Supplies, drugs & other prices at Charleston Area Medical Center
Charleston, WV · every code in this section with a posted price and a Medicare benchmark.
240 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d cephalometric image (D0340) | $106 | $106 | 1.3× |
| 2d tee w or w/o fol w/con,in (C8925) | $3,922 | $3,922 | 5.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $3,019 | $3,019 | 4.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $952 | $952 | 2.8× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) range across 2 matching MRF lines |
$620–$5,982 | $620–$5,982 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) range across 3 matching MRF lines |
$1,735–$6,347 | $1,735–$6,347 | varies |
| Adm of soc dtr assess 5-15 m (G0136) range across 2 matching MRF lines |
$25–$26 | $25–$26 | varies |
| Adm tocilizu covid-19 1st (M0249) | $947 | $947 | 2.2× |
| Adm tocilizu covid-19 2nd (M0250) | $947 | $947 | 2.2× |
| Admin hepatitis b vaccine (G0010) range across 3 matching MRF lines |
$59–$94 | $59–$94 | varies |
| Admin influenza virus vac (G0008) | $94 | $94 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $94 | $94 | 2.1× |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$88–$120 | $88–$120 | varies |
| Alcohol/subs interv >30 min (G0397) | $170 | $170 | 1.0× |
| Alveoloplasty not w/extracts (D7321) | $174 | $174 | 0.1× |
| Alveoloplasty w/extract 1-3 (D7311) | $97 | $97 | 0.1× |
| Alveoplasty w/ extraction (D7310) | $353 | $353 | 0.2× |
| Alveoplasty w/o extraction (D7320) | $572 | $572 | 0.4× |
| Amalgam 4 or > surfaces perm (D2161) | $327 | $327 | 0.5× |
| Amalgam one surface permanen (D2140) | $179 | $179 | 0.3× |
| Amalgam three surfaces perma (D2160) | $270 | $270 | 0.4× |
| Amalgam two surfaces permane (D2150) | $221 | $221 | 0.4× |
| Annual alcohol screen 15 min (G0442) range across 2 matching MRF lines |
$25–$65 | $25–$65 | varies |
| Ant resin-based cmpst crown (D2390) | $549 | $549 | 0.9× |
| Apicoectomy - anterior (D3410) | $961 | $961 | 1.5× |
| Auto tissue graft 1st tooth (D4273) | $1,116 | $1,116 | 0.7× |
| Behavior counsel obesity 15m (G0447) range across 2 matching MRF lines |
$83–$97 | $83–$97 | varies |
| Bio mtrls to aid soft/os reg (D4265) | $214 | $214 | 0.3× |
| Bitewings four images (D0274) | $61 | $61 | 0.3× |
| Brief alcohol misuse counsel (G0443) | $83 | $83 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $243 | $243 | 2.5× |
| Chemo extend iv infus w/pump (G0498) | $618 | $618 | 2.0× |
| Closd rductn splint alveolus (D7670) | $1,463 | $1,463 | 0.5× |
| Colon ca scrn not hi rsk ind (G0121) | $630 | $630 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $630 | $630 | 0.7× |
| Comprehensve oral evaluation (D0150) | $125 | $125 | 1.0× |
| Cone beam ct both jaws (D0383) | $2,596 | $2,596 | 25.9× |
| Cone beam ct capt & interp (D0364) | $475 | $475 | 4.7× |
| Cone beam ct capt mandible (D0381) | $2,596 | $2,596 | 25.9× |
| Cone beam ct capt maxilla (D0382) | $2,596 | $2,596 | 25.9× |
| Cone beam ct capture limited (D0380) | $2,596 | $2,596 | 25.9× |
| Cone beam ct capture tmj (D0384) | $2,596 | $2,596 | 25.9× |
| Cone beam ct interp both jaw (D0367) | $475 | $475 | 4.7× |
| Cone beam ct interprete man (D0365) | $475 | $475 | 4.7× |
| Cone beam ct interprete max (D0366) | $475 | $475 | 4.7× |
| Cone beam ct interprete tmj (D0368) | $475 | $475 | 4.7× |
| Coronectomy (D7251) | $659 | $659 | 0.4× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $5,291 | $5,291 | 1.3× |
| Cysto impl 4 or more (C9740) likely a partial charge, not the full procedure |
$1,200 | $1,200 | 0.1× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$1,151 | $1,151 | 0.1× |
| Cystoscopy prostatic imp 1-3 (C9739) likely a partial charge, not the full procedure |
$800 | $800 | 0.2× |
| Dental bitewing single image (D0270) | $27 | $27 | 0.3× |
| Dental bitewings two images (D0272) | $43 | $43 | 0.5× |
| Dental prophylaxis adult (D1110) | $119 | $119 | 0.9× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$25–$65 | $25–$65 | varies |
| Dermal filler injection(s) (G0429) | $152 | $152 | 0.1× |
| Devlopment test interpt&rep (G0451) | $23 | $23 | 0.2× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$148–$245 | $148–$245 | varies |
| Diab manage trn ind/group (G0109) range across 3 matching MRF lines |
$42–$151 | $42–$151 | varies |
| Direct refer hospital observ (G0379) | $776 | $776 | 1.4× |
| Drug test def 1-7 classes (G0480) range across 97 matching MRF lines |
$34–$714 | $34–$714 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$64–$1,223 | $64–$1,223 | varies |
| Drug test def 22+ classes (G0483) | $1,520 | $1,520 | 6.2× |
| Drug test def 8-14 classes (G0481) range across 3 matching MRF lines |
$135–$965 | $135–$965 | varies |
| Ed svc ckd grp per session (G0421) | $71 | $71 | 2.6× |
| Ed svc ckd ind per session (G0420) | $297 | $297 | 2.6× |
| Ekg tracing for initial prev (G0404) | $50 | $50 | 1.8× |
| Elec stim other than wound (G0283) | $271 | $271 | 21.4× |
| End thxpy, anterior tooth (D3310) | $992 | $992 | 1.6× |
| End thxpy, molar tooth (D3330) | $1,369 | $1,369 | 2.2× |
| End thxpy, premolar tooth (D3320) | $1,156 | $1,156 | 1.9× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) range across 2 matching MRF lines |
$5,500–$56,969 | $5,500–$56,969 | varies |
| Esd endoscopy or colonoscopy (C9779) | $558 | $558 | 0.2× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) range across 3 matching MRF lines |
$18,950–$29,120 | $18,950–$29,120 | varies |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $12,066 | $12,066 | 2.1× |
| Exposure of unerupted tooth (D7280) | $306 | $306 | 0.5× |
| Extensv oral eval prob focus (D0160) | $138 | $138 | 1.1× |
| Extraction coronal remnants (D7111) | $189 | $189 | 0.3× |
| Extraction erupted tooth/exr (D7140) | $210 | $210 | 0.3× |
| Extrnl counterpulse, per tx (G0166) | $1,047 | $1,047 | 8.2× |
| Fecal blood scrn immunoassay (G0328) | $33 | $33 | 1.8× |
| Fecal microbiota prep instil (G0455) | $205 | $205 | 0.2× |
| Full mouth debridement (D4355) | $229 | $229 | 0.4× |
| Gingivectomy/plasty 1 to 3 (D4211) | $377 | $377 | 0.1× |
| Gingivectomy/plasty 4 or mor (D4210) | $840 | $840 | 0.3× |
| Group mnt 2 or more 30 mins (G0271) | $142 | $142 | 8.3× |
| Guided tiss regen resorble (D4266) range across 2 matching MRF lines |
$757–$1,349 | $757–$1,349 | varies |
| Hbot, full body chamber, 30m (G0277) range across 3 matching MRF lines |
$911–$964 | $911–$964 | varies |
| High inten beh couns std 30m (G0445) | $82 | $82 | 0.8× |
| Hiv combination assay (G0475) | $37 | $37 | 1.5× |
| Home sleep test/type 2 porta (G0398) | $324 | $324 | 1.6× |
| Home sleep test/type 3 porta (G0399) range across 2 matching MRF lines |
$250–$960 | $250–$960 | varies |
| Home sleep test/type 4 porta (G0400) range across 2 matching MRF lines |
$122–$169 | $122–$169 | varies |
| Hospital outpt clinic visit (G0463) range across 45 matching MRF lines |
$253–$508 | $253–$508 | varies |
| I&d absc intraoral soft tiss (D7510) | $286 | $286 | 0.4× |
| I&d abscess extraoral (D7520) | $517 | $517 | 0.8× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 6 matching MRF lines |
$69–$1,339 | $69–$1,339 | varies |
| Impact tooth rem bony w/comp (D7241) | $684 | $684 | 1.1× |
| Impact tooth remov comp bony (D7240) | $632 | $632 | 1.0× |
| Impact tooth remov part bony (D7230) | $543 | $543 | 0.9× |
| Impact tooth remov soft tiss (D7220) | $424 | $424 | 0.7× |
| Incision/drain abscess intra (D7511) | $105 | $105 | 0.2× |
| Initial care training 30 m (G0539) | $126 | $126 | 2.4× |
| Initial foot exam pt lops (G0245) | $214 | $214 | 1.7× |
| Initial preventive exam (G0402) | $342 | $342 | 2.7× |
| Insertion of sinus tarsi implant (0335T) | $7,753 | $7,753 | 1.1× |
| Intens behave ther cardio dx (G0446) | $83 | $83 | 2.3× |
| Intens cardiac rehab no exer (G0423) range across 2 matching MRF lines |
$221–$235 | $221–$235 | varies |
| Intens cardiac rehab w/exerc (G0422) | $235 | $235 | 1.9× |
| Intraor comprehensive series (D0210) | $139 | $139 | 0.6× |
| Intraoral periapical first (D0220) | $29 | $29 | 0.3× |
| Lev 1 hosp type b ed visit (G0380) | $311 | $311 | 4.4× |
| Lev 2 hosp type b ed visit (G0381) | $731 | $731 | 8.2× |
| Lev 3 hosp type b ed visit (G0382) | $1,750 | $1,750 | 10.6× |
| Lev 4 hosp type b ed visit (G0383) | $3,083 | $3,083 | 12.2× |
| Lev 5 hosp type b ed visit (G0384) | $5,261 | $5,261 | 13.4× |
| Limit oral eval problm focus (D0140) | $112 | $112 | 0.9× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $1,065 | $1,065 | 2.1× |
| Mandible graft (D7950) | $3,330 | $3,330 | 0.6× |
| Mesial/distal wedge proc (D4274) | $165 | $165 | 0.3× |
| Mnt subs tx for change dx (G0270) range across 2 matching MRF lines |
$73–$85 | $73–$85 | varies |
| Mra w/cont, abd (C8900) | $3,656 | $3,656 | 10.9× |
| Mra w/cont, chest (C8909) | $3,743 | $3,743 | 11.2× |
| Mra w/cont, lwr ext (C8912) | $3,544 | $3,544 | 10.6× |
| Mra w/cont, pelvis (C8918) | $3,669 | $3,669 | 11.0× |
| Mra w/o cont, abd (C8901) | $4,801 | $4,801 | 21.0× |
| Mra w/o cont, chest (C8910) | $3,743 | $3,743 | 16.4× |
| Mra w/o cont, lwr ext (C8913) | $3,544 | $3,544 | 15.5× |
| Mra w/o cont, pelvis (C8919) | $3,557 | $3,557 | 15.5× |
| Mra w/o fol w/cont, abd (C8902) | $3,656 | $3,656 | 10.9× |
| Mra w/o fol w/cont, chest (C8911) | $3,854 | $3,854 | 11.5× |
| Mra w/o fol w/cont, lwr ext (C8914) | $3,544 | $3,544 | 10.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,669 | $3,669 | 11.0× |
| Mra, w/dye, upper extremity (C8934) | $2,498 | $2,498 | 7.5× |
| Mra, w/o dye, upper extr (C8935) | $2,498 | $2,498 | 10.9× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,498 | $2,498 | 7.5× |
| Mri w/o fol w/cont, breast, (C8908) | $7,205 | $7,205 | 21.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $6,079 | $6,079 | 18.2× |
| Njx platelet plasma (0232T) range across 3 matching MRF lines |
$166–$743 | $166–$743 | varies |
| Non-ophthalmic fva (C9733) | $3,921 | $3,921 | 11.7× |
| Obtaining screen pap smear (Q0091) | $115 | $115 | 4.1× |
| Occ guard, hard, full arch (D9944) | $652 | $652 | 1.1× |
| Occlusion analysis (D9950) | $291 | $291 | 0.5× |
| Off base opioid tx 70min (G2086) | $1,129 | $1,129 | 6.6× |
| Off base opioid tx, 60 m (G2087) | $1,064 | $1,064 | 6.2× |
| Open reduc compd alveolus fx (D7770) likely a partial charge, not the full procedure |
$1,344 | $1,344 | 0.2× |
| Open tx iliac spine uni/bil (G0412) unusually low: confirm this is the full procedure |
$2,608 | $2,608 | 0.4× |
| Oral antral fistula closure (D7260) | $2,035 | $2,035 | 3.3× |
| Osseous surg 1 to 3 teeth (D4261) | $1,172 | $1,172 | 0.4× |
| Oth resp proc, indiv (G0238) | $234 | $234 | 8.4× |
| Panoramic image (D0330) | $141 | $141 | 0.6× |
| Perc d-e cor revasc chro sin (C9607) range across 3 matching MRF lines |
$2,610–$55,023 | $2,610–$55,023 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 3 matching MRF lines |
$2,322–$73,941 | $2,322–$73,941 | varies |
| Perc d-e cor stent ather s (C9602) range across 3 matching MRF lines |
$2,606–$30,602 | $2,606–$30,602 | varies |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$2,326–$55,023 | $2,326–$55,023 | varies |
| Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without… (0274T) | $3,551 | $3,551 | 0.5× |
| Periodic oral evaluation (D0120) | $60 | $60 | 0.5× |
| Periodontal scaling & root (D4341) | $335 | $335 | 0.5× |
| Periodontal scaling 1-3teeth (D4342) | $245 | $245 | 0.4× |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) likely a partial charge, not the full procedure |
$281 | $281 | 0.0× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) range across 2 matching MRF lines |
$2,326–$16,153 | $2,326–$16,153 | varies |
| Place direct restoration (D2940) | $139 | $139 | 0.2× |
| Place intra-socket bio dress (D7922) | $53 | $53 | 0.1× |
| Post 1 srfc resinbased cmpst (D2391) | $223 | $223 | 0.4× |
| Post 2 srfc resinbased cmpst (D2392) | $290 | $290 | 0.5× |
| Post 3 srfc resinbased cmpst (D2393) | $367 | $367 | 0.6× |
| Post >=4srfc resinbase cmpst (D2394) | $434 | $434 | 0.7× |
| Post and core cast + crown (D2952) | $218 | $218 | 0.4× |
| Ppps, initial visit (G0438) range across 2 matching MRF lines |
$441–$447 | $441–$447 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$297–$351 | $297–$351 | varies |
| Prefab stnlss steel crown pe (D2931) | $412 | $412 | 0.7× |
| Prefab stnlss steel crwn pri (D2930) | $359 | $359 | 0.6× |
| Primary closure sinus perf (D7261) | $890 | $890 | 1.4× |
| Psa screening (G0103) range across 2 matching MRF lines |
$228–$248 | $228–$248 | varies |
| Rad exc lesion up to 1.25 cm (D7410) | $533 | $533 | 0.4× |
| Re-cement or re-bond crown (D2920) | $134 | $134 | 0.2× |
| Re-eval,est pt,problem focus (D0170) | $103 | $103 | 0.8× |
| Recement inlay onlay or part (D2910) | $118 | $118 | 0.2× |
| Rem exostosis any site (D7471) | $671 | $671 | 0.2× |
| Rem imp tooth w mucoper flp (D7210) | $346 | $346 | 0.2× |
| Rem nonodonto cyst > 1.25 cm (D7461) | $2,294 | $2,294 | 3.7× |
| Rem nonodonto cyst to 1.25cm (D7460) | $1,158 | $1,158 | 1.9× |
| Rem odontogen cyst > 1.25 cm (D7451) | $2,294 | $2,294 | 0.7× |
| Rem odontogen cyst to 1.25cm (D7450) | $1,150 | $1,150 | 0.4× |
| Removal and reinsertion of sinus tarsi implant (0511T) | $7,753 | $7,753 | 1.1× |
| Removal fb skin/areolar tiss (D7530) | $559 | $559 | 0.9× |
| Removal of fb reaction (D7540) | $963 | $963 | 1.6× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $189 | $189 | 1.0× |
| Removal of sloughed off bone (D7550) | $2,063 | $2,063 | 3.3× |
| Removal of torus palatinus (D7472) | $398 | $398 | 0.6× |
| Remove torus mandibularis (D7473) | $398 | $398 | 0.6× |
| Resin 4/> surf or w incis an (D2335) | $383 | $383 | 0.6× |
| Resin one surface-anterior (D2330) | $209 | $209 | 0.3× |
| Resin three surfaces-anterio (D2332) | $303 | $303 | 0.5× |
| Resin two surfaces-anterior (D2331) | $256 | $256 | 0.4× |
| Retreat root canal molar (D3348) | $1,571 | $1,571 | 2.5× |
| Revasc intra lithotrip-ather (C9766) | $26,763 | $26,763 | 1.5× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$3,661–$26,763 | $3,661–$26,763 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$2,322–$17,011 | $2,322–$17,011 | varies |
| Revasc lithotr-stent tib/per (C9773) likely a partial charge, not the full procedure |
$3,661 | $3,661 | 0.2× |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$3,661–$14,891 | $3,661–$14,891 | varies |
| Revasc lithotrip-stent-ather (C9767) | $26,763 | $26,763 | 1.5× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) range across 3 matching MRF lines |
$268–$5,291 | $268–$5,291 | varies |
| Root surgery molar (D3425) | $375 | $375 | 0.6× |
| Root surgery premolar (D3421) | $375 | $375 | 0.6× |
| Safety plan interven (G0560) | $118 | $118 | 2.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $211 | $211 | 8.0× |
| Screen cerv/vag thin layer (G0123) | $34 | $34 | 1.7× |
| Screen pap by tech w md supv (P3000) | $60 | $60 | 3.2× |
| Semen analysis (G0027) range across 2 matching MRF lines |
$20–$239 | $20–$239 | varies |
| Soft tissue graft firsttooth (D4277) | $924 | $924 | 0.6× |
| Space maintainer fxd unilat (D1510) | $462 | $462 | 0.7× |
| Splint intra-coronal (D4322) | $260 | $260 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) range across 2 matching MRF lines |
$1,866–$38,764 | $1,866–$38,764 | varies |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) range across 2 matching MRF lines |
$5,000–$10,621 | $5,000–$10,621 | varies |
| Therapeutic procd strg endur (G0237) | $208 | $208 | 7.5× |
| Therapeutic pulpotomy (D3220) | $267 | $267 | 0.4× |
| Therapeutic ultrafiltration (0692T) | $760 | $760 | 0.5× |
| Tomosynthesis, mammo (G0279) range across 5 matching MRF lines |
$111–$249 | $111–$249 | varies |
| Tooth pin retention (D2951) | $50 | $50 | 0.1× |
| Tooth reimplantation (D7270) | $369 | $369 | 0.6× |
| Tooth root removal (D7250) | $410 | $410 | 0.7× |
| Tpmt and Nudt15 Genotype (0034U) | $675 | $675 | 1.4× |
| Train for caregiver add 15 (G0540) | $68 | $68 | 2.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) range across 2 matching MRF lines |
$5,568–$16,505 | $5,568–$16,505 | varies |
| Transcatheter renal sympath denervation unilat (0338T) range across 3 matching MRF lines |
$5,568–$16,635 | $5,568–$16,635 | varies |
| Trauma respons w/hosp criti (G0390) | $5,582 | $5,582 | 4.4× |
| Treatment of complications (D9930) | $97 | $97 | 0.2× |
| Trluml perip athrc abd aorta (0236T) range across 3 matching MRF lines |
$10,645–$24,634 | $10,645–$24,634 | varies |
| Trluml Perip Athrc Iliac Art (0238T) range across 3 matching MRF lines |
$18,161–$35,236 | $18,161–$35,236 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) likely a partial charge, not the full procedure |
$1,841 | $1,841 | 0.2× |
| Tte w or w/o fol w/con,stres (C8928) | $2,485 | $2,485 | 3.3× |
| Tte w or wo fol wcon,doppler (C8929) | $4,028 | $4,028 | 5.4× |
| Unsched dialysis esrd pt hos (G0257) | $2,427 | $2,427 | 3.7× |
| Vasc emb/occ w/prs cath (C9797) range across 2 matching MRF lines |
$1,925–$20,310 | $1,925–$20,310 | varies |
| Vestibuloplasty exten graft (D7350) likely a partial charge, not the full procedure |
$1,565 | $1,565 | 0.3× |
| Vestibuloplasty ridge extens (D7340) likely a partial charge, not the full procedure |
$523 | $523 | 0.1× |
| Visit esketamine 56m or less (G2082) | $96 | $96 | 0.1× |
| Visit esketamine, > 56m (G2083) | $96 | $96 | 0.1× |
| Visit to determ ldct elig (G0296) | $69 | $69 | 0.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.