Williamson Memorial
Williamson Memorial in Williamson, WV publishes cash prices for 154 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the West Virginia median for 100 of 154 procedures and above it for 42. By typical cash price it ranks #3 of 27 West Virginia hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
859 Alderson Street, Williamson, WV 25661 Collected Sep 27, 2026 Source price file (304) 235-2500
Acute care hospital No emergency department CCN 510094 · CMS hospital register
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | 16% below | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 16% below | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR | $66.50 | $133.00 | $62.64–$126.35 | 82% below | 50% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS INC SCOUT 1 CONTR | $66.50 | $133.00 | $62.64–$126.35 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST (PE PROTOCOL) | $942.00 | $1,884.00 | $887.36–$1,789.80 | 30% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANG CHST W OR WO CONTR | $942.00 | $1,884.00 | $887.36–$1,789.80 | 30% below | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANG CHST W OR WO CONTR | $942.00 | $1,884.00 | $887.36–$1,789.80 | — | 50% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST (PE PROTOCOL) | $942.00 | $1,884.00 | $887.36–$1,789.80 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELVIS PO (ORAL) CONTRAST ONLY | $1,056.50 | $2,113.00 | $995.22–$2,007.35 | 21% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD+PELVIS WO CONTRAST | $1,056.50 | $2,113.00 | $995.22–$2,007.35 | 21% below | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD+PELVIS WO CONTRAST | $1,056.50 | $2,113.00 | $995.22–$2,007.35 | — | 50% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELVIS PO (ORAL) CONTRAST ONLY | $1,056.50 | $2,113.00 | $995.22–$2,007.35 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS PO (ORAL) & IV CONTRAST | $1,224.50 | $2,449.00 | $1,153.48–$2,326.55 | 30% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY | $1,224.50 | $2,449.00 | $1,153.48–$2,326.55 | 30% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD+PELVIS W/CONTRAST | $1,249.50 | $2,499.00 | $1,177.03–$2,374.05 | 28% below | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS PO (ORAL) & IV CONTRAST | $1,224.50 | $2,449.00 | $1,153.48–$2,326.55 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY | $1,224.50 | $2,449.00 | $1,153.48–$2,326.55 | — | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD+PELVIS W/CONTRAST | $1,249.50 | $2,499.00 | $1,177.03–$2,374.05 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD+PELVIS W+WO CONTRAST | $1,465.00 | $2,930.00 | $1,380.03–$2,783.50 | 16% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAPHY | $1,465.00 | $2,930.00 | $1,380.03–$2,783.50 | 16% below | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAPHY | $1,465.00 | $2,930.00 | $1,380.03–$2,783.50 | — | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD+PELVIS W+WO CONTRAST | $1,465.00 | $2,930.00 | $1,380.03–$2,783.50 | — | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W/CONTRAST | $857.00 | $1,714.00 | $807.29–$1,628.30 | 21% below | 50% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD PO (ORAL) & IV CONTRAST | $857.00 | $1,714.00 | $807.29–$1,628.30 | 21% below | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W/CONTRAST | $857.00 | $1,714.00 | $807.29–$1,628.30 | — | 50% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD PO (ORAL) & IV CONTRAST | $857.00 | $1,714.00 | $807.29–$1,628.30 | — | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD PO (ORAL) CONTRAST ONLY | $718.50 | $1,437.00 | $676.83–$1,365.15 | 5% below | 50% |
| CT scan of the abdomen without contrast CPT 74150 CT ABD WO ORAL+IV CONTRAST | $718.50 | $1,437.00 | $676.83–$1,365.15 | 5% below | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD PO (ORAL) CONTRAST ONLY | $718.50 | $1,437.00 | $676.83–$1,365.15 | — | 50% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO ORAL+IV CONTRAST | $718.50 | $1,437.00 | $676.83–$1,365.15 | — | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST | $651.00 | $1,302.00 | $613.24–$1,236.90 | 5% below | 50% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL W/O CONTRAST | $651.00 | $1,302.00 | $613.24–$1,236.90 | 5% below | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST | $651.00 | $1,302.00 | $613.24–$1,236.90 | — | 50% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL W/O CONTRAST | $651.00 | $1,302.00 | $613.24–$1,236.90 | — | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $648.50 | $1,297.00 | $610.89–$1,232.15 | 13% below | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $648.50 | $1,297.00 | $610.89–$1,232.15 | — | 50% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/IV CONTRAST | $803.00 | $1,606.00 | $756.43–$1,525.70 | 28% below | 50% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/IV CONTRAST | $803.00 | $1,606.00 | $756.43–$1,525.70 | — | 50% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/WO CONTRAST | $934.50 | $1,869.00 | $880.30–$1,775.55 | 23% below | 50% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W/WO CONTRAST | $934.50 | $1,869.00 | $880.30–$1,775.55 | — | 50% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO CONTRAST | $740.00 | $1,480.00 | $697.08–$1,406.00 | 14% below | 50% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE WO CONTRAST | $740.00 | $1,480.00 | $697.08–$1,406.00 | — | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE WO CONTRAST | $744.50 | $1,489.00 | $701.32–$1,414.55 | 9% below | 50% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE WO CONTRAST | $744.50 | $1,489.00 | $701.32–$1,414.55 | — | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $852.50 | $1,705.00 | $803.06–$1,619.75 | 19% below | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $852.50 | $1,705.00 | $803.06–$1,619.75 | — | 50% |
| Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS | $82.00 | $164.00 | $77.24–$155.80 | 56% below | 50% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS | $82.00 | $164.00 | $77.24–$155.80 | — | 50% |
| Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW | $75.00 | $150.00 | $70.65–$142.50 | 46% below | 50% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW | $75.00 | $150.00 | $70.65–$142.50 | — | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 XR BONE DENSITOMETRY AXIAL | $200.50 | $401.00 | $188.87–$380.95 | 38% below | 50% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 XR BONE DENSITOMETRY AXIAL | $200.50 | $401.00 | $188.87–$380.95 | — | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 XR BONE DENSITOMETRY PERIPHERL | $173.16 | $346.32 | $163.12–$329.00 | at median | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 XR BONE DENSITOMETRY PERIPHERL | $173.16 | $346.32 | $163.12–$329.00 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT HIGH-RESOLUTION CHEST W/O CONTRAST | $456.50 | $913.00 | $430.02–$867.35 | 42% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONTRAST | $456.50 | $913.00 | $430.02–$867.35 | 42% below | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONTRAST | $456.50 | $913.00 | $430.02–$867.35 | — | 50% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT HIGH-RESOLUTION CHEST W/O CONTRAST | $456.50 | $913.00 | $430.02–$867.35 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $824.50 | $1,649.00 | $776.68–$1,566.55 | 28% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT HIGH-RESOLUTION CHEST W/ CONTRAST | $824.50 | $1,649.00 | $776.68–$1,566.55 | 28% below | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT HIGH-RESOLUTION CHEST W/ CONTRAST | $824.50 | $1,649.00 | $776.68–$1,566.55 | — | 50% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W/CONTRAST | $824.50 | $1,649.00 | $776.68–$1,566.55 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/1 OBL LT | $55.50 | $111.00 | $52.28–$105.45 | 71% below | 50% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE AP/LAT/1 OBL RT | $55.50 | $111.00 | $52.28–$105.45 | 71% below | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/1 OBL LT | $55.50 | $111.00 | $52.28–$105.45 | — | 50% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE AP/LAT/1 OBL RT | $55.50 | $111.00 | $52.28–$105.45 | — | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LDCT FOR LUNG CA SCREENING | $725.00 | $1,450.00 | $682.95–$1,377.50 | 504% above | 50% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LDCT FOR LUNG CA SCREENING | $725.00 | $1,450.00 | $682.95–$1,377.50 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER MIN 2 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 11% below | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER COMP MIN 2 V RT | $159.50 | $319.00 | $150.25–$303.05 | 11% below | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER COMP MIN 2 V RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER MIN 2 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UP GI INC SCOUT+1 CONTRAST | $121.50 | $243.00 | $114.45–$230.85 | 66% below | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UP GI INC SCOUT+1 CONTRAST | $121.50 | $243.00 | $114.45–$230.85 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 11% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | 11% below | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3V W PLVS RT | $57.50 | $115.00 | $54.17–$109.25 | 69% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP UNI 2-3V W/PELVIS LT | $57.50 | $115.00 | $54.17–$109.25 | 69% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3V W/PELVIS LT | $57.50 | $115.00 | $54.17–$109.25 | — | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP UNI 2-3V W PLVS RT | $57.50 | $115.00 | $54.17–$109.25 | — | 50% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABD 1 VIEW | $42.00 | $84.00 | $39.56–$79.80 | 77% below | 50% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD 1 VIEW | $42.00 | $84.00 | $39.56–$79.80 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $51.00 | $102.00 | $48.04–$96.90 | 73% below | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $51.00 | $102.00 | $48.04–$96.90 | 73% below | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 8% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS MIN 2 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | 8% below | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS MIN 2 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $40.00 | $80.00 | $37.68–$76.00 | 75% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $40.00 | $80.00 | $37.68–$76.00 | 75% below | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT | $40.00 | $80.00 | $37.68–$76.00 | — | 50% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT | $40.00 | $80.00 | $37.68–$76.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 14% below | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | 14% below | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | 14% below | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | 14% below | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP MIN 3 VIEWS RT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND COMP MIN 3 VIEWS LT | $159.50 | $319.00 | $150.25–$303.05 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VIEWS LT | $51.00 | $102.00 | $48.04–$96.90 | 72% below | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1-2 VIEWS RT | $51.00 | $102.00 | $48.04–$96.90 | 72% below | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VIEWS LT | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1-2 VIEWS RT | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $72.00 | $144.00 | $67.82–$136.80 | 67% below | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2-3 VIEWS | $72.00 | $144.00 | $67.82–$136.80 | — | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE MIN 4 VIEW | $72.00 | $144.00 | $67.82–$136.80 | 75% below | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE MIN 4 VIEW | $72.00 | $144.00 | $67.82–$136.80 | — | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE 2 VIEWS | $51.00 | $102.00 | $48.04–$96.90 | 77% below | 50% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE 2 VIEWS | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3 VIEWS | $48.50 | $97.00 | $45.69–$92.15 | 74% below | 50% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MIN 3 VIEWS | $48.50 | $97.00 | $45.69–$92.15 | — | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C-SPINE 2-3 VIEWS | $51.00 | $102.00 | $48.04–$96.90 | 74% below | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C-SPINE 2-3 VIEWS | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VIEWS | $168.00 | $336.00 | $158.26–$319.20 | 7% below | 50% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VIEWS | $168.00 | $336.00 | $158.26–$319.20 | — | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM & COCCYX MIN 2 VIEW | $51.00 | $102.00 | $48.04–$96.90 | 71% below | 50% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM & COCCYX MIN 2 VIEW | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT OR ALT | $20.15 | $40.29 | $18.98–$38.28 | 31% below | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT OR ALT | $20.15 | $40.29 | $18.98–$38.28 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT OR AST | $20.15 | $40.29 | $18.98–$38.28 | 42% below | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT OR AST | $20.15 | $40.29 | $18.98–$38.28 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $71.50 | $143.00 | $67.35–$135.85 | 68% below | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $71.50 | $143.00 | $67.35–$135.85 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PANEL 1-12 | $7.50 | $15.00 | $7.07–$14.25 | 62% below | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN PANEL 1-12 | $7.50 | $15.00 | $7.07–$14.25 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Anti-CCP (Cyclic Citrullinated Peptide) IgG and IgA | $25.00 | $50.00 | $23.55–$47.50 | 38% below | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Anti-CCP (Cyclic Citrullinated Peptide) IgG and IgA | $25.00 | $50.00 | $23.55–$47.50 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR ANTIBODY | $59.50 | $119.00 | $56.05–$113.05 | 8% below | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR ANTIBODY | $59.50 | $119.00 | $56.05–$113.05 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-NATRIURETIC PEPTIDE | $120.00 | $240.00 | $113.04–$228.00 | at median | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-NATRIURETIC PEPTIDE | $120.00 | $240.00 | $113.04–$228.00 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL,TOTAL CA | $62.50 | $125.00 | $58.88–$118.75 | 49% above | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL,TOTAL CA | $62.50 | $125.00 | $58.88–$118.75 | — | 50% |
| Blood culture for bacteria CPT 87040 CULTURE BLOOD COMPONENT | $71.50 | $143.00 | $67.35–$135.85 | 9% below | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD COMPONENT | $71.50 | $143.00 | $67.35–$135.85 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE | $6.50 | $13.00 | $6.12–$12.35 | 38% below | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE | $6.50 | $13.00 | $6.12–$12.35 | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD | $27.00 | $54.00 | $25.43–$51.30 | 17% above | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD | $27.00 | $54.00 | $25.43–$51.30 | — | 50% |
| Blood lead test CPT 83655 LEAD BLOOD | $36.50 | $73.00 | $34.38–$69.35 | 301% above | 50% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $36.50 | $73.00 | $34.38–$69.35 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST URINE QUAL | $48.50 | $97.00 | $45.69–$92.15 | 20% above | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST URINE QUAL | $48.50 | $97.00 | $45.69–$92.15 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP | $51.00 | $102.00 | $48.04–$96.90 | at median | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP | $51.00 | $102.00 | $48.04–$96.90 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $37.50 | $75.00 | $35.33–$71.25 | 32% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $37.50 | $75.00 | $35.33–$71.25 | — | 50% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 | $22.50 | $45.00 | $21.20–$42.75 | 75% below | 50% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 | $22.50 | $45.00 | $21.20–$42.75 | — | 50% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $70.00 | $140.00 | $65.94–$133.00 | 37% below | 50% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 | $70.00 | $140.00 | $65.94–$133.00 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $51.50 | $103.00 | $48.51–$97.85 | 9% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY LCR TRACH AMP PRB | $51.50 | $103.00 | $48.51–$97.85 | 9% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYD TRACH DNA AMP PROBE | $51.50 | $103.00 | $48.51–$97.85 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY LCR TRACH AMP PRB | $51.50 | $103.00 | $48.51–$97.85 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $50.00 | $100.00 | $47.10–$95.00 | 20% below | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $50.00 | $100.00 | $47.10–$95.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC COMPLETE AUTOMATED | $44.00 | $88.00 | $41.45–$83.60 | at median | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC COMPLETE AUTOMATED | $44.00 | $88.00 | $41.45–$83.60 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF | $44.00 | $88.00 | $41.45–$83.60 | 6% above | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFF | $44.00 | $88.00 | $41.45–$83.60 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $62.50 | $125.00 | $58.88–$118.75 | 28% above | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $62.50 | $125.00 | $58.88–$118.75 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT | $64.00 | $128.00 | $60.29–$121.60 | at median | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT | $64.00 | $128.00 | $60.29–$121.60 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S | $93.00 | $186.00 | $87.61–$176.70 | at median | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S | $93.00 | $186.00 | $87.61–$176.70 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $54.50 | $109.00 | $51.34–$103.55 | 37% below | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $54.50 | $109.00 | $51.34–$103.55 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $92.00 | $184.00 | $86.66–$174.80 | 5% above | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $92.00 | $184.00 | $86.66–$174.80 | — | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $233.00 | $466.00 | $219.49–$442.70 | 191% above | 50% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $233.00 | $466.00 | $219.49–$442.70 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $75.00 | $150.00 | $70.65–$142.50 | at median | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $75.00 | $150.00 | $70.65–$142.50 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLATE SERUM | $44.00 | $88.00 | $41.45–$83.60 | 38% below | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM | $44.00 | $88.00 | $41.45–$83.60 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 T-3 FREE | $166.00 | $332.00 | $156.37–$315.40 | 91% above | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T-3 FREE | $166.00 | $332.00 | $156.37–$315.40 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE T4 EQUI DIALY | $52.50 | $105.00 | $49.46–$99.75 | 1% below | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE FREE T4 EQUI DIALY | $52.50 | $105.00 | $49.46–$99.75 | — | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $131.50 | $263.00 | $123.87–$249.85 | 126% above | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $131.50 | $263.00 | $123.87–$249.85 | — | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PC/50G | $54.50 | $109.00 | $51.34–$103.55 | 65% above | 50% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PC/50G | $54.50 | $109.00 | $51.34–$103.55 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL 1ST 3 SPECIMENS | $64.00 | $128.00 | $60.29–$121.60 | 8% below | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL 1ST 3 SPECIMENS | $64.00 | $128.00 | $60.29–$121.60 | — | 50% |
| H. pylori antibody blood test CPT 86677 H.PYLORI IGG | $25.50 | $51.00 | $24.02–$48.45 | 47% below | 50% |
| H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IGG | $25.50 | $51.00 | $24.02–$48.45 | — | 50% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN, STOOL | $75.00 | $150.00 | $70.65–$142.50 | 40% above | 50% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN, STOOL | $75.00 | $150.00 | $70.65–$142.50 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIRAL LOAD | $285.50 | $571.00 | $268.94–$542.45 | 7% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIRAL LOAD | $285.50 | $571.00 | $268.94–$542.45 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $34.00 | $68.00 | $32.03–$64.60 | 29% below | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $34.00 | $68.00 | $32.03–$64.60 | — | 50% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $63.00 | $126.00 | $59.35–$119.70 | 26% above | 50% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $63.00 | $126.00 | $59.35–$119.70 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $38.00 | $76.00 | $35.80–$72.20 | 27% below | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $38.00 | $76.00 | $35.80–$72.20 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY | $34.00 | $68.00 | $32.03–$64.60 | 34% below | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY | $34.00 | $68.00 | $32.03–$64.60 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN | $33.00 | $66.00 | $31.09–$62.70 | 42% below | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN | $33.00 | $66.00 | $31.09–$62.70 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $59.50 | $119.00 | $56.05–$113.05 | at median | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $59.50 | $119.00 | $56.05–$113.05 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUANT | $45.50 | $91.00 | $42.86–$86.45 | 78% below | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUANT | $45.50 | $91.00 | $42.86–$86.45 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX IGM | $46.50 | $93.00 | $43.80–$88.35 | at median | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX IGM | $46.50 | $93.00 | $43.80–$88.35 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN, HS | $39.00 | $78.00 | $36.74–$74.10 | 37% below | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN, HS | $39.00 | $78.00 | $36.74–$74.10 | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE | $245.00 | $490.00 | $230.79–$465.50 | 178% above | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE | $245.00 | $490.00 | $230.79–$465.50 | — | 50% |
| Insulin blood test CPT 83525 INSULIN | $36.50 | $73.00 | $34.38–$69.35 | 34% below | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN | $36.50 | $73.00 | $34.38–$69.35 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON, LIVER TISSUE | $18.00 | $36.00 | $16.96–$34.20 | 57% below | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON, LIVER TISSUE | $18.00 | $36.00 | $16.96–$34.20 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $44.50 | $89.00 | $41.92–$84.55 | 8% above | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $44.50 | $89.00 | $41.92–$84.55 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $122.50 | $245.00 | $115.40–$232.75 | 206% above | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $122.50 | $245.00 | $115.40–$232.75 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $37.04 | $74.08 | $34.89–$70.38 | 62% below | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $37.04 | $74.08 | $34.89–$70.38 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $44.00 | $88.00 | $41.45–$83.60 | at median | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $44.00 | $88.00 | $41.45–$83.60 | — | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $141.00 | $282.00 | $132.82–$267.90 | 271% above | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $141.00 | $282.00 | $132.82–$267.90 | — | 50% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $96.50 | $193.00 | $90.90–$183.35 | 227% above | 50% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY | $96.50 | $193.00 | $90.90–$183.35 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM | $6.50 | $13.00 | $6.12–$12.35 | 52% below | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $6.50 | $13.00 | $6.12–$12.35 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $18.00 | $36.00 | $16.96–$34.20 | 44% below | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM | $18.00 | $36.00 | $16.96–$34.20 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST | $35.00 | $70.00 | $32.97–$66.50 | at median | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST | $35.00 | $70.00 | $32.97–$66.50 | — | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $41.00 | $82.00 | $38.62–$77.90 | 32% below | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $41.00 | $82.00 | $38.62–$77.90 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $20.00 | $40.00 | $18.84–$38.00 | 69% below | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $20.00 | $40.00 | $18.84–$38.00 | — | 50% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP IMAGE GUIDED | $52.14 | $104.28 | $49.12–$99.07 | 38% below | 50% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 PAP IMAGE GUIDED | $52.14 | $104.28 | $49.12–$99.07 | — | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $8.50 | $17.00 | $8.01–$16.15 | 83% below | 50% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOPATH C/V THIN LAYER | $8.50 | $17.00 | $8.01–$16.15 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH BIO INTACT | $141.50 | $283.00 | $133.29–$268.85 | 7% below | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH BIO INTACT | $141.50 | $283.00 | $133.29–$268.85 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $23.50 | $47.00 | $22.14–$44.65 | 48% below | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $23.50 | $47.00 | $22.14–$44.65 | — | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $59.00 | $118.00 | $55.58–$112.10 | 45% below | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $59.00 | $118.00 | $55.58–$112.10 | — | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $149.50 | $299.00 | $140.83–$284.05 | 120% above | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $149.50 | $299.00 | $140.83–$284.05 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $23.50 | $47.00 | $22.14–$44.65 | 13% below | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $23.50 | $47.00 | $22.14–$44.65 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 PRS DRG IA VIS | $60.00 | $120.00 | $56.52–$114.00 | 71% above | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 PRS DRG IA VIS | $60.00 | $120.00 | $56.52–$114.00 | — | 50% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC | $27.50 | $55.00 | $25.91–$52.25 | 41% below | 50% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC | $27.50 | $55.00 | $25.91–$52.25 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 RA TITER | $9.00 | $18.00 | $8.48–$17.10 | 76% below | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA TITER | $9.00 | $18.00 | $8.48–$17.10 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA SPECIFIC IGM | $14.00 | $28.00 | $13.19–$26.60 | 78% below | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SPECIFIC IGM | $14.00 | $28.00 | $13.19–$26.60 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE AUTOMATED | $5.40 | $10.80 | $5.09–$10.26 | 68% below | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE AUTOMATED | $5.40 | $10.80 | $5.09–$10.26 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $52.50 | $105.00 | $49.46–$99.75 | 5% above | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $52.50 | $105.00 | $49.46–$99.75 | — | 50% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL | $20.50 | $41.00 | $19.31–$38.95 | 24% above | 50% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL | $20.50 | $41.00 | $19.31–$38.95 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL IMMUNOCHEMICAL TEST/FIT | $11.25 | $22.50 | $10.60–$21.38 | 69% below | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL IMMUNOCHEMICAL TEST/FIT | $11.25 | $22.50 | $10.60–$21.38 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR(QUAL) | $31.50 | $63.00 | $29.67–$59.85 | 12% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/RPR(QUAL) | $31.50 | $63.00 | $29.67–$59.85 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB | $123.96 | $247.92 | $116.77–$235.52 | 37% below | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB | $123.96 | $247.92 | $116.77–$235.52 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $101.00 | $202.00 | $95.14–$191.90 | 25% above | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $101.00 | $202.00 | $95.14–$191.90 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE ABS | $80.50 | $161.00 | $75.83–$152.95 | 3% above | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE ABS | $80.50 | $161.00 | $75.83–$152.95 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH THYROID STIM HORMONE | $50.00 | $100.00 | $47.10–$95.00 | 22% below | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH THYROID STIM HORMONE | $50.00 | $100.00 | $47.10–$95.00 | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID SER/BLD | $33.00 | $66.00 | $31.09–$62.70 | at median | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SER/BLD | $33.00 | $66.00 | $31.09–$62.70 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/MICRO | $4.50 | $9.00 | $4.24–$8.55 | 85% below | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/MICRO | $4.50 | $9.00 | $4.24–$8.55 | — | 50% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS ROUTINE | $12.50 | $25.00 | $11.78–$23.75 | 19% below | 50% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINALYSIS ROUTINE | $12.50 | $25.00 | $11.78–$23.75 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/O MICRO CALCULUS | $4.50 | $9.00 | $4.24–$8.55 | 75% below | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/O MICRO CALCULUS | $4.50 | $9.00 | $4.24–$8.55 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINE PH, NONAUTO W/MICRO | $6.96 | $13.92 | $6.56–$13.22 | 44% below | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE PH, NONAUTO W/MICRO | $6.96 | $13.92 | $6.56–$13.22 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE | $67.50 | $135.00 | $63.59–$128.25 | 9% above | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE | $67.50 | $135.00 | $63.59–$128.25 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $24.25 | $48.50 | $22.84–$46.08 | 15% above | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST | $24.25 | $48.50 | $22.84–$46.08 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B 12 | $87.00 | $174.00 | $81.95–$165.30 | 2% above | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B 12 | $87.00 | $174.00 | $81.95–$165.30 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH | $106.50 | $213.00 | $100.32–$202.35 | 49% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH | $106.50 | $213.00 | $100.32–$202.35 | — | 50% |
| Zinc blood test CPT 84630 ZINC URINE | $73.00 | $146.00 | $68.77–$138.70 | 103% above | 50% |
| Zinc blood test inpatient CPT 84630 ZINC URINE | $73.00 | $146.00 | $68.77–$138.70 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM | $48.50 | $97.00 | $45.69–$92.15 | 43% below | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT SERUM | $48.50 | $97.00 | $45.69–$92.15 | — | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ DX OR TX SUBS W/IMAGING | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | 23% above | 50% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ DX OR TX SUBS W/IMAGING | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | — | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | 19% above | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL W/IMAGING | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | — | 50% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | 34% above | 50% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE DIAGNOSTIC | $1,317.80 | $2,635.60 | $1,241.37–$2,503.82 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hand Held Neb Tx Initial | $22.50 | $45.00 | $21.20–$42.75 | 89% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Hand Held Neb Tx Subsequent | $85.00 | $170.00 | $80.07–$161.50 | 60% below | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hand Held Neb Tx Initial | $22.50 | $45.00 | $21.20–$42.75 | — | 50% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Hand Held Neb Tx Subsequent | $85.00 | $170.00 | $80.07–$161.50 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING | $99.50 | $199.00 | $93.73–$189.05 | 18% below | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM TRACING | $99.50 | $199.00 | $93.73–$189.05 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 TRIAGE MED ASSESSMENT ONLY | $34.00 | $68.00 | $32.03–$64.60 | 77% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER VISIT LEVEL 1 | $34.00 | $68.00 | $32.03–$64.60 | 77% below | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 TRIAGE MED ASSESSMENT ONLY | $34.00 | $68.00 | $32.03–$64.60 | — | 50% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER VISIT LEVEL 1 | $34.00 | $68.00 | $32.03–$64.60 | — | 50% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER VISIT LEVEL 2 | $92.50 | $185.00 | $87.14–$175.75 | 66% below | 50% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER VISIT LEVEL 2 | $92.50 | $185.00 | $87.14–$175.75 | — | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER VISIT LEVEL 3 | $112.50 | $225.00 | $105.98–$213.75 | 77% below | 50% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER VISIT LEVEL 3 | $112.50 | $225.00 | $105.98–$213.75 | — | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER VISIT LEVEL 4 | $162.50 | $325.00 | $153.08–$308.75 | 74% below | 50% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER VISIT LEVEL 4 | $162.50 | $325.00 | $153.08–$308.75 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER VISIT LEVEL 5 | $245.00 | $490.00 | $230.79–$465.50 | 74% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE EA ADD 30M | $245.00 | $490.00 | $230.79–$465.50 | 74% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $487.50 | $975.00 | $459.23–$926.25 | 49% below | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE EA ADD 30M | $245.00 | $490.00 | $230.79–$465.50 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER VISIT LEVEL 5 | $245.00 | $490.00 | $230.79–$465.50 | — | 50% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CRITICAL CARE 1ST 30-74M W/P | $487.50 | $975.00 | $459.23–$926.25 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRA UP TO 1HR 59 | $35.00 | $70.00 | $32.97–$66.50 | 85% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRA UP TO 1HR XU | $35.00 | $70.00 | $32.97–$66.50 | 85% below | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION IV HYDRATION UP TO 1 HOUR | $408.44 | $816.88 | $384.75–$776.04 | 72% above | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION IV HYDRA UP TO 1HR 59 | $35.00 | $70.00 | $32.97–$66.50 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION IV HYDRA UP TO 1HR XU | $35.00 | $70.00 | $32.97–$66.50 | — | 50% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION IV HYDRATION UP TO 1 HOUR | $408.44 | $816.88 | $384.75–$776.04 | — | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER UP TO 1 HR XU | $138.50 | $277.00 | $130.47–$263.15 | 48% below | 50% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION IV THER UP TO 1 HR 59 | $138.50 | $277.00 | $130.47–$263.15 | 48% below | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THER UP TO 1 HR 59 | $138.50 | $277.00 | $130.47–$263.15 | — | 50% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION IV THER UP TO 1 HR XU | $138.50 | $277.00 | $130.47–$263.15 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION (SC) (IM) | $134.24 | $268.48 | $126.45–$255.06 | 92% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION (SC) (IM) | $134.24 | $268.48 | $126.45–$255.06 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WHEELCHAIR EVAL - HIGH COMPLEXITY | $86.00 | $172.00 | $81.01–$163.40 | 54% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 45 | $113.74 | $227.47 | $107.14–$216.10 | 39% below | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WHEELCHAIR EVAL - HIGH COMPLEXITY | $86.00 | $172.00 | $81.01–$163.40 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY 45 | $113.74 | $227.47 | $107.14–$216.10 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION AND TREAT - LOW COMPLEXITY | $98.90 | $197.80 | $93.16–$187.91 | 47% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WHEELCHAIR EVAL- LOW COMPLEXITY | $98.90 | $197.80 | $93.16–$187.91 | 47% below | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WHEELCHAIR EVAL- LOW COMPLEXITY | $98.90 | $197.80 | $93.16–$187.91 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION AND TREAT - LOW COMPLEXITY | $98.90 | $197.80 | $93.16–$187.91 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION AND TREAT - MED COMPLEXITY | $24.00 | $48.00 | $22.61–$45.60 | 88% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WHEELCHAIR EVAL - MED COMPLEXITY | $113.74 | $227.47 | $107.14–$216.10 | 44% below | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION AND TREAT - MED COMPLEXITY | $24.00 | $48.00 | $22.61–$45.60 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WHEELCHAIR EVAL - MED COMPLEXITY | $113.74 | $227.47 | $107.14–$216.10 | — | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EXERCISE EA 15 MIN | $60.50 | $121.00 | $56.99–$114.95 | 14% below | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EXERCISE EA 15 MIN | $60.50 | $121.00 | $56.99–$114.95 | — | 50% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $85.00 | $170.00 | $80.07–$161.50 | 136% above | 50% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO USE COUNSEL 3-10 MIN | $85.00 | $170.00 | $80.07–$161.50 | — | 50% |
| Spirometry before and after a bronchodilator CPT 94060 PUL FUNCT TST PRE/POST | $200.00 | $400.00 | $188.40–$380.00 | 43% below | 50% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PUL FUNCT TST PRE/POST | $200.00 | $400.00 | $188.40–$380.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 97530 THERAPEUTIC ACTIVITY | $141.00 | $282.00 | $132.82–$267.90 | 84% above | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 97530 THERAPEUTIC ACTIVITY | $141.00 | $282.00 | $132.82–$267.90 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs West Virginia | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $134.24 | $268.48 | $126.45–$255.06 | 133% above | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ONE VACCINE | $134.24 | $268.48 | $126.45–$255.06 | — | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM EA ADDL VACCINE | $26.50 | $53.00 | $24.96–$50.35 | 1% above | 50% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM EA ADDL VACCINE | $26.50 | $53.00 | $24.96–$50.35 | — | 50% |