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 |
|---|---|---|---|---|
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,586.00 | $3,172.00 | $32.94 – $2,623.06 | 20 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $570.00 | $1,140.00 | $26.00 – $505.08 | 20 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $1,725.00 | $3,450.00 | $52.48 – $265.60 | 13 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,604.00 | $17,208.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | $124.87 – $631.95 | 13 |
| Kit lead specify 5-6-5 HCPCS C1778 | $7,749.00 | $15,498.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,261.88 | $2,523.75 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $143.50 | $287.00 | $41.81 – $640.31 | 14 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $7,084.50 | $14,169.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy dx CPT 29870 | $5,754.00 | $11,508.00 | $3,123.31 – $15,806.76 | 13 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $9,434.50 | $18,869.00 | $205.80 – $15,806.76 | 20 |
| Knee arthroscopy/surgery CPT 29873 | $5,265.00 | $10,530.00 | $205.80 – $15,806.76 | 20 |
| Knee arthroscopy/surgery CPT 29874 | $7,084.50 | $14,169.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29875 | $9,838.00 | $19,676.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29876 | $6,610.00 | $13,220.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29879 | $5,303.34 | $10,606.67 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29880 | $6,610.00 | $13,220.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29882 | $9,226.00 | $18,452.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29884 | $8,762.00 | $17,524.00 | $3,123.31 – $15,806.76 | 13 |
| Knee arthroscopy/surgery CPT 29888 | $22,862.50 | $45,725.00 | $6,926.46 – $35,054.12 | 13 |
| Knee MRI (with and without contrast) CPT 73723 | $2,175.00 | $4,350.00 | $76.69 – $1,685.38 | 20 |
| Knee MRI (with contrast) CPT 73722 | $3,403.50 | $6,807.00 | $57.39 – $3,787.07 | 20 |
| Knee MRI (without contrast) CPT 73721 | $1,877.00 | $3,754.00 | $47.87 – $1,152.67 | 20 |
| Knee X-ray CPT 73564 | $1,052.00 | $2,104.00 | $8.23 – $201.98 | 20 |
| Kras gene addl variants CPT 81276 | $418.50 | $837.00 | $182.63 – $978.02 | 20 |
| Kras gene variants exon 2 CPT 81275 | $847.50 | $1,695.00 | $182.63 – $978.02 | 20 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,733.00 | $5,466.00 | $2,290.45 – $2,290.45 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $4.44 | $8.87 | $0.31 – $0.31 | 1 |
| Labioplasty 56800 CPT 56800 | $7,984.00 | $15,968.00 | $205.80 – $15,638.23 | 20 |
| Lactate dehydrogenase (ldh) CPT 83615 | $36.00 | $72.00 | $5.71 – $30.57 | 20 |
| Lactated ringers intravenous solution HCPCS J7120 | $180.00 | $360.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $140.00 | $280.00 | $10.93 – $58.55 | 20 |
| Lactoferrin fecal qualitative CPT 83630 | $92.50 | $185.00 | $18.62 – $99.70 | 20 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $4,296.04 | $8,592.08 | $205.80 – $1,230.56 | 20 |
| Lam facetec & foramot lumbar CPT 63047 | $15,890.50 | $31,781.00 | $205.80 – $35,054.12 | 20 |
| Lam facetec & foramot thrc CPT 63046 | $18,700.34 | $37,400.67 | $965.60 – $35,054.12 | 20 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $2,665.32 | $5,330.64 | $205.80 – $1,097.15 | 20 |
| Laminotomy single lumbar CPT 63042 | $19,925.50 | $39,851.00 | $205.80 – $35,054.12 | 20 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $19,124.00 | $38,248.00 | $37.43 – $189.43 | 14 |
| Laparo-asst vag hysterectomy CPT 58550 | $15,621.50 | $31,243.00 | $205.80 – $29,205.39 | 20 |
| Laparo cholecystectomy/graph CPT 47563 | $16,025.00 | $32,050.00 | $205.80 – $29,205.39 | 20 |
| Laparo partial colectomy 44204 CPT 44204 | $79,181.00 | $158,362.00 | $205.80 – $7,331.78 | 20 |
| Laparo partial nephrectomy CPT 50543 | $16,294.00 | $32,588.00 | $10,146.78 – $51,351.84 | 13 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $5,616.83 | $11,233.66 | $5,770.79 – $29,205.39 | 13 |
| Laparo radical nephrectomy CPT 50545 | $17,639.00 | $35,278.00 | $1,197.57 – $6,060.78 | 13 |
| Laparoscopic myomectomy CPT 58545 | $8,618.00 | $17,236.00 | $205.80 – $29,205.39 | 20 |
| Laparoscopic nephrectomy CPT 50546 | $38,136.50 | $76,273.00 | $1,086.66 – $5,499.48 | 13 |
| Laparoscopy aspiration CPT 49322 | $1,394.92 | $2,789.83 | $205.80 – $29,205.39 | 20 |
| Laparoscopy biopsy CPT 49321 | $8,890.00 | $17,780.00 | $205.80 – $29,205.39 | 20 |
| Laparoscopy excise lesions CPT 58662 | $14,007.50 | $28,015.00 | $205.80 – $29,205.39 | 20 |
| Laparoscopy fundoplasty CPT 43280 | $35,789.00 | $71,578.00 | $205.80 – $51,351.84 | 20 |
| Laparoscopy lymphadenectomy CPT 38571 | $7,805.17 | $15,610.33 | $205.80 – $51,351.84 | 20 |
| Laparoscopy lymph node biop CPT 38570 | $8,498.00 | $16,996.00 | $205.80 – $29,205.39 | 20 |
| Laparoscopy lysis CPT 58660 | $5,484.58 | $10,969.16 | $5,770.79 – $29,205.39 | 13 |
| Laparoscopy pyeloplasty CPT 50544 | $16,465.00 | $32,930.00 | $938.57 – $51,351.84 | 20 |
| Laparoscopy remove adnexa CPT 58661 | $13,469.50 | $26,939.00 | $205.80 – $29,205.39 | 20 |
| Laparoscopy surg colpopexy CPT 57425 | $30,978.34 | $61,956.67 | $205.80 – $51,351.84 | 20 |
| Laparo-vag hyst incl t/o CPT 58552 | $32,703.00 | $65,406.00 | $205.80 – $51,351.84 | 20 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $19,856.00 | $39,712.00 | $205.80 – $51,351.84 | 20 |
| Lap enterolysis CPT 44180 | $11,445.00 | $22,890.00 | $205.80 – $29,205.39 | 20 |
| Lap ing hernia repair init CPT 49650 | $24,432.50 | $48,865.00 | $205.80 – $29,205.39 | 20 |
| Lap ing hernia repair recur CPT 49651 | $45,959.00 | $91,918.00 | $205.80 – $29,205.39 | 20 |
| Lap insert tunnel ip cath CPT 49324 | $7,820.50 | $15,641.00 | $205.80 – $29,205.39 | 20 |
| Lap jejunostomy 44186 CPT 44186 | $13,584.50 | $27,169.00 | $205.80 – $29,205.39 | 20 |
| Lap revision perm ip cath CPT 49325 | $7,727.00 | $15,454.00 | $205.80 – $29,205.39 | 20 |
| Laps surg prst8ect rpbic rad CPT 55866 | $15,610.34 | $31,220.67 | $906.15 – $51,351.84 | 20 |
| Laps surg prst8ect smpl stot CPT 55867 | $16,288.34 | $32,576.67 | $795.23 – $51,351.84 | 20 |
| Laryngoplasty medialization CPT 31591 | $2,153.00 | $4,306.00 | $810.67 – $28,598.18 | 20 |
| Laryngoscope w/vc inj CPT 31570 | $1,076.50 | $2,153.00 | $3,558.92 – $18,011.34 | 13 |
| Laryngoscop w/vc inj + scope CPT 31571 | $2,844.00 | $5,688.00 | $205.80 – $18,011.34 | 20 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,148.00 | $4,296.00 | $105.00 – $8,598.52 | 20 |
| Laryngoscopy w/biopsy CPT 31535 | $2,664.75 | $5,329.50 | $205.80 – $18,011.34 | 20 |
| Laryngoscopy w/bx & op scope CPT 31536 | $2,475.00 | $4,950.00 | $205.80 – $18,011.34 | 20 |
| Laryngoscopy w/fb removal CPT 31530 | $2,105.00 | $4,210.00 | $205.80 – $8,598.52 | 20 |
| Laryngoscopy with biopsy CPT 31576 | $2,105.00 | $4,210.00 | $205.80 – $8,598.52 | 20 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $447.00 | $894.00 | $205.80 – $1,889.44 | 20 |
| Larynscop w/tumr exc + scope CPT 31541 | $4,386.00 | $8,772.00 | $205.80 – $18,011.34 | 20 |
| Laser surgery of cervix 57513 CPT 57513 | $5,265.00 | $10,530.00 | $205.80 – $15,638.23 | 20 |
| Laser surgery of prostate CPT 52648 | $16,697.50 | $33,395.00 | $205.80 – $25,902.39 | 20 |
| Laser surg penis lesion(s) CPT 54057 | $7,955.00 | $15,910.00 | $205.80 – $9,967.54 | 20 |
| Laser treatment of retina CPT 67039 | $6,341.00 | $12,682.00 | $3,945.58 – $19,968.19 | 13 |
| Laser treatment of retina CPT 67040 | $7,013.50 | $14,027.00 | $3,945.58 – $19,968.19 | 13 |
| Lateral canthopexy CPT 21282 | $12,045.67 | $24,091.34 | $3,164.80 – $16,016.74 | 13 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,626.20 | $7,252.40 | not published | 0 |
| Lead capillary CPT 83655 | $77.50 | $155.00 | $11.45 – $61.29 | 20 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $1,319.00 | $2,638.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $3,684.18 | $7,368.36 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $798.00 | $1,596.00 | $24.44 – $1,152.67 | 20 |
| Leishmania antibody CPT 86717 | $147.00 | $294.00 | $11.58 – $62.00 | 20 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $537.95 | $1,075.90 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,003.13 | $2,006.25 | $145.73 – $737.52 | 13 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $176.38 | $352.75 | $145.73 – $737.52 | 13 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $62.72 | $125.44 | $7.38 – $7.38 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,306.79 | $4,613.58 | $160.34 – $811.46 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $10,428.50 | $20,857.00 | $1,841.26 – $9,318.43 | 14 |
| Leuprolide acetate injeciton HCPCS J9218 | $12.78 | $25.56 | $22.69 – $22.69 | 1 |
| Lev 1 hosp type b ed visit HCPCS G0380 | $146.50 | $293.00 | $70.95 – $359.07 | 13 |
| Lev 2 hosp type b ed visit HCPCS G0381 | $195.50 | $391.00 | $88.66 – $448.70 | 13 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $371.00 | $742.00 | $164.07 – $830.34 | 13 |
| Lev 4 hosp type b ed visit HCPCS G0383 | $469.00 | $938.00 | $252.30 – $1,276.87 | 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.