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 |
|---|---|---|---|---|
| Culture fungi other (except blood) CPT 87102 | $108.00 | $216.00 | $7.95 – $42.56 | 20 |
| Culture fungi skin/hair/nail CPT 87101 | $45.50 | $91.00 | $7.29 – $39.02 | 20 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $140.00 | $280.00 | $13.81 – $73.94 | 20 |
| Culture quantitative aerobic other source CPT 87071 | $123.50 | $247.00 | $9.35 – $50.05 | 20 |
| Culture screening strep group a CPT 87081 | $44.50 | $89.00 | $6.27 – $33.55 | 20 |
| Culture typing immunologic CPT 87147 | $22.00 | $44.00 | $4.89 – $26.22 | 20 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $202.00 | $404.00 | $33.16 – $177.59 | 20 |
| Culture urine each isolate CPT 87088 | $68.50 | $137.00 | $7.64 – $40.94 | 20 |
| Curette/treat cornea CPT 65435 | $1,217.00 | $2,434.00 | $951.57 – $4,815.80 | 13 |
| Cutter lead HCPCS C1773 | $603.95 | $1,207.90 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,961.00 | $5,922.00 | $205.80 – $7,604.61 | 20 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $92.00 | $184.00 | $13.53 – $72.47 | 20 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $52.72 | $105.44 | $2.27 – $2.27 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $93.50 | $187.00 | $12.24 – $65.54 | 20 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $608.80 | $1,217.59 | $0.57 – $2.88 | 13 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $136.13 | $272.25 | $1.02 – $1.02 | 1 |
| Cyclosporine 2 hour CPT 80158 | $115.00 | $230.00 | $17.06 – $91.35 | 20 |
| Cyclosporine oral 100 mg HCPCS J7502 | $46.47 | $92.94 | not published | 0 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $2,064.00 | $4,128.00 | $126.52 – $640.31 | 14 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,514.67 | $31,029.34 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $200.00 | $400.00 | $165.20 – $884.70 | 20 |
| Cyp2d6 gene com variants CPT 81226 | $185.00 | $370.00 | $426.11 – $2,282.01 | 20 |
| Cystatin c CPT 82610 | $85.00 | $170.00 | $17.50 – $93.73 | 20 |
| Cystine urine quantitative CPT 82131 | $316.00 | $632.00 | $21.71 – $116.30 | 20 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $733.00 | $1,466.00 | $11.32 – $1,685.38 | 20 |
| Cysto impl 4 or more HCPCS C9740 | $3,193.00 | $6,386.00 | $9,036.26 – $45,731.61 | 13 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $12,761.00 | $25,522.00 | $205.80 – $45,731.61 | 20 |
| Cystoscopy and treatment CPT 52214 | $5,324.00 | $10,648.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy and treatment CPT 52224 | $4,083.00 | $8,166.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy and treatment CPT 52234 | $6,699.00 | $13,398.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy and treatment CPT 52235 | $5,662.50 | $11,325.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy and treatment CPT 52240 | $7,855.50 | $15,711.00 | $205.80 – $25,902.39 | 20 |
| Cystoscopy and treatment CPT 52260 | $3,222.00 | $6,444.00 | $205.80 – $10,098.42 | 20 |
| Cystoscopy and treatment CPT 52265 | $2,417.00 | $4,834.00 | $205.80 – $10,098.42 | 20 |
| Cystoscopy and treatment CPT 52276 | $6,569.00 | $13,138.00 | $205.80 – $10,098.42 | 20 |
| Cystoscopy and treatment CPT 52285 | $3,828.00 | $7,656.00 | $205.80 – $3,368.59 | 20 |
| Cystoscopy and treatment CPT 52310 | $6,341.00 | $12,682.00 | $205.80 – $10,098.42 | 20 |
| Cystoscopy and treatment CPT 52315 | $5,928.00 | $11,856.00 | $205.80 – $10,098.42 | 20 |
| Cystoscopy and treatment CPT 52320 | $4,083.00 | $8,166.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy and treatment CPT 52330 | $4,083.00 | $8,166.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy (Bladder Scope) CPT 52000 | $8,483.17 | $16,966.33 | $205.80 – $3,368.59 | 20 |
| Cystoscopy chemodenervation CPT 52287 | $2,980.25 | $5,960.50 | $205.80 – $10,098.42 | 20 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | $1,986.83 | $3,973.66 | $5,118.14 – $25,902.39 | 13 |
| Cystoscopy removal of clots CPT 52001 | $7,293.00 | $14,586.00 | $205.80 – $17,028.87 | 20 |
| Cystoscopy & revise urethra CPT 52275 | $2,447.17 | $4,894.33 | $205.80 – $10,098.42 | 20 |
| Cystoscopy & ureter catheter CPT 52005 | $7,045.33 | $14,090.66 | $205.80 – $10,098.42 | 20 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $9,718.50 | $19,437.00 | $205.80 – $10,098.42 | 20 |
| Cystouretero & or pyeloscope CPT 52351 | $3,061.83 | $6,123.66 | $205.80 – $17,028.87 | 20 |
| Cysto/uretero stricture tx CPT 52344 | $5,140.50 | $10,281.00 | $3,364.79 – $17,028.87 | 13 |
| Cystouretero w/biopsy CPT 52354 | $8,235.34 | $16,470.67 | $205.80 – $25,902.39 | 20 |
| Cystouretero w/excise tumor CPT 52355 | $5,654.17 | $11,308.33 | $5,118.14 – $25,902.39 | 13 |
| Cysto/uretero w/lithotripsy CPT 52356 | $27,092.50 | $54,185.00 | $205.80 – $25,902.39 | 20 |
| Cystouretero w/lithotripsy CPT 52353 | $8,762.50 | $17,525.00 | $205.80 – $25,902.39 | 20 |
| Cystouretero w/stone remove CPT 52352 | $5,771.17 | $11,542.33 | $205.80 – $17,028.87 | 20 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,927.00 | $7,854.00 | $205.80 – $10,098.42 | 20 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $7,056.83 | $14,113.66 | $205.80 – $10,098.42 | 20 |
| Cystourethro w/addl implant 52442 CPT 52442 | $1,301.33 | $2,602.66 | $45.04 – $227.94 | 20 |
| Cystourethro w/implant CPT 52441 | $2,602.67 | $5,205.34 | $186.01 – $941.38 | 20 |
| Cysto w/ureter stricture tx CPT 52341 | $4,612.83 | $9,225.66 | $205.80 – $17,028.87 | 20 |
| Cytogenetics 25-99 CPT 88274 | $115.00 | $230.00 | $40.05 – $214.48 | 20 |
| Cytogenomic neo microra alys CPT 81277 | $1,882.75 | $3,765.50 | $1,160.00 – $5,870.64 | 13 |
| Cytogenom microarray copy nmbr var CPT 81228 | $2,298.00 | $4,596.00 | $850.50 – $4,554.81 | 20 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $63.00 | $126.00 | $13.60 – $72.83 | 20 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $119.50 | $239.00 | $15.93 – $85.28 | 20 |
| Cyto/molecular report CPT 88291 | $50.00 | $100.00 | $31.34 – $158.61 | 12 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $143.00 | $286.00 | $49.75 – $251.78 | 13 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $148.00 | $296.00 | $25.15 – $134.67 | 20 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $50.00 | $100.00 | $19.14 – $102.53 | 20 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $304.50 | $609.00 | $35.65 – $180.42 | 13 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $330.00 | $660.00 | $35.65 – $180.42 | 13 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $24.00 | $48.00 | $19.69 – $99.65 | 13 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $460.50 | $921.00 | $162.63 – $823.05 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $258.00 | $516.00 | $49.75 – $251.78 | 13 |
| Cytopath smear other source CPT 88160 | $114.50 | $229.00 | $27.61 – $139.73 | 13 |
| Cytopath tbs c/v manual CPT 88164 | $74.50 | $149.00 | $17.19 – $93.83 | 20 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $741.50 | $1,483.00 | $162.63 – $823.05 | 13 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $70.78 | $141.55 | $6.15 – $6.15 | 1 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,201.23 | $12,402.45 | $11.29 – $57.14 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $37.20 | $74.39 | $0.07 – $0.07 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $19,945.05 | $39,890.10 | $57.05 – $288.72 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $8,394.35 | $16,788.69 | $2.92 – $14.78 | 14 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $17.00 | $34.00 | $2.92 – $14.78 | 14 |
| D&c after delivery 59160 CPT 59160 | $4,636.50 | $9,273.00 | $205.80 – $15,638.23 | 20 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $5,791.50 | $11,583.00 | $205.80 – $15,638.23 | 20 |
| Dch pulmonary stress test CPT 94621 | $429.50 | $859.00 | $50.44 – $1,802.69 | 20 |
| Dch validity tests CPT 81002 | $24.50 | $49.00 | $3.29 – $17.61 | 20 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $2,244.50 | $4,489.00 | $205.80 – $9,433.42 | 20 |
| Deamidated gliadin antibody iga CPT 86258 | $77.50 | $155.00 | $11.39 – $60.98 | 20 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,700.50 | $3,401.00 | $205.80 – $3,294.65 | 20 |
| Debridement (>20 cm) charge pt CPT 97598 | $2,488.50 | $4,977.00 | $18.53 – $18.89 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | $6,864.67 | $13,729.34 | $205.80 – $7,978.76 | 20 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $704.00 | $1,408.00 | $49.45 – $250.26 | 20 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,404.33 | $4,808.66 | $88.29 – $446.83 | 20 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $6,570.50 | $13,141.00 | $205.80 – $1,963.83 | 20 |
| Debride nail1-5 11720 CPT 11720 | $1,804.67 | $3,609.33 | $11.07 – $284.98 | 20 |
| Debride nail6 or more 11721 CPT 11721 | $190.00 | $380.00 | $18.02 – $284.98 | 20 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $859.50 | $1,719.00 | $205.80 – $3,420.92 | 20 |
| Debride skin bone at fx site CPT 11012 | $3,964.92 | $7,929.83 | $205.80 – $14,032.46 | 20 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $2,789.83 | $5,579.66 | $205.80 – $2,654.14 | 20 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $2,061.67 | $4,123.33 | $22.62 – $209.72 | 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.