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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | $383.00 | $766.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $299.50 | $599.00 | $52.95 – $52.95 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $142.00 | $284.00 | $187.21 – $187.21 | 1 |
| Tc-99m medronate HCPCS A9503 | $77.50 | $155.00 | $61.59 – $61.59 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $975.00 | $1,950.00 | $1,283.16 – $1,283.16 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $56.50 | $113.00 | $84.28 – $84.28 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $123.50 | $247.00 | $49.17 – $49.17 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $284.50 | $569.00 | $34.04 – $34.04 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $2.50 | $5.00 | $5.00 – $5.00 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,131.00 | $2,262.00 | $743.46 – $743.46 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $448.00 | $896.00 | $585.12 – $585.12 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $210.00 | $420.00 | $256.10 – $256.10 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $299.00 | $598.00 | $44.39 – $237.76 | 20 |
| T cells absolute cd 4 count CPT 86361 | $48.00 | $96.00 | $25.31 – $135.53 | 20 |
| T cells total count CPT 86359 | $72.00 | $144.00 | $35.66 – $190.95 | 20 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $33,584.00 | $67,168.00 | $228.01 – $1,153.94 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $53.00 | $106.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $742.00 | $1,484.00 | $114.26 – $1,808.82 | 20 |
| Telethx isodose plan simple CPT 77306 | $741.50 | $1,483.00 | $54.82 – $1,808.82 | 20 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $15,245.38 | $30,490.76 | $217.42 – $1,100.34 | 13 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $10,168.50 | $20,337.00 | $205.80 – $15,806.76 | 20 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $0.70 | $1.40 | $1.40 – $1.40 | 1 |
| Testicular imaging w/vasc flow CPT 78761 | $1,586.00 | $3,172.00 | $25.22 – $1,931.24 | 20 |
| Test stress cardiovascular tracing only CPT 93017 | $923.50 | $1,847.00 | $25.74 – $1,043.15 | 20 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $9,362.05 | $18,724.10 | $17.92 – $90.69 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $90.00 | $180.00 | $13.37 – $71.56 | 20 |
| Therapeutic procd strg endur HCPCS G0237 | $44.50 | $89.00 | $7.72 – $139.73 | 20 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $234.00 | $468.00 | $23.42 – $128.70 | 20 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $320.00 | $640.00 | $19.81 – $107.85 | 20 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $433.50 | $867.00 | $74.89 – $847.35 | 20 |
| Ther/proph/diag inj ia CPT 96373 | $408.00 | $816.00 | $13.39 – $1,027.57 | 20 |
| Ther radiology tx plng cplx CPT 77263 | $382.50 | $765.00 | $127.13 – $830.90 | 20 |
| Ther radiology tx plng intrm CPT 77262 | $246.00 | $492.00 | $81.32 – $526.13 | 20 |
| Ther radiology tx plng smpl CPT 77261 | $161.50 | $323.00 | $52.50 – $341.81 | 20 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $17.15 | $34.29 | $4.06 – $4.06 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,910.50 | $7,821.00 | $205.80 – $3,030.42 | 20 |
| Throat x-ray & fluoroscopy CPT 70370 | $557.00 | $1,114.00 | $11.32 – $420.41 | 20 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,605.00 | $3,210.00 | $85.81 – $434.28 | 20 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,444.50 | $8,889.00 | $205.80 – $27,495.46 | 20 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $20,108.50 | $40,217.00 | $205.80 – $55,768.99 | 20 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $31,931.50 | $63,863.00 | $386.03 – $88,558.51 | 20 |
| Thrombin time CPT 85670 | $22.00 | $44.00 | $5.45 – $29.20 | 20 |
| Thromboendarterectomy common femoral CPT 35371 | $18,679.50 | $37,359.00 | $629.75 – $3,945.33 | 20 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $41.50 | $83.00 | $6.11 – $32.74 | 20 |
| Thyroglobulin antibody CPT 86800 | $122.00 | $244.00 | $15.04 – $80.52 | 20 |
| Thyroid imaging CPT 78013 | $821.00 | $1,642.00 | $12.87 – $1,931.24 | 20 |
| Thyroid mets imag whole body CPT 78018 | $1,455.00 | $2,910.00 | $28.82 – $2,623.06 | 20 |
| Thyroid (TSH) Test CPT 84443 | $122.00 | $244.00 | $15.88 – $85.02 | 20 |
| Thyroid Ultrasound CPT 76536 | $532.50 | $1,065.00 | $20.08 – $505.08 | 20 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,550.00 | $9,100.00 | $2,158.66 – $10,924.76 | 14 |
| Thyroxine binding globulin (tbg) CPT 84442 | $94.00 | $188.00 | $13.97 – $74.80 | 20 |
| Tilt table study CPT 93660 | $1,022.00 | $2,044.00 | $66.92 – $1,802.69 | 20 |
| Tissue culture placenta CPT 88235 | $862.00 | $1,724.00 | $142.03 – $760.65 | 20 |
| Tissue culture skin/biopsy CPT 88233 | $823.50 | $1,647.00 | $132.99 – $712.22 | 20 |
| Tissue culture tumor CPT 88239 | $864.00 | $1,728.00 | $139.41 – $746.58 | 20 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $1,134.00 | $2,268.00 | $126.52 – $640.31 | 14 |
| Tissue transglutaminase iga CPT 86364 | $77.50 | $155.00 | $10.90 – $58.35 | 20 |
| Tl-201 thallium diag per mci HCPCS A9505 | $63.00 | $126.00 | $126.00 – $126.00 | 1 |
| Tlh uterus 250 g or less CPT 58570 | $23,827.00 | $47,654.00 | $205.80 – $51,351.84 | 20 |
| Tlh w/t/o 250 g or less CPT 58571 | $21,890.00 | $43,780.00 | $205.80 – $51,351.84 | 20 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $42,206.50 | $84,413.00 | $205.80 – $51,351.84 | 20 |
| Tobramycin non-comp unit HCPCS J7682 | $81.66 | $163.32 | $16.25 – $16.25 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $94.50 | $189.00 | $15.25 – $81.63 | 20 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,660.97 | $9,321.93 | $5.41 – $27.38 | 14 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $613.50 | $1,227.00 | $21.36 – $137.86 | 20 |
| Tomosynthesis breast screen bilateral CPT 77063 | $750.00 | $1,500.00 | $21.36 – $137.86 | 20 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $5,353.00 | $10,706.00 | $205.80 – $16,016.74 | 20 |
| Tonsillectomy (age 12+) CPT 42826 | $5,671.00 | $11,342.00 | $205.80 – $16,016.74 | 20 |
| Tonsillectomy (child under 12) CPT 42825 | $6,056.50 | $12,113.00 | $205.80 – $28,598.18 | 20 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $34.06 | $68.11 | $1.29 – $1.29 | 1 |
| Total Hip Replacement CPT 27130 | $17,504.50 | $35,009.00 | $6,127.62 – $31,011.27 | 13 |
| Total Knee Replacement CPT 27447 | $14,543.50 | $29,087.00 | $205.80 – $62,022.54 | 20 |
| Total tau CPT 84394 | $431.00 | $862.00 | $128.92 – $652.45 | 13 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $41,238.00 | $82,476.00 | $1,269.79 – $84,704.33 | 20 |
| Toxoplasma antibody igg CPT 86777 | $47.00 | $94.00 | $13.60 – $72.83 | 20 |
| Toxoplasma antibody igm CPT 86778 | $92.00 | $184.00 | $13.62 – $72.93 | 20 |
| Tp53 gene trgt sequence alys CPT 81352 | $597.00 | $1,194.00 | $329.51 – $1,667.62 | 13 |
| Tpmt gene com vrnts CPT 81335 | $175.00 | $350.00 | $165.20 – $884.70 | 20 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $5,719.00 | $11,438.00 | $123.27 – $25,902.39 | 20 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $18,446.70 | $36,893.40 | $410.48 – $2,077.40 | 13 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $614.50 | $1,229.00 | $205.80 – $2,605.40 | 20 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $59.50 | $119.00 | $39.89 – $269.04 | 20 |
| Transcath occlusion non-cns CPT 61626 | $7,644.00 | $15,288.00 | $710.56 – $55,768.99 | 20 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $2,980.50 | $5,961.00 | $385.52 – $15,253.50 | 20 |
| Transferrin CPT 84466 | $80.00 | $160.00 | $12.05 – $64.58 | 20 |
| Transfer skin pedicle flap CPT 15650 | $3,152.50 | $6,305.00 | $205.80 – $9,967.54 | 20 |
| Transfusion blood/blood component(s) CPT 36430 | $861.00 | $1,722.00 | $205.80 – $2,131.30 | 20 |
| Transperi needle place pros CPT 55875 | $871.63 | $1,743.25 | $205.80 – $25,902.39 | 20 |
| Transplant forearm tendon CPT 25310 | $4,041.50 | $8,083.00 | $3,123.31 – $15,806.76 | 13 |
| Transplant hand tendon CPT 26480 | $4,803.67 | $9,607.33 | $3,123.31 – $15,806.76 | 13 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $12,218.02 | $24,436.03 | $70.24 – $355.48 | 14 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $9,084.33 | $18,168.65 | $22.19 – $306.29 | 14 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,196.50 | $4,393.00 | $1,278.60 – $6,470.87 | 13 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $682.97 | $1,365.93 | not published | 0 |
| Treat big toe fracture CPT 28505 | $7,417.00 | $14,834.00 | $3,123.31 – $15,806.76 | 13 |
| Treat ectopic pregnancy CPT 59151 | $11,967.50 | $23,935.00 | $205.80 – $29,205.39 | 20 |
| Treat elbow dislocation CPT 24605 | $1,090.00 | $2,180.00 | $205.80 – $7,768.08 | 20 |
| Treat elbow fracture CPT 24620 | $2,354.00 | $4,708.00 | $131.25 – $7,768.08 | 20 |
| Treat eyelid by injection CPT 68200 | $1,633.50 | $3,267.00 | $426.42 – $2,158.07 | 13 |
| Treat finger fracture each CPT 26727 | $8,089.50 | $16,179.00 | $205.80 – $15,806.76 | 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.