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 |
|---|---|---|---|---|
| Explore woundchest 20101 CPT 20101 | $375.20 | $469.00 | not published | 0 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $724.00 | $905.00 | not published | 0 |
| Explr/decompress eye socket CPT 67414 | $2,182.40 | $2,728.00 | not published | 0 |
| Expose art endoprosth iliac 34820 CPT 34820 | $599.20 | $749.00 | not published | 0 |
| Expose endoprosth brachial 34834 CPT 34834 | $228.80 | $286.00 | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $729.60 | $912.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $440.00 | $550.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $581.60 | $727.00 | not published | 0 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $40.80 | $51.00 | not published | 0 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $44.00 | $55.00 | not published | 0 |
| Extended visual field xm CPT 92083 | $46.40 | $58.00 | not published | 0 |
| External cannula declotting CPT 36860 | $189.60 | $237.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $536.80 | $671.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $298.40 | $373.00 | not published | 0 |
| Extnd color vision xm CPT 92283 | $15.20 | $19.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $411.20 | $514.00 | not published | 0 |
| Extraction of lens CPT 66930 | $1,278.40 | $1,598.00 | not published | 0 |
| Extraction of lens CPT 66940 | $1,172.00 | $1,465.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $683.20 | $854.00 | $647.79 – $647.79 | 1 |
| Facial bones <3 CPT 70140 | $201.60 | $252.00 | not published | 0 |
| Factor ix CPT 85250 | $128.00 | $160.00 | not published | 0 |
| Factor viii CPT 85240 | $274.40 | $343.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $180.80 | $226.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $187.20 | $234.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $1.33 | $1.66 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $44.80 | $56.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $252.00 | $315.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $54.40 | $68.00 | not published | 0 |
| Femoral endovas graft add-on 34813 CPT 34813 | $416.00 | $520.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $6.78 | $8.48 | $1.06 – $1.06 | 1 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,402.93 | $3,003.66 | $1.90 – $1.90 | 1 |
| Ferritin CPT 82728 | $17.60 | $22.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $915.02 | $1,143.78 | $0.59 – $0.59 | 1 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $89.60 | $112.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,390.40 | $1,738.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $384.80 | $481.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $384.80 | $481.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $239.20 | $299.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $26.40 | $33.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $37.60 | $47.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $18.40 | $23.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $305.60 | $382.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $275.20 | $344.00 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $520.46 | $650.58 | $0.53 – $0.53 | 1 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $69.60 | $87.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $111.20 | $139.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $623.20 | $779.00 | not published | 0 |
| Fistula repair transperine 57308 CPT 57308 | $1,136.80 | $1,421.00 | not published | 0 |
| Fitg c-lens keratoconus 1st CPT 92072 | $137.60 | $172.00 | not published | 0 |
| Fixation of knee joint CPT 27570 | $2,481.60 | $3,102.00 | not published | 0 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $5,354.40 | $6,693.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $22.40 | $28.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $739.20 | $924.00 | not published | 0 |
| Flow cytometry interp 16 or more CPT 88189 | $141.60 | $177.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $576.00 | $720.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $330.40 | $413.00 | not published | 0 |
| #flow interp 9 - 15 markers CPT 88188 | $104.80 | $131.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $8.40 | $10.50 | $4.50 – $4.50 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | $1,163.20 | $1,454.00 | $810.07 – $810.07 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | $72.80 | $91.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $80.00 | $100.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $398.40 | $498.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $148.00 | $185.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $491.20 | $614.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $128.30 | $160.38 | $5.31 – $5.31 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $10.33 | $12.91 | not published | 0 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | $43.20 | $54.00 | $54.00 – $54.00 | 1 |
| Folic acid CPT 82746 | $12.00 | $15.00 | not published | 0 |
| Follow-up surgery of eye CPT 66250 | $835.20 | $1,044.00 | not published | 0 |
| Foot X-ray CPT 73630 | $403.20 | $504.00 | not published | 0 |
| Forensic cytopathology CPT 88125 | $22.40 | $28.00 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $94.40 | $118.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $52.58 | $65.73 | $0.23 – $0.23 | 1 |
| Foscarnet sodium injection HCPCS J1455 | $63.20 | $79.00 | $79.00 – $79.00 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $79.34 | $99.18 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $948.00 | $1,185.00 | not published | 0 |
| Freeing of bowel adhesion 44005 CPT 44005 | $1,924.80 | $2,406.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | $329.60 | $412.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $152.00 | $190.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $126.40 | $158.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $13.60 | $17.00 | not published | 0 |
| Fth/gft fr trnk each addl CPT 15201 | $121.60 | $152.00 | not published | 0 |
| Full field erg w/i&r CPT 92273 | $60.80 | $76.00 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $1,294.40 | $1,618.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $957.60 | $1,197.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $108.00 | $135.00 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,237.60 | $1,547.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $36.00 | $45.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $17.98 | $22.48 | not published | 0 |
| Fusion of ankle joint open CPT 27870 | $1,690.40 | $2,113.00 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $14,661.60 | $18,327.00 | not published | 0 |
| Fusion of big toe joint CPT 28755 | $833.60 | $1,042.00 | not published | 0 |
| Fusion of finger joint CPT 26860 | $6,913.60 | $8,642.00 | not published | 0 |
| Fusion of foot bones CPT 28730 | $1,219.20 | $1,524.00 | not published | 0 |
| Fusion of foot bones CPT 28740 | $1,036.00 | $1,295.00 | not published | 0 |
| Fusion of tibiofibular joint CPT 27871 | $1,168.80 | $1,461.00 | not published | 0 |
| G0180 home health certification HCPCS G0180 | $97.60 | $122.00 | not published | 0 |
| Gabapentin non-blood CPT 80355 | $55.20 | $69.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $30.38 | $37.98 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $28.00 | $35.00 | 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.