Supplies, drugs & other prices at Berkeley Medical Center

Martinsburg, WV · every code in this section with a posted price and a Medicare benchmark.

92 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $327.50 $655 1.0×
Admin hepatitis b vaccine (G0010) $38.50 $77 0.9×
Admin influenza virus vac (G0008) $31.50 $63 0.7×
Admin pneumococcal vaccine (G0009) $48 $96 1.1×
Alcohol/subs interv 15-30mn (G0396) $36.50 $73 1.0×
Annual alcohol screen 15 min (G0442) $38.75 $77.50 1.1×
Ascvd rsk mng clin stf pr mo (G0538) $104 $208 1.1×
Autolog prp not diab ulcer (G0460) $2,371.50 $4,743 1.2×
Behavior counsel obesity 15m (G0447) $117 $234 1.2×
Brief alcohol misuse counsel (G0443) $104 $208 1.1×
Ca screen;flexi sigmoidscope (G0104) $667.50 $1,335 0.7×
Ca screen;pelvic/breast exam (G0101) $40.25 $80.50 0.4×
Catheterize for urine spec (P9612) $13.50 $27 1.4×
Chemo extend iv infus w/pump (G0498) $1,315.75 $2,631.50 4.1×
Colon ca scrn not hi rsk ind (G0121) $343.75 $687.50 0.4×
Colorectal scrn; hi risk ind (G0105) $738.50 $1,477 0.8×
Covid-19 lab test non-cdc (U0002) $114.50 $229 2.2×
Cysto, litho, vacuum kidney (C9761)
unusually low: confirm this is the full procedure
$3,886.58 $7,773.16 0.4×
Depression screen annual (G0444) $22.50 $45 0.6×
Diab manage trn per indiv (G0108) $78 $156 1.4×
Diab manage trn ind/group (G0109) $39 $78 2.4×
Direct refer hospital observ (G0379) $444.75 $889.50 0.8×
Drug test def 1-7 classes (G0480) $75.50 $151 0.7×
Drug test def 15-21 classes (G0482) $168 $336 0.8×
Drug test def 22+ classes (G0483) $232 $464 0.9×
Drug test def 8-14 classes (G0481) $71 $142 0.5×
Elec stim other than wound (G0283) $52 $104 4.1×
Endo outlet restrict w/tube (C9785) $10,522 $21,044 1.0×
Esd endoscopy or colonoscopy (C9779) $1,680 $3,360 0.5×
Extraction erupted tooth/exr (D7140) $6,789 $13,578 10.9×
Hiv combination assay (G0475) $61 $122 2.5×
Home sleep test/type 3 porta (G0399) $277 $554 1.3×
Hospital outpt clinic visit (G0463) $92.25 $184.50 0.7×
Hpv combo assay ca screen (G0476) $73 $146 2.1×
Initial preventive exam (G0402) $68.50 $137 0.5×
Inj for sacroiliac jt anesth (G0260) $842.25 $1,684.50 1.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$11,640 $23,280 0.4×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
unusually low: confirm this is the full procedure
$3,360 $6,720 0.4×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
unusually low: confirm this is the full procedure
$3,360 $6,720 0.4×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
unusually low: confirm this is the full procedure
$8,941.50 $17,883 0.4×
Intens behave ther cardio dx (G0446) $43.50 $87 1.2×
Interro Device Evaluation Cardiac Modulj System (0418T) $49 $98 1.4×
Lev 1 hosp type b ed visit (G0380) $106 $212 1.5×
Liver Dis 10 Assays W/Nash (0003M) $361.06 $722.12 0.7×
Mra w/cont, abd (C8900) $1,375 $2,750 4.1×
Mra w/cont, chest (C8909) $1,375 $2,750 4.1×
Mra w/cont, pelvis (C8918) $1,375 $2,750 4.1×
Mra w/o fol w/cont, abd (C8902) $1,375 $2,750 4.1×
Mra w/o fol w/cont, chest (C8911) $1,375 $2,750 4.1×
Mra w/o fol w/cont, lwr ext (C8914) $947 $1,894 2.8×
Mra, w/o&w/dye, upper extr (C8936) $945 $1,890 2.8×
Mri w/o fol w/cont, breast, (C8908) $1,627.50 $3,255 4.8×
Mri w/o fol w/cont, brst, un (C8905) $1,129 $2,258 3.3×
Neuro csf prion prtn qual (0035U) $202 $404 0.4×
Njx pltlt plasma w/img harvest/preparation (0232T) $12,343.50 $24,687 28.6×
Obtaining screen pap smear (Q0091) $33.75 $67.50 1.2×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $310 $620 1.2×
Oth resp proc, group (G0239) $236 $472 6.5×
Oth resp proc, indiv (G0238) $68 $136 2.4×
Perc d-e cor revasc chro sin (C9607) $9,848 $19,696 0.6×
Perc d-e cor revasc t cabg s (C9604) $11,875 $23,750 1.1×
Perc d-e cor stent ather s (C9602) $9,848 $19,696 0.6×
Perc drug-el cor stent sing (C9600) $12,379.75 $24,759.50 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $5,776.50 $11,553 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$4,313.50 $8,627 0.4×
Ppps, initial visit (G0438) $182 $364 1.0×
Ppps, subseq visit (G0439) $106 $212 0.8×
Prefab stnlss steel crown pe (D2931) $7,081 $14,162 11.3×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $41.75 $83.50 1.2×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $49 $98 1.4×
Prostate biopsy, any mthd (G0416) $1,340 $2,680 3.9×
Psa screening (G0103) $82 $164 4.2×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,710.50 $5,421 1.4×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,546 $7,092 1.0×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,546 $7,092 1.0×
Repos Cardiac Modulj Transvenous Electrode (0415T) $933.50 $1,867 1.5×
Revasc intra lithotrip-stent (C9765) $21,752 $43,504 1.2×
Revasc intravasc lithotripsy (C9764) $10,876.50 $21,753 1.0×
Revasc lithotrip tibi/perone (C9772) $17,120 $34,240 1.5×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
unusually low: confirm this is the full procedure
$8,941.50 $17,883 0.4×
Scr c/v cyto,thinlayer,rescr (G0145) $57 $114 2.2×
Screen cerv/vag thin layer (G0123) $76.25 $152.50 3.8×
Sim ang w/prs cath rad emb (C8004) $7,965 $15,930 0.7×
Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis,… (0022U) $2,469 $4,938 1.3×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$8,979.50 $17,959 0.5×
Tomosynthesis, mammo (G0279) $57.50 $115 4.5×
Trauma respons w/hosp criti (G0390) $1,488.25 $2,976.50 1.2×
Tte w or w/o contr, cont ecg (C8930) $965 $1,930 1.3×
Tte w or wo fol wcon,doppler (C8929) $1,005.50 $2,011 1.3×
Unsched dialysis esrd pt hos (G0257) $701.50 $1,403 1.1×
Vasc emb/occ w/prs cath (C9797) $9,995.50 $19,991 0.6×
Visit to determ ldct elig (G0296) $104 $208 1.1×