Supplies, drugs & other prices at Grant Memorial Hospital
Petersburg, WV · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $2,992.80 | $3,741 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $40.80 | $51 | 0.9× |
| Admin influenza virus vac (G0008) | $39.60 | $49.50 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $60.80 | $76 | 1.4× |
| Alcohol/subs interv 15-30mn (G0396) | $57.60 | $72 | 1.6× |
| Ca screen;flexi sigmoidscope (G0104) | $470.40 | $588 | 0.5× |
| Ca screen;pelvic/breast exam (G0101) | $77.20 | $96.50 | 0.8× |
| Catheterize for urine spec (P9612) | $36.40 | $45.50 | 3.9× |
| Chemo extend iv infus w/pump (G0498) | $637.20 | $796.50 | 2.0× |
| Colon ca scrn not hi rsk ind (G0121) | $1,349.20 | $1,686.50 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $1,545.60 | $1,932 | 1.7× |
| Covid-19 lab test non-cdc (U0002) | $167.20 | $209 | 3.3× |
| Depression screen annual (G0444) | $36 | $45 | 1.0× |
| Direct refer hospital observ (G0379) | $1,166.40 | $1,458 | 2.0× |
| Drug test def 1-7 classes (G0480) | $184 | $230 | 1.6× |
| Drug test def 15-21 classes (G0482) | $256 | $320 | 1.3× |
| Drug test def 22+ classes (G0483) | $131.60 | $164.50 | 0.5× |
| Drug test def 8-14 classes (G0481) | $194.80 | $243.50 | 1.2× |
| Elec stim other than wound (G0283) | $28.80 | $36 | 2.3× |
| Fecal blood scrn immunoassay (G0328) | $70.40 | $88 | 3.9× |
| Hiv combination assay (G0475) | $94.40 | $118 | 3.9× |
| Hospital outpt clinic visit (G0463) | $94.40 | $118 | 0.7× |
| Hpv combo assay ca screen (G0476) | $72.80 | $91 | 2.1× |
| Initial preventive exam (G0402) | $108.80 | $136 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $1,417.60 | $1,772 | 2.1× |
| Lev 3 hosp type b ed visit (G0382) | $593.60 | $742 | 3.6× |
| Mra w/cont, abd (C8900) | $576.80 | $721 | 1.7× |
| Mra w/cont, pelvis (C8918) | $576.80 | $721 | 1.7× |
| Mra w/o fol w/cont, abd (C8902) | $1,550.80 | $1,938.50 | 4.6× |
| Mri w/cont, breast, uni (C8903) | $1,066.40 | $1,333 | 6.3× |
| Mri w/o fol w/cont, breast, (C8908) | $3,131.60 | $3,914.50 | 9.4× |
| Neuro csf prion prtn qual (0035U) | $323.20 | $404 | 0.6× |
| Obtaining screen pap smear (Q0091) | $34.40 | $43 | 1.2× |
| Oth resp proc, group (G0239) | $75.60 | $94.50 | 2.1× |
| Ppps, initial visit (G0438) | $158.40 | $198 | 0.9× |
| Ppps, subseq visit (G0439) | $123.20 | $154 | 0.9× |
| Psa screening (G0103) | $18.40 | $23 | 1.0× |
| Risk ascvd tst once pr 12 mo (G0537) | $44.80 | $56 | 1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $55.20 | $69 | 2.1× |
| Screen cerv/vag thin layer (G0123) | $62.40 | $78 | 3.1× |
| Therapeutic procd strg endur (G0237) | $54.40 | $68 | 2.0× |
| Tomosynthesis, mammo (G0279) | $66.80 | $83.50 | 5.3× |
| Trauma respons w/hosp criti (G0390) | $2,303.20 | $2,879 | 1.8× |
| Trim nail(s) (G0127) | $91.60 | $114.50 | 1.6× |
| Tte w or wo fol wcon,doppler (C8929) | $1,984 | $2,480 | 2.6× |
| Visit to determ ldct elig (G0296) | $138.40 | $173 | 1.4× |