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 |
|---|---|---|---|---|
| Blood typing abo CPT 86900 | $40.00 | $50.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $13.60 | $17.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $274.40 | $343.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $40.00 | $50.00 | not published | 0 |
| Blue light cysto imag agent HCPCS C9738 | $0.01 | $0.01 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | $232.00 | $290.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $260.00 | $325.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $810.40 | $1,013.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $100.80 | $126.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $105.60 | $132.00 | not published | 0 |
| Bone marrow harvest autolog CPT 38232 | $294.40 | $368.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $71.20 | $89.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $226.40 | $283.00 | not published | 0 |
| Borrelia miyamotoi amp prb CPT 87478 | $233.60 | $292.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $82.29 | $102.86 | $3.23 – $3.23 | 1 |
| Bpg axillary-pop/-tibial CPT 35623 | $2,328.00 | $2,910.00 | not published | 0 |
| Bpg ilio-celiac CPT 35632 | $3,204.00 | $4,005.00 | not published | 0 |
| Bpg ilio-mesenteric CPT 35633 | $3,507.20 | $4,384.00 | not published | 0 |
| Bpg iliorenal CPT 35634 | $3,136.00 | $3,920.00 | not published | 0 |
| Bpg pop-tibl/-prnl artery CPT 35671 | $1,977.60 | $2,472.00 | not published | 0 |
| Bpg subclavian-axillary CPT 35616 | $1,953.60 | $2,442.00 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $353.60 | $442.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $468.00 | $585.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $581.60 | $727.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $88.80 | $111.00 | not published | 0 |
| Braf gene CPT 81210 | $624.00 | $780.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,552.80 | $3,191.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $969.60 | $1,212.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $1,588.80 | $1,986.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $1,948.00 | $2,435.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $969.60 | $1,212.00 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $1,920.00 | $2,400.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,883.20 | $3,604.00 | not published | 0 |
| Breast punct aspir cyst, bil CPT 19000 | $1,220.80 | $1,526.00 | not published | 0 |
| Breast reduction CPT 19318 | $1,788.00 | $2,235.00 | not published | 0 |
| Brief comunicaj tech-bsd svc CPT 98016 | $24.00 | $30.00 | not published | 0 |
| Bronchial challenge CPT 94070 | $51.20 | $64.00 | not published | 0 |
| Bronchoscopy clear airways 31645 CPT 31645 | $244.80 | $306.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $292.00 | $365.00 | not published | 0 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $258.40 | $323.00 | not published | 0 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $291.20 | $364.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $33.60 | $42.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $175.20 | $219.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $280.00 | $350.00 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $4.79 | $5.99 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $9.25 | $11.56 | $11.56 – $11.56 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | $215.20 | $269.00 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $28.98 | $36.22 | $4.62 – $4.62 | 1 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $263.20 | $329.00 | not published | 0 |
| Bx breast 1st lesion mr imag CPT 19085 | $281.60 | $352.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $257.60 | $322.00 | not published | 0 |
| Bx breast add lesion mr imag CPT 19086 | $140.00 | $175.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $129.60 | $162.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,458.40 | $1,823.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $118.40 | $148.00 | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $221.60 | $277.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $698.40 | $873.00 | not published | 0 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $451.20 | $564.00 | not published | 0 |
| Bx liver with other CPT 47001 | $178.40 | $223.00 | not published | 0 |
| Bx muscle CPT 20200 | $168.00 | $210.00 | not published | 0 |
| Bx of breast open 19101 CPT 19101 | $396.80 | $496.00 | not published | 0 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $264.00 | $330.00 | not published | 0 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $250.40 | $313.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $46.40 | $58.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $264.80 | $331.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $310.40 | $388.00 | not published | 0 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $257.60 | $322.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,108.80 | $1,386.00 | not published | 0 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $109.60 | $137.00 | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,411.20 | $1,764.00 | not published | 0 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $48.00 | $60.00 | not published | 0 |
| Bypass graft/av fist patency CPT 35686 | $285.60 | $357.00 | not published | 0 |
| Bypass graft patency/patch CPT 35685 | $351.20 | $439.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $1,020.00 | $1,275.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $420.00 | $525.00 | not published | 0 |
| Cabgsingle artery graft 33533 CPT 33533 | $3,340.80 | $4,176.00 | not published | 0 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $329.60 | $412.00 | not published | 0 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $722.40 | $903.00 | not published | 0 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $955.20 | $1,194.00 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $869.82 | $1,087.28 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $28.00 | $35.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.68 | $2.10 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $35.28 | $44.10 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $18.84 | $23.55 | not published | 0 |
| Calcium ionized CPT 82330 | $56.80 | $71.00 | not published | 0 |
| Calcium total CPT 82310 | $16.80 | $21.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $340.00 | $425.00 | not published | 0 |
| Cannula declotting 36861 CPT 36861 | $239.20 | $299.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | $1,510.40 | $1,888.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $179.20 | $224.00 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | $8.00 | $10.00 | $5.40 – $5.40 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $562.40 | $703.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $116.00 | $145.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $25.60 | $32.00 | not published | 0 |
| Carbohydrate urine - sendout CPT 84377 | $582.40 | $728.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $9.60 | $12.00 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $142.27 | $177.84 | $5.94 – $5.94 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $36.00 | $45.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $230.40 | $288.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $232.00 | $290.00 | 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.