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 |
|---|---|---|---|---|
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $11,460.72 | $14,325.90 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $25.31 | $31.64 | $1.12 – $1.12 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $72.80 | $91.00 | not published | 0 |
| Enterectomy small intestine addl 44121 CPT 44121 | $416.00 | $520.00 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,147.20 | $2,684.00 | not published | 0 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,315.20 | $2,894.00 | not published | 0 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,452.00 | $3,065.00 | not published | 0 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $2,812.00 | $3,515.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $44.80 | $56.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $80.00 | $100.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $389.60 | $487.00 | not published | 0 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $45.60 | $57.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $13.07 | $16.34 | not published | 0 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $8.17 | $10.21 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $2.90 | $3.62 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $257.60 | $322.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $6.40 | $8.00 | $1.47 – $1.47 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $856.06 | $1,070.07 | $12.90 – $12.90 | 1 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $309.48 | $386.85 | $14.67 – $14.67 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $38.40 | $48.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $190.40 | $238.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $64.00 | $80.00 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,656.17 | $5,820.21 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $72.77 | $90.96 | $21.40 – $21.40 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $182.40 | $228.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $339.20 | $424.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $593.60 | $742.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $925.60 | $1,157.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,859.20 | $2,324.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $52.00 | $65.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $192.80 | $241.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $168.80 | $211.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $144.80 | $181.00 | not published | 0 |
| Esophagoscopy snare les remv CPT 43217 | $258.40 | $323.00 | not published | 0 |
| Esoph balloon distension tst CPT 91040 | $92.00 | $115.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $985.60 | $1,232.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $94.40 | $118.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $94.40 | $118.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $168.00 | $210.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.80 | $211.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $502.40 | $628.00 | not published | 0 |
| Estradiol total CPT 82670 | $617.41 | $771.76 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $65.60 | $82.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $10.24 | $12.80 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $1,325.60 | $1,657.00 | $1,657.00 – $1,657.00 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $36.10 | $45.12 | not published | 0 |
| Euflexxa inj per dose HCPCS J7323 | $802.40 | $1,003.00 | $210.05 – $210.05 | 1 |
| Euglobulin lysis CPT 85360 | $105.60 | $132.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $120.00 | $150.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $184.80 | $231.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $250.40 | $313.00 | not published | 0 |
| Event monitor CPT 93270 | $13.60 | $17.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $50.40 | $63.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $32.00 | $40.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $291.20 | $364.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $152.00 | $190.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $28.00 | $35.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $177.60 | $222.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $940.00 | $1,175.00 | not published | 0 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $1,196.80 | $1,496.00 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $2,828.80 | $3,536.00 | not published | 0 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,004.80 | $1,256.00 | not published | 0 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $1,185.60 | $1,482.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $714.40 | $893.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,486.60 | $1,858.25 | not published | 0 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $635.20 | $794.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $1,292.80 | $1,616.00 | not published | 0 |
| Exc bartholins gland/cyst CPT 56740 | $518.40 | $648.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $358.40 | $448.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $510.40 | $638.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,531.20 | $3,164.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $2,496.00 | $3,120.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,664.00 | $2,080.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,085.60 | $1,357.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $282.40 | $353.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,085.60 | $1,357.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,531.20 | $3,164.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,939.74 | $3,674.67 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $2,068.00 | $2,585.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,632.00 | $3,290.00 | not published | 0 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $907.20 | $1,134.00 | not published | 0 |
| Exc excessive skin leg CPT 15833 | $1,437.60 | $1,797.00 | not published | 0 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $524.00 | $655.00 | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $866.40 | $1,083.00 | not published | 0 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $3,078.40 | $3,848.00 | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $349.60 | $437.00 | not published | 0 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $754.40 | $943.00 | not published | 0 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $438.40 | $548.00 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $734.40 | $918.00 | not published | 0 |
| Exc forearm tum deep < 3 cm CPT 25076 | $879.20 | $1,099.00 | not published | 0 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $8,400.80 | $10,501.00 | not published | 0 |
| Exc hand les sc < 1.5 cm CPT 26115 | $2,606.94 | $3,258.67 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $113.60 | $142.00 | not published | 0 |
| Exchange lens prosthesis CPT 66986 | $1,344.00 | $1,680.00 | not published | 0 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $432.00 | $540.00 | not published | 0 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $504.00 | $630.00 | not published | 0 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $1,072.80 | $1,341.00 | not published | 0 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $1,272.00 | $1,590.00 | not published | 0 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $4,451.20 | $5,564.00 | not published | 0 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $585.60 | $732.00 | 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.