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 |
|---|---|---|---|---|
| Rubeola antibody igg CPT 86765 | $93.50 | $187.00 | $12.17 – $65.18 | 20 |
| Russell viper venom diluted CPT 85613 | $38.00 | $76.00 | $9.05 – $48.48 | 19 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $32,113.63 | $64,227.25 | $37.64 – $190.49 | 13 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $105.00 | $210.00 | $210.00 – $210.00 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $57.00 | $114.00 | $33.39 – $178.80 | 20 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $113.50 | $227.00 | $66.42 – $355.73 | 20 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $244.50 | $489.00 | $114.26 – $698.91 | 19 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $119.50 | $239.00 | $54.82 – $334.58 | 19 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $157.50 | $315.00 | $79.78 – $489.14 | 19 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $76.00 | $152.00 | $29.34 – $183.31 | 19 |
| Sbsq psyc collab care mgmt CPT 99493 | $104.00 | $208.00 | $76.94 – $490.76 | 20 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $880.00 | $1,760.00 | $41.18 – $1,152.67 | 20 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $689.50 | $1,379.00 | $27.28 – $505.08 | 20 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,080.00 | $2,160.00 | $29.60 – $1,152.67 | 20 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $426.00 | $852.00 | $17.76 – $505.08 | 20 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $482.00 | $964.00 | $17.76 – $505.08 | 20 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $425.00 | $850.00 | $15.70 – $505.08 | 20 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $759.00 | $1,518.00 | $28.06 – $1,152.67 | 20 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $453.50 | $907.00 | $16.73 – $505.08 | 20 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $436.00 | $872.00 | $17.24 – $505.08 | 20 |
| Scan proc cranial extra CPT 61782 | $3,500.25 | $7,000.50 | $147.59 – $746.94 | 20 |
| Scan proc spinal CPT 61783 | $3,816.20 | $7,632.40 | $184.26 – $1,117.70 | 20 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,544.00 | $5,088.00 | $205.80 – $7,978.76 | 20 |
| Scope plantar fasciotomy CPT 29893 | $7,955.00 | $15,910.00 | $3,123.31 – $15,806.76 | 13 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,135.00 | $4,270.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $148.00 | $296.00 | $26.49 – $134.06 | 13 |
| Screen cerv/vag thin layer HCPCS G0123 | $32.50 | $65.00 | $20.26 – $102.53 | 13 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $3,910.50 | $7,821.00 | $138.72 – $4,492.56 | 20 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,988.00 | $5,976.00 | $138.20 – $4,492.56 | 20 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $29.00 | $58.00 | $18.05 – $91.35 | 13 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $52.50 | $105.00 | $24.08 – $121.87 | 13 |
| Screening Mammogram CPT 77067 | $345.00 | $690.00 | $27.03 – $174.40 | 20 |
| Screening pap smear by phys HCPCS P3001 | $41.00 | $82.00 | $17.50 – $112.25 | 20 |
| Screening prostate cancer PSA HCPCS G0103 | $49.00 | $98.00 | $19.31 – $97.73 | 13 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $7.00 | $14.00 | $2.32 – $2.36 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,023.05 | $2,046.10 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $7,314.33 | $14,628.66 | $205.80 – $1,164.77 | 20 |
| Sedimentation rate erythrocyte automated CPT 85652 | $18.00 | $36.00 | $2.55 – $13.66 | 20 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $5.50 | $11.00 | $10.04 – $10.23 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $45.50 | $91.00 | $7.47 – $7.61 | 7 |
| Semen analysis presence/motility CPT 89321 | $71.50 | $143.00 | $12.05 – $60.98 | 13 |
| Set radiation therapy field CPT 77280 | $627.50 | $1,255.00 | $27.79 – $649.31 | 20 |
| Set radiation therapy field CPT 77285 | $742.00 | $1,484.00 | $41.95 – $1,808.82 | 20 |
| Set radiation therapy field CPT 77290 | $1,047.00 | $2,094.00 | $61.25 – $1,808.82 | 20 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $25.65 | $51.30 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $34.01 | $68.02 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $938.00 | $1,876.00 | $205.80 – $5,780.91 | 20 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $398.50 | $797.00 | $105.00 – $969.26 | 20 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $229.00 | $458.00 | $191.52 – $969.26 | 20 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $466.50 | $933.00 | $205.80 – $1,963.83 | 20 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $229.00 | $458.00 | $191.52 – $969.26 | 20 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $256.50 | $513.00 | $191.52 – $969.26 | 20 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $431.00 | $862.00 | $191.52 – $969.26 | 20 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $466.50 | $933.00 | $205.80 – $1,963.83 | 20 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $687.50 | $1,375.00 | $105.00 – $1,963.83 | 20 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $388.50 | $777.00 | $191.52 – $969.26 | 20 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $428.50 | $857.00 | $191.52 – $969.26 | 20 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,591.00 | $7,182.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,411.38 | $8,822.75 | $6,926.46 – $35,054.12 | 13 |
| Sho arthrs srg capsulorraphy CPT 29806 | $9,386.76 | $18,773.51 | $6,926.46 – $35,054.12 | 13 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $11,839.00 | $23,678.00 | $3,123.31 – $15,806.76 | 13 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $6,185.00 | $12,370.00 | $3,123.31 – $15,806.76 | 13 |
| Sho arthrs srg rpr slap les CPT 29807 | $12,995.50 | $25,991.00 | $6,926.46 – $35,054.12 | 13 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $6,123.67 | $12,247.34 | $3,123.31 – $15,806.76 | 13 |
| Shoe post-op mens m HCPCS L3260 | $174.50 | $349.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $8,822.75 | $17,645.50 | $6,926.46 – $35,054.12 | 13 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,092.00 | $6,184.00 | $76.69 – $1,685.38 | 20 |
| Shoulder MRI (with contrast) CPT 73222 | $3,503.00 | $7,006.00 | $57.39 – $3,787.07 | 20 |
| Shoulder MRI (without contrast) CPT 73221 | $3,755.00 | $7,510.00 | $47.87 – $1,152.67 | 20 |
| Shoulder X-ray CPT 73030 | $538.00 | $1,076.00 | $6.69 – $168.17 | 20 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,505.00 | $5,010.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $216.50 | $433.00 | $17.24 – $505.08 | 20 |
| Sialography s&i CPT 70390 | $704.50 | $1,409.00 | $13.64 – $1,152.67 | 20 |
| Sialolithotomy 42330 CPT 42330 | $7,984.00 | $15,968.00 | $205.80 – $16,016.74 | 20 |
| Sickling rbc CPT 85660 | $186.50 | $373.00 | $5.21 – $27.89 | 20 |
| Sigmoidoscopy and biopsy CPT 45331 | $3,932.50 | $7,865.00 | $205.80 – $4,492.56 | 20 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,162.67 | $2,325.34 | $1,142.27 – $5,780.91 | 13 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $2,068.00 | $4,136.00 | $205.80 – $5,780.91 | 20 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $3,090.50 | $6,181.00 | $205.80 – $5,780.91 | 20 |
| Sig w/tndsc balloon dilation CPT 45340 | $3,193.00 | $6,386.00 | $205.80 – $5,780.91 | 20 |
| Simple cystometrogram 51725 CPT 51725 | $1,068.00 | $2,136.00 | $56.88 – $1,207.02 | 20 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $273.50 | $547.00 | $219.62 – $219.62 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,916.50 | $3,833.00 | $44.78 – $847.35 | 20 |
| Sinus CT scan (with contrast) CPT 70487 | $1,916.50 | $3,833.00 | $39.89 – $847.35 | 20 |
| Sinus CT scan (without contrast) CPT 70486 | $927.00 | $1,854.00 | $30.37 – $505.08 | 20 |
| Sinus/juglr venogram s&i CPT 75860 | $2,870.00 | $5,740.00 | $40.67 – $15,253.50 | 20 |
| Skel musc relaxant 3 or more CPT 80370 | $18.50 | $37.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $1,944.50 | $3,889.00 | $155.22 – $785.55 | 20 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,404.50 | $4,809.00 | $205.80 – $9,967.54 | 20 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $2,936.92 | $5,873.83 | $101.85 – $515.45 | 20 |
| Skyla, 13.5 mg HCPCS J7301 | $2,276.00 | $4,552.00 | $1,907.17 – $1,907.17 | 1 |
| Sleep study attended CPT 95807 | $828.00 | $1,656.00 | $43.24 – $1,802.69 | 20 |
| Sleep Study (Polysomnography) CPT 95810 | $2,970.50 | $5,941.00 | $86.98 – $2,074.26 | 20 |
| Sleep study unattended CPT 95806 | $456.00 | $912.00 | $32.17 – $1,043.15 | 20 |
| Sleeve fing rolyan med HCPCS L3933 | $116.50 | $233.00 | $232.89 – $1,178.63 | 11 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,909.30 | $3,818.60 | not published | 0 |
| Slitting of prepuce CPT 54001 | $5,408.67 | $10,817.34 | $205.80 – $10,098.42 | 20 |
| Slp pure tone screening CPT 92551 | $25.50 | $51.00 | $8.49 – $8.66 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | $184.50 | $369.00 | $30.11 – $284.98 | 20 |
| Small bowel endoscopy CPT 44366 | $2,538.67 | $5,077.34 | $205.80 – $9,270.05 | 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.