Grant Memorial Hospital
117 Hospital Dr, Petersburg, WV · Wvumedicine · · NPI 1013603919
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52301 | $472.80 | $591.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $248.80 | $311.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $449.60 | $562.00 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | $400.80 | $501.00 | not published | 0 |
| Cystoscopy and treatment CPT 52330 | $428.80 | $536.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $913.60 | $1,142.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $276.80 | $346.00 | not published | 0 |
| Cystoscopy implant stent CPT 52282 | $552.00 | $690.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $4,609.60 | $5,762.00 | not published | 0 |
| Cystoscopy & revise urethra CPT 52275 | $405.60 | $507.00 | not published | 0 |
| Cystoscopy stone removal CPT 52325 | $523.20 | $654.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $219.20 | $274.00 | not published | 0 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $488.80 | $611.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | $493.60 | $617.00 | not published | 0 |
| Cysto/uretero stricture tx CPT 52344 | $602.40 | $753.00 | not published | 0 |
| Cystouretero w/biopsy CPT 52354 | $680.80 | $851.00 | not published | 0 |
| Cystouretero w/excise tumor CPT 52355 | $761.60 | $952.00 | not published | 0 |
| Cysto/uretero w/lithotripsy CPT 52356 | $678.40 | $848.00 | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | $638.40 | $798.00 | not published | 0 |
| Cystouretero w/renal strict CPT 52346 | $727.20 | $909.00 | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | $578.40 | $723.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $251.20 | $314.00 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $234.40 | $293.00 | not published | 0 |
| Cystourethro w/addl implant 52442 CPT 52442 | $82.40 | $103.00 | not published | 0 |
| Cystourethro w/implant CPT 52441 | $340.80 | $426.00 | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | $560.80 | $701.00 | not published | 0 |
| Cysto w/ureter stricture tx CPT 52341 | $463.20 | $579.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $70.40 | $88.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $49.60 | $62.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $45.60 | $57.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $57.60 | $72.00 | not published | 0 |
| Cytopath fl nongyn filter CPT 88106 | $31.20 | $39.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $72.00 | $90.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $62.40 | $78.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $80.00 | $100.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $37.60 | $47.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $47.20 | $59.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $36.00 | $45.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $116.00 | $145.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $64.80 | $81.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $42.40 | $53.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $54.64 | $68.30 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,613.20 | $8,266.50 | $25.23 – $25.23 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $46.24 | $57.80 | $0.07 – $0.07 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $23,934.06 | $29,917.58 | $80.93 – $80.93 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,900.13 | $2,375.16 | $4.83 – $4.83 | 1 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $18.40 | $23.00 | $4.83 – $4.83 | 1 |
| D&c after delivery 59160 CPT 59160 | $318.40 | $398.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,412.80 | $4,266.00 | not published | 0 |
| Dch validity tests CPT 81002 | $8.00 | $10.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $238.40 | $298.00 | not published | 0 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,192.00 | $1,490.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $44.80 | $56.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $56.00 | $70.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,090.14 | $5,112.67 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $516.00 | $645.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,045.06 | $2,556.33 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,246.40 | $1,558.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $91.20 | $114.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $183.20 | $229.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $492.00 | $615.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $676.00 | $845.00 | not published | 0 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $960.80 | $1,201.00 | not published | 0 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,332.00 | $1,665.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $912.00 | $1,140.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $81.60 | $102.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $456.00 | $570.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $23.20 | $29.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $4,825.60 | $6,032.00 | not published | 0 |
| Decalcification CPT 88311 | $20.00 | $25.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $533.60 | $667.00 | not published | 0 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $832.80 | $1,041.00 | not published | 0 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,236.00 | $1,545.00 | not published | 0 |
| Decompress forearm 1 space CPT 25023 | $2,215.20 | $2,769.00 | not published | 0 |
| Decompression of leg CPT 27894 | $1,400.80 | $1,751.00 | not published | 0 |
| Decompression of lower leg CPT 27601 | $751.20 | $939.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $610.40 | $763.00 | not published | 0 |
| Decompress small bowel CPT 44021 | $1,710.40 | $2,138.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $274.40 | $343.00 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $9.60 | $12.00 | $6.91 – $6.91 | 1 |
| Delivery of placenta 59414 CPT 59414 | $160.80 | $201.00 | not published | 0 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $1,138.40 | $1,423.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $180.00 | $225.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $7,988.81 | $9,986.01 | $41.58 – $41.58 | 1 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $320.00 | $400.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $191.20 | $239.00 | $83.19 – $83.19 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | $1,214.40 | $1,518.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $8.00 | $10.00 | $10.00 – $10.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $132.00 | $165.00 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $178.40 | $223.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $204.80 | $256.00 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $159.20 | $199.00 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $182.40 | $228.00 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $132.00 | $165.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $184.00 | $230.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $311.20 | $389.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $106.40 | $133.00 | not published | 0 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $271.20 | $339.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $308.00 | $385.00 | not published | 0 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $344.00 | $430.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.