Medical Procedure Costs in West Virginia

West Virginia medical procedure costs are generally below the national average. West Virginia has a single Medicare pricing locality.

Cost vs National Avg
-6.1%
Lower than average
Pricing Localities
1
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Procedure Costs in West Virginia

ProcedureWest Virginia
Incision & Drainage of Abscess$119
Skin Biopsy (Tangential)$87
Skin Biopsy (Punch)$111
Destruction of Skin Lesion$61
Partial Mastectomy$641
Total Hip Replacement$1,169
Total Knee Replacement$1,167
Knee Arthroscopy$504
Upper Endoscopy (EGD)$294
Upper Endoscopy (EGD) With Biopsy$379
Colonoscopy (Diagnostic)$350
Colonoscopy With Biopsy$440
Colonoscopy With Polyp Removal$464
Laparoscopic Cholecystectomy$644
Laparoscopic Inguinal Hernia Repair$426
Laparoscopic Removal of Ovarian Cyst$598
Vaginal Delivery (Global)$2,284
Cesarean Delivery (Global)$2,573
Lumbar Discectomy$904
Cataract Surgery$444
MRI Brain Without Contrast$178
MRI Brain With Contrast$244
MRI Brain$288
Chest X-Ray$30
CT Chest Without Contrast$121
CT Chest With Contrast$151
MRI Cervical Spine$174
MRI Lumbar Spine$175
Shoulder X-Ray$32
MRI Shoulder$186
Knee X-Ray$31
MRI Knee$185
CT Abdomen & Pelvis Without Contrast$169
CT Abdomen & Pelvis With Contrast$271
Ultrasound Abdomen$104
Ultrasound Transvaginal$106
Ultrasound Pelvis$95
Diagnostic Mammogram$142
Screening Mammogram$114
Nuclear Stress Test$381
Psychiatric Evaluation$168
Psychiatric Evaluation With Medical Services$197
Psychotherapy (45 min)$111
Psychotherapy (60 min)$162
ECG/EKG$14
Echocardiogram$179
Stress Echocardiogram$169
Carotid Ultrasound$170
Laser Treatment for Skin$124
Physical Therapy (Therapeutic Exercise)$27
Physical Therapy (Manual Therapy)$26
PT Evaluation (Low Complexity)$92
PT Evaluation (Moderate Complexity)$92
Office Visit (New, Low)$112
Office Visit (New, Moderate-High)$170
Office Visit (New, High)$228
Office Visit (Established, Moderate)$90
Office Visit (Established, Moderate-High)$129
Office Visit (Established, High)$183

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in West Virginia

Medical procedure costs in West Virginia are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in West Virginia. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in West Virginia offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within West Virginia.

Ways to Save on Medical Costs in West Virginia

Compare Insurance Plans

Comparing marketplace plans in West Virginia could save you thousands on procedures.

Compare plans on eHealth →

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care →

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx →

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Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.