Visits & medical services prices at Grant Memorial Hospital

Petersburg, WV · every code in this section with a posted price and a Medicare benchmark.

127 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $585.60 $732 2.8×
Ambulatory Bp Analysis (93788) $268.80 $336 2.1×
Analyze neurostim complex (95972) $146.40 $183 1.6×
Analyze neurostim no prog (95970) $204 $255 1.6×
Analyze neurostim simple (95971) $145.60 $182 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $31.20 $39 2.2×
Application on-body injector (96377) $82 $102.50 1.8×
Assessment of aphasia per hr (96105) $202.40 $253 2.1×
Bedside Swallowing Eval (92610) $168 $210 2.0×
Behavioral and qualitative analysis of voice and resonance (92524) $152 $190 1.4×
Brief Emotional/Behavioral Assessment (96127) $57.60 $72 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $572 $715 1.6×
Canalith Repositioning Procedure (95992) $88 $110 2.2×
Cardiac Stress Tst,Tracing Only (93017) $570.80 $713.50 2.8×
Cardiopulmonary resuscitation (92950) $701.20 $876.50 3.4×
Cardioversion (92960) $1,095.20 $1,369 1.7×
Caregiver hlth risk assmt score doc stnd instrm (96161) $57.60 $72 1.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $32.80 $41 1.3×
Cbt 1st hour (94644) $246 $307.50 1.9×
Chemo Hormon Antineopl Sq/Im (96402) $127.20 $159 1.8×
Chemo IV push addl drug (96411) $127.20 $159 1.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $621.60 $777 2.0×
Chemother, IV infusion, 1 hr (96413) $637.20 $796.50 2.0×
Chemother, IV infusion, ea add hr (96415) $130.40 $163 1.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $130.40 $163 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $124 $155 1.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $407.20 $509 1.3×
Chronic care management services 1st 20 min (99490) $125.20 $156.50 1.3×
Color/duplex Doppler, complete (93975) $526 $657.50 2.3×
Color/duplex Doppler, limited (93976) $350.40 $438 3.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $291.20 $364 1.7×
Continuous Glucose Monitoring (95250) $204.80 $256 1.6×
Cpap/bipap (94660) $377.20 $471.50 1.8×
Cpt initial (94667) $224 $280 1.8×
Critical care (99291) $1,859.20 $2,324 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $300.80 $376 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $512.80 $641 2.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $526 $657.50 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $253.60 $317 2.5×
Duplex scan extracranial art compl bi study (93880) $490.40 $613 2.1×
Echo Heart Xthoracic,Limited (93308) $490.40 $613 2.1×
EEG awake and asleep (95819) $570.80 $713.50 2.8×
Electrocardiogram Tracing (93005) $128 $160 2.3×
Er level 1 (99281) $174 $217.50 2.2×
Er level ii (99282) $323.60 $404.50 2.2×
Er level iii (99283) $593.60 $742 2.3×
Er level IV (99284) $883.20 $1,104 2.2×
Er level v (99285) $1,508.40 $1,885.50 2.6×
Eval speech sound production (92522) $180 $225 1.6×
Evaluate Pt Use Of Inhaler (94664) $175.60 $219.50 0.8×
Evaluation of speech fluency (92521) $184.80 $231 1.4×
External ECG rec>48hr<7d recording (93242) $77.20 $96.50 2.2×
External ECG rec>7d<15d recording (93246) $126.40 $158 3.5×
Holter Monitor (93225) $252 $315 2.0×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $91.20 $114 1.6×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $47.20 $59 0.8×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $31.20 $39 0.9×
Immune Admin Oral/Nasal (90473) $59.20 $74 0.9×
Immunization Admin (90471) $57.60 $72 0.8×
Interrogate subq defib (93261) $56 $70 1.6×
Irrig drug delivery device (96523) $113.20 $141.50 2.0×
IV infusion hydration each additional hour (96361) $537.60 $672 12.0×
IV infusion hydration initial 31 min-1 hour (96360) $413.60 $517 2.0×
IV infusion ther proph addl sequential to 1 hr (96367) $124.80 $156 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $386.40 $483 1.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $93.60 $117 2.1×
IV push ea addl new drug (96375) $122.80 $153.50 2.7×
IV push initial (96374) $434.40 $543 2.1×
Manual therapy 15 min (97140) $120 $150 4.3×
Massage 15 min (97124) $61.60 $77 2.1×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $2,176 $2,720 1.6×
Mechanical traction (97012) $32.80 $41 2.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $50.40 $63 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $179.20 $224 2.0×
Neg press wound tx >50 cm (97608) $599.20 $749 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $599.20 $749 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $298.40 $373 1.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $599.20 $749 1.5×
Newborn resuscitation (99465) $1,240 $1,550 2.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $204 $255 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $315.20 $394 2.6×
Ot eval high complex 60 min (97167) $204.80 $256 2.0×
Ot eval low complex 30 min (97165) $204.80 $256 2.0×
Ot eval mod complex 45 min (97166) $204.80 $256 2.0×
Ot therapeutic activity 15 min (97530) $81.60 $102 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $226.40 $283 1.8×
Phlebotomy therapeutic (99195) $196.80 $246 1.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $124.80 $156 2.2×
Plethysmography (94726) $692 $865 1.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $38.40 $48 0.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $49.20 $61.50 1.1×
Pt Aquatic Therapy/Exercises (97113) $242.40 $303 6.5×
Pt Electrical Stimulation (97032) $32.80 $41 2.2×
Pt eval high complex 45 min (97163) $211.20 $264 2.2×
Pt eval low complex 20 min (97161) $211.20 $264 2.2×
Pt eval mod complex 30 min (97162) $211.20 $264 2.2×
Pt gait training 15 min (97116) $64 $80 2.2×
Pt group caregiver training (97552) $32.80 $41 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $73.60 $92 2.2×
Pt re-evaluation (97164) $143.20 $179 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $72 $90 2.2×
Pulm function test by gas (94727) $246.40 $308 1.2×
Pulmonary stress test simple (94618) $252.80 $316 2.0×
Pure Tone Audiometry Air Only (92552) $193.60 $242 1.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $199.20 $249 1.6×
Rem mntr physiol param dev (99454) $56.80 $71 1.6×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $56.80 $71 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $300.80 $376 1.6×
Rt Chest Wall Manipulation,Subsequent (94668) $436.80 $546 3.4×
Sleep study unattended (95806) $244.80 $306 1.2×
Slp caregiver training 1st 30 min (97550) $66.40 $83 1.3×
Speech sound lang comprehen (92523) $374.40 $468 1.7×
Spirometry (94010) $320.80 $401 1.5×
Standardized Cognitive Performance Testing (96125) $141.60 $177 1.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $31.20 $39 1.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $30.40 $38 1.4×
Therapeutic prophylactic/dx injection subq/im (96372) $164 $205 2.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $43.20 $54 1.2×
Trans Care Mgmt 14 Day Disch (99495) $228.40 $285.50 1.8×
Trans Care Mgmt 7 Day Disch (99496) $196.80 $246 1.5×
Tte w/doppler, complete (93306) $1,012 $1,265 1.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $154.40 $193 2.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $168.80 $211 2.0×
Upr/lxtr art stdy 3+ lvls (93923) $331.20 $414 1.6×
Vent mgmt inpat init day (94002) $976.80 $1,221 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $976.80 $1,221 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $112 $140 3.6×