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 |
|---|---|---|---|---|
| Prenatal Care Only (7+ visits) CPT 59426 | $869.50 | $1,739.00 | not published | 0 |
| Prep corneal endo allograft CPT 65757 | $121.00 | $242.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $617.50 | $1,235.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $231.50 | $463.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $47.50 | $95.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $30.50 | $61.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $189.00 | $378.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $24.00 | $48.00 | not published | 0 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $48.50 | $97.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $248.00 | $496.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,582.00 | $3,164.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,635.00 | $3,270.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,139.00 | $2,278.00 | not published | 0 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $4,823.00 | $9,646.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $31.50 | $63.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $25.50 | $51.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $41.50 | $83.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $56.50 | $113.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $61.00 | $122.00 | not published | 0 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $188.50 | $377.00 | not published | 0 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $142.50 | $285.00 | not published | 0 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $91.00 | $182.00 | not published | 0 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $129.00 | $258.00 | not published | 0 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $86.00 | $172.00 | not published | 0 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $54.00 | $108.00 | not published | 0 |
| Prin care mgmt staff 1st 30 CPT 99426 | $50.50 | $101.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,410.50 | $2,821.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $1,911.00 | $3,822.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $306.50 | $613.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,092.00 | $2,184.00 | not published | 0 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $300.00 | $600.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $152.00 | $304.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $170.50 | $341.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,411.50 | $4,823.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $128.00 | $256.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $2,187.00 | $4,374.00 | not published | 0 |
| Procalcitonin CPT 84145 | $111.00 | $222.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $4.35 | $8.69 | $5.66 – $5.66 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $3.33 | $6.66 | $0.97 – $0.97 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $89.00 | $178.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $51.00 | $102.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | $91.00 | $182.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45309 | $96.50 | $193.00 | not published | 0 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $114.50 | $229.00 | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $76.50 | $153.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $108.00 | $216.00 | not published | 0 |
| Progesterone CPT 84144 | $146.00 | $292.00 | not published | 0 |
| Prolactin CPT 84146 | $68.00 | $136.00 | not published | 0 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $43.00 | $86.00 | not published | 0 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $85.50 | $171.00 | not published | 0 |
| Prolong service without contact CPT 99358 | $91.00 | $182.00 | not published | 0 |
| Prolong serv without contact add CPT 99359 | $37.50 | $75.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $0.75 | $1.50 | $0.46 – $0.46 | 1 |
| Promethazine hcl injection HCPCS J2550 | $5.50 | $11.00 | $5.92 – $5.92 | 1 |
| Proph rta dtchmnt pc CPT 67145 | $214.00 | $428.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $37.35 | $74.70 | $0.21 – $0.21 | 1 |
| _propoxygc/msur CPT 80367 | $132.00 | $264.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $175.50 | $351.00 | not published | 0 |
| Prostate ca screening; dre HCPCS G0102 | $9.00 | $18.00 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $760.50 | $1,521.00 | not published | 0 |
| Prostate laser enucleation CPT 52649 | $860.50 | $1,721.00 | not published | 0 |
| Prostatic microwave thermotx CPT 53850 | $370.00 | $740.00 | not published | 0 |
| Protein c activity CPT 85303 | $177.50 | $355.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $74.50 | $149.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $10.00 | $20.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $31.00 | $62.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $55.50 | $111.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $11,322.00 | $22,644.00 | $3.76 – $3.76 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $21.00 | $42.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $3,594.50 | $7,189.00 | not published | 0 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $97.50 | $195.00 | not published | 0 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $35.50 | $71.00 | not published | 0 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $827.00 | $1,654.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $1,365.00 | $2,730.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $158.50 | $317.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $392.50 | $785.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $515.67 | $1,031.33 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $236.50 | $473.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $242.50 | $485.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $242.50 | $485.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $253.50 | $507.00 | not published | 0 |
| Pr robotic surgical system HCPCS S2900 | $131.00 | $262.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $748.50 | $1,497.00 | not published | 0 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $41.00 | $82.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | $664.50 | $1,329.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,720.00 | $7,440.00 | not published | 0 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $18.00 | $36.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $89.50 | $179.00 | not published | 0 |
| Psychoanalysis CPT 90845 | $94.00 | $188.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $74.00 | $148.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $98.00 | $196.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $189.00 | $378.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $114.50 | $229.00 | not published | 0 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $69.50 | $139.00 | not published | 0 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $95.50 | $191.00 | not published | 0 |
| Psytx pt w/e&m 53+ min CPT 90838 | $189.00 | $378.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $71.50 | $143.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $18.50 | $37.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $49.50 | $99.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $49.50 | $99.00 | 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.