Supplies, drugs & other prices at Potomac Valley Hospital
Keyser, WV · every code in this section with a posted price and a Medicare benchmark.
46 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) | $750.50 | $1,501 | 2.2× |
| Admin influenza virus vac (G0008) | $32.50 | $65 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $32.50 | $65 | 0.7× |
| Alcohol/subs interv 15-30mn (G0396) | $36 | $72 | 1.0× |
| Autolog prp not diab ulcer (G0460) | $1,976.50 | $3,953 | 1.0× |
| Behavior counsel obesity 15m (G0447) | $97.50 | $195 | 1.0× |
| Ca screen;pelvic/breast exam (G0101) | $101 | $202 | 1.0× |
| Catheterize for urine spec (P9612) | $10.75 | $21.50 | 1.2× |
| Chemo extend iv infus w/pump (G0498) | $500.50 | $1,001 | 1.6× |
| Covid-19 lab test non-cdc (U0002) | $81 | $162 | 1.6× |
| Depression screen annual (G0444) | $36 | $72 | 1.0× |
| Diab manage trn per indiv (G0108) | $47 | $94 | 0.8× |
| Diab manage trn ind/group (G0109) | $24 | $48 | 1.5× |
| Drug test def 1-7 classes (G0480) | $64 | $128 | 0.6× |
| Drug test def 15-21 classes (G0482) | $160 | $320 | 0.8× |
| Drug test def 22+ classes (G0483) | $232 | $464 | 0.9× |
| Drug test def 8-14 classes (G0481) | $143.50 | $287 | 0.9× |
| Elec stim other than wound (G0283) | $64.50 | $129 | 5.1× |
| Fecal blood scrn immunoassay (G0328) | $26 | $52 | 1.4× |
| Hiv combination assay (G0475) | $31.50 | $63 | 1.3× |
| Hospital outpt clinic visit (G0463) | $36.50 | $73 | 0.3× |
| Hpv combo assay ca screen (G0476) | $73.50 | $147 | 2.1× |
| Initial preventive exam (G0402) | $36.50 | $73 | 0.3× |
| Inj for sacroiliac jt anesth (G0260) | $676.50 | $1,353 | 1.0× |
| Intens behave ther cardio dx (G0446) | $36 | $72 | 1.0× |
| Mra w/cont, abd (C8900) | $904 | $1,808 | 2.7× |
| Mra w/cont, pelvis (C8918) | $829 | $1,658 | 2.5× |
| Mra w/o fol w/cont, abd (C8902) | $1,313 | $2,626 | 3.9× |
| Mri w/o fol w/cont, breast, (C8908) | $1,695.50 | $3,391 | 5.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,926.50 | $3,853 | 5.8× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $357 | $714 | 1.8× |
| Obtaining screen pap smear (Q0091) | $28 | $56 | 1.0× |
| Open insj/rplcmt integrated nstimj sys ptn subq (0816T) likely a partial charge, not the full procedure |
$3,493.50 | $6,987 | 0.2× |
| Oth resp proc, group (G0239) | $58.50 | $117 | 1.6× |
| Oth resp proc, indiv (G0238) | $39.50 | $79 | 1.4× |
| Ppps, initial visit (G0438) | $177 | $354 | 1.0× |
| Ppps, subseq visit (G0439) | $97.50 | $195 | 0.7× |
| Psa screening (G0103) | $48 | $96 | 2.5× |
| Revj/rmvl integrated nstimj sys ptn subcutaneous (0818T) | $2,843 | $5,686 | 0.8× |
| Risk ascvd tst once pr 12 mo (G0537) | $28 | $56 | 0.8× |
| Therapeutic procd strg endur (G0237) | $43 | $86 | 1.5× |
| Tomosynthesis, mammo (G0279) | $62.50 | $125 | 4.9× |
| Trauma respons w/hosp criti (G0390) | $1,277 | $2,554 | 1.0× |
| Tte w or wo fol wcon,doppler (C8929) | $1,336 | $2,672 | 1.8× |
| Visit to determ ldct elig (G0296) | $86.50 | $173 | 0.9× |