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 |
|---|---|---|---|---|
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $345.60 | $432.00 | not published | 0 |
| Ligation common iliac vein CPT 37660 | $2,317.60 | $2,897.00 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $424.00 | $530.00 | not published | 0 |
| Ligation external carotid artery 37600 CPT 37600 | $1,224.80 | $1,531.00 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,309.60 | $1,637.00 | not published | 0 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,216.00 | $1,520.00 | not published | 0 |
| Ligation major artery chest CPT 37616 | $2,009.60 | $2,512.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $684.00 | $855.00 | not published | 0 |
| Ligation major artery neck CPT 37615 | $846.40 | $1,058.00 | not published | 0 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,292.80 | $2,866.00 | not published | 0 |
| Ligation of femoral vein CPT 37650 | $812.80 | $1,016.00 | not published | 0 |
| Ligation of inf vena cava CPT 37619 | $3,022.40 | $3,778.00 | not published | 0 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $4,067.20 | $5,084.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $650.40 | $813.00 | not published | 0 |
| Lig&div&compl strpg saph vn CPT 37735 | $1,029.60 | $1,287.00 | not published | 0 |
| Liletta, 52 mg HCPCS J7297 | $2,236.80 | $2,796.00 | $1,756.97 – $1,756.97 | 1 |
| Limited visual field xm CPT 92081 | $28.00 | $35.00 | not published | 0 |
| Lincomycin injection HCPCS J2010 | $36.80 | $46.00 | $9.20 – $9.20 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $40.32 | $50.40 | $5.45 – $5.45 | 1 |
| Lipase CPT 83690 | $43.20 | $54.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $99.20 | $124.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $18.40 | $23.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $14.40 | $18.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $15.20 | $19.00 | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,137.60 | $2,672.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $544.00 | $680.00 | not published | 0 |
| Liver Function Test CPT 80076 | $24.00 | $30.00 | not published | 0 |
| Lmtd oph exam general anes CPT 92019 | $105.60 | $132.00 | not published | 0 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $790.40 | $988.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $8.35 | $10.44 | $0.81 – $0.81 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $729.60 | $912.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,528.00 | $1,910.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,224.00 | $1,530.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,588.80 | $1,986.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,348.80 | $2,936.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $969.60 | $1,212.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $173.60 | $217.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $1,359.20 | $1,699.00 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $72.00 | $90.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $320.80 | $401.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $28,908.00 | $36,135.00 | $330.02 – $330.02 | 1 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $28,464.53 | $35,580.66 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $444.80 | $556.00 | $479.23 – $479.23 | 1 |
| Lymphocyte transformation mitogen CPT 86353 | $560.00 | $700.00 | not published | 0 |
| Lysis penil circumic lesion CPT 54162 | $333.60 | $417.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $23.20 | $29.00 | not published | 0 |
| Magnesium CPT 83735 | $40.00 | $50.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $16.80 | $21.00 | $1.14 – $1.14 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $655.20 | $819.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $229.60 | $287.00 | not published | 0 |
| Manipulat palm cord post inj CPT 26341 | $129.60 | $162.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $235.20 | $294.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $290.40 | $363.00 | not published | 0 |
| Mastectomy partial CPT 19301 | $1,173.60 | $1,467.00 | not published | 0 |
| Mast mod rad CPT 19307 | $2,089.60 | $2,612.00 | not published | 0 |
| Mast radical CPT 19305 | $2,032.80 | $2,541.00 | not published | 0 |
| Mast simple complete CPT 19303 | $1,704.00 | $2,130.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $191.20 | $239.00 | $171.96 – $171.96 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $191.20 | $239.00 | $30.61 – $30.61 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $38.40 | $48.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $291.20 | $364.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $275.20 | $344.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $423.20 | $529.00 | not published | 0 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $32.00 | $40.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $89.60 | $112.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $12.00 | $15.00 | not published | 0 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $160.00 | $200.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $174.40 | $218.00 | not published | 0 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $99.20 | $124.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $619.20 | $774.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,306.40 | $1,633.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,424.00 | $3,030.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $75.20 | $94.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $18.40 | $23.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $48.00 | $60.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $28.80 | $36.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $221.60 | $277.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $212.80 | $266.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $96.00 | $120.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $59.20 | $74.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $388.00 | $485.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $11.20 | $14.00 | not published | 0 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $219.20 | $274.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $278.40 | $348.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $360.00 | $450.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $30.40 | $38.00 | not published | 0 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $184.00 | $230.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $17.60 | $22.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $184.00 | $230.00 | not published | 0 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $46.40 | $58.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $24.00 | $30.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $1,692.80 | $2,116.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $96.00 | $120.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $207.20 | $259.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $207.20 | $259.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $265.60 | $332.00 | not published | 0 |
| Mayo chromium CPT 82495 | $86.40 | $108.00 | not published | 0 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $160.00 | $200.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $257.60 | $322.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $880.80 | $1,101.00 | 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.