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 |
|---|---|---|---|---|
| Lev 5 hosp type b ed visit HCPCS G0384 | $652.50 | $1,305.00 | $392.06 – $1,984.18 | 13 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.50 | $5.00 | $0.08 – $0.08 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $39.15 | $78.30 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $83.50 | $167.00 | $12.53 – $67.06 | 20 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.77 | $15.53 | $1.50 – $1.50 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $157.33 | $314.65 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $15,153.00 | $30,306.00 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $60.00 | $120.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $60.00 | $120.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $93.50 | $187.00 | $13.88 – $74.34 | 20 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $7,703.00 | $15,406.00 | $205.80 – $7,978.76 | 20 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $11,839.00 | $23,678.00 | $3,013.99 – $15,253.50 | 13 |
| Ligation major artery neck CPT 37615 | $5,671.00 | $11,342.00 | $205.80 – $15,253.50 | 20 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $17,107.50 | $34,215.00 | $205.80 – $15,253.50 | 20 |
| Lig/band angioaccess av fistula CPT 37607 | $5,427.33 | $10,854.66 | $205.80 – $15,253.50 | 20 |
| Liletta, 52 mg HCPCS J7297 | $2,096.50 | $4,193.00 | $1,756.97 – $1,756.97 | 1 |
| Lincomycin injection HCPCS J2010 | $34.50 | $69.00 | $16.24 – $16.24 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $33.08 | $66.15 | $5.45 – $5.45 | 1 |
| Lipase CPT 83690 | $46.00 | $92.00 | $6.51 – $34.87 | 20 |
| Lipoprotein blood quant CPT 83704 | $201.00 | $402.00 | $32.31 – $173.03 | 20 |
| Lipoprotein direct measurement hdl CPT 83718 | $52.50 | $105.00 | $7.74 – $41.45 | 20 |
| Lipoprotein direct measurement ldl CPT 83721 | $61.00 | $122.00 | $9.92 – $53.14 | 20 |
| Lithium therapeutic drug level CPT 80178 | $42.50 | $85.00 | $6.25 – $33.45 | 20 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $5,616.00 | $11,232.00 | $109.38 – $621.83 | 20 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $340.00 | $680.00 | $176.19 – $891.68 | 13 |
| Liver elastography 91200 CPT 91200 | $166.50 | $333.00 | $7.72 – $621.63 | 20 |
| Liver Function Test CPT 80076 | $52.50 | $105.00 | $7.72 – $41.35 | 20 |
| Liver imaging CPT 78201 | $2,825.00 | $5,650.00 | $15.18 – $2,623.06 | 20 |
| Liver/spleen imag static only CPT 78215 | $1,416.50 | $2,833.00 | $17.24 – $1,931.24 | 20 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,289.00 | $8,578.00 | $205.80 – $15,806.76 | 20 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $21.00 | $42.00 | $1.85 – $1.85 | 1 |
| Low back disk surgery CPT 63030 | $16,805.00 | $33,610.00 | $205.80 – $35,054.12 | 20 |
| Low cost skin substitute app HCPCS C5271 | $1,160.50 | $2,321.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,916.50 | $3,833.00 | $44.78 – $847.35 | 20 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,551.00 | $5,102.00 | $42.98 – $1,685.38 | 20 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $927.00 | $1,854.00 | $35.00 – $505.08 | 20 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,091.50 | $6,183.00 | $81.84 – $1,685.38 | 20 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,091.50 | $6,183.00 | $63.57 – $1,685.38 | 20 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,877.50 | $3,755.00 | $52.50 – $1,152.67 | 20 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $643.00 | $1,286.00 | $7.98 – $201.98 | 20 |
| Lumbar diskogram s&i CPT 72295 | $2,126.00 | $4,252.00 | $29.60 – $9,433.42 | 20 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $14,262.50 | $28,525.00 | $1,229.64 – $84,704.33 | 20 |
| Lung function test (mbc/mvv) CPT 94200 | $189.50 | $379.00 | $2.06 – $284.98 | 20 |
| Lung Function Test (Spirometry) CPT 94010 | $313.50 | $627.00 | $5.92 – $1,043.15 | 20 |
| Lung perfusion imaging CPT 78580 | $1,164.00 | $2,328.00 | $26.00 – $1,931.24 | 20 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $24,750.00 | $49,500.00 | $215.95 – $1,092.90 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $49,022.25 | $98,044.49 | $43.51 – $220.20 | 13 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $333.50 | $667.00 | $350.21 – $1,772.38 | 14 |
| Lymphatics/lymph node imaging CPT 78195 | $1,103.00 | $2,206.00 | $41.43 – $2,623.06 | 20 |
| Lymphocyte transformation mitogen CPT 86353 | $350.00 | $700.00 | $46.34 – $248.14 | 20 |
| Lysis of labial adhesions CPT 56441 | $3,780.00 | $7,560.00 | $205.80 – $15,638.23 | 20 |
| Lysis penil circumic lesion CPT 54162 | $5,285.50 | $10,571.00 | $205.80 – $10,098.42 | 20 |
| Macroscopic exam arthropod CPT 87168 | $24.00 | $48.00 | $4.03 – $21.61 | 20 |
| Magnesium CPT 83735 | $40.50 | $81.00 | $6.33 – $33.91 | 20 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $8.89 | $17.78 | $1.14 – $1.14 | 1 |
| Magnetic image bone marrow CPT 77084 | $1,672.50 | $3,345.00 | $56.62 – $1,152.67 | 20 |
| Makena, 10 mg HCPCS J1726 | $70.00 | $140.00 | $19.93 – $19.93 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $428.50 | $857.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $241.50 | $483.00 | not published | 0 |
| Manipulat palm cord post inj CPT 26341 | $286.50 | $573.00 | $58.16 – $1,191.64 | 20 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $24.98 | $49.95 | $4.29 – $4.29 | 1 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $519.00 | $1,038.00 | $127.90 – $902.46 | 20 |
| Mapping io sentinel lymph node CPT 38900 | $5,116.38 | $10,232.75 | $128.56 – $650.63 | 20 |
| Map tachycard site(s) CPT 93609 | $4,670.00 | $9,340.00 | $205.11 – $1,379.96 | 20 |
| Marker biop eviva buckle ss HCPCS A4648 | $536.80 | $1,073.60 | not published | 0 |
| Mastectomy partial CPT 19301 | $8,883.50 | $17,767.00 | $205.80 – $18,915.16 | 20 |
| Mast mod rad CPT 19307 | $24,836.50 | $49,673.00 | $205.80 – $32,078.06 | 20 |
| Mastoids complete CPT 70130 | $339.50 | $679.00 | $12.35 – $505.08 | 20 |
| Mastopexy CPT 19316 | $35,097.50 | $70,195.00 | $6,338.41 – $32,078.06 | 13 |
| Mast simple complete CPT 19303 | $47,305.00 | $94,610.00 | $205.80 – $32,078.06 | 20 |
| Matrion 1 sq cm HCPCS Q4201 | $143.50 | $287.00 | $126.52 – $640.31 | 14 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $2,620.40 | $5,240.79 | $30.61 – $640.31 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $85.50 | $171.00 | $13.66 – $73.18 | 20 |
| Mayo aathr protein s free CPT 85306 | $196.00 | $392.00 | $14.48 – $77.53 | 20 |
| Mayo activated protein c resistance assay CPT 85307 | $98.00 | $196.00 | $14.48 – $77.53 | 20 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $239.00 | $478.00 | $36.45 – $195.20 | 20 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $288.00 | $576.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $89.00 | $178.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $94.00 | $188.00 | $13.97 – $74.80 | 20 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $70.00 | $140.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $79.00 | $158.00 | $12.71 – $68.02 | 20 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $193.00 | $386.00 | $14.25 – $76.32 | 20 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $123.00 | $246.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $459.50 | $919.00 | $121.63 – $615.56 | 13 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $606.50 | $1,213.00 | $86.61 – $463.88 | 20 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $361.50 | $723.00 | $129.47 – $693.34 | 20 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,277.50 | $4,555.00 | $1,096.20 – $5,870.64 | 20 |
| Mayo androstenedione CPT 82157 | $186.50 | $373.00 | $27.67 – $148.18 | 20 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $86.00 | $172.00 | $13.80 – $73.89 | 20 |
| Mayo antithrombin iii antigen CPT 85301 | $69.00 | $138.00 | $10.22 – $54.71 | 20 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $112.50 | $225.00 | $14.23 – $76.17 | 20 |
| Mayo avwpr vw factor activity CPT 85397 | $135.00 | $270.00 | $30.86 – $156.18 | 13 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $133.00 | $266.00 | $33.16 – $177.59 | 20 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $123.00 | $246.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $260.00 | $520.00 | $9.62 – $51.52 | 20 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $957.50 | $1,915.00 | $136.88 – $733.02 | 20 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $801.50 | $1,603.00 | $202.82 – $1,086.17 | 20 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $82.00 | $164.00 | $12.19 – $65.29 | 20 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $77.00 | $154.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $234.00 | $468.00 | $12.46 – $66.75 | 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.