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 |
|---|---|---|---|---|
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $368.00 | $460.00 | not published | 0 |
| Immunology procedure CPT 86849 | $115.20 | $144.00 | not published | 0 |
| Impl absrb msh/prsth dly cls CPT 15778 | $675.20 | $844.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $532.80 | $666.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $500.00 | $625.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $680.80 | $851.00 | not published | 0 |
| Inactivated je vacc im CPT 90738 | $850.40 | $1,063.00 | $504.42 – $504.42 | 1 |
| Incise/drain eyelid lining CPT 68020 | $164.80 | $206.00 | not published | 0 |
| Incise perq finger tendon 26060 CPT 26060 | $425.60 | $532.00 | not published | 0 |
| Incise tear duct opening 68440 CPT 68440 | $155.20 | $194.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,531.20 | $3,164.00 | not published | 0 |
| Incision of anal sphincter CPT 46080 | $275.20 | $344.00 | not published | 0 |
| Incision of bile duct CPT 47425 | $2,419.20 | $3,024.00 | not published | 0 |
| Incision of bile duct 47420 CPT 47420 | $2,329.60 | $2,912.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $564.00 | $705.00 | not published | 0 |
| Incision of eyelid CPT 67710 | $149.60 | $187.00 | not published | 0 |
| Incision of fibula CPT 27707 | $692.80 | $866.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $490.40 | $613.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | $2,464.00 | $3,080.00 | not published | 0 |
| Incision of gallbladder 47480 CPT 47480 | $1,545.60 | $1,932.00 | not published | 0 |
| Incision of heel bone CPT 28300 | $1,104.80 | $1,381.00 | not published | 0 |
| Incision of metatarsal CPT 28306 | $689.60 | $862.00 | not published | 0 |
| Incision of metatarsal CPT 28307 | $888.80 | $1,111.00 | not published | 0 |
| Incision of metatarsal CPT 28308 | $658.40 | $823.00 | not published | 0 |
| Incision of rectal abscess CPT 46060 | $873.60 | $1,092.00 | not published | 0 |
| Incision of spinal nerve 64772 CPT 64772 | $932.80 | $1,166.00 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $1,034.40 | $1,293.00 | not published | 0 |
| Incision of tendon sheath CPT 25000 | $1,580.80 | $1,976.00 | not published | 0 |
| Incision of thigh CPT 27450 | $1,692.80 | $2,116.00 | not published | 0 |
| Incision of thigh tendon CPT 27390 | $749.60 | $937.00 | not published | 0 |
| Incision of tibia CPT 27705 | $1,255.20 | $1,569.00 | not published | 0 |
| Incision of toe tendons 28011 CPT 28011 | $3,528.00 | $4,410.00 | not published | 0 |
| Incision of tongue fold CPT 41010 | $177.60 | $222.00 | not published | 0 |
| Incision of urethra CPT 53010 | $502.40 | $628.00 | not published | 0 |
| Incision of urethra CPT 53020 | $158.40 | $198.00 | not published | 0 |
| Incision tendon sheath CPT 26055 | $2,412.80 | $3,016.00 | not published | 0 |
| Incisn of toe tndn CPT 28010 | $3,156.00 | $3,945.00 | not published | 0 |
| Incisn windpipe CPT 31600 | $5,080.80 | $6,351.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | $13.60 | $17.00 | $8.56 – $8.56 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $101.60 | $127.00 | not published | 0 |
| Infect ag eia influenza a or b ea CPT 87400 | $45.60 | $57.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $368.00 | $460.00 | not published | 0 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $296.00 | $370.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $363.20 | $454.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $62.40 | $78.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $123.20 | $154.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $80.00 | $100.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $84.80 | $106.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $144.00 | $180.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $854.40 | $1,068.00 | not published | 0 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $107.20 | $134.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $128.80 | $161.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $196.00 | $245.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $67.20 | $84.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $60.00 | $75.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $14.40 | $18.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $40.00 | $50.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $94.40 | $118.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $156.80 | $196.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $89.60 | $112.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $91.20 | $114.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $1,230.40 | $1,538.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $121.60 | $152.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $104.00 | $130.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $683.20 | $854.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $209.60 | $262.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $126.40 | $158.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $371.20 | $464.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $121.60 | $152.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $108.00 | $135.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $286.40 | $358.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $448.80 | $561.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $74.40 | $93.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $121.60 | $152.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $468.80 | $586.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,376.00 | $1,720.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $463.20 | $579.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $444.80 | $556.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $280.80 | $351.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $174.40 | $218.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $253.60 | $317.00 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $6,703.20 | $8,379.00 | not published | 0 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $58.40 | $73.00 | $27.56 – $27.56 | 1 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | $426.40 | $533.00 | not published | 0 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | $250.40 | $313.00 | not published | 0 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $540.80 | $676.00 | not published | 0 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $230.40 | $288.00 | not published | 0 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $296.00 | $370.00 | not published | 0 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $128.00 | $160.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $386.40 | $483.00 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $196.00 | $245.00 | not published | 0 |
| Init/sub psych care m 1st 30 HCPCS G2214 | $61.60 | $77.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $13.60 | $17.00 | $9.70 – $9.70 | 1 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $16.00 | $20.00 | $11.24 – $11.24 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $11.52 | $14.40 | not published | 0 |
| Inj acetaminophen -fresenius HCPCS J0134 | $9.36 | $11.70 | $0.08 – $0.08 | 1 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $110,736.00 | $138,420.00 | $101,970.00 – $101,970.00 | 1 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | $550.40 | $688.00 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $44.00 | $55.00 | $28.35 – $28.35 | 1 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | $252.00 | $315.00 | 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.