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 |
|---|---|---|---|---|
| Ast/sgot CPT 84450 | $37.00 | $74.00 | not published | 0 |
| Atomic absorption CPT 82190 | $226.00 | $452.00 | not published | 0 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $12.71 | $25.41 | $0.13 – $0.13 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | $835.00 | $1,670.00 | not published | 0 |
| Attach bladder/urethra simple 51840 CPT 51840 | $709.00 | $1,418.00 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $74.50 | $149.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $2,353.50 | $4,707.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $4,702.00 | $9,404.00 | not published | 0 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $1,496.00 | $2,992.00 | not published | 0 |
| Autolog prp diab wound ulcer HCPCS G0465 | $2,433.00 | $4,866.00 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | $1,824.50 | $3,649.00 | not published | 0 |
| Av fistula revision CPT 36833 | $857.50 | $1,715.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $776.00 | $1,552.00 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $732.00 | $1,464.00 | not published | 0 |
| Av fusion direct any site CPT 36821 | $701.50 | $1,403.00 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | $775.50 | $1,551.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $119.50 | $239.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $458.50 | $917.00 | not published | 0 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $753.00 | $1,506.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $12.94 | $25.88 | $4.29 – $4.29 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $67.53 | $135.05 | $4.19 – $4.19 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $354.50 | $709.00 | $293.37 – $293.37 | 1 |
| Bacterial vaginosis pcr CPT 87801 | $40.00 | $80.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $80.00 | $160.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $182.00 | $364.00 | not published | 0 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $448.00 | $896.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $191.50 | $383.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $175.00 | $350.00 | not published | 0 |
| Basiliximab HCPCS J0480 | $6,731.50 | $13,463.00 | $7,385.85 – $7,385.85 | 1 |
| Bausch health Ultrasound surg HCPCS V2788 | $538.00 | $1,076.00 | not published | 0 |
| B cells total count CPT 86355 | $216.38 | $432.75 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $5.50 | $11.00 | $4.77 – $4.77 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $31.00 | $62.00 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $12,445.60 | $24,891.20 | $85.80 – $85.80 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $398.50 | $797.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $398.50 | $797.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $90.00 | $180.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $111.09 | $222.18 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $240.00 | $480.00 | not published | 0 |
| Beta-amyloid 1-40 CPT 82233 | $100.00 | $200.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $431.00 | $862.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $20.45 | $40.90 | $11.25 – $11.25 | 1 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $90.50 | $181.00 | $42.27 – $42.27 | 1 |
| Bevacizumab injection HCPCS C9257 | $3.00 | $6.00 | $3.05 – $3.05 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,336.00 | $2,672.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,194.00 | $2,388.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $285.00 | $570.00 | not published | 0 |
| Bilicheck CPT 88720 | $20.00 | $40.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $29.00 | $58.00 | not published | 0 |
| Bilirubin total CPT 82247 | $30.50 | $61.00 | not published | 0 |
| Biopsy arm/elbow soft tissue CPT 24066 | $465.50 | $931.00 | not published | 0 |
| Biopsy, bone open deep CPT 20245 | $361.00 | $722.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $90.00 | $180.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,689.00 | $3,378.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | $2,087.50 | $4,175.00 | not published | 0 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $603.00 | $1,206.00 | not published | 0 |
| Biopsy external ear 69100 CPT 69100 | $227.00 | $454.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $81.00 | $162.00 | not published | 0 |
| Biopsy lower leg soft tissue CPT 27613 | $1,340.00 | $2,680.00 | not published | 0 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $708.00 | $1,416.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $61.50 | $123.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $90.00 | $180.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $2,178.00 | $4,356.00 | not published | 0 |
| Biopsy of cornea CPT 65410 | $103.50 | $207.00 | not published | 0 |
| Biopsy of foot joint lining CPT 28052 | $264.00 | $528.00 | not published | 0 |
| Biopsy of lip 40490 CPT 40490 | $75.00 | $150.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $659.50 | $1,319.00 | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | $130.50 | $261.00 | not published | 0 |
| Biopsy of prostate CPT 55700 | $1,633.50 | $3,267.00 | not published | 0 |
| Biopsy of prostate CPT 55705 | $1,034.50 | $2,069.00 | not published | 0 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $317.00 | $634.00 | not published | 0 |
| Biopsy of stomach CPT 43605 | $941.50 | $1,883.00 | not published | 0 |
| Biopsy of testis CPT 54505 | $219.00 | $438.00 | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | $492.50 | $985.00 | not published | 0 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $497.50 | $995.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $728.50 | $1,457.00 | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $168.00 | $336.00 | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $94.50 | $189.00 | not published | 0 |
| Biospy of bladder CPT 53899 | $303.00 | $606.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $254.50 | $509.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $435.00 | $870.00 | not published | 0 |
| Blepharoplasty lower 15820 CPT 15820 | $541.00 | $1,082.00 | not published | 0 |
| Blepharoplasty upper 15822 CPT 15822 | $400.00 | $800.00 | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $1,976.00 | $3,952.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $459.00 | $918.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $85.50 | $171.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $80.00 | $160.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $820.00 | $1,640.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,417.50 | $2,835.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $2,799.17 | $5,598.33 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $36.00 | $72.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $41.50 | $83.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $51.50 | $103.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $44.50 | $89.00 | not published | 0 |
| Blood count spun microhematocrit CPT 85013 | $10.00 | $20.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $242.00 | $484.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $10.00 | $20.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $81.50 | $163.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $35.50 | $71.00 | 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.