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 |
|---|---|---|---|---|
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $5.00 | $9.99 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,508.50 | $3,017.00 | $748.88 – $3,790.01 | 14 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.00 | $2.00 | $2.00 – $2.00 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.50 | $5.00 | $0.61 – $0.61 | 1 |
| Disability dlco CPT 94727 | $698.00 | $1,396.00 | $8.75 – $1,043.15 | 20 |
| Disaccharidases CPT 82657 | $415.00 | $830.00 | $20.95 – $112.20 | 20 |
| Discography cerv/thor spine CPT 72285 | $2,126.00 | $4,252.00 | $41.43 – $9,433.42 | 20 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $1,396.50 | $2,793.00 | $230.08 – $1,430.16 | 20 |
| Dmpk gene detc abnor allele CPT 81234 | $287.50 | $575.00 | $129.47 – $693.34 | 20 |
| Dna antibody native/double stranded CPT 86225 | $98.00 | $196.00 | $12.99 – $69.54 | 20 |
| Dna gardnerella CPT 87510 | $118.00 | $236.00 | $18.95 – $101.47 | 20 |
| Dna trichomonas CPT 87660 | $118.00 | $236.00 | $18.95 – $101.47 | 20 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $491.15 | $982.30 | $1.65 – $1.65 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $60.00 | $120.00 | $1.27 – $1.27 | 1 |
| Doppler echo complete CPT 93320 | $250.50 | $501.00 | $12.87 – $85.53 | 20 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,928.50 | $3,857.00 | $54.56 – $481.54 | 20 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $591.50 | $1,183.00 | $16.21 – $521.53 | 20 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $337.50 | $675.00 | $9.01 – $321.37 | 20 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $84.60 | $169.19 | $5.41 – $5.41 | 1 |
| Dpyd gene common variants CPT 81232 | $800.00 | $1,600.00 | $174.81 – $884.70 | 13 |
| Drainage external ear simple 69000 CPT 69000 | $821.50 | $1,643.00 | $105.00 – $3,420.92 | 20 |
| Drainage of arm bursa 23931 CPT 23931 | $8,589.00 | $17,178.00 | $205.80 – $7,978.76 | 20 |
| Drainage of eye CPT 65800 | $5,265.00 | $10,530.00 | $2,202.94 – $11,148.86 | 13 |
| Drainage of forearm bursa CPT 25031 | $1,963.50 | $3,927.00 | $205.80 – $7,768.08 | 20 |
| Drainage of kidney lesion CPT 50390 | $819.50 | $1,639.00 | $105.00 – $3,420.92 | 20 |
| Drainage of pelvis lesion 26990 CPT 26990 | $3,303.00 | $6,606.00 | $205.80 – $15,806.76 | 20 |
| Drain blood from under nail 11740 CPT 11740 | $157.50 | $315.00 | $127.00 – $642.73 | 20 |
| Drain cath image guided visceral pq CPT 49405 | $1,757.50 | $3,515.00 | $205.80 – $7,978.76 | 20 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $814.50 | $1,629.00 | $205.80 – $3,410.03 | 20 |
| Drain finger abscess;simple 26010 CPT 26010 | $7,131.25 | $14,262.50 | $105.00 – $969.26 | 20 |
| Drain lower leg bursa CPT 27604 | $3,955.00 | $7,910.00 | $205.80 – $15,806.76 | 20 |
| Drain lower leg lesion 27603 CPT 27603 | $6,744.50 | $13,489.00 | $2,772.72 – $14,032.46 | 13 |
| Drain neck/chest lesion 21501 CPT 21501 | $8,883.50 | $17,767.00 | $205.80 – $14,032.46 | 20 |
| Drain shoulder lesion CPT 23030 | $6,185.00 | $12,370.00 | $205.80 – $14,032.46 | 20 |
| Drain thigh/knee lesion 27301 CPT 27301 | $8,369.50 | $16,739.00 | $205.80 – $14,032.46 | 20 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $343.50 | $687.00 | $191.52 – $969.26 | 20 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $392.00 | $784.00 | $76.60 – $387.66 | 20 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $488.00 | $976.00 | $205.80 – $1,963.83 | 20 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $143.50 | $287.00 | $73.19 – $640.31 | 14 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,100.00 | $2,200.00 | $251.43 – $1,566.40 | 20 |
| Drng hand tendon sheath 26020 CPT 26020 | $6,200.50 | $12,401.00 | $205.80 – $15,806.76 | 20 |
| Drng of finger abscess comp 26011 CPT 26011 | $5,928.00 | $11,856.00 | $105.00 – $7,978.76 | 20 |
| Drng of hydrocele 55000 CPT 55000 | $4,233.50 | $8,467.00 | $105.00 – $3,420.92 | 20 |
| Drng of scrotum abscess 55100 CPT 55100 | $6,570.50 | $13,141.00 | $105.00 – $7,978.76 | 20 |
| Drng peritoneal abscess open 49020 CPT 49020 | $3,800.00 | $7,600.00 | $205.80 – $7,722.17 | 20 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $10.50 | $21.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $8.19 | $16.38 | $4.10 – $4.10 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,160.51 | $2,321.02 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $489.50 | $979.00 | $21.43 – $640.31 | 14 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $166.50 | $333.00 | $22.13 – $640.31 | 14 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $143.50 | $287.00 | $15.31 – $640.31 | 14 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $5,067.35 | $10,134.70 | $81.72 – $640.31 | 14 |
| Drug admin & hemodynmic meas CPT 93463 | $1,192.00 | $2,384.00 | $72.58 – $420.76 | 20 |
| Drug assay posaconazole CPT 80187 | $632.00 | $1,264.00 | $25.62 – $137.20 | 20 |
| Drug assay rufinamide CPT 80210 | $51.00 | $102.00 | $25.62 – $42.83 | 13 |
| Drug assay vedolizumab CPT 80280 | $207.00 | $414.00 | $36.45 – $195.20 | 20 |
| Drug assay voriconazole CPT 80285 | $19.50 | $39.00 | $25.62 – $137.20 | 20 |
| Drug asy hydroxychloroquine CPT 80220 | $160.50 | $321.00 | $17.62 – $94.34 | 20 |
| Drug of abuse screen urine CPT 80305 | $20.50 | $41.00 | $11.91 – $63.77 | 20 |
| Drug screening tapentadol CPT 80372 | $18.50 | $37.00 | not published | 0 |
| Drug screen quant tiagabine CPT 80199 | $50.00 | $100.00 | $25.62 – $137.20 | 20 |
| Drug test def 15-21 classes HCPCS G0482 | $393.50 | $787.00 | $187.81 – $1,005.80 | 20 |
| Drug test def 1-7 classes HCPCS G0480 | $238.00 | $476.00 | $108.14 – $579.12 | 20 |
| Drug test def 22+ classes HCPCS G0483 | $489.00 | $978.00 | $233.34 – $1,249.64 | 20 |
| Drug test def 8-14 classes HCPCS G0481 | $152.00 | $304.00 | $147.98 – $792.49 | 20 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $336.00 | $672.00 | $58.73 – $314.48 | 20 |
| Dry needling (97799) CPT 97799 | $66.00 | $132.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,033.50 | $8,067.00 | $109.63 – $9,433.42 | 20 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $573.00 | $1,146.00 | $205.80 – $1,963.83 | 20 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $492.50 | $985.00 | $205.80 – $1,963.83 | 20 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $840.00 | $1,680.00 | $205.80 – $3,570.41 | 20 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $840.00 | $1,680.00 | $205.80 – $3,570.41 | 20 |
| Ductogram sgl duct CPT 77053 | $468.00 | $936.00 | $12.87 – $1,152.67 | 20 |
| Duplex scan bilateral study 93985 CPT 93985 | $467.00 | $934.00 | $29.34 – $1,152.67 | 20 |
| Duplex scan unilateral study 93986 CPT 93986 | $206.00 | $412.00 | $16.99 – $505.08 | 20 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $313.50 | $627.00 | $17.24 – $505.08 | 20 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $371.50 | $743.00 | $18.02 – $1,043.15 | 20 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $826.50 | $1,653.00 | $28.57 – $1,152.67 | 20 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $25,767.96 | $51,535.92 | $87.95 – $445.11 | 14 |
| Dxa bone density axl vrt fx CPT 77085 | $277.00 | $554.00 | $10.29 – $505.08 | 20 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,046.50 | $4,093.00 | $205.80 – $8,598.52 | 20 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,457.88 | $4,915.75 | $205.80 – $8,598.52 | 20 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,732.17 | $7,464.33 | $105.00 – $8,598.52 | 20 |
| Dx laryngoscopy newborn CPT 31520 | $470.00 | $940.00 | $105.00 – $1,889.44 | 20 |
| Dx laryngoscopy w/oper scope CPT 31526 | $4,093.00 | $8,186.00 | $205.80 – $8,598.52 | 20 |
| Ear canal biopsy 69105 CPT 69105 | $2,663.50 | $5,327.00 | $105.00 – $7,495.60 | 20 |
| Ear irrigation 69209 CPT 69209 | $253.00 | $506.00 | $22.53 – $209.72 | 20 |
| Ecg 12 lead tracing only CPT 93005 | $139.00 | $278.00 | $4.38 – $114.02 | 20 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $119.50 | $239.00 | $4.38 – $284.98 | 20 |
| Ecg < 30 days transmission & analysis CPT 93271 | $739.00 | $1,478.00 | $90.75 – $459.28 | 20 |
| Ecg external < 48 hours recording CPT 93225 | $390.50 | $781.00 | $12.10 – $642.73 | 20 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $390.50 | $781.00 | $22.90 – $284.98 | 20 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $62.00 | $124.00 | $7.72 – $180.42 | 20 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $116.50 | $233.00 | $7.72 – $180.42 | 20 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,496.00 | $2,992.00 | $50.44 – $2,639.66 | 20 |
| Echocardiography doppler color flow mapping CPT 93325 | $169.00 | $338.00 | $2.32 – $16.25 | 20 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,496.00 | $2,992.00 | $748.30 – $3,787.07 | 13 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $617.50 | $1,235.00 | $18.53 – $1,152.67 | 20 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $664.00 | $1,328.00 | $333.02 – $1,685.38 | 13 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $529.50 | $1,059.00 | $5.15 – $36.59 | 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.