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 |
|---|---|---|---|---|
| Upgrade pm system CPT 33214 | $6,651.20 | $8,314.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,588.80 | $1,986.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $969.60 | $1,212.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $806.40 | $1,008.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,284.80 | $2,856.00 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $224.80 | $281.00 | not published | 0 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $1,056.80 | $1,321.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $9.60 | $12.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $17.60 | $22.00 | not published | 0 |
| Urethrlys transvag with scope CPT 53500 | $1,239.20 | $1,549.00 | not published | 0 |
| Uric acid blood CPT 84550 | $10.40 | $13.00 | not published | 0 |
| Uric acid urine CPT 84560 | $16.00 | $20.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $4.80 | $6.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $20.80 | $26.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $10.40 | $13.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $40.00 | $50.00 | not published | 0 |
| Urine flow measurement 51736 CPT 51736 | $16.00 | $20.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $17.60 | $22.00 | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $297.60 | $372.00 | $240.77 – $240.77 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $271.20 | $339.00 | $240.77 – $240.77 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $240.80 | $301.00 | $216.32 – $216.32 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $108.00 | $135.00 | $135.00 – $135.00 | 1 |
| Vaccine dtap < 7 years im CPT 90700 | $65.60 | $82.00 | $56.96 – $56.96 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $151.20 | $189.00 | $187.79 – $187.79 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $137.60 | $172.00 | $138.00 – $138.00 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | $254.40 | $318.00 | $217.26 – $217.26 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $66.40 | $83.00 | $58.58 – $58.58 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $29.60 | $37.00 | $25.21 – $25.21 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $163.20 | $204.00 | $115.93 – $115.93 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $228.80 | $286.00 | $213.39 – $213.39 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $78.40 | $98.00 | $68.72 – $68.72 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $111.20 | $139.00 | $124.00 – $124.00 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $111.20 | $139.00 | $116.13 – $116.13 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $304.00 | $380.00 | $264.46 – $264.46 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $52.80 | $66.00 | $50.77 – $50.77 | 1 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $696.80 | $871.00 | $569.07 – $569.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $190.40 | $238.00 | $121.11 – $121.11 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $175.20 | $219.00 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $46.40 | $58.00 | $21.07 – $21.07 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $77.60 | $97.00 | not published | 0 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $23.20 | $29.00 | $21.62 – $21.62 | 1 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $366.40 | $458.00 | $411.10 – $411.10 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $407.20 | $509.00 | $376.46 – $376.46 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $352.80 | $441.00 | $330.38 – $330.38 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $250.40 | $313.00 | $299.95 – $299.95 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $206.40 | $258.00 | $182.39 – $182.39 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | $646.40 | $808.00 | $218.94 – $218.94 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $252.80 | $316.00 | $220.23 – $220.23 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $436.00 | $545.00 | $418.37 – $418.37 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $581.60 | $727.00 | $476.29 – $476.29 | 1 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $98.40 | $123.00 | $84.18 – $84.18 | 1 |
| Vaccine rabies im CPT 90675 | $974.40 | $1,218.00 | $535.82 – $535.82 | 1 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $649.60 | $812.00 | $584.10 – $584.10 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,262.40 | $1,578.00 | $1,578.00 – $1,578.00 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,262.40 | $1,578.00 | $980.10 – $980.10 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $547.20 | $684.00 | $554.40 – $554.40 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $247.20 | $309.00 | $182.97 – $182.97 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $202.40 | $253.00 | $189.75 – $189.75 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | $108.80 | $136.00 | $63.21 – $63.21 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $111.20 | $139.00 | $50.06 – $50.06 | 1 |
| Vaccine typhoid vicps im CPT 90691 | $340.00 | $425.00 | $180.23 – $180.23 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $438.40 | $548.00 | $344.92 – $344.92 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $493.60 | $617.00 | $263.36 – $263.36 | 1 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $1,632.00 | $2,040.00 | not published | 0 |
| Vag hyst incl t/o complex CPT 58291 | $2,041.60 | $2,552.00 | not published | 0 |
| Vag hyst including t/o CPT 58262 | $1,520.00 | $1,900.00 | not published | 0 |
| Vag hyst w/enterocele repair CPT 58270 | $6,418.40 | $8,023.00 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $5,247.20 | $6,559.00 | not published | 0 |
| Vaginal Delivery (full care) CPT 59400 | $4,184.00 | $5,230.00 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $7,488.00 | $9,360.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $20.80 | $26.00 | not published | 0 |
| Valrubicin injection HCPCS J9357 | $3,270.40 | $4,088.00 | $2,250.35 – $2,250.35 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $27.78 | $34.73 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $25.64 | $32.05 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $8.91 | $11.14 | $2.36 – $2.36 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $25.60 | $32.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $117.60 | $147.00 | not published | 0 |
| Vasectomy CPT 55250 | $388.00 | $485.00 | not published | 0 |
| Vbac/include postpartum care 59614 CPT 59614 | $2,087.20 | $2,609.00 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $20,799.79 | $25,999.74 | not published | 0 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $2,525.60 | $3,157.00 | not published | 0 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $2,931.20 | $3,664.00 | not published | 0 |
| Vein byp pop-tibl peroneal CPT 35587 | $2,359.20 | $2,949.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $20.80 | $26.00 | not published | 0 |
| Venipuncture <3 yrs other vein CPT 36406 | $14.40 | $18.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $656.00 | $820.00 | not published | 0 |
| Venous m-thrombectomy add-on CPT 37188 | $477.60 | $597.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $976.80 | $1,221.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $976.80 | $1,221.00 | not published | 0 |
| Verteporfin injection HCPCS J3396 | $20.80 | $26.00 | $19.02 – $19.02 | 1 |
| Very long chain fatty acids CPT 82726 | $252.00 | $315.00 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $136.89 | $171.11 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $28.37 | $35.46 | not published | 0 |
| Visc & infraren abd 1 prosth CPT 34845 | $2,064.80 | $2,581.00 | not published | 0 |
| Visc & infraren abd 2 prosth CPT 34846 | $2,248.00 | $2,810.00 | not published | 0 |
| Visc & infraren abd 3 prosth CPT 34847 | $2,431.20 | $3,039.00 | not published | 0 |
| Visc & infraren abd 4+ prost CPT 34848 | $2,614.40 | $3,268.00 | not published | 0 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $168.00 | $210.00 | not published | 0 |
| Visual audiometry (vra) CPT 92579 | $52.80 | $66.00 | not published | 0 |
| Vital capacity test CPT 94150 | $6.40 | $8.00 | 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.