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 |
|---|---|---|---|---|
| Optx prox humrl fx w/int fix CPT 23615 | $12,873.60 | $16,092.00 | not published | 0 |
| Optx radial shaft fracture CPT 25515 | $1,137.60 | $1,422.00 | not published | 0 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $1,068.00 | $1,335.00 | not published | 0 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $1,528.00 | $1,910.00 | not published | 0 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $1,149.60 | $1,437.00 | not published | 0 |
| Optx scapular fx w/int fixj CPT 23585 | $1,632.80 | $2,041.00 | not published | 0 |
| Optx sho dislc fx CPT 23670 | $1,484.00 | $1,855.00 | not published | 0 |
| Optx thigh fx CPT 27269 | $2,066.40 | $2,583.00 | not published | 0 |
| Optx ulnar shft fx int fixj CPT 25545 | $5,778.40 | $7,223.00 | not published | 0 |
| Optx ulnar styloid fracture CPT 25652 | $1,057.60 | $1,322.00 | not published | 0 |
| Orchiectomy partial CPT 54522 | $976.00 | $1,220.00 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $723.20 | $904.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $446.40 | $558.00 | not published | 0 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $98.40 | $123.00 | $67.52 – $67.52 | 1 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $64.00 | $80.00 | $45.54 – $45.54 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $26.46 | $33.08 | $5.58 – $5.58 | 1 |
| Orthovisc inj per dose HCPCS J7324 | $288.00 | $360.00 | $215.56 – $215.56 | 1 |
| Osmolality blood CPT 83930 | $16.00 | $20.00 | not published | 0 |
| Osmolality urine CPT 83935 | $20.80 | $26.00 | not published | 0 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $540.00 | $675.00 | not published | 0 |
| Osteochondral knee allograft CPT 27415 | $1,684.80 | $2,106.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $73.60 | $92.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $204.80 | $256.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $204.80 | $256.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $204.80 | $256.00 | not published | 0 |
| Other immunoelectrophoresis CPT 86325 | $182.83 | $228.54 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $77.60 | $97.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $300.00 | $375.00 | not published | 0 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $14.40 | $18.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $81.60 | $102.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $30.40 | $38.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $31.20 | $39.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $256.00 | $320.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $147.20 | $184.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $72.00 | $90.00 | not published | 0 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $2.40 | $3.00 | $1.73 – $1.73 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $165.36 | $206.70 | $0.12 – $0.12 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $9.60 | $12.00 | $3.20 – $3.20 | 1 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $285.12 | $356.40 | $0.18 – $0.18 | 1 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $7,867.77 | $9,834.71 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $34.40 | $43.00 | $23.63 – $23.63 | 1 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $4,369.60 | $5,462.00 | $560.47 – $560.47 | 1 |
| Palonosetron hcl HCPCS J2469 | $120.00 | $150.00 | $1.40 – $1.40 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $36.70 | $45.87 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $31,964.64 | $39,955.80 | $248.59 – $248.59 | 1 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.95 | $9.94 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $33.60 | $42.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,109.60 | $1,387.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $851.20 | $1,064.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $97.60 | $122.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,611.20 | $2,014.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $308.00 | $385.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $328.00 | $410.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $3,993.60 | $4,992.00 | not published | 0 |
| Partial hip replacement CPT 27125 | $1,896.00 | $2,370.00 | not published | 0 |
| Partial hysterectomy CPT 58180 | $1,613.60 | $2,017.00 | not published | 0 |
| Partial proctectomy; perineal 45123 CPT 45123 | $1,904.00 | $2,380.00 | not published | 0 |
| Partial removal finger bone CPT 26235 | $830.40 | $1,038.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $5,241.60 | $6,552.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $610.40 | $763.00 | not published | 0 |
| Partial removal leg bone(s) CPT 27360 | $1,535.20 | $1,919.00 | not published | 0 |
| Partial removal of eye fluid CPT 67005 | $720.00 | $900.00 | not published | 0 |
| Partial removal of eye fluid CPT 67010 | $819.20 | $1,024.00 | not published | 0 |
| Partial removal of fibula CPT 27641 | $1,100.80 | $1,376.00 | not published | 0 |
| Partial removal of foot bone CPT 28288 | $733.60 | $917.00 | not published | 0 |
| Partial removal of heart sac 33030 CPT 33030 | $3,570.40 | $4,463.00 | not published | 0 |
| Partial removal of lung 32480 CPT 32480 | $2,650.40 | $3,313.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $1,180.00 | $1,475.00 | not published | 0 |
| Partial removal of thyroid CPT 60225 | $1,565.60 | $1,957.00 | not published | 0 |
| Partial removal of toe CPT 28160 | $450.40 | $563.00 | not published | 0 |
| Partial thyroid excision CPT 60210 | $1,196.80 | $1,496.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,432.80 | $5,541.00 | $4.21 – $4.21 | 1 |
| Part removal of metatarsal CPT 28110 | $498.40 | $623.00 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $5,014.40 | $6,268.00 | not published | 0 |
| Part removal of metatarsal 28112 CPT 28112 | $525.60 | $657.00 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $533.60 | $667.00 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,157.43 | $12,696.79 | $83.62 – $83.62 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $2,052.00 | $2,565.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,710.40 | $3,388.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $766.40 | $958.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $472.00 | $590.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,588.80 | $1,986.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $969.60 | $1,212.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $260.00 | $325.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $260.00 | $325.00 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $28,875.26 | $36,094.08 | $91.95 – $91.95 | 1 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,041.50 | $1,301.88 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $44.80 | $56.00 | $29.01 – $29.01 | 1 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $336.20 | $420.25 | $35.85 – $35.85 | 1 |
| Penile injection CPT 54235 | $401.60 | $502.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $393.60 | $492.00 | not published | 0 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $1,476.80 | $1,846.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $1,175.20 | $1,469.00 | not published | 0 |
| Perineoplasty rpr per nonob CPT 56810 | $441.60 | $552.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $38.40 | $48.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $153.60 | $192.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $732.80 | $916.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $152.80 | $191.00 | not published | 0 |
| Perq skel fix ulnar styld fx CPT 25651 | $838.40 | $1,048.00 | not published | 0 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $484.00 | $605.00 | 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.