50 | $879.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $541.00 | $1,082.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $470.50 | $941.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $414.50 | $829.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $2,618.00 | $5,236.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,390.13 | $2,780.25 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $86.00 | $172.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $97.50 | $195.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,729.00 | $3,458.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,532.50 | $5,065.00 | not published | 0 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $64.50 | $129.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $357.00 | $714.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $82.50 | $165.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $30.50 | $61.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $2,220.27 | $4,440.53 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $918.50 | $1,837.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $13.00 | $26.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $56.00 | $112.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $71.50 | $143.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $37.00 | $74.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $104.00 | $208.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $2,216.50 | $4,433.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $526.83 | $1,053.66 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $80.00 | $160.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $99.00 | $198.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $192.50 | $385.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $53.50 | $107.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $975.75 | $1,951.50 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $487.88 | $975.75 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $37.00 | $74.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $438.50 | $877.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $166.50 | $333.00 | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | $512.50 | $1,025.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $1,008.00 | $2,016.00 | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | $15,510.50 | $31,021.00 | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $2,825.83 | $5,651.66 | not published | 0 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,238.50 | $6,477.00 | not published | 0 |
| Sho arthrs srg prtl synvct CPT 29820 | $585.50 | $1,171.00 | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | $7,305.00 | $14,610.00 | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $651.50 | $1,303.00 | not published | 0 |
| Shorten radius or ulna CPT 25390 | $813.00 | $1,626.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $3,095.88 | $6,191.75 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,176.50 | $2,353.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $1,168.00 | $2,336.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,376.00 | $2,752.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23334 | $1,123.00 | $2,246.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23335 | $1,337.50 | $2,675.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $360.00 | $720.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $99.50 | $199.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $171.00 | $342.00 | not published | 0 |
| Sickling rbc CPT 85660 | $124.00 | $248.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $2,047.50 | $4,095.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $118.50 | $237.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $127.00 | $254.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $72.00 | $144.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $165.00 | $330.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $108.50 | $217.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | $214.00 | $428.00 | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $130.00 | $260.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $97.50 | $195.00 | not published | 0 |
| Sig w/tndsc balloon dilation CPT 45340 | $80.00 | $160.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | $83.00 | $166.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $825.00 | $1,650.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $737.00 | $1,474.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $691.00 | $1,382.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $526.83 | $1,053.66 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $699.50 | $1,399.00 | not published | 0 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $122.00 | $244.00 | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | $1,517.50 | $3,035.00 | $1,907.17 – $1,907.17 | 1 |
| Sleep study unattended CPT 95806 | $193.50 | $387.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,531.40 | $5,062.80 | not published | 0 |
| Slitting of prepuce CPT 54001 | $153.00 | $306.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $39.00 | $78.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | $55.50 | $111.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $163.00 | $326.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | $306.50 | $613.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $50.00 | $100.00 | not published | 0 |
| Smear gram stain CPT 87205 | $36.00 | $72.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $167.00 | $334.00 | not published | 0 |
| Smear wet mount CPT 87210 | $33.00 | $66.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $30.50 | $61.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $15.00 | $30.00 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $6.00 | $12.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $24.03 | $48.06 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $356.00 | $712.00 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $28.50 | $57.00 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | $181.00 | $362.00 | not published | 0 |
| Speech audiometry complete CPT 92556 | $82.00 | $164.00 | not published | 0 |
| Speech recep thresh CPT 92555 | $28.50 | $57.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,583.00 | $3,166.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $241.50 | $483.00 | not published | 0 |
| Splenectomy total open 38100 CPT 38100 | $1,237.00 | $2,474.00 | not published | 0 |
| Splice spleen/kidney veins CPT 37181 | $2,502.50 | $5,005.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $3,394.00 | $6,788.00 | 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.