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 |
|---|---|---|---|---|
| Ot re-evaluation patient/family CPT 97168 | $52.00 | $104.00 | $51.47 – $323.34 | 20 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $255.00 | $510.00 | $25.22 – $164.93 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $43.00 | $86.00 | $15.96 – $103.19 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $45.50 | $91.00 | $16.47 – $110.43 | 20 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $262.00 | $524.00 | $21.36 – $138.72 | 20 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $344.00 | $688.00 | $23.68 – $155.98 | 20 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $222.00 | $444.00 | $23.68 – $153.40 | 20 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $2.00 | $4.00 | $1.73 – $1.73 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $36.39 | $72.77 | $0.12 – $0.12 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $12.90 | $25.80 | $3.20 – $3.20 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $125.58 | $251.16 | $0.18 – $0.18 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $8,748.32 | $17,496.63 | $6.59 – $33.35 | 14 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $32.00 | $64.00 | $15.43 – $78.09 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $4,096.50 | $8,193.00 | $436.75 – $2,210.35 | 14 |
| Palonosetron hcl HCPCS J2469 | $40.50 | $81.00 | $1.40 – $1.40 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $36.59 | $73.17 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $19,977.96 | $39,955.92 | $182.19 – $922.05 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $20.03 | $40.06 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $270.50 | $541.00 | $39.01 – $208.91 | 20 |
| Parathyrd planar w/spect&ct CPT 78072 | $807.00 | $1,614.00 | $54.56 – $2,623.06 | 20 |
| Parathyroid autotransplantation 60512 CPT 60512 | $5,659.67 | $11,319.33 | $186.07 – $1,110.72 | 20 |
| Parathyroid planar imaging CPT 78070 | $864.50 | $1,729.00 | $28.06 – $1,931.24 | 20 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $381.50 | $763.00 | $191.52 – $969.26 | 20 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $3,780.00 | $7,560.00 | $205.80 – $15,638.23 | 20 |
| Partial exc bone humerus CPT 24140 | $5,494.00 | $10,988.00 | $3,123.31 – $15,806.76 | 13 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $7,598.50 | $15,197.00 | $205.80 – $15,806.76 | 20 |
| Partial removal finger bone CPT 26236 | $3,964.92 | $7,929.83 | $205.80 – $7,768.08 | 20 |
| Partial removal foot fascia CPT 28060 | $3,955.63 | $7,911.25 | $3,123.31 – $15,806.76 | 13 |
| Partial removal of eye fluid CPT 67010 | $1,620.50 | $3,241.00 | $2,202.94 – $11,148.86 | 13 |
| Partial removal of fibula CPT 27641 | $5,803.00 | $11,606.00 | $3,123.31 – $15,806.76 | 13 |
| Partial removal of hand bone CPT 26230 | $3,050.33 | $6,100.66 | $205.80 – $15,806.76 | 20 |
| Partial removal of thyroid CPT 60220 | $18,649.50 | $37,299.00 | $205.80 – $29,205.39 | 20 |
| Partial removal of thyroid CPT 60225 | $16,979.00 | $33,958.00 | $205.80 – $29,205.39 | 20 |
| Partial removal of ulna CPT 25240 | $8,369.50 | $16,739.00 | $3,123.31 – $15,806.76 | 13 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $2,054.82 | $4,109.64 | $4.21 – $4.21 | 1 |
| Part removal of metatarsal CPT 28113 | $3,799.50 | $7,599.00 | $205.80 – $15,806.76 | 20 |
| Part removal of metatarsal 28112 CPT 28112 | $12,096.00 | $24,192.00 | $3,123.31 – $15,806.76 | 13 |
| Pca3/klk3 antigen CPT 81313 | $552.00 | $1,104.00 | $255.05 – $1,290.78 | 13 |
| Pcv21 vaccine im CPT 90684 | $222.50 | $445.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $597.00 | $1,194.00 | $311.39 – $1,667.62 | 20 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $229.00 | $458.00 | $147.98 – $969.26 | 20 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $9,522.59 | $19,045.18 | $83.62 – $724.87 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,265.37 | $14,530.73 | $149.13 – $754.73 | 13 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $40,845.92 | $81,691.84 | $3,929.34 – $19,886.00 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,916.50 | $3,833.00 | $41.70 – $847.35 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,916.50 | $3,833.00 | $40.92 – $847.35 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $927.00 | $1,854.00 | $38.61 – $505.08 | 20 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,091.00 | $6,182.00 | $78.24 – $1,685.38 | 20 |
| Pelvic MRI (with contrast) CPT 72196 | $3,092.50 | $6,185.00 | $60.99 – $1,685.38 | 20 |
| Pelvic MRI (without contrast) CPT 72195 | $1,877.50 | $3,755.00 | $51.73 – $1,152.67 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $711.50 | $1,423.00 | $24.44 – $505.08 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $475.50 | $951.00 | $17.76 – $505.08 | 20 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $23,590.88 | $47,181.76 | $60.65 – $306.94 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $199.35 | $398.70 | $6.95 – $35.17 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $42.00 | $84.00 | $19.52 – $98.79 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $630.37 | $1,260.74 | $32.59 – $164.93 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $9.72 | $19.44 | $1.27 – $1.27 | 1 |
| Penile injection CPT 54235 | $4,203.33 | $8,406.66 | $205.80 – $1,207.02 | 20 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $7,390.50 | $14,781.00 | not published | 0 |
| Penis plastic surgery CPT 54360 | $10,425.50 | $20,851.00 | $205.80 – $17,028.87 | 20 |
| Perc d-e cor revasc chro add HCPCS C9608 | $10,332.00 | $20,664.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $34,785.50 | $69,571.00 | $17,498.57 – $88,558.51 | 13 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $24,648.50 | $49,297.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $24,649.00 | $49,298.00 | $11,019.58 – $55,768.99 | 13 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,332.00 | $20,664.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $9,867.00 | $19,734.00 | $17,498.57 – $88,558.51 | 13 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,332.00 | $20,664.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $22,822.00 | $45,644.00 | $11,019.58 – $55,768.99 | 13 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,010.00 | $4,020.00 | $205.80 – $7,604.61 | 20 |
| Peri-implt capslc brst compl CPT 19371 | $21,990.50 | $43,981.00 | $3,737.51 – $18,915.16 | 13 |
| Perineoplasty rpr per nonob CPT 56810 | $8,870.00 | $17,740.00 | $205.80 – $15,638.23 | 20 |
| Peri-proc device eval icd CPT 93287 | $124.00 | $248.00 | $15.96 – $107.14 | 20 |
| Peri-proc device eval pm CPT 93286 | $117.50 | $235.00 | $10.55 – $70.55 | 20 |
| Perit-vens shunt pat tst CPT 78291 | $944.00 | $1,888.00 | $31.14 – $1,931.24 | 20 |
| Perq clsr tcat l atr apndge CPT 33340 | $9,871.50 | $19,743.00 | $595.27 – $3,164.94 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | $3,288.50 | $6,577.00 | $205.80 – $3,420.92 | 20 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $15,530.50 | $31,061.00 | $205.80 – $45,731.61 | 20 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $11,105.67 | $22,211.34 | $9,036.26 – $45,731.61 | 13 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $191.50 | $383.00 | $205.80 – $1,207.02 | 20 |
| Perq transcath cls aortic CPT 93591 | $9,903.00 | $19,806.00 | $658.32 – $88,558.51 | 20 |
| Perq transcath septal reduxn CPT 93583 | $5,187.50 | $10,375.00 | $568.24 – $3,419.85 | 20 |
| Pertussis ag if CPT 87265 | $76.50 | $153.00 | $11.32 – $60.63 | 20 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $13,053.58 | $26,107.15 | $17.20 – $87.05 | 13 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,083.00 | $8,166.00 | $82.61 – $6,907.98 | 20 |
| Pet CT whole body initial CPT 78816 | $3,960.50 | $7,921.00 | $82.87 – $6,907.98 | 20 |
| Pet fdg brain metoblic eval sb CPT 78608 | $5,517.50 | $11,035.00 | $49.67 – $6,907.98 | 20 |
| Pet image full body CPT 78813 | $1,490.50 | $2,981.00 | $66.14 – $6,907.98 | 20 |
| Pet image ltd area CPT 78811 | $1,199.50 | $2,399.00 | $51.21 – $6,254.31 | 20 |
| Pet image skull-thigh CPT 78812 | $3,980.50 | $7,961.00 | $64.86 – $6,907.98 | 20 |
| Pet image w/ct lmtd CPT 78814 | $3,647.50 | $7,295.00 | $73.61 – $6,907.98 | 20 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $9,429.04 | $18,858.08 | not published | 0 |
| Pharmacologic management w/psytx CPT 90863 | $68.00 | $136.00 | $17.50 – $17.84 | 7 |
| Ph body fluid CPT 83986 | $71.50 | $143.00 | $3.38 – $18.12 | 20 |
| Phencyclidine (pcp) CPT 83992 | $86.50 | $173.00 | $19.06 – $19.42 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $110.09 | $220.18 | $51.86 – $51.86 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $52.00 | $104.00 | $14.46 – $77.43 | 20 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $146.42 | $292.83 | $0.02 – $0.02 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $85.00 | $170.00 | $12.53 – $67.06 | 20 |
| Phlebotomy therapeutic CPT 99195 | $242.00 | $484.00 | $59.97 – $642.73 | 20 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $17,107.50 | $34,215.00 | $205.80 – $15,253.50 | 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.