Summersville Regional Medical Center
400 Fairview Heights Rd, Summersville, WV · Wvumedicine · · NPI 1043778319
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 |
|---|---|---|---|---|
| Emb without cervical dilation 58100 CPT 58100 | $203.00 | $406.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $30.00 | $60.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $30.00 | $60.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $30.00 | $60.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $294.00 | $588.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $292.00 | $584.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $111.00 | $222.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $241.50 | $483.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $209.00 | $418.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | $91.50 | $183.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $75.00 | $150.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $2,412.50 | $4,825.00 | not published | 0 |
| Endovasc visc aorta 1 graft CPT 34841 | $1,267.50 | $2,535.00 | not published | 0 |
| Endovasc visc aorta 3 graft CPT 34843 | $1,492.50 | $2,985.00 | not published | 0 |
| Endovasc visc aorta 4 graft CPT 34844 | $1,605.00 | $3,210.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $217.50 | $435.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $144.00 | $288.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $191.50 | $383.00 | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | $95.50 | $191.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $190.50 | $381.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $15.82 | $31.64 | $1.12 – $1.12 | 1 |
| Enterectomy small intestine addl 44121 CPT 44121 | $258.50 | $517.00 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $4,595.50 | $9,191.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $1,479.50 | $2,959.00 | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $1,511.50 | $3,023.00 | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $1,734.50 | $3,469.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $26.50 | $53.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,360.00 | $2,720.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $254.50 | $509.00 | not published | 0 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $28.50 | $57.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $16.40 | $32.80 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $12.06 | $24.12 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $160.50 | $321.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $4.00 | $8.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $535.04 | $1,070.07 | $12.90 – $12.90 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $24.00 | $48.00 | $14.67 – $14.67 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $19.50 | $39.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $40.00 | $80.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $93.50 | $187.00 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $2,741.75 | $5,483.49 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $33.77 | $67.53 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $127.00 | $254.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $184.00 | $368.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $415.00 | $830.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $654.00 | $1,308.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,020.50 | $2,041.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $27.50 | $55.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $122.50 | $245.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $106.00 | $212.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $91.00 | $182.00 | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | $165.00 | $330.00 | not published | 0 |
| Esoph balloon distension tst CPT 91040 | $49.50 | $99.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $945.50 | $1,891.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $28.00 | $56.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $38.50 | $77.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $72.00 | $144.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $105.50 | $211.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $157.00 | $314.00 | not published | 0 |
| Estradiol total CPT 82670 | $184.00 | $368.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $40.55 | $81.10 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $7.00 | $14.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $828.50 | $1,657.00 | $1,639.00 – $1,639.00 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $501.50 | $1,003.00 | $210.05 – $210.05 | 1 |
| Euglobulin lysis CPT 85360 | $66.00 | $132.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $356.00 | $712.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $154.00 | $308.00 | not published | 0 |
| Event monitor CPT 93270 | $53.50 | $107.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $29.00 | $58.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $18.50 | $37.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $306.50 | $613.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $12.00 | $24.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $111.00 | $222.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $580.00 | $1,160.00 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $739.50 | $1,479.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $491.50 | $983.00 | not published | 0 |
| Exc abdl tum deep < 5 cm CPT 22900 | $605.50 | $1,211.00 | not published | 0 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $714.50 | $1,429.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $1,547.00 | $3,094.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,986.00 | $3,972.00 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $385.50 | $771.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $788.50 | $1,577.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $328.50 | $657.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,635.00 | $3,270.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,865.00 | $5,730.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,635.00 | $3,270.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $2,216.50 | $4,433.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,092.00 | $2,184.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,683.50 | $3,367.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $2,436.00 | $4,872.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,501.50 | $3,003.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $3,538.50 | $7,077.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,276.00 | $6,552.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $682.50 | $1,365.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $709.50 | $1,419.00 | not published | 0 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $565.50 | $1,131.00 | not published | 0 |
| Exc excessive skin leg CPT 15833 | $916.00 | $1,832.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $332.00 | $664.00 | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | $243.51 | $487.02 | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $547.00 | $1,094.00 | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $864.50 | $1,729.00 | not published | 0 |
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.