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 |
|---|---|---|---|---|
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $41.60 | $52.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $3,933.60 | $4,917.00 | not published | 0 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $62.40 | $78.00 | not published | 0 |
| Screen cerv/vag thin layer HCPCS G0123 | $62.40 | $78.00 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,004.00 | $2,505.00 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $1,680.00 | $2,100.00 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $70.40 | $88.00 | not published | 0 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $94.40 | $118.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $398.40 | $498.00 | not published | 0 |
| Screening pap smear by phys HCPCS P3001 | $68.00 | $85.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $18.40 | $23.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $56.00 | $70.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $12,077.41 | $15,096.76 | not published | 0 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,475.20 | $1,844.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $8.00 | $10.00 | not published | 0 |
| Select picture audiometry CPT 92583 | $98.40 | $123.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $25.60 | $32.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $63.20 | $79.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $376.00 | $470.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $166.40 | $208.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $331.20 | $414.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $330.40 | $413.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $111.20 | $139.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $141.60 | $177.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $308.00 | $385.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $511.20 | $639.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $308.00 | $385.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $111.20 | $139.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $626.40 | $783.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $308.00 | $385.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $88.00 | $110.00 | not published | 0 |
| Sho arthrs dx +- synovial bx CPT 29805 | $803.20 | $1,004.00 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $3,052.26 | $3,815.33 | not published | 0 |
| Sho arthrs srg capsulorraphy CPT 29806 | $6,317.60 | $7,897.00 | not published | 0 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $1,746.00 | $2,182.50 | not published | 0 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $2,551.47 | $3,189.34 | not published | 0 |
| Sho arthrs srg prtl synvct CPT 29820 | $901.60 | $1,127.00 | not published | 0 |
| Sho arthrs srg rpr slap les CPT 29807 | $3,400.80 | $4,251.00 | not published | 0 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $7,390.40 | $9,238.00 | not published | 0 |
| Shorten radius or ulna CPT 25390 | $1,274.40 | $1,593.00 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $5,391.83 | $6,739.79 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,588.80 | $1,986.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $2,831.20 | $3,539.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $969.60 | $1,212.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23334 | $1,780.80 | $2,226.00 | not published | 0 |
| Shoulder prosthesis removal CPT 23335 | $2,105.60 | $2,632.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $403.20 | $504.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $268.00 | $335.00 | not published | 0 |
| Sickling rbc CPT 85660 | $198.40 | $248.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $604.80 | $756.00 | not published | 0 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $184.00 | $230.00 | not published | 0 |
| Sigmoidoscopy for bleeding CPT 45334 | $192.00 | $240.00 | not published | 0 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $470.40 | $588.00 | not published | 0 |
| Sigmoidoscopy w/ablation CPT 45346 | $261.60 | $327.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $173.60 | $217.00 | not published | 0 |
| Sigmoidoscopy w/resection CPT 45349 | $320.00 | $400.00 | not published | 0 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $1,612.80 | $2,016.00 | not published | 0 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $157.60 | $197.00 | not published | 0 |
| Sig w/tndsc balloon dilation CPT 45340 | $131.20 | $164.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | $139.20 | $174.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $270.82 | $338.52 | $97.64 – $97.64 | 1 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,604.80 | $2,006.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $817.60 | $1,022.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $502.40 | $628.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $887.46 | $1,109.33 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $1,086.40 | $1,358.00 | not published | 0 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $186.40 | $233.00 | not published | 0 |
| Skyla, 13.5 mg HCPCS J7301 | $2,428.00 | $3,035.00 | $1,907.17 – $1,907.17 | 1 |
| Sleep study unattended CPT 95806 | $267.20 | $334.00 | not published | 0 |
| Slitting of prepuce CPT 54001 | $232.80 | $291.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $21.60 | $27.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44361 | $255.20 | $319.00 | not published | 0 |
| Small bowel endoscopy/biopsy CPT 44377 | $477.60 | $597.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $64.00 | $80.00 | not published | 0 |
| Smear gram stain CPT 87205 | $26.40 | $33.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $142.40 | $178.00 | not published | 0 |
| Smear wet mount CPT 87210 | $17.60 | $22.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $28.00 | $35.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $28.80 | $36.00 | $4.44 – $4.44 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $9.60 | $12.00 | $2.23 – $2.23 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $4.00 | $5.00 | $3.91 – $3.91 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $569.60 | $712.00 | $120.62 – $120.62 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $19.20 | $24.00 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | $283.20 | $354.00 | not published | 0 |
| Speech recep thresh CPT 92555 | $48.00 | $60.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,142.40 | $1,428.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $572.00 | $715.00 | not published | 0 |
| Splenectomy total open 38100 CPT 38100 | $2,027.20 | $2,534.00 | not published | 0 |
| Splice spleen/kidney veins CPT 37181 | $4,075.20 | $5,094.00 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,113.60 | $1,392.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $152.00 | $190.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $141.60 | $177.00 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $180.00 | $225.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $374.40 | $468.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $179.20 | $224.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $168.00 | $210.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $494.40 | $618.00 | not published | 0 |
| Strapping of knee CPT 29530 | $28.00 | $35.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $91.20 | $114.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $56.80 | $71.00 | 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.