Potomac Valley Hospital — procedure prices

Published prices for 300 procedures at Potomac Valley Hospital (Keyser, WV), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $65 $129 — $51
Abdominal fluid drain (paracentesis) $493 $985 — $284
Abdominal ultrasound $65 $129 — $100
Abscess incision and drainage $198 $396 $25 $174
Achilles tendon repair $717 $1,433 — $624
ACL knee reconstruction $1,073 $2,145 — $889
Acupuncture $36 $71 — $38
Albumin blood test $11 $22 — $5
Aldosterone test $19 $38 — $41
Alkaline phosphatase test $16 $32 — $5
Allergy shots $12 $23 — $11
Allergy testing $4 $8 — $4
Alpha-fetoprotein (AFP) test $32 $64 — $17
ALT liver enzyme test $16 $32 — $5
Ammonia blood test $30 $59 — $15
Amylase test $129 $259 — $6
Anal fistula repair $487 $974 — $541
Ankle fracture repair $707 $1,414 — $608
Ankle replacement $1,059 $2,117 — $885
Annual physical (established patient) $101 $202 — —
Annual physical (new patient) $108 $217 — —
Anoscopy $44 $87 — $129
Antinuclear antibody (ANA) test $107 $213 — $12
Aortic aneurysm repair (AAA) $1,910 $3,819 — $1,345
Arterial blood gas (ABG) $85 $169 — $26
AST liver enzyme test $15 $30 — $5
Barium swallow study $306 $611 — $107
Bartholin cyst removal $116 $232 — $182
Basic metabolic panel $39 $78 — $8
Benign skin lesion removal $142 $284 $25 $171
Bilirubin blood test $12 $24 — $5
Bladder function test (urodynamics) $131 $262 — $345
Blood clotting test (PT/INR) $25 $49 — $4
Blood crossmatch $80 $160 — —
Blood glucose test $19 $38 — $5
Blood transfusion $423 $846 — $47
Blood type and screen $31 $61 — $10
Blood type test $27 $55 — $3
BNP (heart failure) test $89 $177 — $39
Bone density scan (DEXA) $182 $363 — $39
Bone scan (nuclear) $407 $815 — $259
Breast reduction $1,118 $2,235 — $980
Breast ultrasound $76 $151 — $92
Breathing tube insertion (intubation) $255 $509 $25 $133
Bunion surgery (bunionectomy) $558 $1,115 — $883
Burn treatment $116 $231 — $129
C-reactive protein (CRP) $25 $49 — $5
CA 19-9 tumor marker test $129 $258 — $21
CA-125 ovarian marker test $129 $258 — $21
Calcium blood test $13 $26 — $5
Cardiac rehabilitation $125 $250 — $26
Carotid artery surgery $1,238 $2,476 — $1,026
Carotid artery ultrasound $179 $358 — $156
Carpal tunnel release $475 $950 — $483
Cataract surgery $602 $1,203 — $547
CEA tumor marker test $108 $216 — $19
Celiac disease test $233 $465 — $12
Central line placement $2,426 $4,852 $25 $238
Chalazion (eyelid cyst) removal $96 $191 — $131
Chemotherapy infusion $136 $271 — $81
Chest fluid drain (thoracentesis) $781 $1,563 — $311
Chest tube insertion $173 $346 $25 $143
Chest X-ray $145 $290 — $37
Chickenpox (varicella) vaccine $274 $548 $345 —
Chiropractic adjustment $31 $63 — $38
Circumcision $152 $304 — $167
CK-MB heart enzyme test $17 $33 — $12
Clotting time test (PTT) $34 $68 — $6
Colon resection (colectomy) $1,437 $2,874 — $1,238
Colonoscopy $710 $1,419 — $480
Colostomy $1,311 $2,621 — $1,122
Colposcopy $139 $277 — $161
Complete blood count (CBC) $31 $63 — $7
Complex wound repair $235 $469 — $390
Comprehensive eye exam $79 $158 — $138
Comprehensive metabolic panel $49 $98 — $11
Continuous glucose monitor setup $40 $79 — $35
Contraceptive implant (Nexplanon) $82 $163 — $115
Copper blood test $8 $15 — $12
Corneal transplant $1,170 $2,340 — $1,066
Coronary CT angiography $230 $459 — $326
Cortisol test $99 $198 — $16
CPAP titration study $296 $591 $2,784 $69
Creatine kinase (CK) test $12 $23 — $7
CT angiography of the chest $538 $1,077 — $281
CT angiography of the head $420 $841 — $274
CT scan of the abdomen $344 $687 — $230
CT scan of the abdomen and pelvis $669 $1,338 — $300
CT scan of the arm $278 $556 — $199
CT scan of the chest $328 $656 — $167
CT scan of the head $480 $960 — $148
CT scan of the leg $304 $608 — $166
CT scan of the lower back (lumbar spine) $348 $696 — $169
CT scan of the neck $315 $629 — $183
CT scan of the neck (cervical spine) $342 $683 — $168
CT scan of the pelvis $340 $680 — $226
CT scan of the sinuses $527 $1,053 — $152
D-dimer test $49 $98 — $10
Developmental screening (child) $13 $25 — —
DHEA-sulfate test $100 $200 — $22
Diagnostic mammogram $108 $217 — $140
Dialysis fistula creation $1,194 $2,388 — $601
Droopy eyelid repair (ptosis) $559 $1,117 — $745
Drug screen (urine) $96 $192 — $17
Ear pressure test (tympanometry) $38 $75 — $16
Electrocardiogram (EKG) $86 $172 — $8
Electrolyte panel $33 $65 — $7
Emergency department visit $170 $340 $25 $69
Endometrial biopsy $66 $131 — $98
Estradiol (estrogen) test $61 $122 — $28
Eye refraction (glasses prescription) $19 $38 — —
Eyelid surgery (blepharoplasty) $456 $913 — $552
Fallopian tube X-ray (HSG) $60 $119 — $164
Family therapy session $154 $308 — $110
Fecal occult blood (stool) test $14 $28 — $10
Feeding tube (PEG) placement $1,915 $3,831 $25 $178
Femoral hernia repair $679 $1,357 — $584
Ferritin (iron) test $60 $119 — $14
Fibrinogen test $44 $87 — $10
Fibroid removal (myomectomy) $1,064 $2,128 — $914
Flu test $121 $242 — $17
Folate (folic acid) test $60 $119 — $15
Foreign body removal (skin) $112 $224 $25 $157
Free T4 thyroid test $20 $39 — $9
FSH hormone test $74 $148 — $19
Gallbladder removal (laparoscopic) $925 $1,849 — $658
Gallbladder scan (HIDA) $602 $1,204 — $334
Ganglion cyst removal $355 $709 — $321
GGT liver test $20 $40 — $7
Glucose tolerance test $76 $151 — $8
H. pylori test $60 $120 — $67
Hammertoe repair $418 $836 — $548
HDL cholesterol test $26 $51 — $8
Hearing test (audiometry) $66 $132 — $36
Hemoglobin A1c (diabetes test) $56 $113 — $10
Hemorrhoid removal $289 $578 — $338
Hepatitis A vaccine $100 $200 $116 —
Hepatitis B test $24 $47 — $10
Hepatitis B vaccine $68 $135 $116 —
Hepatitis C test $51 $102 — $14
Hip fracture repair $1,353 $2,706 — $1,120
Hip replacement $1,420 $2,839 — $1,162
HIV test $32 $63 — $19
Home sleep apnea test $125 $250 — $123
HPV vaccine $436 $871 $569 —
Hysterectomy $1,018 $2,037 — $933
Ileostomy $1,132 $2,263 — $968
Inguinal hernia repair $808 $1,617 — $538
Iron blood test $26 $51 — $6
IUD insertion $51 $102 — —
IUD removal $74 $148 — $112
IV infusion therapy $232 $463 $25 $44
Joint aspiration (small/intermediate) $40 $79 — $57
Knee arthroscopy $953 $1,906 — $524
Knee joint injection $78 $157 — $69
Lactate test $63 $125 — $12
Laminectomy (spine) $1,468 $2,935 — $1,157
Laryngoscopy $158 $316 $25 $189
LDH test $10 $20 — $6
LDL cholesterol test $42 $85 — $11
Leg vein ultrasound (Doppler) $163 $326 — $150
LH hormone test $67 $134 — $19
Lipase test $26 $51 — $7
Lipid (cholesterol) panel $63 $125 — $13
Liver biopsy $837 $1,675 — $288
Liver function panel $38 $76 — $8
Lumbar discectomy $4,834 $9,668 — $898
Lumpectomy (breast) $870 $1,741 — $750
Lung function test (PFT) $36 $71 — $37
Lung scan (V/Q) $289 $579 — $291
Magnesium blood test $20 $41 — $7
Mastectomy $1,186 $2,371 — $1,021
Meniscus repair (knee) $824 $1,649 — $714
MMR vaccine $123 $246 $182 —
Mohs skin cancer surgery $329 $657 — $535
MRA of the brain $607 $1,214 — $226
MRA of the neck $615 $1,231 — $245
MRI of the abdomen $1,132 $2,264 — $300
MRI of the ankle $628 $1,256 — $261
MRI of the brain $994 $1,987 — $269
MRI of the chest $1,637 $3,273 — $371
MRI of the knee $1,122 $2,243 — $315
MRI of the lower back (lumbar spine) $1,133 $2,266 — $270
MRI of the mid-back (thoracic spine) $631 $1,263 — $271
MRI of the neck (cervical spine) $556 $1,113 — $274
MRI of the pelvis $587 $1,173 — $268
MRI of the shoulder $1,132 $2,264 — $313
MRI of the wrist $1,144 $2,287 — $330
Nebulizer breathing treatment $65 $130 $2,784 $9
Nerve conduction study $148 $296 — $118
Newborn hospital care $67 $133 — $58
Nuchal translucency ultrasound $63 $126 — $116
Nuclear cardiac stress test $1,058 $2,117 — $428
Occupational therapy evaluation $183 $366 — $101
Office visit (established patient) $101 $201 — $115
Office visit (new patient) $185 $370 — $177
Orthopedic hardware removal $452 $905 — $632
Ovary removal (oophorectomy) $589 $1,178 — $822
Pap smear (cervical screening) $131 $262 — $20
Parathyroid hormone (PTH) test $152 $303 — $41
Parathyroid removal $1,036 $2,072 — $891
Pelvic ultrasound $124 $247 — $78
PET scan $2,624 $5,247 — —
Phosphorus blood test $26 $51 — $5
Physical therapy evaluation $220 $439 — $98
Platelet count $35 $70 — $4
Pneumonia vaccine $158 $316 $220 —
Pregnancy blood test (hCG) $11 $23 — $8
Pregnancy ultrasound $53 $105 — $126
Procalcitonin test $44 $88 — $27
Prolactin test $60 $120 — $19
Prostate surgery (TURP) $761 $1,521 — $526
Prostate test (PSA) $52 $103 — $18
Psychiatric evaluation $187 $374 — $188
Psychotherapy session $150 $299 — $140
Retina scan (OCT) $20 $39 — $33
Retinal (fundus) photography $23 $45 — $37
Rotator cuff repair $938 $1,876 — $792
Routine eye exam $47 $93 — $88
RSV vaccine $406 $812 $584 —
Sacroiliac joint injection $380 $760 — $176
Scoliosis spine X-ray $60 $121 — $58
Screening colonoscopy $702 $1,403 — $378
Screening mammogram $114 $227 — $126
Scrotal ultrasound $214 $428 — $99
Sedimentation rate (ESR) test $17 $34 — $3
Semen analysis $89 $178 — $12
Sex hormone binding globulin test $14 $27 — $22
Shingles vaccine $262 $523 — —
Shoulder arthroscopy $1,151 $2,302 — $962
Shoulder replacement $1,594 $3,187 — $1,300
Simple wound stitches $159 $317 $25 $127
Skin biopsy $52 $105 — $121
Skin cancer lesion removal $191 $382 — $240
Skin graft $721 $1,443 — $898
Skin lesion freezing (cryotherapy) $52 $104 — $36
Skin tag removal $135 $270 — $92
Small bowel resection $1,378 $2,756 — $1,136
Soft tissue ultrasound $64 $127 — $64
Speech therapy $154 $308 — $76
Spinal tap (lumbar puncture) $679 $1,357 $25 $165
Spine fracture repair (kyphoplasty) $2,680 $5,361 — $5,803
Spleen removal (splenectomy) $1,218 $2,435 — $1,036
Stomach removal (gastrectomy) $1,600 $3,200 — $1,595
Strep throat test $32 $65 — $17
Swallow study $150 $299 — $85
T3 thyroid test $49 $98 — $14
Tdap (tetanus) vaccine $61 $121 $63 —
Testicle removal (orchiectomy) $346 $691 — $306
Testosterone test $69 $137 — $26
Thyroid removal (thyroidectomy) $964 $1,927 — $1,004
Thyroid test (TSH) $48 $96 — $17
Thyroid ultrasound $200 $401 — $109
Thyroid uptake scan $205 $409 — $145
Total IgE allergy test $37 $73 — $16
Total protein test $16 $32 — $4
Tracheostomy $322 $643 — $273
Transvaginal ultrasound $70 $140 — $118
Trigger finger release $317 $633 — $630
Trigger point injection $46 $92 — $56
Triglycerides test $32 $65 — $6
Troponin (heart) test $110 $219 — $12
Tubal ligation $382 $764 — $333
Ulnar nerve surgery (elbow) $658 $1,316 — $575
Upper GI endoscopy (EGD) $497 $994 — $371
Upper GI series (barium) $436 $873 — $128
Uric acid (gout) test $14 $28 — $5
Urinalysis $13 $26 — $3
Urine microalbumin test $18 $35 — $5
Urine pregnancy test $13 $25 — $9
Vaccine administration $23 $46 — $19
Vasectomy $241 $481 — $347
Visual field test $29 $58 — $64
Vitamin B12 test $58 $115 — $15
Vitamin D test $42 $84 — $30
Vitrectomy (eye) $835 $1,669 — $814
Wart removal $76 $152 — $121
Well-child visit $73 $145 — —
Wound debridement $160 $320 — $186
Wrist fracture repair $861 $1,722 — $735
X-ray of the abdomen $112 $223 — $36
X-ray of the ankle $68 $137 — $37
X-ray of the collarbone $66 $133 — $33
X-ray of the elbow $71 $143 — $33
X-ray of the foot $68 $136 — $34
X-ray of the forearm $66 $132 — $29
X-ray of the hand $68 $137 — $38
X-ray of the hip $88 $176 — $49
X-ray of the knee $68 $136 — $42
X-ray of the lower back (lumbar spine) $87 $174 — $47
X-ray of the lower leg $66 $132 — $31
X-ray of the neck (cervical spine) $82 $164 — $47
X-ray of the pelvis $63 $125 — $36
X-ray of the ribs $60 $119 — $42
X-ray of the shoulder $72 $143 — $36
X-ray of the skull $59 $119 — $40
X-ray of the upper arm $70 $140 — $32
X-ray of the wrist $68 $137 — $43
YAG laser capsulotomy (eye) $296 $592 — $335
Zinc blood test $6 $12 — $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.