Martinsburg, WV
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Jul 9, 2026 | Sep 18, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see City Hospital, Inc.’s price for it.
The codes City Hospital, Inc. has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Propofol intravenous emulsionHCPCS J2704 | $0 | $3 | $4 | 138% | 66,996 | $0 | $12 |
| Iron sucrose injection, 20 mg per mLHCPCS J1756 | $113 | $135 | $137 | 102% | 29,247 | $0 | $329 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $1.5k | $4.2k | $5.2k | 126% | 26,119–26,128 | $0 | $12.2k |
| Dexamethasone sodium phosphate injection, 4 mg per mLHCPCS J1100 | $5 | $569 | $2.4k | 422% | 25,692–25,782 | $0 | $12.2k |
| Acetaminophen 1000 mg injectionHCPCS J0131 | $8 | $10 | $10 | 98% | 17,338 | $0 | $22 |
| Complete blood count with automated differentialCPT 85025 | $8 | $16 | $21 | 135% | 16,553–16,625 | $6 | $88 |
| Comprehensive metabolic blood panelCPT 80053 | $11 | $17 | $18 | 107% | 16,033–16,060 | $10 | $93 |
| Ondansetron injection 4 mgHCPCS J2405 | $1 | $1 | $1 | 66% | 14,575–14,584 | $0 | $1 |
| Therapeutic exercise sessionCPT 97110 | $29 | $38 | $39 | 104% | 13,188–13,224 | $21 | $411 |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $135 | $124 | $47 | 38% | 10,578–10,632 | $29 | $202 |
EIN: 55-0383321
Last updated: Jul 9, 2026
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Hospital ID: 0a7a9126e2d7dd90a716328c14ded899f9851359e8530b51e5cf69158f05d81d