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 |
|---|---|---|---|---|
| Strep b dna amp probe CPT 87653 | $68.00 | $85.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $259.20 | $324.00 | not published | 0 |
| Stress tte complete CPT 93351 | $144.80 | $181.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $1,202.40 | $1,503.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $154.40 | $193.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $168.80 | $211.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | $82.40 | $103.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $3.46 | $4.32 | $2.60 – $2.60 | 1 |
| Sugars single quant CPT 84378 | $832.00 | $1,040.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $378.40 | $473.00 | not published | 0 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $13.60 | $17.00 | $17.00 – $17.00 | 1 |
| Supprelin la implant HCPCS J9226 | $120,434.40 | $150,543.00 | $73,550.30 – $73,550.30 | 1 |
| Surg dx exam anorectal CPT 45990 | $184.80 | $231.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $38.40 | $48.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $64.00 | $80.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $116.80 | $146.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $504.00 | $630.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $135.20 | $169.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $290.40 | $363.00 | not published | 0 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,397.60 | $2,997.00 | not published | 0 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $756.00 | $945.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $4.80 | $6.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $739.20 | $924.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $112.00 | $140.00 | not published | 0 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,840.80 | $2,301.00 | not published | 0 |
| Synch audio-only est high 40 CPT 98015 | $203.20 | $254.00 | not published | 0 |
| Synch audio-only est low 20 CPT 98013 | $93.60 | $117.00 | not published | 0 |
| Synch audio-only est mod 30 CPT 98014 | $136.80 | $171.00 | not published | 0 |
| Synch audio-only est sf 10 CPT 98012 | $50.40 | $63.00 | not published | 0 |
| Synch audio-only new high 60 CPT 98011 | $250.40 | $313.00 | not published | 0 |
| Synch audio-only new low 30 CPT 98009 | $120.80 | $151.00 | not published | 0 |
| Synch audio-only new mod 45 CPT 98010 | $189.60 | $237.00 | not published | 0 |
| Synch audio-only new sf 15 CPT 98008 | $71.20 | $89.00 | not published | 0 |
| Synvisc or synvisc-one HCPCS J7325 | $32.00 | $40.00 | $15.05 – $15.05 | 1 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $20.80 | $26.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $47.20 | $59.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $24.80 | $31.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $103.20 | $129.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $12.00 | $15.00 | not published | 0 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $4.00 | $5.00 | $2.85 – $2.85 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $58.40 | $73.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $14,807.39 | $18,509.24 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $131.20 | $164.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $104.00 | $130.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,160.00 | $5,200.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $1,760.00 | $2,200.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $200.00 | $250.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $120.00 | $150.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | $142.40 | $178.00 | $114.54 – $114.54 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $790.40 | $988.00 | $166.40 – $166.40 | 1 |
| Tc-99m maa HCPCS A9540 | $98.40 | $123.00 | $52.95 – $52.95 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $96.80 | $121.00 | $121.00 – $121.00 | 1 |
| Tc-99m medronate HCPCS A9503 | $98.40 | $123.00 | $61.59 – $61.59 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $420.00 | $525.00 | $525.00 – $525.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $105.60 | $132.00 | $84.28 – $84.28 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $132.00 | $165.00 | $49.17 – $49.17 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $313.60 | $392.00 | $34.04 – $34.04 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $684.80 | $856.00 | $743.46 – $743.46 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $91.20 | $114.00 | $114.00 – $114.00 | 1 |
| T cells absolute cd 4 count CPT 86361 | $51.20 | $64.00 | not published | 0 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $1,809.60 | $2,262.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $92.80 | $116.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $18,294.46 | $22,868.07 | $252.63 – $252.63 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | $1,048.00 | $1,310.00 | not published | 0 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,027.20 | $1,284.00 | not published | 0 |
| Tenosynovectomy radic 26145 CPT 26145 | $868.00 | $1,085.00 | not published | 0 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $3,600.00 | $4,500.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $1.20 | $1.50 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $584.80 | $731.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $1,290.89 | $1,613.61 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $53.60 | $67.00 | $30.67 – $30.67 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $25.60 | $32.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $54.40 | $68.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $50.40 | $63.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $7.94 | $9.93 | $4.06 – $4.06 | 1 |
| Thorabd diaphr hern repair CPT 43336 | $2,591.20 | $3,239.00 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,388.00 | $1,735.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $608.00 | $760.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $728.80 | $911.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $841.60 | $1,052.00 | not published | 0 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $1,980.80 | $2,476.00 | not published | 0 |
| Thrombin time CPT 85670 | $63.20 | $79.00 | not published | 0 |
| Thromboendarterectomy common femoral CPT 35371 | $1,428.00 | $1,785.00 | not published | 0 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $1,587.20 | $1,984.00 | not published | 0 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $2,265.60 | $2,832.00 | not published | 0 |
| Thromboendarterectomy sfa CPT 35302 | $1,960.00 | $2,450.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $244.00 | $305.00 | not published | 0 |
| Thromboxane urine CPT 84431 | $125.60 | $157.00 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $79.20 | $99.00 | not published | 0 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $2,298.40 | $2,873.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $28.00 | $35.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $260.00 | $325.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,853.60 | $6,067.00 | $3,334.93 – $3,334.93 | 1 |
| Thyroxine binding globulin (tbg) CPT 84442 | $54.40 | $68.00 | not published | 0 |
| Tibial arthroscopy/surgery CPT 29855 | $1,320.00 | $1,650.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $376.80 | $471.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $191.20 | $239.00 | $199.70 – $199.70 | 1 |
| Tissue transglutaminase iga CPT 86364 | $238.40 | $298.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $1,347.20 | $1,684.00 | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | $1,538.40 | $1,923.00 | 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.