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 |
|---|---|---|---|---|
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $191.20 | $239.00 | $41.81 – $41.81 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,056.00 | $1,320.00 | not published | 0 |
| Knee arthroscopy/drainage CPT 29871 | $881.60 | $1,102.00 | not published | 0 |
| Knee arthroscopy dx CPT 29870 | $712.80 | $891.00 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $4,370.67 | $5,463.34 | not published | 0 |
| Knee arthroscopy/surgery CPT 29873 | $7,867.20 | $9,834.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29874 | $910.40 | $1,138.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29875 | $4,659.20 | $5,824.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29876 | $5,602.14 | $7,002.67 | not published | 0 |
| Knee arthroscopy/surgery CPT 29879 | $6,853.60 | $8,567.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29880 | $8,735.20 | $10,919.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29882 | $7,654.40 | $9,568.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29883 | $1,426.40 | $1,783.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29884 | $1,055.20 | $1,319.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29887 | $1,283.20 | $1,604.00 | not published | 0 |
| Knee arthroscopy/surgery CPT 29888 | $8,979.74 | $11,224.67 | not published | 0 |
| Knee arthroscopy/surgery CPT 29889 | $2,063.20 | $2,579.00 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,588.80 | $1,986.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $2,696.00 | $3,370.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $969.60 | $1,212.00 | not published | 0 |
| Knee X-ray CPT 73564 | $472.00 | $590.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $44.80 | $56.00 | not published | 0 |
| Kyleena, 19.5 mg HCPCS J7296 | $2,915.20 | $3,644.00 | $2,290.45 – $2,290.45 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $18.93 | $23.66 | $0.31 – $0.31 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $10.40 | $13.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $24.00 | $30.00 | $4.27 – $4.27 | 1 |
| Lactic acid CPT 83605 | $73.60 | $92.00 | not published | 0 |
| Lactoferrin fecal qualitative CPT 83630 | $71.20 | $89.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $44.00 | $55.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $2,348.00 | $2,935.00 | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $22,948.80 | $28,686.00 | not published | 0 |
| Laparo ablate renal cyst CPT 50541 | $1,512.80 | $1,891.00 | not published | 0 |
| Laparo-asst vag hysterectomy CPT 58550 | $1,460.00 | $1,825.00 | not published | 0 |
| Laparo cholecystectomy/explr CPT 47564 | $1,988.80 | $2,486.00 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $8,463.20 | $10,579.00 | not published | 0 |
| Laparo partial colectomy 44204 CPT 44204 | $2,655.20 | $3,319.00 | not published | 0 |
| Laparoscopic myomectomy CPT 58545 | $1,506.40 | $1,883.00 | not published | 0 |
| Laparoscopic proc CPT 45400 | $1,930.40 | $2,413.00 | not published | 0 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $1,306.40 | $1,633.00 | not published | 0 |
| Laparoscopy aspiration CPT 49322 | $661.60 | $827.00 | not published | 0 |
| Laparoscopy biopsy CPT 49321 | $3,577.60 | $4,472.00 | not published | 0 |
| Laparoscopye procstom 43659 CPT 43659 | $1,539.20 | $1,924.00 | not published | 0 |
| Laparoscopy excise lesions CPT 58662 | $3,827.20 | $4,784.00 | not published | 0 |
| Laparoscopy fundoplasty CPT 43280 | $1,908.80 | $2,386.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38571 | $1,100.80 | $1,376.00 | not published | 0 |
| Laparoscopy lymphadenectomy CPT 38572 | $1,536.80 | $1,921.00 | not published | 0 |
| Laparoscopy lymph node biop CPT 38570 | $891.20 | $1,114.00 | not published | 0 |
| Laparoscopy lysis CPT 58660 | $1,171.20 | $1,464.00 | not published | 0 |
| Laparoscopy remove adnexa CPT 58661 | $6,675.20 | $8,344.00 | not published | 0 |
| Laparoscopy splenectomy CPT 38120 | $1,868.80 | $2,336.00 | not published | 0 |
| Laparoscopy surg colpopexy CPT 57425 | $1,596.00 | $1,995.00 | not published | 0 |
| Laparoscopy tubal block 58671 CPT 58671 | $611.20 | $764.00 | not published | 0 |
| Laparo sling operation 51992 CPT 51992 | $1,386.40 | $1,733.00 | not published | 0 |
| Laparo urethral suspension CPT 51990 | $1,231.20 | $1,539.00 | not published | 0 |
| Laparo-vag hyst incl t/o CPT 58552 | $1,632.80 | $2,041.00 | not published | 0 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $2,172.00 | $2,715.00 | not published | 0 |
| Lap close enterostomy with resect 44227 CPT 44227 | $2,856.00 | $3,570.00 | not published | 0 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $3,093.60 | $3,867.00 | not published | 0 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $3,364.00 | $4,205.00 | not published | 0 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $2,296.00 | $2,870.00 | not published | 0 |
| Lap colostomy 44188 CPT 44188 | $2,110.40 | $2,638.00 | not published | 0 |
| Lap enterectomy 44202 CPT 44202 | $2,427.20 | $3,034.00 | not published | 0 |
| Lap enterolysis CPT 44180 | $1,625.60 | $2,032.00 | not published | 0 |
| Lap ing hernia repair init CPT 49650 | $780.80 | $976.00 | not published | 0 |
| Lap ing hernia repair recur CPT 49651 | $1,015.20 | $1,269.00 | not published | 0 |
| Lap insert tunnel ip cath CPT 49324 | $687.20 | $859.00 | not published | 0 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $314.40 | $393.00 | not published | 0 |
| Lap paraesophag hern repair CPT 43281 | $2,708.80 | $3,386.00 | not published | 0 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $3,005.60 | $3,757.00 | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,707.20 | $2,134.00 | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $1,932.00 | $2,415.00 | not published | 0 |
| Laps pelvic lymphadec CPT 38573 | $2,022.40 | $2,528.00 | not published | 0 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $328.00 | $410.00 | not published | 0 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $218.40 | $273.00 | not published | 0 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $2,845.60 | $3,557.00 | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | $319.20 | $399.00 | not published | 0 |
| Laser surgery eye strands CPT 67031 | $533.60 | $667.00 | not published | 0 |
| Laser surgery of prostate CPT 52648 | $963.20 | $1,204.00 | not published | 0 |
| Laser surg penis lesion(s) CPT 54057 | $160.80 | $201.00 | not published | 0 |
| Lat retinacular release open CPT 27425 | $785.60 | $982.00 | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | $1,843.20 | $2,304.00 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $1,235.20 | $1,544.00 | not published | 0 |
| Lead capillary CPT 83655 | $64.00 | $80.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $539.20 | $674.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $120.00 | $150.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $372.34 | $465.43 | $7.38 – $7.38 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,737.00 | $2,171.25 | $299.15 – $299.15 | 1 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $12,514.20 | $15,642.75 | $2,581.59 – $2,581.59 | 1 |
| Lev 3 hosp type b ed visit HCPCS G0382 | $593.60 | $742.00 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $3.20 | $4.00 | $0.08 – $0.08 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $14.11 | $17.64 | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $35.20 | $44.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.20 | $9.00 | $1.50 – $1.50 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $29.11 | $36.39 | not published | 0 |
| Ligate leg veins open CPT 37761 | $924.00 | $1,155.00 | not published | 0 |
| Ligate leg veins radical 37760 CPT 37760 | $1,019.20 | $1,274.00 | not published | 0 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $123.20 | $154.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $809.60 | $1,012.00 | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | $693.60 | $867.00 | not published | 0 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $610.40 | $763.00 | 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.