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 |
|---|---|---|---|---|
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $347.20 | $434.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $226.40 | $283.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $72.80 | $91.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $191.20 | $239.00 | $73.19 – $73.19 | 1 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,466.40 | $1,833.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $946.40 | $1,183.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $178.40 | $223.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,673.60 | $3,342.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $140.00 | $175.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $840.80 | $1,051.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,673.60 | $3,342.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $1,924.00 | $2,405.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,795.20 | $3,494.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $10.10 | $12.62 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $4.37 | $5.46 | $2.73 – $2.73 | 1 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $745.40 | $931.75 | $21.43 – $21.43 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $250.40 | $313.00 | $22.13 – $22.13 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,107.00 | $1,383.75 | $15.31 – $15.31 | 1 |
| Drug assay rufinamide CPT 80210 | $81.60 | $102.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $640.00 | $800.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $191.20 | $239.00 | not published | 0 |
| Drug test def 15-21 classes HCPCS G0482 | $256.00 | $320.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $321.60 | $402.00 | not published | 0 |
| Drug test def 22+ classes HCPCS G0483 | $197.60 | $247.00 | not published | 0 |
| Drug test def 8-14 classes HCPCS G0481 | $245.60 | $307.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $40.00 | $50.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $338.40 | $423.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $7,358.40 | $9,198.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $68.00 | $85.00 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $29,720.88 | $37,151.10 | $133.17 – $133.17 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $218.40 | $273.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $221.60 | $277.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $221.60 | $277.00 | not published | 0 |
| Dx gastr intub w/asp spec CPT 43754 | $83.20 | $104.00 | not published | 0 |
| Dx laryngoscopy newborn CPT 31520 | $612.00 | $765.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $174.40 | $218.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $243.20 | $304.00 | not published | 0 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $12.80 | $16.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $252.00 | $315.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $79.20 | $99.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $129.60 | $162.00 | not published | 0 |
| Ecg/review interpret only CPT 93272 | $42.40 | $53.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,012.00 | $1,265.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $196.00 | $245.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,984.00 | $2,480.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $502.40 | $628.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $693.60 | $867.00 | not published | 0 |
| Echo exam of eye CPT 76519 | $52.80 | $66.00 | not published | 0 |
| Echo exam of eye CPT 76529 | $145.60 | $182.00 | not published | 0 |
| Echo exam of eye thickness CPT 76514 | $13.60 | $17.00 | not published | 0 |
| Echo exam uterus 76831- CPT 76831 | $62.40 | $78.00 | not published | 0 |
| Echo stress CPT 93350 | $120.80 | $151.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $188.00 | $235.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $220.80 | $276.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $76.80 | $96.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $113.60 | $142.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $100.00 | $125.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $313.60 | $392.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $204.00 | $255.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $100.80 | $126.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $584.80 | $731.00 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $44,570.74 | $55,713.42 | $52.93 – $52.93 | 1 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $378.40 | $473.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $323.20 | $404.00 | not published | 0 |
| Egd dilate stricture CPT 43245 | $288.80 | $361.00 | not published | 0 |
| Egd endoscopic stent place CPT 43266 | $353.60 | $442.00 | not published | 0 |
| Egd guide wire insertion CPT 43248 | $270.40 | $338.00 | not published | 0 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $232.00 | $290.00 | not published | 0 |
| Egd lesion ablation CPT 43270 | $361.60 | $452.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $313.60 | $392.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $1,579.20 | $1,974.00 | not published | 0 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $280.80 | $351.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $372.80 | $466.00 | not published | 0 |
| Egd varices ligation CPT 43244 | $393.60 | $492.00 | not published | 0 |
| Egfr gene com variants CPT 81235 | $44.80 | $56.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $233.60 | $292.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $60.80 | $76.00 | not published | 0 |
| Electroconvulsive therapy 90870 CPT 90870 | $836.00 | $1,045.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $18.40 | $23.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,792.00 | $2,240.00 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $18,205.28 | $22,756.60 | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | $67.20 | $84.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $104.80 | $131.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $28.80 | $36.00 | not published | 0 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $472.00 | $590.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $168.00 | $210.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $175.20 | $219.00 | not published | 0 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $373.60 | $467.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $328.00 | $410.00 | not published | 0 |
| Endoscopy bowel pouch/biop CPT 44386 | $147.20 | $184.00 | not published | 0 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $122.40 | $153.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $3,860.00 | $4,825.00 | not published | 0 |
| Endovasc visc aorta 1 graft CPT 34841 | $2,064.80 | $2,581.00 | not published | 0 |
| Endovasc visc aorta 3 graft CPT 34843 | $2,431.20 | $3,039.00 | not published | 0 |
| Endovasc visc aorta 4 graft CPT 34844 | $2,614.40 | $3,268.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $356.80 | $446.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $228.80 | $286.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $304.80 | $381.00 | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | $151.20 | $189.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $305.60 | $382.00 | 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.