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 |
|---|---|---|---|---|
| X-ray bone survey complete CPT 77075 | $248.00 | $310.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $440.00 | $550.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $201.60 | $252.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $248.00 | $310.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $248.00 | $310.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $403.20 | $504.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $416.80 | $521.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $295.20 | $369.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $201.60 | $252.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $201.60 | $252.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $280.80 | $351.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $164.80 | $206.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $160.00 | $200.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $182.40 | $228.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $201.60 | $252.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $201.60 | $252.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $236.00 | $295.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $384.00 | $480.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $248.00 | $310.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $201.60 | $252.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $201.60 | $252.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $201.60 | $252.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $201.60 | $252.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $248.00 | $310.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $201.60 | $252.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $248.00 | $310.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $248.00 | $310.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $248.00 | $310.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $201.60 | $252.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $201.60 | $252.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $403.20 | $504.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $403.20 | $504.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $384.00 | $480.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $164.80 | $206.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $173.60 | $217.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $164.80 | $206.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $248.00 | $310.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $201.60 | $252.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $201.60 | $252.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $192.00 | $240.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $248.00 | $310.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $248.00 | $310.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $44.00 | $55.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $201.60 | $252.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $248.00 | $310.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $248.00 | $310.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $248.00 | $310.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $248.00 | $310.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $201.60 | $252.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $248.00 | $310.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $384.00 | $480.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $201.60 | $252.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $248.00 | $310.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $248.00 | $310.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $416.80 | $521.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $76.00 | $95.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $136.80 | $171.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $201.60 | $252.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $201.60 | $252.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $416.80 | $521.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $136.00 | $170.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $248.00 | $310.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $248.00 | $310.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $201.60 | $252.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $201.60 | $252.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $173.60 | $217.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $403.20 | $504.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $201.60 | $252.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $416.80 | $521.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $280.80 | $351.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $201.60 | $252.00 | not published | 0 |
| Ziconotide injection HCPCS J2278 | $28.00 | $35.00 | $14.92 – $14.92 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $650.40 | $813.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $10.44 | $13.05 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $92.64 | $115.80 | $8.00 – $8.00 | 1 |
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.