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 |
|---|---|---|---|---|
| Tympanic membrane repair CPT 69610 | $3,799.00 | $7,598.00 | $205.80 – $7,495.60 | 20 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $7,093.00 | $14,186.00 | $205.80 – $2,605.40 | 20 |
| Ua w/micro/comp poc CPT 81000 | $24.50 | $49.00 | $3.80 – $20.34 | 20 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $58,327.52 | $116,655.03 | $72.24 – $365.60 | 13 |
| Ugt1a1 gene analy common variants CPT 81350 | $441.50 | $883.00 | $234.00 – $1,184.25 | 13 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $380.00 | $760.00 | $19.30 – $505.08 | 20 |
| Ultrasound bone density measure CPT 76977 | $161.00 | $322.00 | $2.06 – $505.08 | 20 |
| Ultrasound breast complete CPT 76641 | $883.00 | $1,766.00 | $26.00 – $505.08 | 20 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,129.00 | $2,258.00 | $24.44 – $420.41 | 20 |
| Ultrasound chest CPT 76604 | $475.50 | $951.00 | $20.33 – $505.08 | 20 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $268.00 | $536.00 | $17.24 – $505.08 | 20 |
| Ultrasound dx ophth b-scan CPT 76512 | $314.50 | $629.00 | $21.87 – $505.08 | 20 |
| Ultrasound elastography parenchyma CPT 76981 | $134.50 | $269.00 | $21.36 – $505.08 | 20 |
| Ultrasound encephalogram CPT 76506 | $724.50 | $1,449.00 | $22.65 – $252.49 | 20 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $470.50 | $941.00 | $26.76 – $505.08 | 20 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $442.50 | $885.00 | $27.03 – $505.08 | 20 |
| Ultrasound guidance for vascular access CPT 76937 | $188.00 | $376.00 | $10.29 – $69.49 | 20 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $723.50 | $1,447.00 | $22.65 – $155.32 | 20 |
| Ultrasound guide intraoperative CPT 76998 | $1,449.88 | $2,899.75 | $36.03 – $249.40 | 20 |
| Ultrasound hips infant dynamic CPT 76885 | $380.50 | $761.00 | $25.74 – $420.41 | 20 |
| Ultrasound infant hips ltd without stress CPT 76886 | $303.50 | $607.00 | $22.13 – $420.41 | 20 |
| Ultrasound joint complete left CPT 76881 | $662.00 | $1,324.00 | $31.91 – $505.08 | 20 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $818.00 | $1,636.00 | $24.71 – $505.08 | 20 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $462.00 | $924.00 | $34.48 – $233.16 | 20 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $271.00 | $542.00 | $29.34 – $195.05 | 20 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $749.00 | $1,498.00 | $66.40 – $1,152.67 | 20 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $565.00 | $1,130.00 | $29.85 – $505.08 | 20 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $475.00 | $950.00 | $23.16 – $505.08 | 20 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $475.50 | $951.00 | $26.51 – $505.08 | 20 |
| Ultrasound prostate/transrectal CPT 76872 | $263.00 | $526.00 | $23.42 – $505.08 | 20 |
| Ultrasound retroperitoneal limited CPT 76775 | $430.50 | $861.00 | $20.59 – $505.08 | 20 |
| Ultrasound scrotum and contents CPT 76870 | $475.00 | $950.00 | $22.65 – $505.08 | 20 |
| Ultrasound spinal canal and contents CPT 76800 | $524.50 | $1,049.00 | $47.09 – $505.08 | 20 |
| Ultrasound transabd ea addl gest CPT 76812 | $315.00 | $630.00 | $62.28 – $422.18 | 20 |
| Ultrasound transvaginal non obstetric CPT 76830 | $536.50 | $1,073.00 | $24.44 – $505.08 | 20 |
| Umbilicoplasty 15847 CPT 15847 | $9,547.83 | $19,095.66 | not published | 0 |
| Unlisted chemotherapy px CPT 96549 | $86.00 | $172.00 | $44.70 – $226.22 | 13 |
| Unlisted dialysis procedure CPT 90999 | $1,200.50 | $2,401.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | $659.00 | $1,318.00 | $122.83 – $621.63 | 13 |
| Unlisted fluoroscopic px CPT 76496 | $649.50 | $1,299.00 | $83.07 – $420.41 | 13 |
| Unlisted hematology&coagj px CPT 85999 | $45.00 | $90.00 | not published | 0 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $11,131.67 | $22,263.34 | $5,770.79 – $29,205.39 | 13 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $37,484.00 | $74,968.00 | $5,770.79 – $29,205.39 | 13 |
| Unlisted laps px appendix CPT 44979 | $17,639.00 | $35,278.00 | $205.80 – $29,205.39 | 20 |
| Unlisted laps px bladder CPT 51999 | $11,998.25 | $23,996.50 | $5,770.79 – $29,205.39 | 13 |
| Unlisted laps px ovidct ovry CPT 58679 | $6,380.50 | $12,761.00 | $5,770.79 – $29,205.39 | 13 |
| Unlisted laps px ureter CPT 50949 | $20,612.63 | $41,225.25 | $5,770.79 – $29,205.39 | 13 |
| Unlisted laps px uterus CPT 58578 | $9,690.50 | $19,381.00 | $5,770.79 – $29,205.39 | 13 |
| Unlisted maaa CPT 81599 | $587.00 | $1,174.00 | not published | 0 |
| Unlisted procedure esophagus CPT 43499 | $210.17 | $420.33 | $865.77 – $4,381.58 | 13 |
| Unlisted procedure microbiology CPT 87999 | $1,208.00 | $2,416.00 | not published | 0 |
| Unlisted procedure spine CPT 22899 | $1,277.38 | $2,554.75 | $235.46 – $1,191.64 | 13 |
| Unlisted px abdomen muscskel CPT 22999 | $458.00 | $916.00 | $235.46 – $1,191.64 | 13 |
| Unlisted px ant segment eye CPT 66999 | $1,979.17 | $3,958.33 | $2,202.94 – $11,148.86 | 13 |
| Unlisted px arthroscopy CPT 29999 | $7,211.50 | $14,423.00 | $235.46 – $1,191.64 | 13 |
| Unlisted px conjunctiva CPT 68399 | $882.75 | $1,765.50 | $302.98 – $1,533.35 | 13 |
| Unlisted px foot/toes CPT 28899 | $5,028.50 | $10,057.00 | $235.46 – $1,191.64 | 13 |
| Unlisted px forearm/wrist CPT 25999 | $6,072.00 | $12,144.00 | $235.46 – $1,191.64 | 13 |
| Unlisted px hands/fingers CPT 26989 | $3,860.67 | $7,721.33 | $235.46 – $1,191.64 | 13 |
| Unlisted px leg/ankle CPT 27899 | $313.50 | $627.00 | $235.46 – $1,191.64 | 13 |
| Unlisted px pelvis/hip joint CPT 27299 | $3,646.50 | $7,293.00 | $235.46 – $1,191.64 | 13 |
| Unlisted urinalysis px CPT 81099 | $72.00 | $144.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $6,392.67 | $12,785.33 | $5,770.79 – $29,205.39 | 13 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,020.50 | $2,041.00 | $655.12 – $3,315.50 | 13 |
| Upgrade pm system CPT 33214 | $5,363.00 | $10,726.00 | $205.80 – $50,492.65 | 20 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,091.50 | $6,183.00 | $81.84 – $1,685.38 | 20 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,091.50 | $6,183.00 | $63.05 – $1,685.38 | 20 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,877.50 | $3,755.00 | $52.50 – $1,152.67 | 20 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,247.00 | $8,494.00 | $105.00 – $4,381.58 | 20 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,106.00 | $4,212.00 | $205.80 – $4,381.58 | 20 |
| Uppr gi scope w/submuc inj CPT 43236 | $1,513.67 | $3,027.34 | $205.80 – $4,381.58 | 20 |
| Urea nitrogen CPT 84520 | $28.00 | $56.00 | $3.74 – $19.99 | 20 |
| Urea nitrogen 24 hour urine CPT 84540 | $30.50 | $61.00 | $5.25 – $28.14 | 20 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $596.00 | $1,192.00 | $11.32 – $1,152.67 | 20 |
| Urethrocystography void s&i CPT 74455 | $733.50 | $1,467.00 | $11.32 – $1,152.67 | 20 |
| Uric acid blood CPT 84550 | $30.50 | $61.00 | $4.27 – $22.88 | 20 |
| Uric acid urine CPT 84560 | $28.00 | $56.00 | $4.80 – $25.71 | 20 |
| Urinalysis microscopic only CPT 81015 | $14.00 | $28.00 | $2.89 – $15.44 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $28.50 | $57.00 | $2.99 – $16.04 | 20 |
| Urinalysis (without microscopy) CPT 81003 | $24.50 | $49.00 | $2.13 – $11.39 | 20 |
| Urine Culture Test CPT 87086 | $107.00 | $214.00 | $7.62 – $40.84 | 20 |
| Urine flow measurement 51736 CPT 51736 | $267.00 | $534.00 | $5.92 – $642.73 | 20 |
| Urine pregnancy test CPT 81025 | $17.00 | $34.00 | $8.14 – $43.57 | 20 |
| Urography, antegrade CPT 74425 | $1,332.00 | $2,664.00 | $18.27 – $1,685.38 | 20 |
| Urography inf drip &/or bolus CPT 74410 | $599.00 | $1,198.00 | $17.50 – $847.35 | 20 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $9,533.75 | $19,067.49 | $11.36 – $57.49 | 13 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $136.50 | $273.00 | $240.77 – $240.77 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $113.00 | $226.00 | $226.00 – $226.00 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $236.50 | $473.00 | $201.00 – $201.00 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $45.00 | $90.00 | $90.00 – $90.00 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $27.50 | $55.00 | $43.00 – $43.00 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $122.00 | $244.00 | $126.00 – $126.00 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $57.50 | $115.00 | $92.00 – $92.00 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $106.00 | $212.00 | $212.00 – $212.00 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $28.00 | $56.00 | $56.00 – $56.00 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $12.50 | $25.00 | $23.00 – $23.00 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $68.00 | $136.00 | $115.93 – $115.93 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $95.50 | $191.00 | $182.00 – $182.00 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $32.50 | $65.00 | $53.00 – $53.00 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $46.50 | $93.00 | $93.00 – $93.00 | 1 |
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.