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 |
|---|---|---|---|---|
| Allergy injection; single 95115 CPT 95115 | $45.00 | $90.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $3.50 | $7.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $119.50 | $239.00 | $187.57 – $187.57 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $0.01 | $0.01 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $1,785.35 | $3,570.70 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $119.50 | $239.00 | $225.18 – $225.18 | 1 |
| All tstg perq&iq drugs/biol CPT 95018 | $60.00 | $120.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $28.50 | $57.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $78.50 | $157.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $9.50 | $19.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $12,124.70 | $24,249.39 | $146.80 – $146.80 | 1 |
| Alt/sgpt CPT 84460 | $25.00 | $50.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $124.50 | $249.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $142.00 | $284.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.00 | $2.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid hcl top HCPCS J7308 | $590.00 | $1,180.00 | $647.33 – $647.33 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $31.80 | $63.60 | $10.68 – $10.68 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $3.11 | $6.21 | $1.35 – $1.35 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | $11.00 | $22.00 | not published | 0 |
| Ammonia CPT 82140 | $98.50 | $197.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $500.50 | $1,001.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $696.50 | $1,393.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $20.00 | $40.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $5.00 | $10.00 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $3.35 | $6.70 | $1.67 – $1.67 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $13.96 | $27.92 | $2.92 – $2.92 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $441.00 | $882.00 | not published | 0 |
| Amputate leg at thigh CPT 27592 | $721.00 | $1,442.00 | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | $780.00 | $1,560.00 | not published | 0 |
| Amputation follow-up surgery CPT 25931 | $814.50 | $1,629.00 | not published | 0 |
| Amputation follow-up surgery CPT 27884 | $615.00 | $1,230.00 | not published | 0 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $961.00 | $1,922.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $689.50 | $1,379.00 | not published | 0 |
| Amputation of lower leg CPT 27882 | $632.00 | $1,264.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $739.50 | $1,479.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $182.00 | $364.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,264.00 | $6,528.00 | not published | 0 |
| Amylase CPT 82150 | $237.00 | $474.00 | not published | 0 |
| Analgesics non-opioid 6/more CPT 80331 | $5.00 | $10.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $45.00 | $90.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $38.00 | $76.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $423.50 | $847.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $537.00 | $1,074.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $124.50 | $249.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $110.00 | $220.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $99.00 | $198.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $180.50 | $361.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $154.00 | $308.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $7.00 | $14.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $708.50 | $1,417.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | $672.00 | $1,344.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | $482.00 | $964.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | $518.00 | $1,036.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $588.00 | $1,176.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | $1,051.50 | $2,103.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $243.00 | $486.00 | not published | 0 |
| Annual alcohol screen 15 min HCPCS G0442 | $9.50 | $19.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $112.00 | $224.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $126.00 | $252.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $110.00 | $220.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $123.50 | $247.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $9.00 | $18.00 | not published | 0 |
| Anoscopy CPT 46611 | $84.00 | $168.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $402.00 | $804.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $68.50 | $137.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $91.00 | $182.00 | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | $84.50 | $169.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $102.50 | $205.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $643.50 | $1,287.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $780.00 | $1,560.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $87.50 | $175.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $455.00 | $910.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $183.50 | $367.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $45.00 | $90.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $10.00 | $20.00 | not published | 0 |
| Anticoag mgmt pt warfarin CPT 93793 | $11.50 | $23.00 | not published | 0 |
| Antidepressant not specified CPT 80338 | $5.00 | $10.00 | not published | 0 |
| Antidepressants class 6/more CPT 80334 | $5.00 | $10.00 | not published | 0 |
| Antiepileptics nos 7/more CPT 80341 | $5.00 | $10.00 | not published | 0 |
| Antigen therapy services CPT 95165 | $3.50 | $7.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $32.00 | $64.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $67.00 | $134.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $76.50 | $153.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $56.50 | $113.00 | not published | 0 |
| Antipsychotics nos 7/more CPT 80344 | $5.00 | $10.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $5.00 | $10.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $59.00 | $118.00 | not published | 0 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $917.50 | $1,835.00 | not published | 0 |
| Appendectomy CPT 44950 | $691.50 | $1,383.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $94.00 | $188.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $945.00 | $1,890.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $8,265.00 | $16,530.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $236.00 | $472.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $59.50 | $119.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $156.50 | $313.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $205.00 | $410.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $46.50 | $93.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $17.50 | $35.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $129.00 | $258.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $296.00 | $592.00 | 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.