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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $40.00 | $50.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,006.66 | $1,258.33 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,402.40 | $1,753.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $2,706.80 | $3,383.50 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $153.60 | $192.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $124.80 | $156.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $136.80 | $171.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,082.40 | $1,353.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $1,142.40 | $1,428.00 | not published | 0 |
| Ghs ng placement w fluoro guidance CPT 43752 | $684.80 | $856.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $314.40 | $393.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $36.00 | $45.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $54.40 | $68.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $32.80 | $41.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $93.60 | $117.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $82.40 | $103.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $40.80 | $51.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $226.40 | $283.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $280.00 | $350.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $564.80 | $706.00 | not published | 0 |
| Ghs plt ct-manual CPT 85032 | $11.20 | $14.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $21.60 | $27.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $128.00 | $160.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $268.00 | $335.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $281.60 | $352.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $210.40 | $263.00 | not published | 0 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,021.60 | $1,277.00 | not published | 0 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $839.20 | $1,049.00 | not published | 0 |
| Ghs reticulocyte count CPT 85044 | $10.40 | $13.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $8.80 | $11.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $25.60 | $32.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $30.40 | $38.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $903.20 | $1,129.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $659.20 | $824.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $210.40 | $263.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $297.60 | $372.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $437.60 | $547.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $437.60 | $547.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $174.40 | $218.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $257.60 | $322.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $69.60 | $87.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $179.20 | $224.00 | not published | 0 |
| Ghs st - eval for alt comm CPT 92567 | $16.00 | $20.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,132.80 | $1,416.00 | not published | 0 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $240.00 | $300.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $525.60 | $657.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $1,402.40 | $1,753.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $38.40 | $48.00 | not published | 0 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $208.00 | $260.00 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $810.53 | $1,013.16 | $310.81 – $310.81 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $327.36 | $409.20 | $204.32 – $204.32 | 1 |
| Glucose 1 hr post dose CPT 82950 | $9.60 | $12.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $35.20 | $44.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $9.60 | $12.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $129.60 | $162.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $28.00 | $35.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $8.00 | $10.00 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $20.00 | $25.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $32.00 | $40.00 | not published | 0 |
| Gonioscopy CPT 92020 | $29.60 | $37.00 | not published | 0 |
| Goniotomy CPT 65820 | $1,245.60 | $1,557.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $2,697.60 | $3,372.00 | $1,004.87 – $1,004.87 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,238.40 | $4,048.00 | $50.16 – $50.16 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $4,624.31 | $5,780.39 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $191.20 | $239.00 | $239.00 – $239.00 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $191.20 | $239.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $191.20 | $239.00 | $64.45 – $64.45 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $4,761.60 | $5,952.00 | $95.00 – $95.00 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $191.20 | $239.00 | $224.93 – $224.93 | 1 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $191.20 | $239.00 | $74.25 – $74.25 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $191.20 | $239.00 | $239.00 – $239.00 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $462.56 | $578.20 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $378.40 | $473.00 | not published | 0 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $3,368.80 | $4,211.00 | not published | 0 |
| Gstrst open wo constj tube CPT 43830 | $1,253.60 | $1,567.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $221.60 | $277.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $624.02 | $780.03 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | $761.60 | $952.00 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $2.40 | $3.00 | $1.50 – $1.50 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $20.00 | $25.00 | not published | 0 |
| Hand X-ray CPT 73130 | $403.20 | $504.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $45.60 | $57.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | $122.40 | $153.00 | not published | 0 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $600.00 | $750.00 | not published | 0 |
| Harvest vein for bypass 35500 CPT 35500 | $561.60 | $702.00 | not published | 0 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,324.00 | $1,655.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $1,131.20 | $1,414.00 | not published | 0 |
| Hbb gene dup/del variants CPT 81363 | $1,080.00 | $1,350.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $16.00 | $20.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $19.20 | $24.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $2,641.60 | $3,302.00 | not published | 0 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $525.60 | $657.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $817.60 | $1,022.00 | not published | 0 |
| Head CT scan (with contrast) CPT 70460 | $778.40 | $973.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $1,305.60 | $1,632.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $37.60 | $47.00 | not published | 0 |
| Hematocrit CPT 85014 | $31.20 | $39.00 | not published | 0 |
| Hemoglobin CPT 85018 | $40.00 | $50.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $110.40 | $138.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $14.40 | $18.00 | 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.