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 |
|---|---|---|---|---|
| Inj., benralizumab, 1 mg HCPCS J0517 | $12,419.14 | $15,523.92 | $279.68 – $279.68 | 1 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $109.60 | $137.00 | $65.77 – $65.77 | 1 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $486.40 | $608.00 | $340.25 – $340.25 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | $806.30 | $1,007.88 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $11.35 | $14.19 | $1.72 – $1.72 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $9.93 | $12.41 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $20.00 | $25.00 | $12.16 – $12.16 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $92.80 | $116.00 | not published | 0 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $3,437.98 | $4,297.47 | not published | 0 |
| Inj disk cerv-thor ea lev CPT 62291 | $244.00 | $305.00 | not published | 0 |
| Inj dupuytren cord w/enzyme CPT 20527 | $107.20 | $134.00 | not published | 0 |
| Inj, durolane 1 mg HCPCS J7318 | $44.80 | $56.00 | $10.13 – $10.13 | 1 |
| Inj dx for sinogram CPT 20501 | $57.60 | $72.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $2,412.53 | $3,015.66 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $143.20 | $179.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $790.40 | $988.00 | not published | 0 |
| Injection, casimersen, 10 mg HCPCS J1426 | $289.60 | $362.00 | $274.28 – $274.28 | 1 |
| Injection epidural blood patch or clot CPT 62273 | $1,081.60 | $1,352.00 | not published | 0 |
| Injection eye drug CPT 67028 | $135.20 | $169.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $69.60 | $87.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $130.40 | $163.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $104.80 | $131.00 | not published | 0 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $8,115.41 | $10,144.26 | $20.01 – $20.01 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | $332.80 | $416.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,100.80 | $3,876.00 | $10.44 – $10.44 | 1 |
| Injection px peyronie ds CPT 54200 | $146.40 | $183.00 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $51.20 | $64.00 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,835.20 | $3,544.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,374.13 | $2,967.66 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,552.00 | $3,190.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,436.80 | $1,796.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $93.60 | $117.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $169.60 | $212.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $80.00 | $100.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $146.40 | $183.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,522.40 | $1,903.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,488.80 | $1,861.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $846.40 | $1,058.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $846.40 | $1,058.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $470.40 | $588.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $316.80 | $396.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $76.80 | $96.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $455.20 | $569.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $524.00 | $655.00 | not published | 0 |
| Inject sacroiliac joint CPT 27096 | $176.80 | $221.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $100.00 | $125.00 | not published | 0 |
| Inject/treat eye socket CPT 67515 | $487.20 | $609.00 | not published | 0 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $78.40 | $98.00 | $53.20 – $53.20 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $160.80 | $201.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $8,371.20 | $10,464.00 | not published | 0 |
| Inj, epinephrine (belcher) HCPCS J0173 | $5.79 | $7.24 | $2.95 – $2.95 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $4.00 | $5.00 | $1.86 – $1.86 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | $90,000.00 | $112,500.00 | $295.58 – $295.58 | 1 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | $57.60 | $72.00 | $59.55 – $59.55 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $7,573.15 | $9,466.44 | not published | 0 |
| Inj for ext venography CPT 36005 | $79.20 | $99.00 | not published | 0 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $71.02 | $88.78 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $572.80 | $716.00 | not published | 0 |
| Inj, invega hafyera/trinza HCPCS J2427 | $30.40 | $38.00 | $20.15 – $20.15 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $23,652.00 | $29,565.00 | $79.68 – $79.68 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $13,474.03 | $16,842.54 | not published | 0 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $2,018.08 | $2,522.60 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,224.80 | $1,531.00 | not published | 0 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $126.40 | $158.00 | not published | 0 |
| Inj naloxone hydrochloride HCPCS J2310 | $22.56 | $28.20 | $12.03 – $12.03 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $256.00 | $320.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $203.20 | $254.00 | not published | 0 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $108.00 | $135.00 | not published | 0 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | $361.60 | $452.00 | $249.91 – $249.91 | 1 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $27.20 | $34.00 | $19.17 – $19.17 | 1 |
| Inj proc for lymphang CPT 38790 | $137.60 | $172.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $259.20 | $324.00 | not published | 0 |
| Inj prohance multipack HCPCS A9576 | $60.82 | $76.02 | not published | 0 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $2.40 | $3.00 | $1.29 – $1.29 | 1 |
| Inj retro urethrocysto CPT 51610 | $104.00 | $130.00 | not published | 0 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $31.20 | $39.00 | $21.50 – $21.50 | 1 |
| Inj scleros sol mult veins CPT 36471 | $128.00 | $160.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $64.80 | $81.00 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $8,612.96 | $10,766.20 | not published | 0 |
| Inj, susvimo 0.1 mg HCPCS J2779 | $137.60 | $172.00 | $133.29 – $133.29 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $865.60 | $1,082.00 | $541.20 – $541.20 | 1 |
| Inj testostero enanthate 1mg HCPCS J3121 | $0.80 | $1.00 | $0.08 – $0.08 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $0.80 | $1.00 | $0.05 – $0.05 | 1 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $126.40 | $158.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,142.40 | $1,428.00 | not published | 0 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $43,107.46 | $53,884.32 | not published | 0 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $52.00 | $65.00 | $28.94 – $28.94 | 1 |
| Inj, trivisc 1 mg HCPCS J7329 | $40.00 | $50.00 | $13.05 – $13.05 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | $54.40 | $68.00 | $40.76 – $40.76 | 1 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $43.00 | $53.75 | not published | 0 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $48.72 | $60.90 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $59.52 | $74.40 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $56.80 | $71.00 | not published | 0 |
| Inj xipere 1 mg HCPCS J3299 | $99.20 | $124.00 | $80.16 – $80.16 | 1 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | $1,236.00 | $1,545.00 | $872.85 – $872.85 | 1 |
| Inpatient consultation CPT 99251 | $116.80 | $146.00 | not published | 0 |
| Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy HCPCS G0459 | $72.80 | $91.00 | not published | 0 |
| Inpt/ed teleconsult30 HCPCS G0425 | $156.00 | $195.00 | not published | 0 |
| Inpt/ed teleconsult50 HCPCS G0426 | $215.20 | $269.00 | not published | 0 |
| Inpt/ed teleconsult70 HCPCS G0427 | $308.80 | $386.00 | 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.