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 |
|---|---|---|---|---|
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $657.50 | $1,315.00 | not published | 0 |
| Ophthalmic biometry CPT 92136 | $137.50 | $275.00 | not published | 0 |
| Ophthalmic mitomycin HCPCS J7315 | $566.00 | $1,132.00 | not published | 0 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $118.50 | $237.00 | not published | 0 |
| Opn ax/subcla art expos CPT 34715 | $320.00 | $640.00 | not published | 0 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $2,142.50 | $4,285.00 | not published | 0 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $1,393.50 | $2,787.00 | not published | 0 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | $288.00 | $576.00 | not published | 0 |
| Opn ilac art expos cndt crtj CPT 34833 | $424.00 | $848.00 | not published | 0 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $640.50 | $1,281.00 | not published | 0 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $682.00 | $1,364.00 | not published | 0 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $5,850.00 | $11,700.00 | not published | 0 |
| Optx acute shoulder dislc CPT 23660 | $619.00 | $1,238.00 | not published | 0 |
| Optx carpl scphd fx int fixj CPT 25628 | $760.50 | $1,521.00 | not published | 0 |
| Optx clavicular fx w/int fix CPT 23515 | $16,095.00 | $32,190.00 | not published | 0 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $17,163.50 | $34,327.00 | not published | 0 |
| Optx medial ankle fx CPT 27766 | $14,511.50 | $29,023.00 | not published | 0 |
| Optx post ankle fx CPT 27769 | $799.00 | $1,598.00 | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | $21,605.00 | $43,210.00 | not published | 0 |
| Optx radial shaft fracture CPT 25515 | $709.50 | $1,419.00 | not published | 0 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $666.00 | $1,332.00 | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $994.00 | $1,988.00 | not published | 0 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $718.50 | $1,437.00 | not published | 0 |
| Optx scapular fx w/int fixj CPT 23585 | $1,075.00 | $2,150.00 | not published | 0 |
| Optx sho dislc fx CPT 23670 | $962.00 | $1,924.00 | not published | 0 |
| Optx thigh fx CPT 27269 | $1,291.50 | $2,583.00 | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | $21,605.00 | $43,210.00 | not published | 0 |
| Optx ulnar styloid fracture CPT 25652 | $661.00 | $1,322.00 | not published | 0 |
| Oral aprepitant HCPCS J8501 | $43.08 | $86.16 | $6.98 – $6.98 | 1 |
| Orchiectomy partial CPT 54522 | $614.00 | $1,228.00 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $454.50 | $909.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $279.00 | $558.00 | not published | 0 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $61.50 | $123.00 | $67.52 – $67.52 | 1 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $40.00 | $80.00 | $45.54 – $45.54 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $6.50 | $13.00 | $9.51 – $9.51 | 1 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $100.50 | $201.00 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | $293.79 | $587.58 | $215.56 – $215.56 | 1 |
| Osmolality blood CPT 83930 | $55.00 | $110.00 | not published | 0 |
| Osmolality urine CPT 83935 | $43.00 | $86.00 | not published | 0 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $332.00 | $664.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $47.50 | $95.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $86.50 | $173.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $86.50 | $173.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $86.50 | $173.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $50.00 | $100.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $66.00 | $132.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $49.50 | $99.00 | not published | 0 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $9.50 | $19.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $70.50 | $141.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $98.00 | $196.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $17.00 | $34.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $15.50 | $31.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $147.00 | $294.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $86.00 | $172.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $134.00 | $268.00 | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $1.50 | $3.00 | $1.73 – $1.73 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $34.55 | $69.09 | $0.12 – $0.12 | 1 |
| Palb2 gene full gene seq CPT 81307 | $126.00 | $252.00 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $21.50 | $43.00 | $23.63 – $23.63 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,731.00 | $5,462.00 | $560.47 – $560.47 | 1 |
| Palonosetron hcl HCPCS J2469 | $3.86 | $7.71 | $1.40 – $1.40 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $4.97 | $9.93 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $136.00 | $272.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $755.00 | $1,510.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $416.50 | $833.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $57.00 | $114.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $972.50 | $1,945.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $235.50 | $471.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $211.00 | $422.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $457.00 | $914.00 | not published | 0 |
| Partial hip replacement CPT 27125 | $1,248.00 | $2,496.00 | not published | 0 |
| Partial hysterectomy CPT 58180 | $1,016.50 | $2,033.00 | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | $1,169.00 | $2,338.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | $519.00 | $1,038.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $1,961.50 | $3,923.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $374.50 | $749.00 | not published | 0 |
| Partial removal leg bone(s) CPT 27360 | $943.00 | $1,886.00 | not published | 0 |
| Partial removal of eye fluid CPT 67005 | $476.00 | $952.00 | not published | 0 |
| Partial removal of eye fluid CPT 67010 | $544.00 | $1,088.00 | not published | 0 |
| Partial removal of fibula CPT 27641 | $691.00 | $1,382.00 | not published | 0 |
| Partial removal of foot bone CPT 28288 | $449.50 | $899.00 | not published | 0 |
| Partial removal of heart sac 33030 CPT 33030 | $2,133.00 | $4,266.00 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $1,577.50 | $3,155.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $748.00 | $1,496.00 | not published | 0 |
| Partial removal of thyroid CPT 60225 | $994.50 | $1,989.00 | not published | 0 |
| Partial removal of toe CPT 28160 | $277.00 | $554.00 | not published | 0 |
| Partial thyroid excision CPT 60210 | $753.00 | $1,506.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $8.00 | $16.00 | $4.21 – $4.21 | 1 |
| Part removal of metatarsal CPT 28110 | $307.00 | $614.00 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $3,134.00 | $6,268.00 | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | $326.00 | $652.00 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $333.50 | $667.00 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,348.40 | $12,696.79 | $83.62 – $83.62 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $30,634.44 | $61,268.88 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,423.50 | $2,847.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,182.00 | $2,364.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,037.00 | $2,074.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,690.50 | $3,381.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $1,040.50 | $2,081.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $393.00 | $786.00 | 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.