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 |
|---|---|---|---|---|
| Ip/obs cnsltj new/est low 45 CPT 99253 | $102.50 | $205.00 | not published | 0 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $141.50 | $283.00 | not published | 0 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $191.00 | $382.00 | not published | 0 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $72.50 | $145.00 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.50 | $3.00 | $0.53 – $0.53 | 1 |
| Iron CPT 83540 | $33.00 | $66.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $140.20 | $280.40 | $0.36 – $0.36 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $107.50 | $215.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $394.50 | $789.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $137.50 | $275.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $420.00 | $840.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $405.00 | $810.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $140.00 | $280.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $584.00 | $1,168.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | $1,404.50 | $2,809.00 | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | $5.00 | $10.00 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $169.00 | $338.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $4.14 | $8.27 | $0.81 – $0.81 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $819.50 | $1,639.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $472.50 | $945.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $1,068.00 | $2,136.00 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $119.50 | $239.00 | $41.81 – $41.81 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $656.00 | $1,312.00 | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | $2,366.00 | $4,732.00 | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $436.50 | $873.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $8,700.00 | $17,400.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | $563.50 | $1,127.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | $13,050.00 | $26,100.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | $8,410.00 | $16,820.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $8,410.00 | $16,820.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | $728.00 | $1,456.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $886.50 | $1,773.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | $654.50 | $1,309.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | $798.00 | $1,596.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | $7,744.00 | $15,488.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | $1,294.50 | $2,589.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,690.50 | $3,381.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $1,398.00 | $2,796.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $1,040.50 | $2,081.00 | not published | 0 |
| Knee X-ray CPT 73564 | $324.00 | $648.00 | not published | 0 |
| Kras gene addl variants CPT 81276 | $98.00 | $196.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $98.00 | $196.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,822.00 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $22.74 | $45.48 | $0.31 – $0.31 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $29.00 | $58.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $7.00 | $14.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $35.00 | $70.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $91.50 | $183.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $1,409.00 | $2,818.00 | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $14,343.00 | $28,686.00 | $79.93 – $79.93 | 1 |
| Laparo ablate renal cyst CPT 50541 | $958.50 | $1,917.00 | not published | 0 |
| Laparo-asst vag hysterectomy CPT 58550 | $931.50 | $1,863.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $1,205.00 | $2,410.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $775.00 | $1,550.00 | not published | 0 |
| Laparo partial colectomy 44204 CPT 44204 | $18,415.00 | $36,830.00 | not published | 0 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $482.00 | $964.00 | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | $953.00 | $1,906.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $1,188.50 | $2,377.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $838.00 | $1,676.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $420.50 | $841.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $368.00 | $736.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $962.00 | $1,924.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $753.50 | $1,507.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $1,161.50 | $2,323.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $694.00 | $1,388.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $944.50 | $1,889.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $545.00 | $1,090.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $729.50 | $1,459.00 | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | $690.00 | $1,380.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $1,139.00 | $2,278.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $1,024.00 | $2,048.00 | not published | 0 |
| Laparoscopy tubal block 58671 CPT 58671 | $390.50 | $781.00 | not published | 0 |
| Laparo sling operation 51992 CPT 51992 | $880.00 | $1,760.00 | not published | 0 |
| Laparo urethral suspension CPT 51990 | $778.50 | $1,557.00 | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | $1,036.50 | $2,073.00 | not published | 0 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $1,378.00 | $2,756.00 | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | $1,763.00 | $3,526.00 | not published | 0 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $1,917.00 | $3,834.00 | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $2,078.50 | $4,157.00 | not published | 0 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $1,417.00 | $2,834.00 | not published | 0 |
| Lap colostomy 44188 CPT 44188 | $1,282.50 | $2,565.00 | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | $1,558.00 | $3,116.00 | not published | 0 |
| Lap enterolysis CPT 44180 | $1,036.50 | $2,073.00 | not published | 0 |
| Lap ing hernia repair init CPT 49650 | $19,575.00 | $39,150.00 | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | $607.50 | $1,215.00 | not published | 0 |
| Lap insert tunnel ip cath CPT 49324 | $415.50 | $831.00 | not published | 0 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $198.50 | $397.00 | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | $1,655.50 | $3,311.00 | not published | 0 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,848.00 | $3,696.00 | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,038.00 | $2,076.00 | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $1,202.00 | $2,404.00 | not published | 0 |
| Laps pelvic lymphadec CPT 38573 | $1,244.00 | $2,488.00 | not published | 0 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $203.50 | $407.00 | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $139.50 | $279.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $167.00 | $334.00 | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | $208.00 | $416.00 | not published | 0 |
| Laser surgery eye strands CPT 67031 | $351.50 | $703.00 | not published | 0 |
| Laser surgery of prostate CPT 52648 | $723.50 | $1,447.00 | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | $99.50 | $199.00 | not published | 0 |
| Lat retinacular release open CPT 27425 | $480.50 | $961.00 | 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.