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 |
|---|---|---|---|---|
| Pelvic Ultrasound (limited) CPT 76857 | $390.50 | $781.00 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $34,692.48 | $69,384.96 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $10,534.05 | $21,068.10 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $28.00 | $56.00 | $29.01 – $29.01 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $840.50 | $1,680.99 | $35.85 – $35.85 | 1 |
| Penile injection CPT 54235 | $529.50 | $1,059.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,526.50 | $5,053.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $882.00 | $1,764.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $748.50 | $1,497.00 | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | $284.00 | $568.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $22.00 | $44.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $98.00 | $196.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $442.50 | $885.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $92.50 | $185.00 | not published | 0 |
| Perq skel fix ulnar styld fx CPT 25651 | $5,800.00 | $11,600.00 | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $285.50 | $571.00 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $13,915.98 | $27,831.96 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,502.50 | $3,005.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $1,502.50 | $3,005.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $4,948.75 | $9,897.50 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $23.50 | $47.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $33.00 | $66.00 | not published | 0 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $12.00 | $24.00 | not published | 0 |
| Ph body fluid CPT 83986 | $13.00 | $26.00 | not published | 0 |
| Phencyclidine (pcp) CPT 83992 | $77.00 | $154.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $96.47 | $192.93 | $51.86 – $51.86 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $93.00 | $186.00 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.25 | $4.50 | $0.02 – $0.02 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $15.49 | $30.98 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $83.50 | $167.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $129.00 | $258.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $285.50 | $571.00 | not published | 0 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $353.00 | $706.00 | not published | 0 |
| Phosphorus CPT 84100 | $30.50 | $61.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $30.50 | $61.00 | not published | 0 |
| Photopheresis CPT 36522 | $98.50 | $197.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $49.00 | $98.00 | not published | 0 |
| Physician standby services CPT 99360 | $59.50 | $119.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $32.89 | $65.78 | $4.79 – $4.79 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $577.00 | $1,154.00 | $957.58 – $957.58 | 1 |
| Pin finger dislocation CPT 26776 | $490.50 | $981.00 | not published | 0 |
| Pin finger fracture each CPT 26756 | $445.00 | $890.00 | not published | 0 |
| Pin hand dislocation CPT 26676 | $537.00 | $1,074.00 | not published | 0 |
| Pin knuckle dislocation CPT 26706 | $471.50 | $943.00 | not published | 0 |
| Pin service 60m per month HCPCS G0023 | $97.50 | $195.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $23.40 | $46.80 | $1.95 – $1.95 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $4,959.50 | $9,919.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $86.50 | $173.00 | not published | 0 |
| Placement of seton CPT 46020 | $123.50 | $247.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $105.50 | $211.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $356.00 | $712.00 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $23.00 | $46.00 | not published | 0 |
| Platelet automated CPT 85049 | $43.50 | $87.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $824.00 | $1,648.00 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $270.50 | $541.00 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $218.00 | $436.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $709.50 | $1,419.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $43.50 | $87.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $309.50 | $619.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $398.00 | $796.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $37.00 | $74.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $41.50 | $83.00 | not published | 0 |
| Pmp22 gene dup/delet CPT 81324 | $995.00 | $1,990.00 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $36.50 | $73.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $141.00 | $282.00 | not published | 0 |
| Positional nystagmus test CPT 92532 | $28.00 | $56.00 | not published | 0 |
| Postpartum Care Only CPT 59430 | $194.50 | $389.00 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $27.50 | $55.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $21.60 | $43.20 | $0.20 – $0.20 | 1 |
| Potassium serum/plasma/whole blood CPT 84132 | $30.00 | $60.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $39.00 | $78.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,055.00 | $10,110.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,740.50 | $3,481.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,481.50 | $6,963.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,481.50 | $6,963.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,683.50 | $3,367.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $156.00 | $312.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $321.00 | $642.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $53.50 | $107.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $590.00 | $1,180.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $624.00 | $1,248.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $403.00 | $806.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $42.50 | $85.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $308.00 | $616.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $261.50 | $523.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $169.00 | $338.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $192.50 | $385.00 | not published | 0 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $87.50 | $175.00 | not published | 0 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $123.50 | $247.00 | not published | 0 |
| Prealbumin CPT 84134 | $82.50 | $165.00 | not published | 0 |
| Pr ecg 12 lead report only CPT 93010 | $9.00 | $18.00 | not published | 0 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $18.50 | $37.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1.13 | $2.25 | $0.69 – $0.69 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.39 | $2.78 | $0.02 – $0.02 | 1 |
| Pregabalin - sendout CPT 80366 | $85.00 | $170.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $2,229.50 | $4,459.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $549.00 | $1,098.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $162.50 | $325.00 | not published | 0 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $106.00 | $212.00 | not published | 0 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $473.00 | $946.00 | 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.