Supplies, drugs & other prices at United Hospital Center

Bridgeport, WV · every code in this section with a posted price and a Medicare benchmark.

121 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,271.50 $2,543 1.7×
2d tte w or w/o fol w/con,fu (C8924) $674.50 $1,349 2.0×
Admin hepatitis b vaccine (G0010) $9 $18 0.2×
Admin influenza virus vac (G0008) $12.50 $25 0.3×
Admin pneumococcal vaccine (G0009) $9 $18 0.2×
Alcohol/subs interv 15-30mn (G0396) $43.50 $87 1.2×
Annual alcohol screen 15 min (G0442) $43.50 $87 1.2×
Antibody treponema pallidum total & rpr ia qual (0064U) $63.50 $127 2.0×
Ascvd rsk mng clin stf pr mo (G0538) $104 $208 1.1×
Autolog prp not diab ulcer (G0460) $2,371.50 $4,743 1.2×
Behavior counsel obesity 15m (G0447) $117 $234 1.2×
Ca screen;pelvic/breast exam (G0101) $9.50 $19 0.1×
Catheterize for urine spec (P9612) $31 $62 3.3×
Chemo extend iv infus w/pump (G0498) $669 $1,338 2.1×
Collagen crosslinking cornea (0402T) $2,733 $5,466 1.2×
Covid-19 lab test non-cdc (U0002) $125 $250 2.4×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $4,782 $9,564 1.2×
Depression screen annual (G0444) $29.75 $59.50 0.8×
Diab manage trn per indiv (G0108) $52 $104 0.9×
Diab manage trn ind/group (G0109) $32.50 $65 2.0×
Direct refer hospital observ (G0379) $145 $290 0.3×
Drug test def 1-7 classes (G0480) $73.50 $147 0.6×
Drug test def 15-21 classes (G0482) $188.25 $376.50 0.9×
Drug test def 22+ classes (G0483) $270.50 $541 1.1×
Drug test def 8-14 classes (G0481) $126 $252 0.8×
Ekg tracing for initial prev (G0404) $120 $240 4.3×
Elec stim other than wound (G0283) $69 $138 5.4×
Endo outlet restrict w/tube (C9785) $10,522 $21,044 1.0×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $2,870 $5,740 0.9×
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) $849.50 $1,699 1.2×
Group mnt 2 or more 30 mins (G0271) $73 $146 4.3×
Hbot, full body chamber, 30m (G0277) $359 $718 2.7×
Hiv combination assay (G0475) $78 $156 3.2×
Home sleep test/type 3 porta (G0399) $248.50 $497 1.2×
Hospital outpt clinic visit (G0463) $84 $168 0.7×
Hpv combo assay ca screen (G0476) $54 $108 1.5×
Iliac Atherectomy (0238T) $9,848.50 $19,697 0.6×
Initial preventive exam (G0402) $84 $168 0.7×
Inj for sacroiliac jt anesth (G0260) $811.50 $1,623 1.2×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$10,728 $21,456 0.4×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
unusually low: confirm this is the full procedure
$3,097 $6,194 0.4×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
unusually low: confirm this is the full procedure
$3,097 $6,194 0.4×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
unusually low: confirm this is the full procedure
$8,241 $16,482 0.4×
Intens behave ther cardio dx (G0446) $43.50 $87 1.2×
Interro Device Evaluation Cardiac Modulj System (0418T) $55.50 $111 1.5×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $43 $86 1.2×
Mnt subs tx for change dx (G0270) $52.50 $105 1.7×
Mra w/cont, abd (C8900) $1,996 $3,992 5.9×
Mra w/cont, chest (C8909) $1,996 $3,992 5.9×
Mra w/cont, lwr ext (C8912) $1,996 $3,992 5.9×
Mra w/cont, pelvis (C8918) $1,996 $3,992 5.9×
Mra w/o cont, abd (C8901) $1,381 $2,762 6.0×
Mra w/o cont, lwr ext (C8913) $1,381 $2,762 6.0×
Mra w/o cont, pelvis (C8919) $1,381 $2,762 6.0×
Mra w/o fol w/cont, abd (C8902) $2,074.50 $4,149 6.1×
Mra w/o fol w/cont, pelvis (C8920) $2,074.50 $4,149 6.1×
Mri w/cont, breast, bi (C8906) $1,318.50 $2,637 3.9×
Mri w/cont, breast, uni (C8903) $1,318.50 $2,637 7.8×
Mri w/o fol w/cont, breast, (C8908) $1,610.50 $3,221 4.8×
Mri w/o fol w/cont, brst, un (C8905) $1,610.50 $3,221 4.8×
Neuro csf prion prtn qual (0035U) $181.50 $363 0.3×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $338 $676 1.7×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,017 $2,034 1.2×
Njx pltlt plasma w/img harvest/preparation (0232T) $508 $1,016 1.2×
Obtaining screen pap smear (Q0091) $19.75 $39.50 0.7×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $310 $620 1.2×
Oth resp proc, group (G0239) $79.25 $158.50 2.2×
Oth resp proc, indiv (G0238) $38.50 $77 1.4×
Perc d-e cor revasc chro sin (C9607) $9,546 $19,092 0.5×
Perc d-e cor revasc t cabg s (C9604) $19,288.50 $38,577 1.7×
Perc d-e cor stent ather s (C9602) $9,515 $19,030 0.5×
Perc drug-el cor stent sing (C9600) $18,898 $37,796 1.7×
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×
Ppps, initial visit (G0438) $206.50 $413 1.2×
Ppps, subseq visit (G0439) $125.50 $251 0.9×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $43.50 $87 1.2×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $55 $110 1.5×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $55.50 $111 1.5×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $45.50 $91 1.3×
Prolonged iv inf, req pump (C8957) $244 $488 1.2×
Psa screening (G0103) $129 $258 6.7×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,572.50 $5,145 1.3×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,268 $6,536 0.9×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,268 $6,536 0.9×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $231 $462 1.2×
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) $4,782 $9,564 1.2×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,268 $6,536 0.9×
Repos Cardiac Modulj Transvenous Electrode (0415T) $886 $1,772 1.5×
Revasc intra lithotrip-ather (C9766) $9,848.50 $19,697 0.6×
Revasc intra lithotrip-stent (C9765) $17,966 $35,932 1.0×
Revasc intravasc lithotripsy (C9764) $8,983.50 $17,967 0.8×
Revasc lith-sten-ath tib/per (C9775) $9,515 $19,030 0.5×
Revasc lithotr-ather tib/per (C9774) $9,515 $19,030 0.5×
Revasc lithotr-stent tib/per (C9773) $9,515 $19,030 0.5×
Revasc lithotrip tibi/perone (C9772) $7,644 $15,288 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
$8,241 $16,482 0.4×
Scr c/v cyto,thinlayer,rescr (G0145) $30 $60 1.1×
Scr c/v cyto,thinlayer,rescr (G0143) $70.50 $141 2.6×
Screen cerv/vag thin layer (G0123) $67.75 $135.50 3.3×
Screen pap by tech w md supv (P3000) $57.50 $115 3.1×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $2 $4 0.1×
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
$8,276 $16,552 0.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$8,276 $16,552 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$8,276 $16,552 0.4×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $2,870 $5,740 0.9×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $2,870 $5,740 0.9×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $2,870 $5,740 0.9×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T)
unusually low: confirm this is the full procedure
$8,276 $16,552 0.4×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T)
unusually low: confirm this is the full procedure
$8,276 $16,552 0.4×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T)
unusually low: confirm this is the full procedure
$8,276 $16,552 0.4×
Tmpst auto tube dlvr sys (0583T) $1,783.50 $3,567 1.2×
Tomosynthesis, mammo (G0279) $89.50 $179 7.1×
Trauma respons w/hosp criti (G0390) $2,352 $4,704 1.8×
Trim nail(s) (G0127) $68 $136 1.2×
Tte w or wo fol wcon,doppler (C8929) $1,101 $2,202 1.5×
Unsched dialysis esrd pt hos (G0257) $1,024 $2,048 1.5×
Vasc emb/occ w/prs cath (C9797) $9,903 $19,806 0.6×
Visit to determ ldct elig (G0296) $87 $174 0.9×