Supplies, drugs & other prices at J.W. Ruby Memorial Hospital

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

206 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) $1,543.50 $3,087 2.0×
2d tte w or w/o fol w/con,co (C8923) $556 $1,112 0.7×
2d tte w or w/o fol w/con,fu (C8924) $541 $1,082 1.6×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $3,134 $6,268 1.7×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $6,104 $12,208 0.7×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,506 $5,012 1.3×
Admin hepatitis b vaccine (G0010) $14 $28 0.3×
Admin influenza virus vac (G0008) $15 $30 0.3×
Admin pneumococcal vaccine (G0009) $14 $28 0.3×
Alcohol/subs interv 15-30mn (G0396) $48 $96 1.3×
Alcohol/subs interv >30 min (G0397) $201 $402 1.2×
Annual alcohol screen 15 min (G0442) $33.50 $67 0.9×
Antibody treponema pallidum total & rpr ia qual (0064U) $62.50 $125 2.0×
Ascvd rsk mng clin stf pr mo (G0538) $115.50 $231 1.2×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0764T) $170 $340 1.3×
Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg, low-ejection fraction,… (0765T) $170 $340 1.3×
Autolog prp not diab ulcer (G0460) $2,635 $5,270 1.3×
Behavior counsel obesity 15m (G0447) $102 $204 1.0×
Bia whole body composition assessment w/i&r (0358T) $37 $74 1.3×
Blind interatrial shunt ide (C9758) $23,626.50 $47,253 1.4×
Brief alcohol misuse counsel (G0443) $43.75 $87.50 0.4×
Ca screen;flexi sigmoidscope (G0104) $1,064 $2,128 1.2×
Ca screen;pelvic/breast exam (G0101) $46.75 $93.50 0.5×
Cardiac mri seg dys strain (C9762) $737 $1,474 1.4×
Cardiac mri seg dys stress (C9763) $737 $1,474 1.4×
Catheterize for urine spec (P9612) $13.50 $27 1.4×
Chemo extend iv infus w/pump (G0498) $541 $1,082 1.7×
Collagen crosslinking cornea (0402T) $3,086 $6,172 1.3×
Colon ca scrn not hi rsk ind (G0121) $402 $804 0.4×
Colorectal scrn; hi risk ind (G0105) $1,320 $2,640 1.5×
Covid-19 lab test non-cdc (U0002) $103 $206 2.0×
Cysto, litho, vacuum kidney (C9761) $4,774.88 $9,549.75 0.5×
Depression screen annual (G0444) $22.50 $45 0.6×
Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities,… (0420T) $4,951.50 $9,903 6.9×
Diab manage trn per indiv (G0108) $136.25 $272.50 2.4×
Diab manage trn ind/group (G0109) $89.75 $179.50 5.6×
Direct refer hospital observ (G0379) $82 $164 0.1×
Drug test def 1-7 classes (G0480) $59.25 $118.50 0.5×
Drug test def 15-21 classes (G0482) $190.25 $380.50 1.0×
Drug test def 22+ classes (G0483) $275.50 $551 1.1×
Drug test def 8-14 classes (G0481) $90 $180 0.6×
Ekg tracing for initial prev (G0404) $60 $120 2.1×
Elec stim other than wound (G0283) $42 $84 3.3×
Electrophysiological eval icds w/ss electrode (0577T) $1,737.50 $3,475 1.5×
Endo defect closure gi tract (C9901) $11,691 $23,382 1.1×
Endo outlet restrict w/tube (C9785) $11,691 $23,382 1.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $56,250.50 $112,501 1.3×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $3,428 $6,856 1.1×
Ephys eval ccm-d ld 1st impl (0930T) $1,631.50 $3,263 1.4×
Ephys eval ccm-d ld separate (0931T) $1,631.50 $3,263 1.4×
Esd endoscopy or colonoscopy (C9779) $461.33 $922.66 0.1×
Extrnl counterpulse, per tx (G0166) $1,582.50 $3,165 12.3×
Fecal microbiota prep instil (G0455) $907 $1,814 1.0×
Flt3 gene itd variants quan (0046U) $2,597.50 $5,195 6.4×
Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part… (0479T) $933.50 $1,867 1.3×
Group mnt 2 or more 30 mins (G0271) $79 $158 4.6×
Hbot, full body chamber, 30m (G0277) $178.50 $357 1.3×
High inten beh couns std 30m (G0445) $22.50 $45 0.2×
Hiv combination assay (G0475) $36.50 $73 1.5×
Home sleep test/type 2 porta (G0398) $277.50 $555 1.3×
Home sleep test/type 3 porta (G0399) $502 $1,004 2.4×
Hospital outpt clinic visit (G0463) $66.25 $132.50 0.5×
Hpv combo assay ca screen (G0476) $56.50 $113 1.6×
Ig paraprotein qual bld/ur (0077U) $161 $322 3.7×
Iliac Atherectomy (0238T) $11,763.50 $23,527 0.7×
Initial preventive exam (G0402) $113 $226 0.9×
Inj for sacroiliac jt anesth (G0260) $1,264 $2,528 1.9×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,196.50 $2,393 1.4×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $4,074.50 $8,149 0.8×
Insertion of substernal implantable defibrillator electrode (0572T)
unusually low: confirm this is the full procedure
$3,699 $7,398 0.5×
Insertion perm ccm-d system pulse generator only (0916T)
unusually low: confirm this is the full procedure
$9,432 $18,864 0.4×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T)
unusually low: confirm this is the full procedure
$3,587 $7,174 0.4×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T)
unusually low: confirm this is the full procedure
$3,587 $7,174 0.4×
Insj perm ccm-d sys pg&eltrd (0915T)
unusually low: confirm this is the full procedure
$12,520 $25,040 0.4×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T)
unusually low: confirm this is the full procedure
$12,367 $24,734 0.4×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T)
unusually low: confirm this is the full procedure
$3,699 $7,398 0.5×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T)
unusually low: confirm this is the full procedure
$3,699 $7,398 0.5×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T)
unusually low: confirm this is the full procedure
$9,843.50 $19,687 0.5×
Insj/Rplcmt Icds W/Substernal Electrode (0571T)
unusually low: confirm this is the full procedure
$11,504.50 $23,009 0.4×
Intens behave ther cardio dx (G0446) $48 $96 1.3×
Intens cardiac rehab no exer (G0423) $140 $280 1.1×
Intens cardiac rehab w/exerc (G0422) $140 $280 1.1×
Interro Device Evaluation Cardiac Modulj System (0418T) $55.50 $111 1.5×
Interrog dev eval impl ccm-d system in person (0927T) $50 $100 1.4×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $55.50 $111 1.5×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $55.50 $111 1.5×
Liver Dis 10 Assays W/Nash (0003M) $457.70 $915.40 0.9×
Mnt subs tx for change dx (G0270) $59 $118 1.9×
Mra w/cont, abd (C8900) $1,420 $2,840 4.2×
Mra w/cont, chest (C8909) $953.25 $1,906.50 2.8×
Mra w/cont, lwr ext (C8912) $1,464.50 $2,929 4.3×
Mra w/cont, pelvis (C8918) $1,464 $2,928 4.3×
Mra w/o cont, abd (C8901) $1,169.50 $2,339 5.1×
Mra w/o cont, lwr ext (C8913) $1,391.50 $2,783 6.0×
Mra w/o cont, pelvis (C8919) $1,391 $2,782 6.0×
Mra w/o fol w/cont, abd (C8902) $1,030.25 $2,060.50 3.1×
Mra w/o fol w/cont, chest (C8911) $879 $1,758 2.6×
Mra w/o fol w/cont, lwr ext (C8914) $1,439 $2,878 4.3×
Mra w/o fol w/cont, pelvis (C8920) $1,492 $2,984 4.4×
Mra, w/dye, upper extremity (C8934) $1,478 $2,956 4.4×
Mra, w/o dye, upper extr (C8935) $1,408 $2,816 6.1×
Mra, w/o&w/dye, upper extr (C8936) $912 $1,824 2.7×
Mri w/cont, breast, bi (C8906) $2,163 $4,326 6.4×
Mri w/cont, breast, uni (C8903) $2,116.50 $4,233 12.5×
Mri w/o fol w/cont, breast, (C8908) $2,063.75 $4,127.50 6.1×
Mri w/o fol w/cont, brst, un (C8905) $2,218.50 $4,437 6.6×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $304.50 $609 1.3×
Neuro csf prion prtn qual (0035U) $183.25 $366.50 0.3×
Nfct ds bact&fng org id bld cul rrna fish 6+trgt (0086U) $344.50 $689 1.7×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,130 $2,260 1.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $612.50 $1,225 1.4×
Non-blind interatrial shunt (C9760) $39,878 $79,756 1.5×
Non-ophthalmic fva (C9733) $793.50 $1,587 2.4×
Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) $304.50 $609 1.3×
Obtaining screen pap smear (Q0091) $39 $78 1.4×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $310 $620 1.2×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T)
likely a partial charge, not the full procedure
$4,658 $9,316 0.2×
Open tx iliac spine uni/bil (G0412) $33,920.50 $67,841 4.8×
Oral hiv-1/hiv-2 screen (G0435) $229 $458 19.1×
Oth resp proc, group (G0239) $269.50 $539 7.5×
Oth resp proc, indiv (G0238) $77 $154 2.8×
Pattern erg w/i&r (0509T) $356 $712 1.7×
Pef bronch ablt 3d nav ebus (C8005) $21,876 $43,752 1.3×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$6,060.50 $12,121 0.3×
Perc d-e cor revasc t cabg s (C9604) $6,060.50 $12,121 0.5×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$5,849 $11,698 0.3×
Perc drug-el cor stent sing (C9600) $10,076.25 $20,152.50 0.9×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0629T) $8,442.50 $16,885 0.7×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $8,442.50 $16,885 0.7×
Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) $10,572.50 $21,145 0.6×
Perq Sacral Augmt Bilat Inj (0201T) $6,900 $13,800 1.0×
Perq Sacral Augmt Unilat Inj (0200T) $6,900 $13,800 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,152.50 $10,305 0.5×
Pin service 60m per month (G0023) $129.50 $259 1.3×
Place device/marker, non pro (C9728) $1,789 $3,578 1.3×
Ppps, initial visit (G0438) $226.25 $452.50 1.3×
Ppps, subseq visit (G0439) $110.75 $221.50 0.8×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $50.25 $100.50 1.4×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $49.50 $99 1.4×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $55.50 $111 1.5×
Programming device eval impl ccm-d sys in person (0926T) $50 $100 1.4×
Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) $52.50 $105 1.5×
Prolonged iv inf, req pump (C8957) $538 $1,076 2.6×
Prostate biopsy, any mthd (G0416) $458 $916 1.3×
Psa screening (G0103) $88.50 $177 4.6×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,520 $5,040 1.3×
Relocation skin pocket implanted ccm-d pg (0925T) $2,458 $4,916 1.2×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $3,904 $7,808 1.1×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $3,904 $7,808 1.1×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $3,904 $7,808 1.1×
Removal of substernal implantable defibrillator electrode (0573T) $3,904 $7,808 1.1×
Removal perm ccm-d system pulse generator only (0919T) $3,637.50 $7,275 1.0×
Repos Cardiac Modulj Transvenous Electrode (0415T) $868 $1,736 1.4×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $3,904 $7,808 1.1×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $831 $1,662 1.4×
Revasc intra lithotrip-ather (C9766) $11,763.50 $23,527 0.7×
Revasc intra lithotrip-stent (C9765) $15,131 $30,262 0.9×
Revasc intravasc lithotripsy (C9764) $10,604.50 $21,209 0.9×
Revasc lith-sten-ath tib/per (C9775) $10,572.50 $21,145 0.6×
Revasc lithotr-ather tib/per (C9774) $10,572.50 $21,145 0.6×
Revasc lithotr-stent tib/per (C9773) $10,572.50 $21,145 0.6×
Revasc lithotrip tibi/perone (C9772) $8,850 $17,700 0.8×
Revasc lithotrip-stent-ather (C9767) $11,763.50 $23,527 0.7×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T)
unusually low: confirm this is the full procedure
$9,843.50 $19,687 0.5×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $3,637.50 $7,275 1.0×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $3,637.50 $7,275 1.0×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $3,637.50 $7,275 1.0×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $3,904 $7,808 1.1×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T)
unusually low: confirm this is the full procedure
$9,432 $18,864 0.4×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T)
unusually low: confirm this is the full procedure
$9,843.50 $19,687 0.5×
Scr c/v cyto,thinlayer,rescr (G0145) $67.75 $135.50 2.6×
Screen cerv/vag thin layer (G0123) $68.75 $137.50 3.4×
Screen pap by tech w md supv (P3000) $36.75 $73.50 2.0×
Sim ang w/prs cath rad emb (C8004) $8,850 $17,700 0.8×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $32 $64 1.8×
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 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$9,196 $18,392 0.5×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $11,982.50 $23,965 0.6×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $9,885.50 $19,771 0.5×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $14,977.50 $29,955 0.8×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $3,428 $6,856 1.1×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $3,428 $6,856 1.1×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $3,428 $6,856 1.1×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $3,428 $6,856 1.1×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $9,885.50 $19,771 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $9,885.50 $19,771 0.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $9,885.50 $19,771 0.5×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $9,885.50 $19,771 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,340.50 $14,681 1.3×
Tee w or w/o fol w/cont,cong (C8926) $1,599.50 $3,199 2.1×
Therapeutic procd strg endur (G0237) $77 $154 2.8×
Tomosynthesis, mammo (G0279) $58.25 $116.50 4.6×
Tpmt nudt15 gene analysis common variants (0034U) $694.60 $1,389.20 1.5×
Trabeculostomy ab interno by laser (0621T) $4,115.16 $8,230.33 1.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $5,123.25 $10,246.50 0.9×
Transcatheter renal sympath denervation unilat (0338T) $5,308.50 $10,617 1.0×
Trauma respons w/hosp criti (G0390) $1,080.25 $2,160.50 0.8×
Trim nail(s) (G0127) $84.50 $169 1.5×
Tte w or w/o contr, cont ecg (C8930) $1,836.50 $3,673 2.4×
Tte w or w/o fol w/con,stres (C8928) $1,538.50 $3,077 2.0×
Tte w or w/o fol w/cont, com (C8921) $885.75 $1,771.50 1.2×
Tte w or w/o fol w/cont, f/u (C8922) $556 $1,112 0.7×
Tte w or wo fol wcon,doppler (C8929) $1,755.50 $3,511 2.3×
Unsched dialysis esrd pt hos (G0257) $1,167.50 $2,335 1.8×
Visit to determ ldct elig (G0296) $76.50 $153 0.8×
Wet mounts/ w preparations (Q0111) $28.50 $57 1.5×