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 |
|---|---|---|---|---|
| Mayo zonisamide therapeutic drug level CPT 80203 | $162.40 | $203.00 | not published | 0 |
| Mcp joint arthroscopy surg CPT 29901 | $932.00 | $1,165.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $96.80 | $121.00 | not published | 0 |
| #mec-opiates CPT 80356 | $32.00 | $40.00 | not published | 0 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $88.80 | $111.00 | not published | 0 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $718.40 | $898.00 | not published | 0 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $553.60 | $692.00 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.80 | $1.00 | $0.87 – $0.87 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,194.40 | $3,993.00 | $593.44 – $593.44 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $191.20 | $239.00 | $219.25 – $219.25 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $19.20 | $24.00 | $3.09 – $3.09 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $7,189.03 | $8,986.29 | $50.34 – $50.34 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $9.30 | $11.62 | $0.74 – $0.74 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $413.60 | $517.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $62.40 | $78.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $78.40 | $98.00 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $4.00 | $5.00 | $5.00 – $5.00 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $516.00 | $645.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $198.44 | $248.05 | $12.13 – $12.13 | 1 |
| Methylphenidate CPT 80360 | $136.00 | $170.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $128.00 | $160.00 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $42.38 | $52.98 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.48 | $5.60 | $1.80 – $1.80 | 1 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $3.12 | $3.90 | not published | 0 |
| Microalbumin urine screen CPT 82044 | $16.00 | $20.00 | not published | 0 |
| Microdissection laser CPT 88380 | $1,680.00 | $2,100.00 | not published | 0 |
| Microdissection manual CPT 88381 | $40.00 | $50.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $296.00 | $370.00 | not published | 0 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $390.40 | $488.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $6.24 | $7.80 | $0.23 – $0.23 | 1 |
| Mifepristone 200 mg ta HCPCS S0190 | $105.60 | $132.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $193.60 | $242.00 | $104.53 – $104.53 | 1 |
| Mlh1 gene CPT 81288 | $472.00 | $590.00 | not published | 0 |
| Mnl appl strs jt radiography CPT 77071 | $98.40 | $123.00 | not published | 0 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $133.60 | $167.00 | not published | 0 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $242.40 | $303.00 | not published | 0 |
| Mnl prep&insj imed rx dev CPT 20702 | $232.00 | $290.00 | not published | 0 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $331.20 | $414.00 | not published | 0 |
| Mnpj elbow under anes CPT 24300 | $768.80 | $961.00 | not published | 0 |
| Mobilization of colon 44139 CPT 44139 | $204.00 | $255.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $801.60 | $1,002.00 | not published | 0 |
| Molecular pathology interpr HCPCS G0452 | $77.60 | $97.00 | not published | 0 |
| Mometasone sinus sinuva HCPCS J7402 | $26.40 | $33.00 | $18.73 – $18.73 | 1 |
| Monovisc inj per dose HCPCS J7327 | $1,441.60 | $1,802.00 | $1,178.71 – $1,178.71 | 1 |
| Mopath procedure level 5 CPT 81404 | $2,964.80 | $3,706.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $2,014.40 | $2,518.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $4,909.60 | $6,137.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $720.00 | $900.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $1,920.00 | $2,400.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $14.59 | $18.24 | $5.73 – $5.73 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $9.97 | $12.46 | $4.94 – $4.94 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $56.33 | $70.41 | $0.78 – $0.78 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $448.00 | $560.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $72.00 | $90.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $682.40 | $853.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $410.40 | $513.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $56.80 | $71.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $620.80 | $776.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $1,588.80 | $1,986.00 | not published | 0 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,002.40 | $2,503.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | $576.80 | $721.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | $576.80 | $721.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,588.80 | $1,986.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $3,055.20 | $3,819.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $923.20 | $1,154.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $1,512.80 | $1,891.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $969.60 | $1,212.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,588.80 | $1,986.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,680.80 | $2,101.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,588.80 | $1,986.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $969.60 | $1,212.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,512.80 | $1,891.00 | not published | 0 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,066.40 | $1,333.00 | not published | 0 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,208.00 | $4,010.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $160.80 | $201.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $754.40 | $943.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $32.80 | $41.00 | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | $2,559.20 | $3,199.00 | not published | 0 |
| Muscle test one fiber CPT 95872 | $272.00 | $340.00 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.10 | $2.63 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $13.60 | $17.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,201.60 | $1,502.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $188.00 | $235.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,711.20 | $2,139.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $440.00 | $550.00 | not published | 0 |
| Myomectomy abdom complex CPT 58146 | $1,893.60 | $2,367.00 | not published | 0 |
| Myomectomy abdom method CPT 58140 | $1,510.40 | $1,888.00 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $8.26 | $10.33 | $4.64 – $4.64 | 1 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $29.76 | $37.20 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | $3,800.81 | $4,751.01 | $6.53 – $6.53 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $101.60 | $127.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $58.40 | $73.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $21,310.13 | $26,637.66 | not published | 0 |
| Natriuretic peptide CPT 83880 | $72.00 | $90.00 | not published | 0 |
| N block inj common digit CPT 64632 | $111.20 | $139.00 | not published | 0 |
| N block inj hypogas plxs CPT 64517 | $205.60 | $257.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $350.40 | $438.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,750.40 | $2,188.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,711.20 | $2,139.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,503.20 | $1,879.00 | 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.