Sistersville General Hospital
Sistersville General Hospital in Sistersville, WV publishes cash prices for 40 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
314 South Wells Street, Sistersville, WV 26175 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Head Brain W/O Stroke Alert | $976.57 | $1,627.62 | 40% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head Brain W/O Stroke Alert | $976.57 | $1,627.62 | 40% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis, W | $1,621.69 | $2,702.81 | 40% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis, W | $1,621.69 | $2,702.81 | 40% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mam Diag W Wo Cad Bilat | $296.08 | $493.47 | 40% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mam Diag W Wo Cad Bilat | $296.08 | $493.47 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee, Right, (Zimmer) | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee, Left, (Zimmer) | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Hip, Right, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Ankle, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Ankle, Right, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Hip, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Hip, Right, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Ankle, Right, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee, Right, (Zimmer) | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Hip, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee, Left, (Zimmer) | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Ankle, Left, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Ankle, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Knee, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Ankle, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Hip, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Knee, Left, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Hip, Right, W & W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain, W/O | $1,787.35 | $2,978.91 | 40% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain, W/O | $1,787.35 | $2,978.91 | 40% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain, W & W/O | $2,155.37 | $3,592.28 | 40% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain, W & W/O | $2,155.37 | $3,592.28 | 40% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine, W/O | $2,124.36 | $3,540.60 | 40% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine, W/O | $2,124.36 | $3,540.60 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Pelvis Ob | $346.85 | $578.08 | 40% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Pelvis Ob | $346.85 | $578.08 | 40% |
| Screening mammogram, both breasts both sides CPT 77067 Mam Screening W Wo Cad Bilat | $244.09 | $406.81 | 40% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Mam Screening W Wo Cad Bilat | $244.09 | $406.81 | 40% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+ | $2,133.58 | $3,555.96 | 40% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+ | $2,133.58 | $3,555.96 | 40% |
| Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal (Non Ob) | $420.24 | $700.40 | 40% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal (Non Ob) | $420.24 | $700.40 | 40% |
| Ultrasound of the abdomen, complete CPT 76700 Us Abd Complete | $420.24 | $700.40 | 40% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abd Complete | $420.24 | $700.40 | 40% |
| X-ray of the lower back, 4 or more views CPT 72110 Xr L-Spine W/Obliq, 4V | $360.25 | $600.41 | 40% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Xr L-Spine W/Obliq, 4V | $360.25 | $600.41 | 40% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Complete blood count (CBC) with differential CPT 85025 Cbc W/ Automated Differential | $54.68 | $91.13 | 40% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W/ Automated Differential | $54.68 | $91.13 | 40% |
| Complete blood count (CBC), no differential CPT 85027 Cbc: Automated Hemogram | $54.68 | $91.13 | 40% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc: Automated Hemogram | $54.68 | $91.13 | 40% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $74.08 | $123.46 | 40% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $74.08 | $123.46 | 40% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $75.46 | $125.76 | 40% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $75.46 | $125.76 | 40% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostatic Specific Antigen Tot | $69.42 | $115.70 | 40% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostatic Specific Antigen Tot | $69.42 | $115.70 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt | $14.32 | $23.87 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt-Lupus Anticoagulant Prof | $43.93 | $73.21 | 40% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt | $43.93 | $73.21 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt | $14.32 | $23.87 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt-Lupus Anticoagulant Prof | $43.93 | $73.21 | 40% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt | $43.93 | $73.21 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Quest Pitt - Pt | $10.22 | $17.04 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt | $10.22 | $17.04 | 40% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt/Inr | $45.88 | $76.46 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt | $10.22 | $17.04 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Quest Pitt - Pt | $10.22 | $17.04 | 40% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt/Inr | $45.88 | $76.46 | 40% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $115.69 | $192.82 | 40% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $115.69 | $192.82 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis,Auto W/Scope | $4.86 | $8.10 | 40% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $9.62 | $16.03 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis,Auto W/Scope | $4.86 | $8.10 | 40% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis | $9.62 | $16.03 | 40% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis, Nonauto W/Scope | $5.55 | $9.25 | 40% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis, Nonauto W/Scope | $5.55 | $9.25 | 40% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Nonauto W/O Scope | $4.80 | $8.00 | 40% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Nonauto W/O Scope | $4.80 | $8.00 | 40% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy W/Us Exam | $303.19 | $505.32 | 40% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy W/Us Exam | $303.19 | $505.32 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy | $234.99 | $391.65 | 40% |
| Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy W/Biopsy | $234.99 | $391.65 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Posterior Caps-Yag | $750.08 | $1,250.13 | 40% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Posterior Caps-Yag | $750.08 | $1,250.13 | 40% |
| Prostate biopsy CPT 55700 Biopsy,Prostate;Needl/Punch | $1,185.32 | $1,975.53 | 40% |
| Prostate biopsy inpatient CPT 55700 Biopsy,Prostate;Needl/Punch | $1,185.32 | $1,975.53 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Electrocardiogram,Complete | $49.01 | $81.68 | 40% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Electrocardiogram,Complete | $49.01 | $81.68 | 40% |
| Family therapy with the patient, 50 minutes CPT 90847 Family/Couple Therapy | $221.03 | $368.39 | 40% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Family/Couple Therapy | $221.03 | $368.39 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Ov New Pt Level Iii(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 30 minutes CPT 99203 Ov New Pt Level Iii(Prof) | $107.47 | $179.12 | 40% |
| New patient office visit, about 30 minutes CPT 99203 99203*Ov New Pt Level Iii | $170.70 | $284.50 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Ov New Pt Level Iii(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Ov New Pt Level Iii(Prof) | $107.47 | $179.12 | 40% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203*Ov New Pt Level Iii | $170.70 | $284.50 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Ov New Pt Level Iv(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 45 minutes CPT 99204 Ov New Pt Level Iv(Prof) | $185.40 | $309.00 | 40% |
| New patient office visit, about 45 minutes CPT 99204 99204*Ov New Pt Level Iv | $238.69 | $397.82 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Ov New Pt Level Iv(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Ov New Pt Level Iv(Prof) | $185.40 | $309.00 | 40% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204*Ov New Pt Level Iv | $238.69 | $397.82 | 40% |
| New patient office visit, about 60 minutes CPT 99205 Ov New Pt Level V(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 60 minutes CPT 99205 99205*Ov New Pt Level V | $289.33 | $482.21 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Ov New Pt Level V(Fac) | $69.95 | $116.58 | 40% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205*Ov New Pt Level V | $289.33 | $482.21 | 40% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385*Prv Visit Nw Pt 18-39Yrs | $210.43 | $350.72 | 40% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385*Prv Visit Nw Pt 18-39Yrs | $210.43 | $350.72 | 40% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386*Prv Visit,Nw Pt 40-64Yrs | $179.87 | $299.79 | 40% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386*Prv Visit,Nw Pt 40-64Yrs | $179.87 | $299.79 | 40% |
| Psychotherapy session, 30 minutes CPT 90832 Psytx Pt&/Family 30 Minutes | $161.29 | $268.81 | 40% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt&/Family 30 Minutes | $161.29 | $268.81 | 40% |
| Psychotherapy session, 45 minutes CPT 90834 Psytx Pt&/Family 45 Minutes | $188.57 | $314.28 | 40% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt&/Family 45 Minutes | $188.57 | $314.28 | 40% |
| Psychotherapy session, 60 minutes CPT 90837 Psytx Pt&/Family 60 Minutes | $243.11 | $405.18 | 40% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt&/Family 60 Minutes | $243.11 | $405.18 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Outpt Consult Level Iv | $241.46 | $402.43 | 40% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Outpt Consult Level Iv | $241.46 | $402.43 | 40% |
Source file: https://HospitalPriceDisclosure.com/Download.aspx?pi=ezKKe3b8wfY6RicI20GCow*-*