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 |
|---|---|---|---|---|
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $887.00 | $1,774.00 | $191.52 – $969.26 | 20 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $983.00 | $1,966.00 | $205.80 – $3,420.92 | 20 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $10,409.34 | $20,818.67 | $205.80 – $3,570.41 | 20 |
| Decalcification CPT 88311 | $76.50 | $153.00 | $11.06 – $55.97 | 13 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $3,314.64 | $6,629.27 | $2.79 – $2.79 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,180.00 | $2,360.00 | $23.42 – $1,595.70 | 20 |
| Decomp forearm 1 space 25020 CPT 25020 | $5,285.50 | $10,571.00 | $1,534.92 – $7,768.08 | 13 |
| Decompression of tibia nerve CPT 28035 | $3,955.63 | $7,911.25 | $1,863.98 – $9,433.42 | 13 |
| Deep muscle biopsy 20205 CPT 20205 | $5,791.50 | $11,583.00 | $205.80 – $14,032.46 | 20 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $46.13 | $92.26 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,151.09 | $4,302.18 | $4.48 – $22.67 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | $15,688.34 | $31,376.67 | $7,801.96 – $39,484.94 | 13 |
| Delay flap eye/nos/ear/lip CPT 15630 | $2,404.50 | $4,809.00 | $205.80 – $9,967.54 | 20 |
| Delay flap fccnaxghf 15620 CPT 15620 | $12,523.00 | $25,046.00 | $205.80 – $9,967.54 | 20 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $2,843.50 | $5,687.00 | $504.16 – $3,147.32 | 20 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $428.50 | $857.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $7,489.51 | $14,979.02 | $30.10 – $152.33 | 14 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $157.50 | $315.00 | $105.00 – $642.73 | 20 |
| Dermabrasion segmental face 15781 CPT 15781 | $1,108.00 | $2,216.00 | $307.80 – $3,420.92 | 20 |
| Dermabrasion suprfl any site CPT 15783 | $965.00 | $1,930.00 | $261.99 – $1,963.83 | 20 |
| Dermapure 1 square cm HCPCS Q4152 | $47.00 | $94.00 | $83.19 – $640.31 | 14 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $7,774.50 | $15,549.00 | $1,357.36 – $6,869.46 | 20 |
| Design mlc device for imrt CPT 77338 | $3,097.50 | $6,195.00 | $168.57 – $1,808.82 | 20 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $404.23 | $808.45 | $10.44 – $10.44 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $6,664.50 | $13,329.00 | $1,138.45 – $5,761.58 | 20 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $3,140.92 | $6,281.83 | $105.00 – $969.26 | 20 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $355.00 | $710.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $410.00 | $820.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $299.50 | $599.00 | $105.00 – $969.26 | 20 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $326.00 | $652.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $371.50 | $743.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $229.00 | $458.00 | $105.00 – $969.26 | 20 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $418.00 | $836.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $347.50 | $695.00 | $191.52 – $969.26 | 20 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $380.50 | $761.00 | $191.52 – $969.26 | 20 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $5,988.00 | $11,976.00 | $205.80 – $9,433.42 | 20 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $3,613.00 | $7,226.00 | $50.44 – $294.09 | 20 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $3,903.50 | $7,807.00 | $191.52 – $969.26 | 20 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $6,783.00 | $13,566.00 | $205.80 – $9,967.54 | 20 |
| Destroy vulva lesion simple 56501 CPT 56501 | $3,801.00 | $7,602.00 | $205.80 – $9,967.54 | 20 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $16,208.00 | $32,416.00 | $191.52 – $969.26 | 20 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $874.00 | $1,748.00 | $205.80 – $3,570.41 | 20 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $690.50 | $1,381.00 | $205.80 – $1,963.83 | 20 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $2,404.50 | $4,809.00 | $205.80 – $9,967.54 | 20 |
| Destruction 2-14 lesions 17003 CPT 17003 | $3,903.50 | $7,807.00 | $1.63 – $209.72 | 20 |
| Destruction anal lesion(s) CPT 46924 | $7,524.00 | $15,048.00 | $205.80 – $13,408.96 | 20 |
| Destruction benign lesions < 14 lesions CPT 17110 | $2,704.17 | $5,408.33 | $191.52 – $969.26 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $3,613.00 | $7,226.00 | $44.52 – $258.76 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $11,656.00 | $23,312.00 | $205.80 – $9,433.42 | 20 |
| Destruction les conjunctiva CPT 68135 | $882.75 | $1,765.50 | $2,269.44 – $11,485.41 | 13 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $466.50 | $933.00 | $205.80 – $1,963.83 | 20 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $493.00 | $986.00 | $205.80 – $1,963.83 | 20 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $466.50 | $933.00 | $205.80 – $1,963.83 | 20 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $744.50 | $1,489.00 | $105.00 – $1,963.83 | 20 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $466.50 | $933.00 | $205.80 – $1,963.83 | 20 |
| Destruction vag lesions simple 57061 CPT 57061 | $8,621.00 | $17,242.00 | $205.80 – $15,638.23 | 20 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $4,093.00 | $8,186.00 | $105.00 – $9,967.54 | 20 |
| Detect agent nos dna dir CPT 87797 | $198.00 | $396.00 | $28.38 – $151.98 | 20 |
| Determine refractive state CPT 92015 | $25.50 | $51.00 | $13.90 – $14.17 | 7 |
| Developmental screen/score/document 96110 CPT 96110 | $14.50 | $29.00 | $7.72 – $7.86 | 7 |
| Device ablt adv novasure HCPCS C1886 | $3,235.00 | $6,470.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $396.21 | $792.41 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $2,870.00 | $5,740.00 | $2,290.45 – $2,290.45 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,815.88 | $3,631.75 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $141.50 | $283.00 | $6.95 – $420.41 | 20 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $6.62 | $13.23 | $0.13 – $0.13 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $5.00 | $10.00 | $0.20 – $0.20 | 1 |
| Dexamethasone intra implant HCPCS J7312 | $441.50 | $883.00 | $203.66 – $1,030.70 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $60.00 | $120.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $139.00 | $278.00 | $21.01 – $112.50 | 20 |
| Diabetes (HbA1c) Test CPT 83036 | $26.50 | $53.00 | $9.18 – $49.14 | 20 |
| Diab manage trn ind/group HCPCS G0109 | $63.50 | $127.00 | $11.32 – $76.98 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | $9,140.50 | $18,281.00 | $205.80 – $29,205.39 | 20 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $3,503.50 | $7,007.00 | $105.00 – $642.73 | 20 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $570.50 | $1,141.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $570.50 | $1,141.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $242.50 | $485.00 | $105.00 – $964.25 | 20 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $251.50 | $503.00 | $105.00 – $964.25 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $348.50 | $697.00 | $35.00 – $231.59 | 20 |
| Diagnostic Mammogram (one breast) CPT 77065 | $276.00 | $552.00 | $28.57 – $188.27 | 20 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,806.00 | $5,612.00 | $152.61 – $925.33 | 20 |
| Dialysis one evaluation CPT 90945 | $582.50 | $1,165.00 | not published | 0 |
| Dialysis repeated eval CPT 90947 | $1,363.00 | $2,726.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $53.31 | $106.62 | $9.03 – $9.03 | 1 |
| Dicyclomine injection HCPCS J0500 | $173.76 | $347.51 | $41.20 – $41.20 | 1 |
| Diffusing capacity CPT 94729 | $424.00 | $848.00 | $6.44 – $46.31 | 20 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $6.36 | $12.72 | $6.37 – $6.37 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $85.00 | $170.00 | $12.55 – $67.21 | 20 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $97.50 | $195.00 | $69.86 – $69.86 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,095.50 | $4,191.00 | $105.00 – $4,381.58 | 20 |
| Dilate tear duct opening CPT 68801 | $1,695.75 | $3,391.50 | $426.42 – $2,158.07 | 13 |
| Dilate urethra stricture CPT 53600 | $490.00 | $980.00 | $105.00 – $1,207.02 | 20 |
| Dilate urethra stricture CPT 53601 | $224.50 | $449.00 | $105.00 – $642.73 | 20 |
| Dilate urethra stricture CPT 53621 | $288.50 | $577.00 | $105.00 – $1,207.02 | 20 |
| Dilation/female urethra/initial 53660 CPT 53660 | $291.50 | $583.00 | $122.83 – $621.63 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | $5,526.50 | $11,053.00 | $105.00 – $15,638.23 | 20 |
| Dilation of urethra CPT 53661 | $224.50 | $449.00 | $127.00 – $642.73 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $798.00 | $1,596.00 | $105.00 – $3,368.59 | 20 |
| Dilat xst trc ndurlgc px CPT 50436 | $6,237.17 | $12,474.33 | $3,364.79 – $17,028.87 | 13 |
| Dilat xst trc new access rcs CPT 50437 | $4,706.83 | $9,413.66 | $3,364.79 – $17,028.87 | 13 |
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.