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 |
|---|---|---|---|---|
| Smear wet mount CPT 87210 | $87.00 | $174.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $40.50 | $81.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $12.75 | $25.50 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $6.00 | $12.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $57.87 | $115.74 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $686.73 | $1,373.46 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $35.50 | $71.00 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | $181.00 | $362.00 | not published | 0 |
| Speech audiometry complete CPT 92556 | $78.50 | $157.00 | not published | 0 |
| Speech recep thresh CPT 92555 | $28.50 | $57.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $697.50 | $1,395.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $367.50 | $735.00 | not published | 0 |
| Splenectomy total open 38100 CPT 38100 | $9,196.00 | $18,392.00 | not published | 0 |
| Splice spleen/kidney veins CPT 37181 | $2,502.50 | $5,005.00 | not published | 0 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $5.00 | $10.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $719.50 | $1,439.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | $341.50 | $683.00 | not published | 0 |
| Sputum specimen collection CPT 89220 | $168.00 | $336.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $120.50 | $241.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $113.00 | $226.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $123.50 | $247.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $233.00 | $466.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $194.50 | $389.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $139.50 | $279.00 | not published | 0 |
| Stimulants synthetic CPT 80371 | $5.00 | $10.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $18.00 | $36.00 | not published | 0 |
| Strapping of knee CPT 29530 | $18.50 | $37.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $11.50 | $23.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $27.00 | $54.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $246.50 | $493.00 | not published | 0 |
| Stress tte complete CPT 93351 | $83.00 | $166.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $751.50 | $1,503.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $112.50 | $225.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $112.50 | $225.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | $55.00 | $110.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $8.16 | $16.31 | $2.87 – $2.87 | 1 |
| Sugars single quant CPT 84378 | $520.00 | $1,040.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $236.50 | $473.00 | not published | 0 |
| Sulfonylurea screen qn-sendout CPT 80377 | $110.00 | $220.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $8.50 | $17.00 | $10.27 – $10.27 | 1 |
| Supprelin la implant HCPCS J9226 | $75,271.50 | $150,543.00 | $73,550.30 – $73,550.30 | 1 |
| Surg dx exam anorectal CPT 45990 | $234.50 | $469.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $26.00 | $52.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $62.00 | $124.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $65.00 | $130.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $1,342.00 | $2,684.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $820.00 | $1,640.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $650.50 | $1,301.00 | not published | 0 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $1,449.50 | $2,899.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $444.00 | $888.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $84.00 | $168.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $22.60 | $45.20 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $462.00 | $924.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $29.00 | $58.00 | not published | 0 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,250.50 | $2,501.00 | not published | 0 |
| Synch audio-only est high 40 CPT 98015 | $130.50 | $261.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $88.50 | $177.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $33.00 | $66.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $160.00 | $320.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $77.00 | $154.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $122.00 | $244.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $44.50 | $89.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $951.62 | $1,903.23 | $15.05 – $15.05 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $21.00 | $42.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $158.00 | $316.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $94.50 | $189.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $84.00 | $168.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $53.50 | $107.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $2.50 | $5.00 | $2.85 – $2.85 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $183.00 | $366.00 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,982.50 | $5,965.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,087.50 | $2,175.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,600.00 | $5,200.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $1,100.00 | $2,200.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $139.00 | $278.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $201.50 | $403.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $160.00 | $320.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $21.50 | $43.00 | $43.00 – $43.00 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $93.50 | $187.00 | $187.00 – $187.00 | 1 |
| Tc-99m medronate HCPCS A9503 | $160.00 | $320.00 | $61.59 – $61.59 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $855.50 | $1,711.00 | $1,283.16 – $1,283.16 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $160.00 | $320.00 | $49.17 – $49.17 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $121.50 | $243.00 | $34.04 – $34.04 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $740.00 | $1,480.00 | $740.00 – $740.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $252.00 | $504.00 | $168.00 – $168.00 | 1 |
| T cells absolute cd 4 count CPT 86361 | $32.00 | $64.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,101.00 | $2,202.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $54.00 | $108.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,434.04 | $22,868.07 | $252.63 – $252.63 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | $641.00 | $1,282.00 | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $642.00 | $1,284.00 | not published | 0 |
| Tenosynovectomy radic 26145 CPT 26145 | $546.50 | $1,093.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $248.50 | $497.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $0.47 | $0.93 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $625.50 | $1,251.00 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $33.50 | $67.00 | $30.67 – $30.67 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $46.00 | $92.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $30.50 | $61.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $79.50 | $159.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $38.50 | $77.00 | 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.