Supplies, drugs & other prices at Wheeling Hospital
Wheeling, WV · every code in this section with a posted price and a Medicare benchmark.
107 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $754.50 | $1,509 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $830.50 | $1,661 | 2.5× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $2,244.50 | $4,489 | 1.2× |
| Admin hepatitis b vaccine (G0010) | $31 | $62 | 0.7× |
| Admin influenza virus vac (G0008) | $29.50 | $59 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $30.50 | $61 | 0.7× |
| Alcohol/subs interv 15-30mn (G0396) | $43.50 | $87 | 1.2× |
| Annual alcohol screen 15 min (G0442) | $43.50 | $87 | 1.2× |
| 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) | $111.50 | $223 | 1.1× |
| Brief alcohol misuse counsel (G0443) | $104 | $208 | 1.1× |
| Ca screen;flexi sigmoidscope (G0104) | $1,569 | $3,138 | 1.7× |
| Ca screen;pelvic/breast exam (G0101) | $45.75 | $91.50 | 0.5× |
| Catheterize for urine spec (P9612) | $16 | $32 | 1.7× |
| Chemo extend iv infus w/pump (G0498) | $971.50 | $1,943 | 3.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,956.50 | $3,913 | 2.2× |
| Colorectal scrn; hi risk ind (G0105) | $1,397.75 | $2,795.50 | 1.6× |
| Covid-19 lab test non-cdc (U0002) | $81 | $162 | 1.6× |
| Cysto, litho, vacuum kidney (C9761) likely a partial charge, not the full procedure |
$2,655 | $5,310 | 0.3× |
| Depression screen annual (G0444) | $34 | $68 | 0.9× |
| Diab manage trn per indiv (G0108) | $57 | $114 | 1.0× |
| Diab manage trn ind/group (G0109) | $84.25 | $168.50 | 5.3× |
| Direct refer hospital observ (G0379) | $255.50 | $511 | 0.4× |
| Drug test def 1-7 classes (G0480) | $90.50 | $181 | 0.8× |
| Drug test def 15-21 classes (G0482) | $160 | $320 | 0.8× |
| Drug test def 22+ classes (G0483) | $232 | $464 | 0.9× |
| Drug test def 8-14 classes (G0481) | $147.25 | $294.50 | 0.9× |
| Elec stim other than wound (G0283) | $82 | $164 | 6.5× |
| Endo outlet restrict w/tube (C9785) | $10,522 | $21,044 | 1.0× |
| Ephys eval ccm-d ld 1st impl (0930T) | $1,365.50 | $2,731 | 1.2× |
| Ephys eval ccm-d ld separate (0931T) | $1,365.50 | $2,731 | 1.2× |
| Extrnl counterpulse, per tx (G0166) | $419 | $838 | 3.3× |
| Fern test (Q0114) | $15.50 | $31 | 1.6× |
| Hiv combination assay (G0475) | $83 | $166 | 3.4× |
| Hospital outpt clinic visit (G0463) | $72 | $144 | 0.6× |
| Hpv combo assay ca screen (G0476) | $127.50 | $255 | 3.6× |
| Iliac Atherectomy (0238T) | $14,438.50 | $28,877 | 0.8× |
| Initial preventive exam (G0402) | $68.50 | $137 | 0.5× |
| Inj for sacroiliac jt anesth (G0260) | $973 | $1,946 | 1.4× |
| Insertion perm ccm-d system pulse generator only (0916T) unusually low: confirm this is the full procedure |
$7,896 | $15,792 | 0.4× |
| Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) unusually low: confirm this is the full procedure |
$3,003 | $6,006 | 0.4× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) unusually low: confirm this is the full procedure |
$3,003 | $6,006 | 0.4× |
| Insj perm ccm-d sys pg&eltrd (0915T) unusually low: confirm this is the full procedure |
$10,482 | $20,964 | 0.3× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) unusually low: confirm this is the full procedure |
$10,928 | $21,856 | 0.4× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $9,511.50 | $19,023 | 1.2× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $9,511.50 | $19,023 | 1.2× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) unusually low: confirm this is the full procedure |
$8,394.50 | $16,789 | 0.4× |
| Intens behave ther cardio dx (G0446) | $43.50 | $87 | 1.2× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $49.50 | $99 | 1.4× |
| Interrog dev eval impl ccm-d system in person (0927T) | $42 | $84 | 1.2× |
| Lev 1 hosp type b ed visit (G0380) | $184 | $368 | 2.6× |
| Lev 2 hosp type b ed visit (G0381) | $256 | $512 | 2.8× |
| Lev 3 hosp type b ed visit (G0382) | $270 | $540 | 1.6× |
| Lev 4 hosp type b ed visit (G0383) | $436 | $872 | 1.7× |
| Lev 5 hosp type b ed visit (G0384) | $785.75 | $1,571.50 | 2.0× |
| Mra w/cont, chest (C8909) | $1,744 | $3,488 | 5.2× |
| Mra w/o fol w/cont, abd (C8902) | $883 | $1,766 | 2.6× |
| Mri w/o fol w/cont, breast, (C8908) | $2,043.75 | $4,087.50 | 6.1× |
| Mri w/o fol w/cont, brst, un (C8905) | $938 | $1,876 | 2.8× |
| Neuro csf prion prtn qual (0035U) | $202 | $404 | 0.4× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $513.50 | $1,027 | 1.2× |
| Obtaining screen pap smear (Q0091) | $35.50 | $71 | 1.3× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $426.50 | $853 | 1.3× |
| Oth resp proc, group (G0239) | $172 | $344 | 4.8× |
| Oth resp proc, indiv (G0238) | $38.50 | $77 | 1.4× |
| Perc d-e cor revasc chro sin (C9607) | $8,951.50 | $17,903 | 0.5× |
| Perc d-e cor revasc t cabg s (C9604) | $10,689.50 | $21,379 | 1.0× |
| Perc d-e cor stent ather s (C9602) | $17,925 | $35,850 | 1.0× |
| Perc drug-el cor stent sing (C9600) | $7,161 | $14,322 | 0.6× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,518.50 | $9,037 | 0.4× |
| Place device/marker, non pro (C9728) | $2,329 | $4,658 | 1.7× |
| Ppps, initial visit (G0438) | $201.75 | $403.50 | 1.2× |
| Ppps, subseq visit (G0439) | $134 | $268 | 1.0× |
| Prgrmg dev eval ldls pm single car chamber ip (0826T) | $41.75 | $83.50 | 1.2× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $49.50 | $99 | 1.4× |
| Programming device eval impl ccm-d sys in person (0926T) | $42 | $84 | 1.2× |
| Psa screening (G0103) | $73 | $146 | 3.8× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $2,371.50 | $4,743 | 1.2× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $2,058 | $4,116 | 1.0× |
| Removal Cardiac Modulj Sys Pls Generator Only (0412T) | $3,329 | $6,658 | 0.9× |
| Removal Cardiac Modulj Sys Transvenous Electrode (0413T) | $3,329 | $6,658 | 0.9× |
| Removal perm ccm-d system pulse generator only (0919T) | $3,045 | $6,090 | 0.8× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $819.50 | $1,639 | 1.4× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $695.50 | $1,391 | 1.1× |
| Revasc intra lithotrip-ather (C9766) | $16,662 | $33,324 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $16,662 | $33,324 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $8,223.50 | $16,447 | 0.7× |
| Revasc lithotrip tibi/perone (C9772) | $13,268.50 | $26,537 | 1.2× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) unusually low: confirm this is the full procedure |
$8,394.50 | $16,789 | 0.4× |
| Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) | $3,045 | $6,090 | 0.8× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $3,045 | $6,090 | 0.8× |
| Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) | $3,045 | $6,090 | 0.8× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) unusually low: confirm this is the full procedure |
$7,896 | $15,792 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $89.25 | $178.50 | 3.4× |
| Screen cerv/vag thin layer (G0123) | $105.50 | $211 | 5.2× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) unusually low: confirm this is the full procedure |
$8,554 | $17,108 | 0.5× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $20,613 | $41,226 | 1.1× |
| Tomosynthesis, mammo (G0279) | $45 | $90 | 3.5× |
| Trauma respons w/hosp criti (G0390) | $1,451.50 | $2,903 | 1.1× |
| Tte w or w/o contr, cont ecg (C8930) | $1,238.25 | $2,476.50 | 1.6× |
| Tte w or w/o fol w/cont, com (C8921) | $889 | $1,778 | 1.2× |
| Tte w or wo fol wcon,doppler (C8929) | $1,159 | $2,318 | 1.5× |
| Unsched dialysis esrd pt hos (G0257) | $1,217.50 | $2,435 | 1.8× |
| Vasc emb/occ w/prs cath (C9797) | $21,070 | $42,140 | 1.2× |
| Visit to determ ldct elig (G0296) | $95.50 | $191 | 1.0× |
| Wet mounts/ w preparations (Q0111) | $118 | $236 | 6.4× |