Supplies, drugs & other prices at Summersville Regional Medical Center
Summersville, WV · every code in this section with a posted price and a Medicare benchmark.
49 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) | $387 | $774 | 1.2× |
| Admin hepatitis b vaccine (G0010) | $34.50 | $69 | 0.8× |
| Admin influenza virus vac (G0008) | $34.50 | $69 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $34.50 | $69 | 0.8× |
| 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;flexi sigmoidscope (G0104) | $274.50 | $549 | 0.3× |
| Ca screen;pelvic/breast exam (G0101) | $90.50 | $181 | 0.9× |
| Catheterize for urine spec (P9612) | $57.75 | $115.50 | 6.2× |
| Chemo extend iv infus w/pump (G0498) | $309.50 | $619 | 1.0× |
| Colon ca scrn not hi rsk ind (G0121) | $579.50 | $1,159 | 0.6× |
| Colorectal scrn; hi risk ind (G0105) | $1,098 | $2,196 | 1.2× |
| Covid-19 lab test non-cdc (U0002) | $85.50 | $171 | 1.7× |
| Depression screen annual (G0444) | $36.75 | $73.50 | 1.0× |
| Diab manage trn per indiv (G0108) | $45.50 | $91 | 0.8× |
| Direct refer hospital observ (G0379) | $596.75 | $1,193.50 | 1.0× |
| Drug test def 1-7 classes (G0480) | $87 | $174 | 0.8× |
| Drug test def 15-21 classes (G0482) | $165 | $330 | 0.8× |
| Drug test def 22+ classes (G0483) | $232 | $464 | 0.9× |
| Drug test def 8-14 classes (G0481) | $129.25 | $258.50 | 0.8× |
| Elec stim other than wound (G0283) | $36 | $72 | 2.8× |
| Hiv combination assay (G0475) | $61 | $122 | 2.5× |
| Hospital outpt clinic visit (G0463) | $27.50 | $55 | 0.2× |
| Hpv combo assay ca screen (G0476) | $71 | $142 | 2.0× |
| Ig paraprotein qual bld/ur (0077U) | $160.80 | $321.60 | 3.7× |
| Initial preventive exam (G0402) | $141.50 | $283 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $687.25 | $1,374.50 | 1.0× |
| Intens behave ther cardio dx (G0446) | $37 | $74 | 1.0× |
| Lev 3 hosp type b ed visit (G0382) | $415 | $830 | 2.5× |
| Lev 4 hosp type b ed visit (G0383) | $608 | $1,216 | 2.4× |
| Mra w/cont, abd (C8900) | $639.50 | $1,279 | 1.9× |
| Mra w/o fol w/cont, abd (C8902) | $1,398 | $2,796 | 4.2× |
| Mri w/o fol w/cont, breast, (C8908) | $1,880.50 | $3,761 | 5.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,306.50 | $2,613 | 3.9× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) | $361.50 | $723 | 1.8× |
| Obtaining screen pap smear (Q0091) | $35 | $70 | 1.3× |
| Oth resp proc, group (G0239) | $48.75 | $97.50 | 1.4× |
| Pin service 60m per month (G0023) | $97.50 | $195 | 1.0× |
| Ppps, initial visit (G0438) | $143 | $286 | 0.8× |
| Ppps, subseq visit (G0439) | $112.50 | $225 | 0.8× |
| Psa screening (G0103) | $109.25 | $218.50 | 5.7× |
| Risk ascvd tst once pr 12 mo (G0537) | $36 | $72 | 1.0× |
| Screen cerv/vag thin layer (G0123) | $62.50 | $125 | 3.1× |
| Therapeutic procd strg endur (G0237) | $30.50 | $61 | 1.1× |
| Tomosynthesis, mammo (G0279) | $79 | $158 | 6.2× |
| Trauma respons w/hosp criti (G0390) | $1,380.50 | $2,761 | 1.1× |
| Trim nail(s) (G0127) | $77.50 | $155 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $982.50 | $1,965 | 1.3× |