Greenbrier Valley Medical Center — price list
← Hospital overviewVerified from Greenbrier Valley Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
193 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 18MM BIOPOLY GREAT TOE IMPLANT Inpatient & outpatient | C1713 HCPCS | $16,800 | $16,800 | $2,268 – $16,464 | — | |
| 19101 - BX BREAST OPEN INCISIONAL Outpatient | 19101 CPT | $17,670 | $17,670 | $166 – $17,317 | — | |
| 25000 - INCISION EXTENSOR TENDON SHEATH WRIST Outpatient | 25000 CPT | $903 | $903 | $181 – $885 | — | |
| 5-HIAA URINE-MAYO Inpatient & outpatient | 83497 CPT | $143 | $143 | $11.61 – $140 | — | |
| 54450 - FORESKIN MANIPULATION INCLUDES LYSIS PREPUTIAL ADHESIONS/STRETCHING Outpatient | 54450 CPT | $1,104 | $1,104 | $43.00 – $1,082 | — | |
| ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS SYRINGE Inpatient & outpatient | J0135 HCPCS | $8,959 | $8,959 | $1,210 – $8,780 | — | |
| ALLERGEN (IGE) DOG EPITHELIUM Inpatient & outpatient | 86003 CPT | $123 | $123 | $4.70 – $121 | — | |
| ALTEPLASE (TPA) 1 MG/ML SYR (STROKE BOLUS) Inpatient & outpatient | J2997 HCPCS | $228 | $228 | $79.73 – $223 | — | |
| ALTEPLASE (TPA) 4 MG/NS 20 ML (INTERVENTIONAL RADIOLOGY) Inpatient & outpatient | J2997 HCPCS | $869 | $869 | $117 – $852 | — | |
| AMPA-R AB IF TITER ASSAY-MAYO Inpatient & outpatient | 86256 CPT | $221 | $221 | $12.05 – $217 | — | |
| ARTICULAR SURFACE 42512400711 42512400711 Inpatient & outpatient | C1776 HCPCS | $13,855 | $13,855 | $1,870 – $13,578 | — | |
| AUREOBASIDIUM PULLULANS IGG-MAYO Inpatient & outpatient | 86001 CPT | $43.00 | $43.00 | $7.04 – $42.14 | — | |
| B MOZEC RX 17 2.75 Inpatient & outpatient | C1725 HCPCS | $907 | $907 | $122 – $889 | — | |
| BALLOON PTA 3X10X135 DORADO DR135310 Inpatient & outpatient | C1725 HCPCS | $2,236 | $2,236 | $302 – $2,191 | — | |
| BALLOON PTA 4X10X135 DORADO DR-135410 Inpatient & outpatient | C1725 HCPCS | $2,236 | $2,236 | $302 – $2,191 | — | |
| BALLOON PTA DRUG COATED LUTONIX 035IN 5F 6MMX60MM 130CM LX Inpatient & outpatient | C2623 HCPCS | $12,700 | $12,700 | $1,715 – $12,446 | — | |
| BALLOON PTCA DILATON ARMADA 5.0X60 1013470-060 Inpatient & outpatient | C1725 HCPCS | $1,511 | $1,511 | $204 – $1,481 | — | |
| BARIUM SULFATE 60% (E-Z PAQUE) 355 ML ORAL SUSPENSION Inpatient & outpatient | 7609090 LOCAL | $14.25 | $14.25 | $4.99 – $13.97 | — | |
| BARTONELLA QUINTANA IGM ANTIBODY-MAYO Inpatient & outpatient | 86611 CPT | $52.00 | $52.00 | $9.16 – $50.96 | — | |
| BASE GLENOID 113952 113952 Inpatient & outpatient | C1776 HCPCS | $11,854 | $11,854 | $1,600 – $11,617 | — | |
| BASEPLATE JOURNEY 71422435 71422435 Inpatient & outpatient | C1776 HCPCS | $9,754 | $9,754 | $1,317 – $9,559 | — | |
| BENZONATATE 100 MG CAPSULE Inpatient & outpatient | 7605029 LOCAL | $1.28 | $1.28 | $0.45 – $1.25 | — | |
| BIT CANNULATED 3.0/4.0MM COUNTERSINK 21040002 Inpatient & outpatient | C1713 HCPCS | $2,352 | $2,352 | $318 – $2,305 | — | |
| BIT DRILL 2.5 AR894316 AR-8943-16 Inpatient & outpatient | 7459779 LOCAL | $813 | $813 | $110 – $797 | — | |
| CABLE BEADED 2.0 DALLMILES 6704-0-520 Inpatient & outpatient | C1713 HCPCS | $4,180 | $4,180 | $564 – $4,096 | — | |
| CAGE 8X10X28MM 7770828 Inpatient & outpatient | C1889 HCPCS | $21,402 | $21,402 | $2,889 – $20,974 | — | |
| CALCIUM CHANNEL BINDING AB, P/Q-TYPE-MAYO Inpatient & outpatient | 83519 CPT | $209 | $209 | $16.56 – $205 | — | |
| CALCIUM CHLORIDE 1000MG/10 ML SYR Inpatient & outpatient | 7610764 LOCAL | $29.70 | $29.70 | $10.40 – $29.11 | — | |
| CALIF (LACROSSE) ENCEP AB, IGG, S-MAYO Inpatient & outpatient | 86651 CPT | $34.54 | $34.54 | $6.91 – $33.85 | — | |
| CATH THORACIC SILICONE 20FR Inpatient & outpatient | C1729 HCPCS | $134 | $134 | $18.09 – $131 | — |