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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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JEFFERSON MEDICAL CENTER

Ranson, WV · CCN 511319 · Rates published

You selected 93350 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

2,669 distinct procedures filed
28 distinct payers
79,084 rate rows
2026-05-13 last MRF observed

9,441 of 79,084 rate rows are consumer-grade (11.9%)

69,643 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 68,837
per-diem day rate — not a per-procedure price 494
exceeds 10× this hospital's gross charge — excluded from medians 173
template filing: same amount across many unrelated codes — excluded 137
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
placeholder amount (≤ $0.02) — excluded from medians 1
↓ Download audit trail (JSON)
Source MRF file https://wvumedicine.org/wp-content/uploads/2026/04/550359755_Jefferson-Medical-Center-_standardcharges.csv
Found on page https://wvumedicine.org/billing-and-insurance/costs-and-charges/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-21
Content fingerprint c76ff1252d1aa6d2… · 12,553,514 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J9029
HCPCS
Instill Adstiladrin, Tx Dose 27 $101,970.00 $101,970.00 $101,970.00 nat. median
$68,423

1.5× median
J9226
HCPCS
Supprelin La Implant 27 $73,550.30 $73,550.30 $73,550.30 nat. median
$55,159

1.3× median
J0480
HCPCS
Basiliximab 27 $7,385.85 $7,385.85 $7,385.85 nat. median
$6,695

1.1× median
J2787
HCPCS
Riboflavin 5'phos Opth<=3ml 27 $4,108.50 $4,108.50 $4,108.50 nat. median
$4,061

1.0× median
J3240
HCPCS
Thyrotropin Injection 27 $3,334.93 $3,334.93 $3,334.93 nat. median
$2,980

1.1× median
J1950
HCPCS
Leuprolide Acetate /3.75 Mg 27 $2,581.59 $2,581.59 $2,581.59 nat. median
$3,902

0.7× median
J7298
HCPCS
Mirena, 52 Mg 27 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,679

1.4× median
J7296
HCPCS
Kyleena, 19.5 Mg 27 $2,290.45 $2,290.45 $2,290.45 nat. median
$1,654

1.4× median
J9357
HCPCS
Valrubicin Injection 27 $2,250.35 $2,250.35 $2,250.35 nat. median
$1,804

1.2× median
J7300
HCPCS
Intra Copp Contra (paragard) 27 $2,148.30 $2,148.30 $2,148.30 nat. median
$1,614

1.3× median
110468211
OTHER
Hchg Juv Derm Ultra Plus Xc Per 1ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100022211
OTHER
Hchg Telemetry Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110348211
OTHER
Hchg Inject, Intravitreal Vancomycin, Per Dose 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100109211
OTHER
Hchg Birthing Room - L&d 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110407211
OTHER
Hchg Clindamycin Intravitreal Inj Per 1mg/0.1ml 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110471211
OTHER
Hchg Juv Derm Vollure Per 1ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110472211
OTHER
Hchg Restylane Per 1ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110334211
OTHER
Hchg Ganciclovir Ophth 2mg/0.1ml Per Dose 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110274211
OTHER
Hchg 0.9% Ns 250 Ml 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100020211
OTHER
Hchg Routine Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100015211
OTHER
Hchg OB Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110283211
OTHER
Hchg Sodium Chloride Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110323211
OTHER
Hchg Methotrexate Ophth 400mcg/0.1ml Per Dose 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100008211
OTHER
Hchg Isolation Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110299211
OTHER
Hchg Gi Cocktail - Maalox Max 10ml & Lidocane Viscous 2% 5ml- Per 15ml 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110356211
OTHER
Hchg Hydralazine Per 25 Mg Tab 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110337211
OTHER
Hchg Bupivacaine Hcl Pf (marcaine) 0.25% Inj Per 1ml 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
94640
CPT
Airway Inhalation Treatment 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$195

outlier · 9.9×
94668
CPT
Chest Wall Manipulation 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$136

outlier · 14.3×
94664
CPT
Evaluate Pt Use Of Inhaler 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$194

outlier · 10.0×
94660
CPT
Pos Airway Pressure Cpap 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$363

outlier · 5.3×
94669
CPT
Mechanical Chest Wall Oscill 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$217

outlier · 8.9×
100007211
OTHER
Hchg Intensive Care Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
94667
CPT
Chest Wall Manipulation 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$153

outlier · 12.7×
89220
CPT
Sputum Specimen Collection 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$160

outlier · 12.1×
110333211
OTHER
Hchg Sufentanil 50mcg/ml Inj (sufenta) - Per 1ml 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
110467211
OTHER
Hchg Juv Derm Ultra Plus Xc Per (1) 0.55ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
94645
CPT
Cbt Each Addl Hour 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$140

outlier · 13.8×
94003
CPT
Vent Mgmt Inpat Subq Day 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$828

outlier · 2.3×
110469211
OTHER
Hchg Juv Derm Volbella Xc Per (1) 0.55ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100117211
OTHER
Hchg Transitional Care Bed 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100010211
OTHER
Hchg Newborn Room 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
100014211
OTHER
Hchg Nursery 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
94799
CPT
Unlisted Pulmonary Svc/px 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$169

outlier · 11.5×
94002
CPT
Vent Mgmt Inpat Init Day 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$917

outlier · 2.1×
99465
CPT
Nb Resuscitation 2 $1,937.62 $1,937.62 $1,937.62 nat. median
$680

outlier · 2.8×
110470211
OTHER
Hchg Juv Derm Volbella Xc Per 1ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median
J3490
HCPCS
Drugs Unclassified Injection 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$47

outlier · 41.0×
94644
CPT
Cbt 1st Hour 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$183

outlier · 10.6×
110473211
OTHER
Hchg Belotero Balance Per 1ml Syringe 12 $1,937.62 $1,937.62 $1,937.62 nat. median
$1,938

1.0× median

Other procedures at this hospital

Browse this hospital's 2,669 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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