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 |
|---|---|---|---|---|
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $606.50 | $1,213.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $853.00 | $1,706.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $606.50 | $1,213.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $708.00 | $1,416.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $24.50 | $49.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $87.50 | $175.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $77.50 | $155.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $23.50 | $47.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $60.50 | $121.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $218.00 | $436.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $189.00 | $378.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $719.00 | $1,438.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $2,334.00 | $4,668.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,396.00 | $2,792.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $67.50 | $135.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $6,715.50 | $13,431.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $97.50 | $195.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $78.50 | $157.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $87.00 | $174.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $4,060.00 | $8,120.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $871.50 | $1,743.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $507.50 | $1,015.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $191.00 | $382.00 | not published | 0 |
| Ghs optokenetic CPT 92544 | $123.50 | $247.00 | not published | 0 |
| Ghs oscillating trac CPT 92545 | $207.00 | $414.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $46.50 | $93.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $53.50 | $107.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | $47.00 | $94.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $22.00 | $44.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $65.00 | $130.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $62.50 | $125.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $53.00 | $106.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $25.00 | $50.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $279.50 | $559.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $175.00 | $350.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $341.00 | $682.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $25.00 | $50.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $8.00 | $16.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $96.00 | $192.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $167.50 | $335.00 | not published | 0 |
| Ghs refill of implantable pump CPT 95990 | $325.50 | $651.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $156.00 | $312.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $131.50 | $263.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,621.00 | $3,242.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $522.50 | $1,045.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $40.50 | $81.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $82.50 | $165.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $61.00 | $122.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $501.50 | $1,003.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $138.50 | $277.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $501.50 | $1,003.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $167.00 | $334.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $276.00 | $552.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $276.00 | $552.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $242.50 | $485.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $156.50 | $313.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $39.50 | $79.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $299.00 | $598.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $11.00 | $22.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $39.50 | $79.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $740.00 | $1,480.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $501.50 | $1,003.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $377.50 | $755.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $13.50 | $27.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $3,152.00 | $6,304.00 | not published | 0 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $502.50 | $1,005.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $173.50 | $347.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $112.50 | $225.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $409.29 | $818.58 | $310.81 – $310.81 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $204.60 | $409.20 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $30.50 | $61.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.50 | $21.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $38.00 | $76.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $81.00 | $162.00 | not published | 0 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $56.50 | $113.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $54.50 | $109.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $37.00 | $74.00 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $8,677.14 | $17,354.27 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $89.50 | $179.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $102.50 | $205.00 | not published | 0 |
| Gonioscopy CPT 92020 | $20.50 | $41.00 | not published | 0 |
| Goniotomy CPT 65820 | $806.00 | $1,612.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,686.00 | $3,372.00 | $1,004.87 – $1,004.87 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $119.50 | $239.00 | $50.16 – $50.16 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $10.00 | $20.00 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $119.50 | $239.00 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $2,358.51 | $4,717.02 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $119.50 | $239.00 | $64.45 – $64.45 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $238.50 | $477.00 | $171.22 – $171.22 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $119.50 | $239.00 | $224.93 – $224.93 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $119.50 | $239.00 | $74.25 – $74.25 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $119.50 | $239.00 | $239.00 – $239.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,256.00 | $2,512.00 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $156.50 | $313.00 | not published | 0 |
| Group health education CPT 99078 | $5.00 | $10.00 | not published | 0 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $2,076.50 | $4,153.00 | not published | 0 |
| Gstrst open wo constj tube CPT 43830 | $752.00 | $1,504.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $140.00 | $280.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $632.46 | $1,264.92 | 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.