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 |
|---|---|---|---|---|
| X-ray exam of penis CPT 74445 | $155.00 | $310.00 | $38.61 – $505.08 | 20 |
| X-ray exam of perineum CPT 74775 | $545.50 | $1,091.00 | $21.62 – $1,152.67 | 20 |
| X-ray exam of salivary gland CPT 70380 | $128.00 | $256.00 | $5.92 – $420.41 | 20 |
| X-ray exam of sinuses CPT 70210 | $223.50 | $447.00 | $6.17 – $420.41 | 20 |
| X-ray exam of teeth CPT 70300 | $117.00 | $234.00 | $3.60 – $420.41 | 20 |
| X-ray exam si joints CPT 72200 | $265.00 | $530.00 | $6.17 – $505.08 | 20 |
| X-ray exam thorac spine4/>vw CPT 72074 | $341.50 | $683.00 | $8.75 – $505.08 | 20 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $425.50 | $851.00 | $6.44 – $420.41 | 20 |
| X-ray facial bones complete > 3 views CPT 70150 | $341.50 | $683.00 | $9.26 – $505.08 | 20 |
| X-ray femur >=2 views (both sides) CPT 73552 | $417.00 | $834.00 | $6.44 – $168.17 | 20 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $397.00 | $794.00 | $4.89 – $168.17 | 20 |
| X-ray foot 2 views (both sides) CPT 73620 | $392.00 | $784.00 | $5.41 – $168.17 | 20 |
| X-ray forearm 2 views (both sides) CPT 73090 | $213.50 | $427.00 | $5.66 – $168.17 | 20 |
| X-ray hand 2 views (both sides) CPT 73120 | $427.00 | $854.00 | $5.92 – $201.98 | 20 |
| X-ray head for orthodontia CPT 70350 | $117.00 | $234.00 | $6.44 – $420.41 | 20 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $213.50 | $427.00 | $5.66 – $420.41 | 20 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $262.00 | $524.00 | $10.04 – $505.08 | 20 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $240.00 | $480.00 | $7.98 – $201.98 | 20 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $233.00 | $466.00 | $10.29 – $201.98 | 20 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $288.00 | $576.00 | $11.32 – $505.08 | 20 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $212.00 | $424.00 | $6.69 – $168.17 | 20 |
| X-ray humerus >= 2 views left CPT 73060 | $364.00 | $728.00 | $5.66 – $168.17 | 20 |
| X-ray joint survey 1 view CPT 77077 | $159.00 | $318.00 | $12.35 – $505.08 | 20 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $399.00 | $798.00 | $5.92 – $168.17 | 20 |
| X-ray knee 3 views (both sides) CPT 73562 | $584.00 | $1,168.00 | $6.69 – $168.17 | 20 |
| X-ray knee ap standing bilateral CPT 73565 | $208.50 | $417.00 | $6.17 – $420.41 | 20 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $424.00 | $848.00 | $5.66 – $420.41 | 20 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $637.50 | $1,275.00 | $7.98 – $505.08 | 20 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $377.00 | $754.00 | $9.26 – $505.08 | 20 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $341.50 | $683.00 | $11.07 – $505.08 | 20 |
| X-ray mandible complete > 4 views CPT 70110 | $339.50 | $679.00 | $9.01 – $505.08 | 20 |
| X-ray mandible ltd <4 views CPT 70100 | $339.50 | $679.00 | $6.44 – $420.41 | 20 |
| X-ray nasal bones complete > 3 views CPT 70160 | $226.00 | $452.00 | $6.17 – $420.41 | 20 |
| X-ray neck soft tissue CPT 70360 | $226.50 | $453.00 | $6.44 – $420.41 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $359.00 | $718.00 | $6.44 – $420.41 | 20 |
| X-ray of mammary ducts CPT 77054 | $468.00 | $936.00 | $15.96 – $1,152.67 | 20 |
| X-ray optic foramina CPT 70190 | $234.50 | $469.00 | $7.98 – $420.41 | 20 |
| X-ray pelvis 1-2 views CPT 72170 | $269.00 | $538.00 | $6.17 – $201.98 | 20 |
| X-ray pelvis complete > 3 views CPT 72190 | $339.50 | $679.00 | $9.01 – $505.08 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,331.50 | $2,663.00 | $18.27 – $1,685.38 | 20 |
| X-ray ribs 2 views left CPT 71100 | $247.00 | $494.00 | $7.98 – $420.41 | 20 |
| X-ray ribs 3 views bilateral CPT 71110 | $341.50 | $683.00 | $10.04 – $505.08 | 20 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $384.50 | $769.00 | $9.52 – $505.08 | 20 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $347.50 | $695.00 | $11.58 – $505.08 | 20 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $438.50 | $877.00 | $7.98 – $505.08 | 20 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $212.00 | $424.00 | $6.17 – $420.41 | 20 |
| X-ray scapula complete (both sides) CPT 73010 | $410.00 | $820.00 | $6.44 – $505.08 | 20 |
| X-ray sella turcica CPT 70240 | $191.00 | $382.00 | $6.69 – $420.41 | 20 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $196.00 | $392.00 | $5.41 – $420.41 | 20 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $349.00 | $698.00 | $7.72 – $420.41 | 20 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,332.00 | $2,664.00 | $18.78 – $2,639.66 | 20 |
| X-ray skull < 4 views CPT 70250 | $643.00 | $1,286.00 | $6.44 – $505.08 | 20 |
| X-ray skull > 4 views complete CPT 70260 | $358.00 | $716.00 | $9.78 – $505.08 | 20 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $402.00 | $804.00 | $28.57 – $847.35 | 20 |
| X-ray small intestine follow-through study CPT 74248 | $234.50 | $469.00 | $24.96 – $159.87 | 20 |
| X-ray spine single view CPT 72020 | $160.50 | $321.00 | $5.66 – $420.41 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $269.00 | $538.00 | $7.72 – $420.41 | 20 |
| X-ray sternum > 2 views CPT 71120 | $228.00 | $456.00 | $6.95 – $420.41 | 20 |
| X-ray surgical specimen CPT 76098 | $1,210.50 | $2,421.00 | $11.32 – $2,639.66 | 20 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $372.00 | $744.00 | $18.78 – $847.35 | 20 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $275.00 | $550.00 | $8.49 – $420.41 | 20 |
| X-ray thoracic spine 2 views CPT 72070 | $341.50 | $683.00 | $7.20 – $505.08 | 20 |
| X-ray thoracic spine 3 views CPT 72072 | $341.50 | $683.00 | $7.98 – $505.08 | 20 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $208.50 | $417.00 | $7.47 – $420.41 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $283.50 | $567.00 | $9.26 – $420.41 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $569.00 | $1,138.00 | $11.32 – $505.08 | 20 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $397.00 | $794.00 | $5.66 – $168.17 | 20 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $208.50 | $417.00 | $4.63 – $168.17 | 20 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $472.00 | $944.00 | $31.66 – $847.35 | 20 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $425.00 | $850.00 | $28.57 – $847.35 | 20 |
| X-ray wrist 2 views (both sides) CPT 73100 | $196.00 | $392.00 | $5.92 – $168.17 | 20 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $259.50 | $519.00 | $20.84 – $847.35 | 20 |
| Ziconotide injection HCPCS J2278 | $26.50 | $53.00 | $10.79 – $54.61 | 14 |
| Zika virus igm antibody CPT 86794 | $129.50 | $259.00 | $15.93 – $85.28 | 20 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $13.13 | $26.26 | $16.10 – $16.10 | 1 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $44,800.00 | $89,600.00 | $33.92 – $171.67 | 13 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $225.00 | $450.00 | $11.90 – $11.90 | 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.