Supplies, drugs & other prices at Thomas Memorial Hospital
South Charleston, WV · every code in this section with a posted price and a Medicare benchmark.
149 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $901 | $1,802 | 1.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,289.50 | $2,579 | 1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 3 matching MRF lines |
$617.50–$664 | $1,235–$1,328 | varies |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$80.50–$87 | $161–$174 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$80.50–$87 | $161–$174 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$123–$132.50 | $246–$265 | varies |
| Alcohol/subs interv 15-30mn (G0396) | $42 | $84 | 1.2× |
| Arthro/shoul surg; w/spacer (C9781) range across 2 matching MRF lines |
$4,753.83–$7,211.50 | $9,507.66–$14,423 | varies |
| Ascvd rsk mng clin stf pr mo (G0538) | $104 | $208 | 1.1× |
| Autolog prp not diab ulcer (G0460) | $2,404.50 | $4,809 | 1.2× |
| Behavior counsel obesity 15m (G0447) | $117 | $234 | 1.2× |
| Bia whole body composition assessment w/i&r (0358T) | $33 | $66 | 1.2× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$52–$170.50 | $104–$341 | varies |
| Catheterize for urine spec (P9612) range across 3 matching MRF lines |
$44.50–$50.50 | $89–$101 | varies |
| Chemo extend iv infus w/pump (G0498) range across 2 matching MRF lines |
$384–$2,960.50 | $768–$5,921 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 4 matching MRF lines |
$1,077–$3,910.50 | $2,154–$7,821 | varies |
| Colorectal scrn; hi risk ind (G0105) | $2,988 | $5,976 | 3.3× |
| Covid-19 lab test non-cdc (U0002) range across 2 matching MRF lines |
$65–$81 | $130–$162 | varies |
| Cysto impl 4 or more (C9740) unusually low: confirm this is the full procedure |
$3,193 | $6,386 | 0.4× |
| Cystoscopy prostatic imp 1-3 (C9739) unusually low: confirm this is the full procedure |
$1,986.83 | $3,973.66 | 0.4× |
| Depression screen annual (G0444) range across 2 matching MRF lines |
$19.50–$24 | $39–$48 | varies |
| Diab manage trn per indiv (G0108) | $59.50 | $119 | 1.1× |
| Diab manage trn ind/group (G0109) | $63.50 | $127 | 4.0× |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$802–$862.50 | $1,604–$1,725 | varies |
| Drug test def 1-7 classes (G0480) range across 16 matching MRF lines |
$20–$238 | $40–$476 | varies |
| Drug test def 15-21 classes (G0482) range across 2 matching MRF lines |
$160–$393.50 | $320–$787 | varies |
| Drug test def 22+ classes (G0483) range across 2 matching MRF lines |
$41–$489 | $82–$978 | varies |
| Drug test def 8-14 classes (G0481) range across 2 matching MRF lines |
$90–$152 | $180–$304 | varies |
| Elec stim other than wound (G0283) range across 3 matching MRF lines |
$73–$77.50 | $146–$155 | varies |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $1,468 | $2,936 | 1.3× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $1,468 | $2,936 | 1.3× |
| Electrophysiologic Eval Icds W/Ss Electrode (0577T) | $1,468 | $2,936 | 1.3× |
| Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) | $35,890 | $71,780 | 0.8× |
| Extrnl counterpulse, per tx (G0166) | $207.50 | $415 | 1.6× |
| Fecal blood scrn immunoassay (G0328) | $29 | $58 | 1.6× |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$233.50–$816.50 | $467–$1,633 | varies |
| Group mnt 2 or more 30 mins (G0271) | $35 | $70 | 2.1× |
| Hbot, full body chamber, 30m (G0277) | $747.50 | $1,495 | 5.7× |
| Hiv combination assay (G0475) | $52.50 | $105 | 2.2× |
| Home sleep test/type 2 porta (G0398) | $243 | $486 | 1.2× |
| Home sleep test/type 3 porta (G0399) | $339 | $678 | 1.6× |
| Hospital outpt clinic visit (G0463) range across 6 matching MRF lines |
$67.50–$177 | $135–$354 | varies |
| Hpv combo assay ca screen (G0476) | $71 | $142 | 2.0× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) range across 2 matching MRF lines |
$198–$241 | $396–$482 | varies |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$71–$295.50 | $142–$591 | varies |
| Inj for sacroiliac jt anesth (G0260) range across 6 matching MRF lines |
$811.50–$2,320 | $1,623–$4,640 | varies |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $1,017 | $2,034 | 1.2× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) | $3,101 | $6,202 | 0.6× |
| Insertion of substernal implantable defibrillator electrode (0572T) unusually low: confirm this is the full procedure |
$3,228 | $6,456 | 0.4× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$8,488.50 | $16,977 | 0.4× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) unusually low: confirm this is the full procedure |
$3,228.50 | $6,457 | 0.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure |
$3,228.50 | $6,457 | 0.4× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) unusually low: confirm this is the full procedure |
$11,268.50 | $22,537 | 0.4× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$11,268 | $22,536 | 0.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) unusually low: confirm this is the full procedure |
$3,228 | $6,456 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) unusually low: confirm this is the full procedure |
$3,228 | $6,456 | 0.4× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$8,489 | $16,978 | 0.4× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) unusually low: confirm this is the full procedure |
$11,268 | $22,536 | 0.4× |
| Intens cardiac rehab no exer (G0423) | $199 | $398 | 1.6× |
| Intens cardiac rehab w/exerc (G0422) | $199 | $398 | 1.6× |
| Interrog dev eval impl ccm-d system in person (0927T) | $45.50 | $91 | 1.3× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $45.50 | $91 | 1.3× |
| Lev 1 hosp type b ed visit (G0380) | $146.50 | $293 | 2.1× |
| Lev 2 hosp type b ed visit (G0381) | $195.50 | $391 | 2.2× |
| Lev 3 hosp type b ed visit (G0382) | $371 | $742 | 2.3× |
| Lev 4 hosp type b ed visit (G0383) | $469 | $938 | 1.8× |
| Lev 5 hosp type b ed visit (G0384) | $652.50 | $1,305 | 1.7× |
| Mnt subs tx for change dx (G0270) | $68.50 | $137 | 2.2× |
| Mra w/cont, abd (C8900) | $1,460.50 | $2,921 | 4.4× |
| Mra w/cont, chest (C8909) | $945 | $1,890 | 2.8× |
| Mra w/cont, lwr ext (C8912) | $1,464.50 | $2,929 | 4.4× |
| Mra w/cont, pelvis (C8918) | $1,464 | $2,928 | 4.4× |
| Mra w/o cont, abd (C8901) range across 2 matching MRF lines |
$882.50–$1,389.50 | $1,765–$2,779 | varies |
| Mra w/o cont, lwr ext (C8913) | $1,391.50 | $2,783 | 6.1× |
| Mra w/o cont, pelvis (C8919) | $1,391 | $2,782 | 6.1× |
| Mra w/o fol w/cont, abd (C8902) range across 2 matching MRF lines |
$882.50–$1,264.50 | $1,765–$2,529 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $1,546 | $3,092 | 4.6× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$1,989–$2,492.50 | $3,978–$4,985 | varies |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Njx platelet plasma (0232T) | $560 | $1,120 | 1.3× |
| Obtaining screen pap smear (Q0091) range across 2 matching MRF lines |
$35–$38.50 | $70–$77 | varies |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$60.50–$65.50 | $121–$131 | varies |
| Oth resp proc, indiv (G0238) | $44.50 | $89 | 1.6× |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$32,358.50–$34,785.50 | $64,717–$69,571 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$22,929–$24,649 | $45,858–$49,298 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$9,161–$9,867 | $18,322–$19,734 | varies |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$21,229.50–$22,822 | $42,459–$45,644 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) range across 4 matching MRF lines |
$1,980–$8,195 | $3,960–$16,390 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,637.50 | $9,275 | 0.4× |
| Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone… (0221T) | $8,721.50 | $17,443 | 1.3× |
| Ppps, initial visit (G0438) | $90 | $180 | 0.5× |
| Ppps, subseq visit (G0439) | $67.50 | $135 | 0.5× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $44 | $88 | 1.2× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $45.50 | $91 | 1.3× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $45.50 | $91 | 1.3× |
| Programming device eval impl ccm-d sys in person (0926T) | $45.50 | $91 | 1.3× |
| Prolonged iv inf, req pump (C8957) | $414 | $828 | 2.0× |
| Psa screening (G0103) | $49 | $98 | 2.5× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,212.50 | $4,425 | 1.1× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,212.50 | $4,425 | 1.1× |
| Rem interrog dev eval ss ld icds < 90d tech (0579T) | $45.50 | $91 | 1.3× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,273.50 | $6,547 | 0.9× |
| Removal Ss Dfb Electrode (0573T) | $3,274 | $6,548 | 0.9× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $705 | $1,410 | 1.2× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $3,274 | $6,548 | 0.9× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $748 | $1,496 | 1.2× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$22,886.50–$24,603 | $45,773–$49,206 | varies |
| Revasc intravasc lithotripsy (C9764) range across 3 matching MRF lines |
$2,749.50–$8,248.50 | $5,499–$16,497 | varies |
| Revasc lithotr-ather tib/per (C9774) | $9,515 | $19,030 | 0.5× |
| Revasc lithotr-stent tib/per (C9773) | $9,848.50 | $19,697 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $8,248.50 | $16,497 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $9,515 | $19,030 | 0.5× |
| Risk ascvd tst once pr 12 mo (G0537) | $33.50 | $67 | 0.9× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$8,489 | $16,978 | 0.4× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,274 | $6,548 | 0.9× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,274 | $6,548 | 0.9× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $3,273.50 | $6,547 | 0.9× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,273.50 | $6,547 | 0.9× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $3,273.50 | $6,547 | 0.9× |
| Rmvl Pg Compnt Wcs (0518T) | $3,274 | $6,548 | 0.9× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $3,274 | $6,548 | 0.9× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$8,488.50 | $16,977 | 0.4× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) unusually low: confirm this is the full procedure |
$8,489 | $16,978 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$30–$148 | $60–$296 | varies |
| Screen cerv/vag thin layer (G0123) | $32.50 | $65 | 1.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $2,980.50 | $5,961 | 1.0× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $2,980.50 | $5,961 | 1.0× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $2,980.50 | $5,961 | 1.0× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $2,980.50 | $5,961 | 1.0× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) unusually low: confirm this is the full procedure |
$8,536.50 | $17,073 | 0.5× |
| Therapeutic procd strg endur (G0237) | $44.50 | $89 | 1.6× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$570.50–$613.50 | $1,141–$1,227 | varies |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,043–$2,196.50 | $4,086–$4,393 | varies |
| Trim nail(s) (G0127) | $133.50 | $267 | 2.4× |
| Trluml Perip Athrc Iliac Art (0238T) | $9,903 | $19,806 | 0.6× |
| Tte w or w/o contr, cont ecg (C8930) range across 2 matching MRF lines |
$1,484.50–$1,596 | $2,969–$3,192 | varies |
| Tte w or w/o fol w/cont, com (C8921) range across 2 matching MRF lines |
$889–$956 | $1,778–$1,912 | varies |
| Tte w or w/o fol w/cont, f/u (C8922) range across 2 matching MRF lines |
$889–$956 | $1,778–$1,912 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,391.50–$1,496 | $2,783–$2,992 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$949–$1,020.50 | $1,898–$2,041 | varies |
| Vasc emb/occ w/prs cath (C9797) | $9,903 | $19,806 | 0.6× |
| Visit to determ ldct elig (G0296) | $59 | $118 | 0.6× |
| Wet mounts/ w preparations (Q0111) | $55 | $110 | 3.0× |
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.