Supplies, drugs & other prices at Reynolds Memorial Hospital
Glen Dale, WV · every code in this section with a posted price and a Medicare benchmark.
97 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,121 | $2,242 | 1.5× |
| 2d tte w or w/o fol w/con,fu (C8924) | $714.50 | $1,429 | 2.1× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $2,441 | $4,882 | 1.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $2,441 | $4,882 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $28.75 | $57.50 | 0.6× |
| Admin influenza virus vac (G0008) | $47 | $94 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $28.75 | $57.50 | 0.6× |
| Alcohol/subs interv 15-30mn (G0396) | $35.50 | $71 | 1.0× |
| Annual alcohol screen 15 min (G0442) | $58 | $116 | 1.6× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $78 | $156 | 2.5× |
| Ascvd rsk mng clin stf pr mo (G0538) | $104 | $208 | 1.1× |
| Autolog prp not diab ulcer (G0460) | $2,463.50 | $4,927 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $111.50 | $223 | 1.1× |
| Ca screen;pelvic/breast exam (G0101) | $55.50 | $111 | 0.6× |
| Catheterize for urine spec (P9612) | $16 | $32 | 1.7× |
| Chemo extend iv infus w/pump (G0498) | $1,292.50 | $2,585 | 4.1× |
| Collagen crosslinking cornea (0402T) | $3,996.50 | $7,993 | 1.8× |
| Colon ca scrn not hi rsk ind (G0121) | $932.50 | $1,865 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $760 | $1,520 | 0.9× |
| Covid-19 lab test non-cdc (U0002) | $125 | $250 | 2.4× |
| Depression screen annual (G0444) | $25.75 | $51.50 | 0.7× |
| Diab manage trn per indiv (G0108) | $55 | $110 | 1.0× |
| Diab manage trn ind/group (G0109) | $70 | $140 | 4.4× |
| Direct refer hospital observ (G0379) | $340.50 | $681 | 0.6× |
| Drug test def 1-7 classes (G0480) | $62.50 | $118 | 0.5× |
| Drug test def 15-21 classes (G0482) | $212.50 | $425 | 1.1× |
| Drug test def 22+ classes (G0483) | $348.50 | $697 | 1.4× |
| Drug test def 8-14 classes (G0481) | $149.50 | $299 | 1.0× |
| Elec stim other than wound (G0283) | $88.25 | $176.50 | 7.0× |
| Endo outlet restrict w/tube (C9785) | $9,959 | $19,918 | 1.0× |
| Fecal blood scrn immunoassay (G0328) | $121.50 | $243 | 6.7× |
| Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) | $1,097.50 | $2,195 | 1.5× |
| Group mnt 2 or more 30 mins (G0271) | $55.50 | $111 | 3.3× |
| Hiv combination assay (G0475) | $36.50 | $73 | 1.5× |
| Hospital outpt clinic visit (G0463) | $68 | $136 | 0.5× |
| Hpv combo assay ca screen (G0476) | $73.50 | $147 | 2.1× |
| Iliac Atherectomy (0238T) likely a partial charge, not the full procedure |
$3,222 | $6,444 | 0.2× |
| Initial preventive exam (G0402) | $109.50 | $219 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $1,358 | $2,716 | 2.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$10,478.50 | $20,957 | 0.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) unusually low: confirm this is the full procedure |
$3,025 | $6,050 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) unusually low: confirm this is the full procedure |
$3,025 | $6,050 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$8,049.50 | $16,099 | 0.4× |
| Intens behave ther cardio dx (G0446) | $38.50 | $77 | 1.1× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $47.50 | $95 | 1.3× |
| Liver Dis 10 Assays W/Nash (0003M) | $780 | $1,560 | 1.5× |
| Mnt subs tx for change dx (G0270) | $40.50 | $81 | 1.3× |
| Mra w/cont, chest (C8909) | $1,473.50 | $2,947 | 4.4× |
| Mra w/o fol w/cont, abd (C8902) | $703 | $1,406 | 2.1× |
| Neuro csf prion prtn qual (0035U) | $236.25 | $472.50 | 0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $409.50 | $819 | 2.0× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $1,610.50 | $3,221 | 1.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $2,529.25 | $5,058.50 | 5.9× |
| Obtaining screen pap smear (Q0091) | $43 | $86 | 1.5× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $310 | $620 | 1.2× |
| Oth resp proc, group (G0239) | $86 | $172 | 2.4× |
| Oth resp proc, indiv (G0238) | $172 | $344 | 6.2× |
| Perc drug-el cor stent sing (C9600) | $7,110.50 | $14,221 | 0.6× |
| 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) | $171.75 | $343.50 | 1.0× |
| Ppps, subseq visit (G0439) | $104.25 | $208.50 | 0.8× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $41.75 | $83.50 | 1.2× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $51 | $102 | 1.4× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $47.50 | $95 | 1.3× |
| Prolonged iv inf, req pump (C8957) | $568.50 | $1,137 | 2.8× |
| Psa screening (G0103) | $36 | $72 | 1.9× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,737 | $5,474 | 1.4× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $3,192 | $6,384 | 0.9× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $3,192 | $6,384 | 0.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $942.50 | $1,885 | 1.6× |
| Revasc intra lithotrip-ather (C9766) | $22,687 | $45,374 | 1.3× |
| Revasc intra lithotrip-stent (C9765) | $23,979 | $47,958 | 1.4× |
| Revasc intravasc lithotripsy (C9764) | $11,344.50 | $22,689 | 1.0× |
| Revasc lith-sten-ath tib/per (C9775) | $9,619.50 | $19,239 | 0.5× |
| Revasc lithotr-ather tib/per (C9774) | $9,619.50 | $19,239 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $9,619.50 | $19,239 | 0.5× |
| Revasc lithotrip tibi/perone (C9772) | $18,237.50 | $36,475 | 1.6× |
| Revasc lithotrip-stent-ather (C9767) | $36,499.50 | $72,999 | 2.1× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$8,049.50 | $16,099 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $75.50 | $151 | 2.9× |
| Screen cerv/vag thin layer (G0123) | $62 | $124 | 3.1× |
| Syphilis tst non-treponemal antibody ia qual rpr (0065U) | $9.50 | $19 | 0.5× |
| 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 2chmbr ldls pm r atr pm compnt (0796T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $2,669.50 | $5,339 | 0.9× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $2,669.50 | $5,339 | 0.9× |
| Tcat rmvl perm dual chamber ldls pm compl sys (0798T) | $2,669.50 | $5,339 | 0.9× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$7,698.50 | $15,397 | 0.4× |
| Therapeutic procd strg endur (G0237) | $66.75 | $133.50 | 2.4× |
| Tomosynthesis, mammo (G0279) | $40 | $80 | 3.2× |
| Trauma respons w/hosp criti (G0390) | $667.50 | $1,335 | 0.5× |
| Tte w or wo fol wcon,doppler (C8929) | $1,165.50 | $2,331 | 1.5× |
| Visit to determ ldct elig (G0296) | $104 | $208 | 1.1× |