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 |
|---|---|---|---|---|
| Sprchoroidal spc njx rx agt CPT 67516 | $452.00 | $904.00 | not published | 0 |
| Sputum specimen collection CPT 89220 | $41.50 | $83.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $330.00 | $660.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $887.80 | $1,775.60 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $524.00 | $1,048.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $226.00 | $452.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $148.00 | $296.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $278.50 | $557.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $220.00 | $440.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $157.50 | $315.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $18.00 | $36.00 | not published | 0 |
| Strapping of knee CPT 29530 | $18.50 | $37.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $12.50 | $25.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $93.00 | $186.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $193.50 | $387.00 | not published | 0 |
| Stress tte complete CPT 93351 | $83.00 | $166.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $751.50 | $1,503.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $133.50 | $267.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $133.50 | $267.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | $192.00 | $384.00 | not published | 0 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $708.00 | $1,416.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $8.78 | $17.56 | $2.87 – $2.87 | 1 |
| Sugars single quant CPT 84378 | $520.00 | $1,040.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $236.50 | $473.00 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $110.00 | $220.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $8.50 | $17.00 | $10.27 – $10.27 | 1 |
| Supprelin la implant HCPCS J9226 | $75,271.50 | $150,543.00 | $73,550.30 – $73,550.30 | 1 |
| Surg dx exam anorectal CPT 45990 | $520.50 | $1,041.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $46.00 | $92.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $62.00 | $124.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $91.00 | $182.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $612.00 | $1,224.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $239.00 | $478.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $379.00 | $758.00 | not published | 0 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $1,449.50 | $2,899.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $459.50 | $919.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $65.00 | $130.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $11.00 | $22.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $462.00 | $924.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $29.00 | $58.00 | not published | 0 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,130.00 | $2,260.00 | not published | 0 |
| Synch audio-only est high 40 CPT 98015 | $130.50 | $261.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $59.50 | $119.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $88.50 | $177.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $160.00 | $320.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $77.00 | $154.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $122.00 | $244.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $44.50 | $89.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $1,274.94 | $2,549.88 | $15.05 – $15.05 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $26.50 | $53.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $142.00 | $284.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $74.50 | $149.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $83.00 | $166.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $51.50 | $103.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $2.50 | $5.00 | $2.85 – $2.85 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $198.50 | $397.00 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $3,106.50 | $6,213.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,133.00 | $2,266.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,600.00 | $5,200.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $1,155.00 | $2,310.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.00 | $278.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $139.00 | $278.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $222.00 | $444.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $245.50 | $491.00 | $52.95 – $52.95 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $93.50 | $187.00 | $187.00 – $187.00 | 1 |
| Tc-99m medronate HCPCS A9503 | $64.50 | $129.00 | $61.59 – $61.59 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $855.50 | $1,711.00 | $1,283.16 – $1,283.16 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $82.50 | $165.00 | $49.17 – $49.17 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $393.50 | $787.00 | $34.04 – $34.04 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $740.00 | $1,480.00 | $740.00 – $740.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $64.50 | $129.00 | $129.00 – $129.00 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $19.19 | $38.37 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $32.00 | $64.00 | not published | 0 |
| T cells total count CPT 86359 | $19.19 | $38.37 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,101.00 | $2,202.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $60.50 | $121.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,434.04 | $22,868.07 | not published | 0 |
| Tenodesis biceps tdn at elbw CPT 24340 | $656.00 | $1,312.00 | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $642.00 | $1,284.00 | not published | 0 |
| Tenosynovectomy radic 26145 CPT 26145 | $546.50 | $1,093.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,022.50 | $6,045.00 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $466.00 | $932.00 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $6,241.37 | $12,482.73 | $30.67 – $30.67 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $77.00 | $154.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $201.00 | $402.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $62.00 | $124.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $58.50 | $117.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $6.20 | $12.40 | $4.06 – $4.06 | 1 |
| Thorabd diaphr hern repair CPT 43336 | $1,548.50 | $3,097.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,655.50 | $5,311.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $383.50 | $767.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $460.00 | $920.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $531.00 | $1,062.00 | not published | 0 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $1,206.00 | $2,412.00 | not published | 0 |
| Thrombin time CPT 85670 | $69.00 | $138.00 | not published | 0 |
| Thromboendarterectomy common femoral CPT 35371 | $869.00 | $1,738.00 | not published | 0 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $968.00 | $1,936.00 | not published | 0 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $1,376.50 | $2,753.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $1,192.50 | $2,385.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $94.50 | $189.00 | 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.