Supplies, drugs & other prices at Braxton County Memorial Hospital
Gassaway, WV · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $45 | $90 | 1.0× |
| Admin influenza virus vac (G0008) | $45 | $90 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $45 | $90 | 1.0× |
| Alcohol/subs interv 15-30mn (G0396) | $36 | $72 | 1.0× |
| Autolog prp not diab ulcer (G0460) | $1,976.50 | $3,953 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $97.50 | $195 | 1.0× |
| Catheterize for urine spec (P9612) | $18.50 | $37 | 2.0× |
| Covid-19 lab test non-cdc (U0002) | $104.50 | $209 | 2.0× |
| Depression screen annual (G0444) | $36 | $72 | 1.0× |
| Direct refer hospital observ (G0379) | $570.50 | $1,141 | 1.0× |
| Drug test def 1-7 classes (G0480) | $95.50 | $191 | 0.8× |
| Drug test def 15-21 classes (G0482) | $165 | $330 | 0.8× |
| Drug test def 22+ classes (G0483) | $41 | $82 | 0.2× |
| Drug test def 8-14 classes (G0481) | $90 | $180 | 0.6× |
| Fecal blood scrn immunoassay (G0328) | $109 | $218 | 6.0× |
| Hiv combination assay (G0475) | $85 | $170 | 3.5× |
| Hospital outpt clinic visit (G0463) | $25 | $50 | 0.2× |
| Hpv combo assay ca screen (G0476) | $71 | $142 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $681.50 | $1,363 | 1.0× |
| Intens behave ther cardio dx (G0446) | $39.50 | $79 | 1.1× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Obtaining screen pap smear (Q0091) | $44.50 | $89 | 1.6× |
| Ppps, initial visit (G0438) | $155.50 | $311 | 0.9× |
| Ppps, subseq visit (G0439) | $122.50 | $245 | 0.9× |
| Psa screening (G0103) | $42.50 | $85 | 2.2× |
| Risk ascvd tst once pr 12 mo (G0537) | $36 | $72 | 1.0× |
| Screen cerv/vag thin layer (G0123) | $68 | $136 | 3.4× |
| Tomosynthesis, mammo (G0279) | $59 | $118 | 4.6× |
| Trauma respons w/hosp criti (G0390) | $1,395.50 | $2,791 | 1.1× |
| Tte w or wo fol wcon,doppler (C8929) | $1,302 | $2,604 | 1.7× |
| Visit to determ ldct elig (G0296) | $86.50 | $173 | 0.9× |