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 |
|---|---|---|---|---|
| Attach bladder/urethra comp 51841 CPT 51841 | $1,309.60 | $1,637.00 | not published | 0 |
| Attach bladder/urethra simple 51840 CPT 51840 | $9,900.80 | $12,376.00 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $115.20 | $144.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $358.40 | $448.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $842.40 | $1,053.00 | not published | 0 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $20,102.59 | $25,128.24 | $152.41 – $152.41 | 1 |
| Av fistula revision CPT 36833 | $1,408.80 | $1,761.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $1,272.80 | $1,591.00 | not published | 0 |
| Av fuse uppr arm cephalic CPT 36818 | $1,203.20 | $1,504.00 | not published | 0 |
| Av fusion direct any site CPT 36821 | $1,151.20 | $1,439.00 | not published | 0 |
| Av fusion/forearm vein 36820 CPT 36820 | $1,270.40 | $1,588.00 | not published | 0 |
| Avul nail plate addl CPT 11732 | $145.60 | $182.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $603.20 | $754.00 | not published | 0 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $1,248.00 | $1,560.00 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.78 | $2.23 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $5.49 | $6.86 | $1.62 – $1.62 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $108.98 | $136.23 | not published | 0 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $567.20 | $709.00 | $293.37 – $293.37 | 1 |
| Bacterial vaginosis pcr CPT 87801 | $528.00 | $660.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $128.00 | $160.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $291.20 | $364.00 | not published | 0 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $2,226.00 | $2,782.50 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $300.00 | $375.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $410.40 | $513.00 | not published | 0 |
| Basiliximab HCPCS J0480 | $10,770.40 | $13,463.00 | $7,385.85 – $7,385.85 | 1 |
| B cells total count CPT 86355 | $47.20 | $59.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $8.80 | $11.00 | $4.77 – $4.77 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $48.00 | $60.00 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $129.60 | $162.00 | $85.80 – $85.80 | 1 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,164.32 | $10,205.40 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $840.00 | $1,050.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $315.20 | $394.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $142.40 | $178.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $64.00 | $80.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $384.00 | $480.00 | not published | 0 |
| Beta-amyloid 1-40 CPT 82233 | $160.00 | $200.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $689.60 | $862.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $36.62 | $45.78 | $11.25 – $11.25 | 1 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $18,517.25 | $23,146.56 | $42.27 – $42.27 | 1 |
| Bevacizumab injection HCPCS C9257 | $4.80 | $6.00 | $3.05 – $3.05 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $89.60 | $112.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $487.20 | $609.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $512.80 | $641.00 | not published | 0 |
| Bilicheck CPT 88720 | $18.40 | $23.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $10.40 | $13.00 | not published | 0 |
| Bilirubin total CPT 82247 | $45.60 | $57.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $3,464.80 | $4,331.00 | not published | 0 |
| Biopsy arm/elbow soft tissue CPT 24066 | $744.80 | $931.00 | not published | 0 |
| Biopsy, bone open deep CPT 20245 | $565.60 | $707.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,531.20 | $3,164.00 | not published | 0 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $125.60 | $157.00 | not published | 0 |
| Biopsy conjunctiva CPT 68100 | $143.20 | $179.00 | not published | 0 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $969.60 | $1,212.00 | not published | 0 |
| Biopsy external ear 69100 CPT 69100 | $68.00 | $85.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $4,477.60 | $5,597.00 | not published | 0 |
| Biopsy lower leg soft tissue CPT 27613 | $268.80 | $336.00 | not published | 0 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $1,098.40 | $1,373.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,464.80 | $4,331.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $2,552.00 | $3,190.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $3,464.80 | $4,331.00 | not published | 0 |
| Biopsy of cornea CPT 65410 | $152.80 | $191.00 | not published | 0 |
| Biopsy of foot joint lining CPT 28052 | $429.60 | $537.00 | not published | 0 |
| Biopsy of lip 40490 CPT 40490 | $103.20 | $129.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $1,085.60 | $1,357.00 | not published | 0 |
| Biopsy of penis 54100 CPT 54100 | $187.20 | $234.00 | not published | 0 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $540.00 | $675.00 | not published | 0 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,108.80 | $1,386.00 | not published | 0 |
| Biopsy of stomach CPT 43605 | $1,504.80 | $1,881.00 | not published | 0 |
| Biopsy of testis CPT 54505 | $349.60 | $437.00 | not published | 0 |
| Biopsy/removal lymph nodes CPT 38525 | $3,303.20 | $4,129.00 | not published | 0 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $808.00 | $1,010.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $1,604.00 | $2,005.00 | not published | 0 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,552.00 | $3,190.00 | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $144.00 | $180.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $407.20 | $509.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $191.20 | $239.00 | $239.00 – $239.00 | 1 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $48.80 | $61.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $63.31 | $79.14 | not published | 0 |
| Blepharoplasty lower 15820 CPT 15820 | $783.20 | $979.00 | not published | 0 |
| Blepharoplasty upper 15822 CPT 15822 | $620.00 | $775.00 | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $840.00 | $1,050.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $747.80 | $934.75 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $254.88 | $318.60 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $134.40 | $168.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $125.60 | $157.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $889.60 | $1,112.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $4,956.80 | $6,196.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $2,126.40 | $2,658.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $19.20 | $24.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $102.40 | $128.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $65.60 | $82.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $16.00 | $20.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $24.00 | $30.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $4.80 | $6.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $157.60 | $197.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $70.40 | $88.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $70.40 | $88.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $11.20 | $14.00 | not published | 0 |
| Blood smear interpretation CPT 85060 | $34.40 | $43.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $9.60 | $12.00 | 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.