Supplies, drugs & other prices at Jefferson Medical Center
Ranson, WV · every code in this section with a posted price and a Medicare benchmark.
32 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $342.50 | $685 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $25 | $50 | 0.5× |
| Admin influenza virus vac (G0008) | $25 | $50 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $25 | $50 | 0.5× |
| Alcohol/subs interv 15-30mn (G0396) | $36 | $72 | 0.9× |
| Ca screen;pelvic/breast exam (G0101) | $52 | $104 | 0.5× |
| Catheterize for urine spec (P9612) | $13 | $26 | 1.4× |
| Covid-19 lab test non-cdc (U0002) | $94.25 | $188.50 | 1.8× |
| Depression screen annual (G0444) | $26 | $52 | 0.7× |
| Direct refer hospital observ (G0379) | $485.50 | $971 | 0.8× |
| Drug test def 1-7 classes (G0480) | $96 | $192 | 0.8× |
| Drug test def 15-21 classes (G0482) | $160 | $320 | 0.8× |
| Drug test def 22+ classes (G0483) | $41 | $82 | 0.2× |
| Drug test def 8-14 classes (G0481) | $135.50 | $271 | 0.9× |
| Hiv combination assay (G0475) | $60.50 | $121 | 2.5× |
| Hospital outpt clinic visit (G0463) | $92.50 | $185 | 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) | $676.50 | $1,353 | 0.9× |
| Mra w/cont, chest (C8909) | $1,488 | $2,976 | 4.1× |
| Mra w/o fol w/cont, abd (C8902) | $1,403.50 | $2,807 | 3.9× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Obtaining screen pap smear (Q0091) | $28 | $56 | 0.9× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) unusually low: confirm this is the full procedure |
$6,332 | $12,664 | 0.5× |
| Ppps, initial visit (G0438) | $178 | $356 | 1.0× |
| Ppps, subseq visit (G0439) | $101.50 | $203 | 0.7× |
| Psa screening (G0103) | $75.50 | $151 | 3.9× |
| Risk ascvd tst once pr 12 mo (G0537) | $28 | $56 | 0.7× |
| Screen cerv/vag thin layer (G0123) | $66.50 | $133 | 3.3× |
| Tomosynthesis, mammo (G0279) | $66 | $132 | 5.2× |
| Trauma respons w/hosp criti (G0390) | $973 | $1,946 | 0.7× |
| Tte w or wo fol wcon,doppler (C8929) | $1,014 | $2,028 | 1.3× |