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 |
|---|---|---|---|---|
| Alpha-fetoprotein amniotic CPT 82106 | $45.60 | $57.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $19.20 | $24.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $15.20 | $19.00 | $0.73 – $0.73 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $388.82 | $486.03 | $146.80 – $146.80 | 1 |
| Alt/sgpt CPT 84460 | $9.60 | $12.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $146.40 | $183.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $227.20 | $284.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $268.80 | $336.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $1.60 | $2.00 | $1.37 – $1.37 | 1 |
| Aminolevulinic acid delta CPT 82135 | $40.00 | $50.00 | not published | 0 |
| Aminolevulinic acid hcl top HCPCS J7308 | $944.00 | $1,180.00 | $647.33 – $647.33 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $76.56 | $95.70 | $10.68 – $10.68 | 1 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $8.73 | $10.91 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $17.60 | $22.00 | not published | 0 |
| Ammonia CPT 82140 | $120.00 | $150.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,156.80 | $1,446.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $260.00 | $325.00 | not published | 0 |
| Amphetamines 5 or more CPT 80326 | $55.20 | $69.00 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $5.36 | $6.70 | $1.50 – $1.50 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $6.78 | $8.48 | $2.92 – $2.92 | 1 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $716.80 | $896.00 | not published | 0 |
| Amputate leg at thigh CPT 27592 | $1,176.00 | $1,470.00 | not published | 0 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,291.20 | $1,614.00 | not published | 0 |
| Amputation follow-up surgery CPT 25931 | $1,366.40 | $1,708.00 | not published | 0 |
| Amputation follow-up surgery CPT 27884 | $6,739.20 | $8,424.00 | not published | 0 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $9,651.20 | $12,064.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,117.60 | $1,397.00 | not published | 0 |
| Amputation of lower leg CPT 27882 | $1,038.40 | $1,298.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $1,185.60 | $1,482.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $5,014.40 | $6,268.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $5,014.40 | $6,268.00 | not published | 0 |
| Amylase CPT 82150 | $379.20 | $474.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $72.00 | $90.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $67.20 | $84.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $173.60 | $217.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $128.80 | $161.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $145.60 | $182.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $176.00 | $220.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $153.60 | $192.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $142.40 | $178.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $242.40 | $303.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $4,404.11 | $5,505.14 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $1,138.40 | $1,423.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | $1,075.20 | $1,344.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29895 | $780.00 | $975.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | $837.60 | $1,047.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29898 | $943.20 | $1,179.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | $1,680.00 | $2,100.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $201.60 | $252.00 | not published | 0 |
| Annual alcohol screen 15 min HCPCS G0442 | $14.40 | $18.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $161.60 | $202.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $176.80 | $221.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $184.80 | $231.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $216.80 | $271.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $30.40 | $38.00 | not published | 0 |
| Anoscopy CPT 46611 | $136.00 | $170.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $129.60 | $162.00 | not published | 0 |
| Anoscopy and dilation 46604 CPT 46604 | $113.60 | $142.00 | not published | 0 |
| Anoscopy control bleeding 46614 CPT 46614 | $111.20 | $139.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $152.00 | $190.00 | not published | 0 |
| Anoscopy remove lesion 46610 CPT 46610 | $139.20 | $174.00 | not published | 0 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $169.60 | $212.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $2,863.20 | $3,579.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $153.60 | $192.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $151.20 | $189.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $728.00 | $910.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $72.00 | $90.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $28.80 | $36.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $17.60 | $22.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $24.00 | $30.00 | not published | 0 |
| Anticoag mgmt pt warfarin CPT 93793 | $20.00 | $25.00 | not published | 0 |
| Antigen therapy services CPT 95165 | $4.80 | $6.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $256.00 | $320.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $13.60 | $17.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $19.20 | $24.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $24.00 | $30.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $275.20 | $344.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $16.80 | $21.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $65.60 | $82.00 | not published | 0 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $1,425.60 | $1,782.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $264.00 | $330.00 | not published | 0 |
| Appendectomy CPT 44950 | $1,136.80 | $1,421.00 | not published | 0 |
| Appendectomy add-on 44955 CPT 44955 | $143.20 | $179.00 | not published | 0 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,553.60 | $1,942.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $8,701.60 | $10,877.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $369.60 | $462.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $92.00 | $115.00 | not published | 0 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $218.40 | $273.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $321.60 | $402.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $73.60 | $92.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $28.00 | $35.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $204.00 | $255.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $354.40 | $443.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $354.40 | $443.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $499.20 | $624.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $148.00 | $185.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $428.80 | $536.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $428.80 | $536.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $580.80 | $726.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $499.20 | $624.00 | 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.