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 |
|---|---|---|---|---|
| Aep thrshld est mlt freq i&r CPT 92652 | $350.50 | $701.00 | $78.24 – $1,043.15 | 20 |
| _afb id by dna probe rflx ast CPT 87149 | $91.50 | $183.00 | $18.95 – $101.47 | 20 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.00 | $48.00 | $6.91 – $37.00 | 20 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $461.00 | $922.00 | $109.01 – $583.83 | 20 |
| Aflibercept injection HCPCS J0178 | $2,185.50 | $4,371.00 | $743.60 – $3,763.29 | 14 |
| After cataract laser surgery CPT 66821 | $819.50 | $1,639.00 | $205.80 – $2,656.97 | 20 |
| Air conduction bilat CPT 92552 | $156.00 | $312.00 | $26.76 – $642.73 | 20 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $1,162.00 | $2,324.00 | $9.01 – $621.63 | 20 |
| Albumin body fluid quantitative each specimen CPT 82042 | $113.50 | $227.00 | $7.35 – $39.37 | 20 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $369.00 | $738.00 | $5.25 – $269.85 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $92.25 | $184.50 | $53.08 – $268.63 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $35.50 | $71.00 | $5.46 – $29.25 | 20 |
| Albumin serum plasma or whole blood CPT 82040 | $30.50 | $61.00 | $4.68 – $25.05 | 20 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.00 | $2.00 | $0.28 – $0.28 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $44.50 | $89.00 | $17.27 – $87.40 | 13 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $42.00 | $84.00 | $24.19 – $180.98 | 20 |
| Alginate dressing <=16 sq in HCPCS A6196 | $78.00 | $156.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $34.00 | $68.00 | $4.89 – $26.22 | 20 |
| Allergen alpha lactalbumin ige CPT 86008 | $66.50 | $133.00 | $16.95 – $90.74 | 20 |
| Allergen egg white ige CPT 86003 | $138.00 | $276.00 | $4.94 – $26.42 | 20 |
| Allergy injections; 2 or more 95117 CPT 95117 | $25.00 | $50.00 | $8.23 – $226.22 | 20 |
| Allergy injection; single 95115 CPT 95115 | $22.50 | $45.00 | $7.20 – $226.22 | 20 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $8,760.00 | $17,520.00 | $126.52 – $640.31 | 14 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $11,345.00 | $22,690.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $4,201.00 | $8,402.00 | $126.52 – $640.31 | 13 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $143.50 | $287.00 | $126.52 – $640.31 | 14 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,473.50 | $2,947.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $568.50 | $1,137.00 | $60.87 – $325.97 | 20 |
| Alpha-fetoprotein amniotic CPT 82106 | $28.50 | $57.00 | $16.07 – $86.04 | 20 |
| Alpha-fetoprotein tumor marker CPT 82105 | $98.50 | $197.00 | $15.84 – $84.87 | 20 |
| Alprostadil for injection HCPCS J0270 | $14.00 | $28.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $729.05 | $1,458.10 | $98.59 – $498.95 | 14 |
| Alt/sgpt CPT 84460 | $34.00 | $68.00 | $5.01 – $26.82 | 20 |
| Aluminum - quest CPT 82108 | $162.00 | $324.00 | $24.08 – $128.95 | 20 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,988.75 | $3,977.50 | $29.85 – $459.28 | 20 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $379.50 | $759.00 | $3.86 – $642.73 | 20 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $14.48 | $28.95 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid delta CPT 82135 | $105.00 | $210.00 | $15.55 – $83.25 | 20 |
| Aminolevulinic acid hcl top HCPCS J7308 | $885.00 | $1,770.00 | $389.28 – $1,970.11 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $12.89 | $25.78 | $8.46 – $8.46 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $120.00 | $240.00 | $10.68 – $10.68 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.19 | $16.37 | $1.35 – $1.35 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $161.00 | $322.00 | not published | 0 |
| Ammonia CPT 82140 | $88.50 | $177.00 | $13.77 – $73.74 | 20 |
| Amniocentesis therapeutic CPT 59001 | $188.50 | $377.00 | $140.00 – $1,472.11 | 20 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,799.50 | $7,599.00 | $205.80 – $15,806.76 | 20 |
| Amphetamine confirm urine -sendout CPT 80324 | $119.00 | $238.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $18.50 | $37.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $24.91 | $49.82 | $15.74 – $15.74 | 1 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $45.41 | $90.81 | $1.67 – $1.67 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $42.39 | $84.77 | $2.92 – $2.92 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $3,799.50 | $7,599.00 | $205.80 – $15,806.76 | 20 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $7,341.50 | $14,683.00 | $3,123.31 – $15,806.76 | 13 |
| Amputation thru metatarsal CPT 28805 | $12,738.50 | $25,477.00 | $3,123.31 – $15,806.76 | 13 |
| Amputation toe interphalangeal joint CPT 28825 | $9,012.00 | $18,024.00 | $205.80 – $15,806.76 | 20 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $7,727.00 | $15,454.00 | $205.80 – $15,806.76 | 20 |
| Amylase CPT 82150 | $237.00 | $474.00 | $6.12 – $32.79 | 20 |
| Analgesics non-opioid 3-5 CPT 80330 | $5.00 | $10.00 | not published | 0 |
| Analgesics non-opioid 6/more CPT 80331 | $18.50 | $37.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $45.00 | $90.00 | not published | 0 |
| Anal pressure record CPT 91122 | $375.50 | $751.00 | $64.60 – $65.83 | 7 |
| Anal/urinary muscle study CPT 51784 | $377.00 | $754.00 | $27.54 – $621.63 | 20 |
| Anal/urinary muscle study CPT 51785 | $288.50 | $577.00 | $73.09 – $1,207.02 | 20 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $256.00 | $512.00 | $37.57 – $459.28 | 20 |
| Analysis gene f2 20210g>a variant CPT 81240 | $339.00 | $678.00 | $62.08 – $332.45 | 20 |
| Analysis gene f5 leiden variant CPT 81241 | $421.00 | $842.00 | $69.33 – $371.32 | 20 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $88.50 | $177.00 | $27.79 – $180.27 | 20 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $241.00 | $482.00 | $29.09 – $459.28 | 20 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $110.00 | $220.00 | $33.16 – $177.59 | 20 |
| Anca screen with reflex to titer -quest CPT 86021 | $96.50 | $193.00 | $14.23 – $76.17 | 20 |
| An cholangiogram percutaneous compl CPT 47531 | $3,336.00 | $6,672.00 | $205.80 – $17,296.59 | 20 |
| Androstanediol CPT 82154 | $169.00 | $338.00 | $27.25 – $145.91 | 20 |
| An fluoro guide for cvp CPT 77001 | $270.50 | $541.00 | $13.64 – $89.83 | 20 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $630.00 | $1,260.00 | $111.95 – $668.80 | 20 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $9,138.50 | $18,277.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $9,139.00 | $18,278.00 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $9,259.50 | $18,519.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $177.50 | $355.00 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $18,521.00 | $37,042.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $735.50 | $1,471.00 | $158.62 – $802.76 | 20 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $9,824.00 | $19,648.00 | $205.80 – $27,495.46 | 20 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $627.50 | $1,255.00 | $112.20 – $679.58 | 20 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $9,824.00 | $19,648.00 | $205.80 – $27,495.46 | 20 |
| Ankle arthroscopy/surgery CPT 29897 | $7,039.63 | $14,079.25 | $3,123.31 – $15,806.76 | 13 |
| Ankle arthroscopy/surgery CPT 29898 | $11,453.50 | $22,907.00 | $3,123.31 – $15,806.76 | 13 |
| Ankle X-ray CPT 73610 | $405.00 | $810.00 | $6.17 – $168.17 | 20 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $222.00 | $444.00 | $34.74 – $1,483.75 | 20 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $67.50 | $135.00 | $64.34 – $65.57 | 7 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $67.50 | $135.00 | $70.00 – $71.34 | 7 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $90.00 | $180.00 | $70.52 – $71.86 | 7 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $90.00 | $180.00 | $85.19 – $86.81 | 7 |
| Anora (draw only) CPT 99001 | $12.00 | $24.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $7,293.00 | $14,586.00 | $205.80 – $5,780.91 | 20 |
| Ans parasymp & symp w/tilt CPT 95924 | $354.50 | $709.00 | $63.30 – $1,043.15 | 20 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $9,132.00 | $18,264.00 | $205.80 – $24,166.40 | 20 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $208.00 | $416.00 | $12.17 – $65.18 | 20 |
| Antibody elution rbc reference CPT 86860 | $276.00 | $552.00 | $28.31 – $823.05 | 20 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $455.00 | $910.00 | $17.36 – $92.97 | 20 |
| Antibody id rbc panel CPT 86870 | $460.50 | $921.00 | $23.71 – $1,731.64 | 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.