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 |
|---|---|---|---|---|
| Rpr fem hernia init blocked CPT 49553 | $681.50 | $1,363.00 | not published | 0 |
| Rpr ing hernia init reduce CPT 49500 | $445.00 | $890.00 | not published | 0 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $813.50 | $1,627.00 | not published | 0 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,037.00 | $2,074.00 | not published | 0 |
| Rpr rem hernia init reduce CPT 49550 | $623.50 | $1,247.00 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $373.00 | $746.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $105.50 | $211.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $83.50 | $167.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $83.50 | $167.00 | not published | 0 |
| Same day nb discharge 99463 CPT 99463 | $111.00 | $222.00 | not published | 0 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $157.50 | $315.00 | $244.53 – $244.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $58.50 | $117.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $117.00 | $234.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $157.50 | $315.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $80.00 | $160.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $116.00 | $232.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $43.00 | $86.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | $106.00 | $212.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,015.50 | $2,031.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $771.50 | $1,543.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $247.50 | $495.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $111.00 | $222.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $275.50 | $551.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $683.50 | $1,367.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $617.00 | $1,234.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $518.00 | $1,036.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $454.00 | $908.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $63.50 | $127.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $610.00 | $1,220.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,403.00 | $2,806.00 | not published | 0 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $62.00 | $124.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $232.50 | $465.00 | not published | 0 |
| Screening pap smear by phys HCPCS P3001 | $41.00 | $82.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $111.00 | $222.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $24.00 | $48.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $435.75 | $871.50 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $881.00 | $1,762.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $12.50 | $25.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $56.00 | $112.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $37.00 | $74.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $104.00 | $208.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $46.50 | $93.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $276.00 | $552.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $77.00 | $154.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $99.00 | $198.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $662.00 | $1,324.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $192.00 | $384.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $64.00 | $128.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $72.00 | $144.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $402.50 | $805.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $202.50 | $405.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $202.50 | $405.00 | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | $496.50 | $993.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $4,114.00 | $8,228.00 | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | $1,116.50 | $2,233.00 | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $593.50 | $1,187.00 | not published | 0 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $3,134.00 | $6,268.00 | not published | 0 |
| Sho arthrs srg prtl synvct CPT 29820 | $565.00 | $1,130.00 | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | $5,324.00 | $10,648.00 | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $5,566.00 | $11,132.00 | not published | 0 |
| Shorten radius or ulna CPT 25390 | $813.00 | $1,626.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $3,599.76 | $7,199.51 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,690.50 | $3,381.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $1,398.00 | $2,796.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,040.50 | $2,081.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23334 | $1,123.00 | $2,246.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23335 | $15,805.00 | $31,610.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $271.00 | $542.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $107.00 | $214.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $171.00 | $342.00 | not published | 0 |
| Sickling rbc CPT 85660 | $708.50 | $1,417.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $396.50 | $793.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $118.50 | $237.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $121.00 | $242.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $1,281.00 | $2,562.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $165.00 | $330.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $762.50 | $1,525.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | $203.50 | $407.00 | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $579.50 | $1,159.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $97.50 | $195.00 | not published | 0 |
| Sig w/tndsc balloon dilation CPT 45340 | $80.00 | $160.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | $78.50 | $157.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $174.30 | $348.60 | $219.62 – $219.62 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $886.00 | $1,772.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $896.00 | $1,792.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $617.50 | $1,235.00 | not published | 0 |
| Skel musc relaxant 3 or more CPT 80370 | $5.00 | $10.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $389.50 | $779.00 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $699.50 | $1,399.00 | not published | 0 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $116.50 | $233.00 | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | $1,517.50 | $3,035.00 | $1,907.17 – $1,907.17 | 1 |
| Sleep study unattended CPT 95806 | $353.00 | $706.00 | not published | 0 |
| Slitting of prepuce CPT 54001 | $147.00 | $294.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $29.50 | $59.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $266.50 | $533.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $163.00 | $326.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | $306.50 | $613.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $24.22 | $48.43 | not published | 0 |
| Smear gram stain CPT 87205 | $56.00 | $112.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $28.10 | $56.20 | 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.