City Hospital, Inc.
City Hospital, Inc. in Martinsburg, WV publishes cash prices for 61 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
2500 Hospital Dr,Martinsburg,WV,25401 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,992.50 | $3,985.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,162.00 | $4,324.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $783.50 | $1,567.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $850.50 | $1,701.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $1,048.50 | $2,097.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,138.00 | $2,276.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $348.00 | $696.00 | 50% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $320.50 | $641.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $197.50 | $395.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $214.50 | $429.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $1,210.00 | $2,420.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,859.00 | $3,718.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $1,165.00 | $2,330.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,264.50 | $2,529.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,821.50 | $3,643.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,976.50 | $3,953.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $1,113.50 | $2,227.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,208.50 | $2,417.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $410.00 | $820.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $445.00 | $890.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $330.00 | $660.00 | 50% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $320.50 | $641.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $2,440.50 | $4,881.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $2,648.00 | $5,296.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $403.50 | $807.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $438.00 | $876.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $403.50 | $807.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $438.00 | $876.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $307.50 | $615.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $334.00 | $668.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $39.00 | $78.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $62.50 | $125.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $46.50 | $93.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $50.50 | $101.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $59.50 | $119.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $65.00 | $130.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $49.00 | $98.00 | 50% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $40.00 | $80.00 | 50% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $38.00 | $76.00 | 50% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $221.50 | $443.00 | 50% |
| Obstetric blood test panel CPT 80055 OBSTETRIC BLOOD TEST PANEL | $314.00 | $628.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $65.50 | $131.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $30.50 | $61.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $111.00 | $222.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $52.00 | $104.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $54.00 | $108.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $40.00 | $80.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $43.50 | $87.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $64.50 | $129.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $70.00 | $140.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $35.50 | $71.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $48.00 | $96.00 | 50% |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $16.50 | $33.00 | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $18.00 | $36.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $20.00 | $40.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $26.00 | $52.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $14.00 | $28.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 ULTRASOUND EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $527.00 | $1,054.00 | 50% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $340.00 | $680.00 | 50% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $923.34 | $1,846.67 | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $135.00 | $270.00 | 50% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $1,127.50 | $2,255.00 | 50% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $30,946.50 | $61,893.00 | 50% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $751.50 | $1,503.00 | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $6,445.50 | $12,891.00 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $811.50 | $1,623.00 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,262.50 | $2,525.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,169.50 | $2,339.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $1,299.50 | $2,599.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $1,590.00 | $3,180.00 | 50% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $3,139.00 | $6,278.00 | 50% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $4,674.50 | $9,349.00 | 50% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $6,935.00 | $13,870.00 | 50% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $14,350.00 | $28,700.00 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,032.00 | $2,064.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $421.67 | $843.34 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES | $178.50 | $357.00 | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $194.00 | $388.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES | $190.00 | $380.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $206.50 | $413.00 | 50% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $115.50 | $231.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $71.00 | $142.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $86.00 | $172.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $86.00 | $172.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $86.00 | $172.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $86.00 | $172.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $78.50 | $157.00 | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $67.00 | $134.00 | 50% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $73.00 | $146.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $78.50 | $157.00 | 50% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $85.50 | $171.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY; 30 MINUTES | $92.50 | $185.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $97.50 | $195.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY; 45 MINUTES | $138.50 | $277.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $145.50 | $291.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY; 1 HOUR | $76.00 | $152.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $91.00 | $182.00 | 50% |
Source file: https://wvumedicine.org/wp-content/uploads/2026/08/550383321_City-Hospital-Inc._standardcharges.csv