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 |
|---|---|---|---|---|
| Revision of infusion pump CPT 36261 | $743.20 | $929.00 | not published | 0 |
| Revision of iris CPT 66761 | $352.80 | $441.00 | not published | 0 |
| Revision of jaw muscle/bone CPT 21295 | $319.20 | $399.00 | not published | 0 |
| Revision of knee joint CPT 27442 | $1,464.80 | $1,831.00 | not published | 0 |
| Revision of knee joint CPT 27446 | $1,921.60 | $2,402.00 | not published | 0 |
| Revision of leg vein 37780 CPT 37780 | $416.00 | $520.00 | not published | 0 |
| Revision of sciatic nerve CPT 64712 | $1,008.00 | $1,260.00 | not published | 0 |
| Revision of toe CPT 28312 | $613.60 | $767.00 | not published | 0 |
| Revision of unstable kneecap CPT 27420 | $1,276.00 | $1,595.00 | not published | 0 |
| Revision of unstable kneecap CPT 27422 | $1,264.00 | $1,580.00 | not published | 0 |
| Revision of ureter CPT 50700 | $1,528.80 | $1,911.00 | not published | 0 |
| Revision of urethra CPT 53450 | $686.40 | $858.00 | not published | 0 |
| Revision open av fistula without thromb CPT 36832 | $1,315.20 | $1,644.00 | not published | 0 |
| Revis reconst shoulder joint CPT 23473 | $2,656.80 | $3,321.00 | not published | 0 |
| Revis reconst shoulder joint CPT 23474 | $2,868.80 | $3,586.00 | not published | 0 |
| Revj fem anast autog vn grf CPT 35884 | $2,197.60 | $2,747.00 | not published | 0 |
| Revj fem anast nonautog grf CPT 35883 | $2,104.00 | $2,630.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $556.80 | $696.00 | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $243.20 | $304.00 | not published | 0 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $382.40 | $478.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $319.20 | $399.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $17.60 | $22.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $169.60 | $212.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $210.40 | $263.00 | $128.00 – $128.00 | 1 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | $10,944.00 | $13,680.00 | $4,108.50 – $4,108.50 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $24,623.76 | $30,779.70 | $25.34 – $25.34 | 1 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $44.80 | $56.00 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $28.80 | $36.00 | $20.05 – $20.05 | 1 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $11,440.08 | $14,300.10 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $10,761.36 | $13,451.70 | $33.74 – $33.74 | 1 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $152.00 | $190.00 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $584.00 | $730.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $4,722.40 | $5,903.00 | not published | 0 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $415.20 | $519.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $254.40 | $318.00 | not published | 0 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $200.80 | $251.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $267.20 | $334.00 | not published | 0 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $354.40 | $443.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $387.20 | $484.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $616.00 | $770.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $564.00 | $705.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $4,060.00 | $5,075.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $143.20 | $179.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $1,060.00 | $1,325.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $803.20 | $1,004.00 | not published | 0 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $471.20 | $589.00 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,781.91 | $5,977.39 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,008.98 | $7,511.22 | $17.70 – $17.70 | 1 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $12.12 | $15.15 | $0.13 – $0.13 | 1 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $117.60 | $147.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $480.80 | $601.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $302.40 | $378.00 | not published | 0 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $52.00 | $65.00 | not published | 0 |
| Rpm tx mgmt ea addl 20 min CPT 99458 | $156.00 | $195.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $1,797.60 | $2,247.00 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,349.60 | $1,687.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,309.60 | $1,637.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $1,004.80 | $1,256.00 | not published | 0 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $5,491.20 | $6,864.00 | not published | 0 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $6,489.60 | $8,112.00 | not published | 0 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $2,176.00 | $2,720.00 | not published | 0 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,549.60 | $1,937.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,504.80 | $1,881.00 | not published | 0 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $6,905.60 | $8,632.00 | not published | 0 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $11,315.20 | $14,144.00 | not published | 0 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $738.40 | $923.00 | not published | 0 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $1,746.40 | $2,183.00 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $1,620.80 | $2,026.00 | not published | 0 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | $2,629.60 | $3,287.00 | not published | 0 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | $2,858.40 | $3,573.00 | not published | 0 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | $3,009.60 | $3,762.00 | not published | 0 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $1,673.60 | $2,092.00 | not published | 0 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,511.20 | $1,889.00 | not published | 0 |
| Rpr fem hernia init blocked CPT 49553 | $1,133.60 | $1,417.00 | not published | 0 |
| Rpr ing hernia init reduce CPT 49500 | $754.40 | $943.00 | not published | 0 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,304.00 | $1,630.00 | not published | 0 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $1,627.20 | $2,034.00 | not published | 0 |
| Rpr rem hernia init reduce CPT 49550 | $1,037.60 | $1,297.00 | not published | 0 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $608.80 | $761.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $33.60 | $42.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $12.80 | $16.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $36.00 | $45.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $244.00 | $305.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $60.80 | $76.00 | not published | 0 |
| Same day nb discharge 99463 CPT 99463 | $172.80 | $216.00 | not published | 0 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $252.00 | $315.00 | $244.53 – $244.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $110.40 | $138.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $136.00 | $170.00 | not published | 0 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $252.80 | $316.00 | not published | 0 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $128.00 | $160.00 | not published | 0 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $185.60 | $232.00 | not published | 0 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $68.80 | $86.00 | not published | 0 |
| Sbsq psyc collab care mgmt CPT 99493 | $164.00 | $205.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $539.20 | $674.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $350.40 | $438.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $512.80 | $641.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $43.20 | $54.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $260.00 | $325.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $67.20 | $84.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $41.60 | $52.00 | 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.