Thomas Hospitals
4605 Maccorkle Ave SW, South Charleston, WV · Wvumedicine · · NPI 1801338850
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $172.00 | $344.00 | $27.67 – $148.18 | 20 |
| 17-hydroxypregnenolone CPT 84143 | $155.00 | $310.00 | $21.56 – $115.44 | 20 |
| 1st psyc collab care mgmt CPT 99492 | $121.00 | $242.00 | $70.52 – $490.76 | 20 |
| 1st/sbsq psyc collab care CPT 99494 | $83.50 | $167.00 | $29.85 – $182.50 | 20 |
| 24 hr ambulatory b/p monitor CPT 93786 | $187.00 | $374.00 | $15.18 – $642.73 | 20 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $901.00 | $1,802.00 | $748.30 – $3,787.07 | 13 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,289.50 | $2,579.00 | $748.30 – $3,787.07 | 13 |
| 2nd order venous cath CPT 36012 | $535.50 | $1,071.00 | $160.12 – $810.35 | 20 |
| 3-d radiotherapy plan CPT 77295 | $5,233.00 | $10,466.00 | $168.57 – $6,686.61 | 20 |
| 3d recon without postprocess indpndt CPT 76376 | $208.50 | $417.00 | $6.95 – $46.51 | 20 |
| 5' nucleotidase - sendout CPT 83915 | $71.50 | $143.00 | $10.54 – $56.43 | 20 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $102.00 | $204.00 | $33.77 – $170.91 | 13 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $205.50 | $411.00 | $54.56 – $55.60 | 7 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $90.00 | $180.00 | $58.42 – $59.53 | 7 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $90.00 | $180.00 | $62.02 – $63.20 | 7 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $177.00 | $354.00 | $49.67 – $50.61 | 7 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $67.50 | $135.00 | $54.56 – $55.60 | 7 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $67.50 | $135.00 | $54.56 – $55.60 | 7 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $67.50 | $135.00 | $62.02 – $63.20 | 7 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $67.50 | $135.00 | $73.34 – $74.74 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $10,096.32 | $20,192.63 | $45.86 – $232.09 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $59.00 | $118.00 | $11.35 – $60.78 | 20 |
| Abd aorta w/runoff s&i CPT 75630 | $5,517.50 | $11,035.00 | $71.03 – $15,253.50 | 20 |
| Abd/low ext cath 1st CPT 36245 | $1,928.00 | $3,856.00 | $205.80 – $1,092.75 | 20 |
| Abd/low ext cath 2nd CPT 36246 | $1,113.50 | $2,227.00 | $205.80 – $1,181.97 | 20 |
| Abd/low ext cath 3rd CPT 36247 | $9,339.75 | $18,679.50 | $205.80 – $1,362.90 | 20 |
| Abd/low ext cath addl CPT 36248 | $318.00 | $636.00 | $42.53 – $215.24 | 20 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,916.50 | $3,833.00 | $47.87 – $847.35 | 20 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,916.50 | $3,833.00 | $45.03 – $847.35 | 20 |
| Abdominal CT scan (without contrast) CPT 74150 | $927.00 | $1,854.00 | $41.95 – $505.08 | 20 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,090.50 | $6,181.00 | $78.24 – $1,685.38 | 20 |
| Abdominal MRI (with contrast) CPT 74182 | $3,092.50 | $6,185.00 | $60.99 – $1,685.38 | 20 |
| Abdominal MRI (without contrast) CPT 74181 | $1,878.50 | $3,757.00 | $51.47 – $1,152.67 | 20 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,910.50 | $7,821.00 | $105.00 – $4,381.58 | 20 |
| Abdominal Ultrasound (complete) CPT 76700 | $711.50 | $1,423.00 | $28.57 – $505.08 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $712.00 | $1,424.00 | $20.84 – $505.08 | 20 |
| Abdominoplasty 15830 CPT 15830 | $18,491.50 | $36,983.00 | $205.80 – $32,078.06 | 20 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $5,320.50 | $10,641.00 | $105.00 – $4,381.58 | 20 |
| Abl1 gene CPT 81170 | $649.50 | $1,299.00 | $283.50 – $1,518.27 | 20 |
| Ablate arrhythmia add on CPT 93655 | $7,401.50 | $14,803.00 | $233.94 – $1,386.59 | 20 |
| Ablate bone tumor(s) perq CPT 20982 | $8,195.00 | $16,390.00 | $205.80 – $84,704.33 | 20 |
| Ablate heart dysrhythm focus CPT 93650 | $5,006.00 | $10,012.00 | $442.65 – $37,679.51 | 20 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,933.17 | $3,866.33 | $205.80 – $7,495.60 | 20 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $1,785.50 | $3,571.00 | $122.83 – $621.63 | 13 |
| Ablation cryo abd perit om CPT 49999 | $7,984.00 | $15,968.00 | $865.77 – $4,381.58 | 13 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $2,953.58 | $5,907.16 | $235.46 – $1,191.64 | 13 |
| Ablation cryo thigh/knee CPT 27599 | $1,239.00 | $2,478.00 | $235.46 – $1,191.64 | 13 |
| Ablation of upper extremity nerves rf CPT 64999 | $7,598.50 | $15,197.00 | $293.01 – $1,482.89 | 13 |
| Abobotulinumtoxina HCPCS J0586 | $9.00 | $18.00 | $8.95 – $45.30 | 14 |
| Abscess drain retroperitoneal surg code CPT 49406 | $12,250.50 | $24,501.00 | $205.80 – $7,978.76 | 20 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $248.50 | $497.00 | $95.99 – $595.77 | 20 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $89.10 | $178.20 | $0.08 – $0.08 | 1 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $29.24 | $58.48 | not published | 0 |
| Acetaminophen level CPT 80143 | $71.00 | $142.00 | $17.62 – $94.34 | 20 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $82.67 | $165.33 | $46.40 – $46.40 | 1 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $150.17 | $300.34 | $1.16 – $1.16 | 1 |
| Acne surgery 10040 CPT 10040 | $254.50 | $509.00 | $105.00 – $969.26 | 20 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $90.00 | $180.00 | $121.21 – $840.51 | 20 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $67.50 | $135.00 | $94.96 – $660.04 | 20 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $121.00 | $242.00 | $37.05 – $196.31 | 20 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $146.00 | $292.00 | $25.47 – $155.42 | 20 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $56.00 | $112.00 | $36.54 – $221.26 | 20 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $197.00 | $394.00 | $67.68 – $857.47 | 20 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $170.50 | $341.00 | $95.99 – $643.14 | 20 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $24.00 | $48.00 | $6.69 – $180.98 | 20 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $147.00 | $294.00 | $11.07 – $60.83 | 20 |
| Actigraphy testing CPT 95803 | $181.50 | $363.00 | $30.88 – $284.98 | 20 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $26.50 | $53.00 | $18.02 – $105.82 | 20 |
| Acup 1/> without estim ea add 15 CPT 97811 | $34.00 | $68.00 | $17.76 – $104.10 | 20 |
| Acute hepatitis panel CPT 80074 | $289.50 | $579.00 | $45.01 – $241.05 | 20 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $5.42 | $10.84 | $0.10 – $0.10 | 1 |
| #acylcarnitineprfl CPT 82017 | $72.00 | $144.00 | $15.94 – $85.38 | 20 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,332.50 | $4,665.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $196.36 | $392.72 | $0.99 – $0.99 | 1 |
| Adh-sendout CPT 84588 | $212.50 | $425.00 | $32.08 – $171.77 | 20 |
| Adj gastric band via subq port CPT 43999 | $1,341.00 | $2,682.00 | $865.77 – $4,381.58 | 13 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $11,062.34 | $22,124.67 | $205.80 – $9,967.54 | 20 |
| Adjustment gastric band HCPCS S2083 | $114.50 | $229.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $50.27 | $100.54 | $0.92 – $0.92 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $2,112.00 | $4,224.00 | $18.27 – $347.84 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $148.50 | $297.00 | $41.43 – $347.84 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,442.50 | $2,885.00 | $83.64 – $1,595.70 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $439.50 | $879.00 | $65.11 – $1,595.70 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $134.50 | $269.00 | $24.96 – $347.84 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $205.50 | $411.00 | $46.58 – $347.84 | 20 |
| Administration immunization 1 vaccine CPT 90471 | $181.50 | $363.00 | $12.60 – $139.07 | 20 |
| Administration immunization each additional component CPT 90461 | $637.50 | $1,275.00 | $6.44 – $43.12 | 20 |
| Administration immunization each additional vaccine CPT 90472 | $337.00 | $674.00 | $12.60 – $12.84 | 7 |
| Administration immunization first component each vaccine CPT 90460 | $670.00 | $1,340.00 | $16.47 – $109.82 | 20 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $26.50 | $53.00 | $11.83 – $347.84 | 20 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $12.50 | $25.00 | $8.49 – $58.61 | 20 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $80.50 | $161.00 | $16.21 – $140.29 | 20 |
| Administration vaccine hepatitis b HCPCS G0010 | $87.00 | $174.00 | $17.88 – $90.49 | 13 |
| Administration vaccine influenza virus HCPCS G0008 | $87.00 | $174.00 | $17.88 – $90.49 | 13 |
| Administration vaccine pneumococcal HCPCS G0009 | $132.50 | $265.00 | $17.88 – $90.49 | 13 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $44.50 | $89.00 | $13.64 – $111.95 | 20 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $26,571.33 | $53,142.66 | $43.63 – $220.81 | 14 |
| Adrenalin epinephrine inject HCPCS J0171 | $124.43 | $248.85 | $1.24 – $1.24 | 1 |
| Aep hearing status deter i&r CPT 92651 | $383.00 | $766.00 | $56.62 – $1,043.15 | 20 |
| Aep neurodiagnostic i&r CPT 92653 | $350.50 | $701.00 | $58.42 – $1,043.15 | 20 |
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.