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 |
|---|---|---|---|---|
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $33,708.00 | $67,416.00 | $36.66 – $185.53 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $24.18 | $48.36 | $1.12 – $1.12 | 1 |
| Entamoeb hist dispr ag ia CPT 87336 | $71.00 | $142.00 | $15.12 – $80.97 | 20 |
| Enzyme histochemistry CPT 88319 | $878.50 | $1,757.00 | $769.06 – $3,892.14 | 13 |
| Ep & ablate supravent arrhyt CPT 93653 | $18,449.00 | $36,898.00 | $636.95 – $126,269.71 | 20 |
| Ep & ablate ventric tachy CPT 93654 | $17,849.50 | $35,699.00 | $767.69 – $126,269.71 | 20 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,403.50 | $6,807.00 | $205.80 – $9,967.54 | 20 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $385.50 | $771.00 | $127.71 – $646.33 | 20 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $2,404.50 | $4,809.00 | $205.80 – $9,967.54 | 20 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $273.00 | $546.00 | $94.42 – $477.85 | 20 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,891.00 | $5,782.00 | $43.81 – $221.72 | 20 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,468.00 | $2,936.00 | $162.13 – $5,881.83 | 20 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $88.88 | $177.75 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $7.38 | $14.76 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $19.92 | $39.83 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $9.05 | $18.09 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $6.00 | $12.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $356.69 | $713.38 | $7.97 – $40.34 | 14 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $557.06 | $1,114.11 | $6.88 – $34.82 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $95.50 | $191.00 | $12.40 – $66.40 | 20 |
| Epstein barr nuclear antigen antibody CPT 86664 | $100.50 | $201.00 | $14.45 – $77.38 | 20 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $92.00 | $184.00 | $17.15 – $91.80 | 20 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $97.13 | $194.25 | $3.87 – $19.59 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,966.98 | $21,933.96 | $21.10 – $106.78 | 14 |
| Ercp biliary & pancreas CPT 74330 | $628.50 | $1,257.00 | $20.08 – $136.95 | 20 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $3,009.67 | $6,019.34 | $205.80 – $29,327.97 | 20 |
| Ercp ea duct/ampulla dilate CPT 43277 | $3,009.67 | $6,019.34 | $205.80 – $18,625.48 | 20 |
| Ercp lithotripsy calculi CPT 43265 | $4,380.34 | $8,760.67 | $205.80 – $29,327.97 | 20 |
| Ercp remove duct calculi 43264 CPT 43264 | $1,033.67 | $2,067.33 | $205.80 – $18,625.48 | 20 |
| Ercp remove forgn body duct 43275 CPT 43275 | $2,458.50 | $4,917.00 | $205.80 – $9,270.05 | 20 |
| Ercp stent exchange w/dilate CPT 43276 | $1,422.00 | $2,844.00 | $205.80 – $29,327.97 | 20 |
| Ercp w/specimen collection CPT 43260 | $3,381.00 | $6,762.00 | $205.80 – $18,625.48 | 20 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,296.75 | $14,593.50 | $59.98 – $303.55 | 13 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $50.50 | $101.00 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $174.50 | $349.00 | $21.00 – $407.35 | 20 |
| ER Visit (level 2) CPT 99282 | $323.00 | $646.00 | $52.50 – $741.78 | 20 |
| ER Visit (level 3) CPT 99283 | $577.50 | $1,155.00 | $102.64 – $1,318.77 | 20 |
| ER Visit (level 4) CPT 99284 | $960.50 | $1,921.00 | $201.39 – $2,015.76 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $1,782.00 | $3,564.00 | $568.47 – $2,876.97 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $23.74 | $47.47 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $136.00 | $272.00 | $20.08 – $144.29 | 20 |
| Esophageal recording CPT 93616 | $1,468.00 | $2,936.00 | $42.72 – $5,881.83 | 20 |
| Esophagoscop ultrasound exam CPT 43231 | $118.00 | $236.00 | $115.82 – $9,270.05 | 20 |
| Esophagoscopy flex biopsy CPT 43202 | $2,222.50 | $4,445.00 | $205.80 – $9,270.05 | 20 |
| Esophagoscopy flex dx brush CPT 43197 | $1,618.00 | $3,236.00 | $205.80 – $4,381.58 | 20 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $1,237.50 | $2,475.00 | $205.80 – $9,270.05 | 20 |
| Esophagoscopy w/us needle bx CPT 43232 | $10,296.00 | $20,592.00 | $147.46 – $9,270.05 | 20 |
| Esophagus motility study CPT 91010 | $948.50 | $1,897.00 | $47.09 – $1,802.69 | 20 |
| Esoph egd dilation <30 mm CPT 43249 | $3,705.50 | $7,411.00 | $205.80 – $9,270.05 | 20 |
| Establish access to aorta CPT 36160 | $535.50 | $1,071.00 | $110.40 – $558.72 | 20 |
| Establish access to artery CPT 36100 | $508.00 | $1,016.00 | $118.39 – $720.62 | 20 |
| Established Patient Office Visit (level 1) CPT 99211 | $71.00 | $142.00 | $6.44 – $38.72 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $71.00 | $142.00 | $26.51 – $157.80 | 19 |
| Established Patient Office Visit (level 3) CPT 99213 | $71.00 | $142.00 | $49.41 – $289.99 | 19 |
| Established Patient Office Visit (level 4) CPT 99214 | $220.50 | $441.00 | $73.09 – $427.44 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $300.00 | $600.00 | $107.57 – $634.28 | 19 |
| Estradiol total CPT 82670 | $179.50 | $359.00 | $26.41 – $141.40 | 20 |
| Estrogens total-sendout CPT 82672 | $61.00 | $122.00 | $20.51 – $109.82 | 20 |
| Ethylene glycol -sendout CPT 82693 | $7.00 | $14.00 | $14.08 – $75.41 | 20 |
| Etonogestrel implant system HCPCS J7307 | $2,793.67 | $5,587.34 | $2,289.44 – $2,289.44 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $33.38 | $66.75 | $1.63 – $1.63 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $752.00 | $1,504.00 | $98.14 – $496.68 | 14 |
| Euglobulin lysis CPT 85360 | $66.00 | $132.00 | $7.95 – $42.56 | 20 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $356.00 | $712.00 | $89.82 – $579.52 | 20 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $204.50 | $409.00 | $92.72 – $496.52 | 20 |
| Evaluation heart device CPT 93640 | $1,671.00 | $3,342.00 | $132.79 – $887.28 | 20 |
| Evaluation of speech fluency 92521 CPT 92521 | $260.50 | $521.00 | $98.31 – $636.66 | 20 |
| Evaluation psychiatric diagnostic CPT 90791 | $306.50 | $613.00 | $67.78 – $343.03 | 20 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $5,364.50 | $10,729.00 | $958.65 – $5,970.80 | 20 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $5,969.00 | $11,938.00 | $957.62 – $5,968.83 | 20 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $714.00 | $1,428.00 | $1,401.30 – $8,789.47 | 20 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $9,903.50 | $19,807.00 | $1,770.09 – $11,043.59 | 20 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $1,930.00 | $3,860.00 | $344.34 – $2,149.47 | 20 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $5,969.00 | $11,938.00 | $1,063.14 – $6,633.12 | 20 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $9,045.00 | $18,090.00 | $1,770.60 – $10,921.68 | 20 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $5,025.00 | $10,050.00 | $899.20 – $5,618.11 | 20 |
| Event monitor CPT 93270 | $834.00 | $1,668.00 | $5.41 – $72.12 | 20 |
| Evoked oa emissions ltd CPT 92587 | $571.50 | $1,143.00 | $13.39 – $1,043.15 | 20 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $237.50 | $475.00 | $18.78 – $19.14 | 7 |
| Evoked potentials upper limbs CPT 95925 | $350.50 | $701.00 | $20.33 – $1,043.15 | 20 |
| Evoked potential visual not glaucoma CPT 95930 | $460.00 | $920.00 | $13.39 – $1,043.15 | 20 |
| Evok oa screening qual CPT 92558 | $51.50 | $103.00 | $6.17 – $6.29 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | $756.83 | $1,513.66 | $68.97 – $1,472.11 | 20 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,553.00 | $7,106.00 | $205.80 – $15,638.23 | 20 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $4,257.50 | $8,515.00 | $2,772.72 – $14,032.46 | 13 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $8,112.50 | $16,225.00 | $205.80 – $14,032.46 | 20 |
| Exc abd les sc 3 cm/> CPT 22903 | $4,184.75 | $8,369.50 | $205.80 – $14,032.46 | 20 |
| Exc abdl tum deep < 5 cm CPT 22900 | $10,040.00 | $20,080.00 | $205.80 – $14,032.46 | 20 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $6,827.50 | $13,655.00 | $205.80 – $14,032.46 | 20 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $7,984.00 | $15,968.00 | $105.00 – $7,978.76 | 20 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $4,771.50 | $9,543.00 | $205.80 – $7,978.76 | 20 |
| Exc back tum deep 5 cm/> CPT 21933 | $5,799.50 | $11,599.00 | $205.80 – $14,032.46 | 20 |
| Exc bartholins gland/cyst CPT 56740 | $3,720.50 | $7,441.00 | $205.80 – $15,638.23 | 20 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $3,138.50 | $6,277.00 | $205.80 – $7,978.76 | 20 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $4,466.00 | $8,932.00 | $205.80 – $7,978.76 | 20 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $3,903.50 | $7,807.00 | $205.80 – $3,420.92 | 20 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $5,408.34 | $10,816.67 | $205.80 – $3,420.92 | 20 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $5,414.00 | $10,828.00 | $205.80 – $3,420.92 | 20 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $4,477.00 | $8,954.00 | $205.80 – $7,978.76 | 20 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $7,575.08 | $15,150.16 | $205.80 – $3,420.92 | 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.