Visits & medical services prices at Wetzel County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $100 $200 1.0×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $37.50 $75 1.4×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $37.50 $75 1.4×
Advance care planning first 30 mins (99497) $124.50 $249 1.3×
Aep hearing status deter broadband stimuli i&r (92651) $174.50 $349 0.8×
Aep neurodiagnostic interpretation and report (92653) $330.50 $661 1.6×
Aep Thrshld Est Mlt Freq I&R (92652) $330.50 $661 1.6×
Airway inhalation treatment (94640) $542 $1,084 2.6×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $52.50 $105 1.5×
Analyze neurostim complex (95972) $124.50 $249 1.4×
Analyze neurostim no prog (95970) $162 $324 1.3×
Analyze neurostim simple (95971) $124.50 $249 1.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $58.50 $117 4.1×
Application on-body injector (96377) $59.50 $119 1.3×
Assessment of aphasia per hr (96105) $181.50 $363 1.9×
Assmt & care planning pt w/cognitive impairment (99483) $106 $212 1.1×
Bedside Swallowing Eval (92610) $261.50 $523 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $105 $210 1.0×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $126.50 $253 1.5×
Bfb training ea addl 15 min (90913) $63.50 $127 1.9×
Biofeedback training any modality (90901) $61.50 $123 1.5×
Brief Emotional/Behavioral Assessment (96127) $55 $110 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $552 $1,104 1.5×
Canalith Repositioning Procedure (95992) $80.50 $161 2.0×
Cardiac Stress Tst,Tracing Only (93017) $806.50 $1,613 3.9×
Cardiopulmonary exercise testing (94621) $544.50 $1,089 1.5×
Cardiopulmonary resuscitation (92950) $771 $1,542 3.7×
Cardioversion (92960) $1,150.50 $2,301 1.8×
Caregiver hlth risk assmt score doc stnd instrm (96161) $43.50 $87 1.2×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $25 $50 1.0×
Cbt 1st hour (94644) $261 $522 2.0×
Cervical & ocular vemp testing w/i&r (92519) $373 $746 1.8×
Cervical vemp testing w/i&r (92517) $196 $392 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $75.50 $151 1.1×
Chemo Ia Infuse Each Addl Hr (96423) $73.50 $147 1.6×
Chemo IV push addl drug (96411) $197.50 $395 2.9×
Chemother, IV infusion, 1 hr (96413) $699.25 $1,398.50 2.2×
Chemother, IV infusion, ea add hr (96415) $420.50 $841 6.1×
Chemother,ia infusn tech,<1 hr (96422) $524.50 $1,049 1.7×
Chemother,Ia Push Technique (96420) $524.50 $1,049 1.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $114.50 $229 1.7×
Chemotherapy Administration Intralesional </7 (96405) $211.50 $423 3.1×
Chemotherapy into cns (96450) $363 $726 1.1×
Chemotherapy, unspecified procedure (96549) $51 $102 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $201.50 $403 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $258 $516 0.8×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $524.50 $1,049 1.7×
Chronic care management services 1st 20 min (99490) $66.50 $133 0.7×
Color Vision Examination (92283) $67 $134 1.2×
Color/duplex Doppler, complete (93975) $452 $904 2.0×
Color/duplex Doppler, limited (93976) $599.50 $1,199 6.0×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $182 $364 1.1×
Comprehensive Hearing Test (92557) $277 $554 2.2×
Continuous Glucose Monitoring (95250) $283.25 $566.50 2.2×
Cpap/bipap (94660) $268.50 $537 1.3×
Cpt initial (94667) $139.50 $279 1.1×
Critical care (99291) $2,158.50 $4,317 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $163 $326 0.8×
Dermatological procedure (96999) $237 $474 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $423 $846 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $183.50 $367 1.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $464.75 $929.50 2.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $266.75 $533.50 2.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $401 $802 1.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $251 $502 2.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $391.50 $783 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $294.25 $588.50 2.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $344.50 $689 1.5×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $155 $310 1.5×
Duplex scan extracranial art compl bi study (93880) $368.25 $736.50 1.6×
Duplex Scan Hemodialysis Access (93990) $139 $278 1.4×
Echo Heart Xthoracic,Limited (93308) $491.50 $983 2.1×
Echo Transthoracic - Congenital Tte Complete (93303) $894.50 $1,789 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $939.50 $1,879 1.8×
EEG awake drowsy (95816) $813.50 $1,627 3.9×
EEG coma or sleep only (95822) $404 $808 2.0×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $248 $496 1.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $429 $858 1.2×
EKG rhythm strip (93041) $79 $158 1.4×
Electrocardiogram Tracing (93005) $168 $336 3.0×
Er level 1 (99281) $182.75 $365.50 2.3×
Er level ii (99282) $358.25 $716.50 2.4×
Er level iii (99283) $666.75 $1,333.50 2.5×
Er level IV (99284) $1,027.50 $2,055 2.6×
Er level v (99285) $1,554 $3,108 2.7×
Eval speech sound production (92522) $121.50 $243 1.1×
Eval to use/fit voice prosth (92597) $214.50 $429 3.0×
Evaluate Pt Use Of Inhaler (94664) $419.75 $839.50 2.0×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $296.50 $593 2.4×
Evaluation of speech fluency (92521) $119.25 $238.50 0.9×
Excimer laser tx psoriasis tot area <250 sq cm (96920) $237 $474 1.2×
Exercise tst brncspsm (94617) $234 $468 1.8×
Exhaled Air Analysis (94690) $72 $144 1.3×
External ECG rec>48hr<7d recording (93242) $69.25 $138.50 1.9×
External ECG rec>48hr<7d scanning alys w/report (93243) $110 $220 0.9×
External ECG rec>7d<15d recording (93246) $112.75 $225.50 3.1×
External ECG rec>7d<15d scanning alys w/report (93247) $221.50 $443 1.7×
External Ecg Scanning Analysis Report (93226) $829.25 $1,658.50 14.7×
Gi tract capsule endoscopy (91110) $1,211.50 $2,423 1.4×
Gi wireless capsule measure (91112) $1,020.50 $2,041 1.2×
Gonioscopy (92020) $155.50 $311 1.2×
Group Therapeutic Procedures (97150) $44.50 $89 2.5×
Health behavior ivntj indiv f2f 1st 30 min (96158) $190.50 $381 1.1×
Holter Monitor (93225) $391 $782 3.1×
Ilr Device Eval Progr (93285) $115 $230 3.2×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $31 $62 0.5×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $29.50 $59 0.5×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $19.50 $39 0.5×
Imm admn sarscov2 vaccine single dose (90480) $63.50 $127 1.6×
Immune Admin Oral/Nasal (90473) $47 $94 0.7×
Immunization Admin (90471) $88.25 $176.50 1.3×
Interrog dev eval scrms phys/qhp in person (93291) $47.50 $95 1.7×
Interrog device eval heart (93289) $49.50 $99 1.4×
Interrogate subq defib (93261) $46.50 $93 1.3×
Interrogation without programming ipnss (93153) $109.50 $219 1.2×
Intralesional Chemo Admin,8+ Lesn (96406) $637 $1,274 3.1×
Iontophoresis 15 min (97033) $75 $150 3.9×
Irrig drug delivery device (96523) $92.50 $185 1.6×
IV infusion hydration each additional hour (96361) $304 $608 6.8×
IV infusion hydration initial 31 min-1 hour (96360) $238 $476 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $95.75 $191.50 1.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $253.25 $506.50 1.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $125 $250 2.8×
IV push ea addl new drug (96375) $127.50 $255 2.8×
IV push initial (96374) $526.75 $1,053.50 2.6×
Liver Elastography W/O Imag W/I&R (91200) $175 $350 1.4×
Manual therapy 15 min (97140) $74.50 $149 2.7×
Massage 15 min (97124) $52.50 $105 1.8×
Maximum voluntary ventilation (94200) $177.50 $355 3.1×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,632 $3,264 1.2×
Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Facility (94011) $297 $594 2.4×
Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2… (94012) $545.50 $1,091 2.6×
Mechanical chest wall oscillation (94669) $505 $1,010 2.4×
Mechanical traction (97012) $67.50 $135 4.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $41.50 $83 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.50 $83 1.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $17 $34 1.0×
Methacholine challenge (94070) $545.50 $1,091 1.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $272 $544 3.0×
Multiple Sleep Latency Test (95805) $3,161.75 $6,323.50 3.8×
Nasopharyngoscopy (92511) $237.25 $474.50 1.2×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $350.50 $701 1.7×
Needle electromyography larynx (95865) $145 $290 1.1×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $209 $418 1.0×
Neg press wound tx >50 cm (97608) $495 $990 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $528 $1,056 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $104.50 $209 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $391.50 $783 1.0×
Nerve Conduction Studies 11-12 Studies (95912) $927.50 $1,855 2.6×
Nerve Conduction Studies 3-4 Studies (95908) $503 $1,006 2.4×
Nerve Conduction Studies 5-6 Studies (95909) $503 $1,006 2.4×
Nerve Conduction Studies 7-8 Studies (95910) $503 $1,006 1.4×
Nerve Conduction Studies 9-10 Studies (95911) $916 $1,832 2.6×
Neurobehavioral Status Exam (96116) $503 $1,006 2.4×
Newborn resuscitation (99465) $1,130.25 $2,260.50 1.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $249 $498 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $299.25 $598.50 2.4×
Nrpsyc tst eval phys/qhp 1st (96132) $503 $1,006 1.4×
Ocular vemp testing w/i&r (92518) $196 $392 1.6×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $190.50 $381 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $77.50 $155 1.7×
Oscillating Tracking Test (92545) $383.50 $767 1.9×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $28.50 $57 1.4×
Osteopathic manipulative tx 3-4 body regions (98926) $41 $82 2.0×
Osteopathic manipulative tx 5-6 body regions (98927) $41 $82 2.0×
Osteopathic manipulative tx 7-8 body regions (98928) $41 $82 2.0×
Osteopathic manipulative tx 9-10 body regions (98929) $41 $82 2.0×
Ot Contrast Bath Ea 15 Min (97034) $36 $72 2.6×
Ot eval high complex 60 min (97167) $281 $562 2.8×
Ot eval low complex 30 min (97165) $211.25 $422.50 2.1×
Ot eval mod complex 45 min (97166) $246 $492 2.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $84.50 $169 1.7×
Ot Prosthetic Training, Each 15 Min (97761) $72.50 $145 1.8×
Ot Range Motion Measure,Each Extrem (95851) $50.50 $101 1.9×
Ot re-evaluation (97168) $75 $150 1.1×
Ot therapeutic activity 15 min (97530) $77 $154 2.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $105.50 $211 0.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $7 $14 0.1×
Paraffin bath pt (97018) $37.25 $74.50 6.2×
Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or… (94016) $244.50 $489 9.9×
Pdt dstr prmlg les phys/qhp (96573) $225.50 $451 1.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $42 $84 0.2×
Phlebotomy therapeutic (99195) $124.25 $248.50 1.0×
Photo patch test(s) (specify number of tests) Facility (95052) $67 $134 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $91.75 $183.50 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $92.50 $185 1.6×
Plethysmography (94726) $312.75 $625.50 0.9×
Pm device eval in person (93288) $111.75 $223.50 3.1×
Pm device progr eval dual (93280) $102.25 $204.50 2.9×
Pm device progr eval multi (93281) $115 $230 3.2×
Pm device progr eval sngl (93279) $78.50 $157 2.2×
Pm/Icd Remote Tech Serv (93296) $70.50 $141 2.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,986 $5,972 3.6×
Polysom <6 yrs 4/> paramtrs (95782) $1,734 $3,468 2.1×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,734 $3,468 2.1×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,734 $3,468 2.1×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $6 $12 0.1×
Prepj& antigen allergen immunotherapy 1 insect (95145) $54 $108 1.2×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92312) $152.50 $305 1.2×
Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of… (92311) $471.50 $943 1.1×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $100.50 $201 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $40.50 $81 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $55.50 $111 1.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95149) $79.50 $159 1.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95147) $79.50 $159 1.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95146) $54 $108 1.2×
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify… (95148) $79.50 $159 1.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $112.25 $224.50 3.1×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $115 $230 3.2×
Psych diag eval w/med srvcs (90792) $200.50 $401 1.2×
Psycl/nrpsyc tst phy/qhp 1st (96136) $213 $426 1.7×
Pt Aquatic Therapy/Exercises (97113) $84.50 $169 2.3×
Pt Electrical Stimulation (97032) $60 $120 4.1×
Pt eval high complex 45 min (97163) $274 $548 2.8×
Pt eval low complex 20 min (97161) $206 $412 2.1×
Pt eval mod complex 30 min (97162) $240 $480 2.5×
Pt gait training 15 min (97116) $68.50 $137 2.4×
Pt group caregiver training (97552) $25 $50 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $75 $150 2.3×
Pt Physical Performance Test (97750) $76 $152 2.3×
Pt re-evaluation (97164) $88 $176 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $81 $162 2.5×
Pt Whirlpool Therapy (97022) $58.50 $117 3.7×
Pulm function test by gas (94727) $301.50 $603 1.5×
Pulmonary stress test simple (94618) $217.50 $435 1.7×
Pure Tone Audiometry Air Only (92552) $77 $154 0.6×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $381.50 $763 1.2×
Refill/Maint Portable Pump (96521) $396.75 $793.50 1.9×
Refill/Maint Pump/Resvr Syst (96522) $371 $742 1.8×
Rem interrog icpms <30 d phys/qhp (93297) $53 $106 1.5×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $53 $106 1.5×
Rem mntr physiol param dev (99454) $44.50 $89 1.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $139 $278 3.9×
Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads… (93264) $54.50 $109 1.5×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $43 $86 1.2×
Respiratory flow volume loop (94375) $462.50 $925 2.2×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $333.50 $667 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $104.50 $209 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $36 $72 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $234.50 $469 1.8×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $143 $286 3.0×
Sleep study attended (95807) $845 $1,690 2.4×
Sleep study unattended (95806) $364 $728 1.8×
Slp caregiver training 1st 30 min (97550) $49.50 $99 0.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $269.75 $539.50 1.3×
Slp stdy unatnd w/min hrt rate/o2 sat/resp anal (95801) $212.50 $425 3.8×
Smoking cessation > 10 min (99407) $43 $86 1.2×
Speech sound lang comprehen (92523) $208.50 $417 0.9×
Spirometry (94010) $262.50 $525 1.3×
Stress echo (93350) $939.50 $1,879 1.8×
Temp transcutaneous pacing (92953) $1,075 $2,150 1.7×
Tensilon test (95857) $355 $710 1.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $57 $114 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $23.25 $46.50 1.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $147.50 $295 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $134.25 $268.50 1.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $28.25 $56.50 0.8×
Trans Care Mgmt 14 Day Disch (99495) $188.25 $376.50 1.5×
Trans Care Mgmt 7 Day Disch (99496) $188.25 $376.50 1.5×
Tte w/doppler, complete (93306) $1,115.50 $2,231 2.1×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $479.50 $959 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $159 $318 2.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $208.50 $417 2.5×
Tympanometry (92567) $69.75 $139.50 1.9×
Ultraviolet Light Therapy (96900) $48 $96 1.3×
Unlis neurological/neuromuscular dx px (95999) $252.50 $505 2.0×
Upr/lxtr art stdy 3+ lvls (93923) $374.25 $748.50 1.8×
Vasc Duplex Scan Extracranial,Limited (93882) $201.50 $403 2.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $503 $1,006 2.4×
Vasopneumatic device (97016) $42 $84 3.5×
Vent mgmt inpat init day (94002) $1,217 $2,434 2.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $906.50 $1,813 1.5×
Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at… (92082) $83 $166 1.5×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $83 $166 1.5×
Vital capacity, total (94150) $245.50 $491 2.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $88 $176 1.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $369 $738 4.0×