Grant Memorial Hospital Inc
Grant Memorial Hospital Inc in Petersburg, WV publishes cash prices for 65 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
117 Hospital Dr,Petersburg,WV,26847 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $1,935.20 | $2,419.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,243.20 | $1,554.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,305.60 | $1,632.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $729.60 | $912.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $766.40 | $958.00 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $84.00 | $105.00 | 20% |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $228.00 | $285.00 | 20% |
| Diagnostic mammogram, one breast CPT 77065 DIAGNOSTIC MAMMOGRAPHY OF 1 BREAST | $178.40 | $223.00 | 20% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $188.00 | $235.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $969.60 | $1,212.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $1,588.80 | $1,986.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $923.20 | $1,154.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $969.60 | $1,212.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $1,512.80 | $1,891.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $1,588.80 | $1,986.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $923.20 | $1,154.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $398.40 | $498.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $63.20 | $79.00 | 20% |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $379.20 | $474.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $58.40 | $73.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $247.20 | $309.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $67.20 | $84.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $247.20 | $309.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $164.80 | $206.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $173.60 | $217.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $62.40 | $78.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $18.40 | $23.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $100.00 | $125.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $21.60 | $27.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $65.60 | $82.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $15.20 | $19.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $16.00 | $20.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $48.00 | $60.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $78.40 | $98.00 | 20% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $23.20 | $29.00 | 20% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $24.00 | $30.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $24.80 | $31.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $18.40 | $23.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $48.80 | $61.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $20.80 | $26.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $22.40 | $28.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $17.60 | $22.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $19.20 | $24.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $13.60 | $17.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $24.80 | $31.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $10.40 | $13.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $19.20 | $24.00 | 20% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $8.80 | $11.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $9.60 | $12.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $10.40 | $13.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $4.00 | $5.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $8.00 | $10.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $812.80 | $1,016.00 | 20% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 CESAREAN DELIVERY | $4,714.40 | $5,893.00 | 20% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE US | $412.80 | $516.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $440.80 | $551.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,276.80 | $1,596.00 | 20% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $348.00 | $435.00 | 20% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,553.60 | $3,192.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $320.00 | $400.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,478.40 | $1,848.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,189.60 | $1,487.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $6,913.60 | $8,642.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PRP I/HERN INIT REDUC >5 YR | $940.80 | $1,176.00 | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 KNEE ARTHROSCOPY/SURGERY | $924.80 | $1,156.00 | 20% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 AFTER CATARACT LASER SURGERY | $473.60 | $592.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $1,417.60 | $1,772.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,488.80 | $1,861.00 | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $135.20 | $169.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $1,436.80 | $1,796.00 | 20% |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $745.60 | $932.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 SHO ARTHRS SRG DECOMPRESSION | $278.40 | $348.00 | 20% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS AND ADENOIDS | $468.80 | $586.00 | 20% |
| Total hip replacement CPT 27130 TOTAL HIP ARTHROPLASTY | $2,141.60 | $2,677.00 | 20% |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $16,480.80 | $20,601.00 | 20% |
| Total knee replacement CPT 27447 TOTAL KNEE ARTHROPLASTY | $2,267.20 | $2,834.00 | 20% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $12,493.60 | $15,617.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $240.00 | $300.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $2,284.80 | $2,856.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $200.80 | $251.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $453.60 | $567.00 | 20% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 OBSTETRICAL CARE | $4,184.00 | $5,230.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $187.20 | $234.00 | 20% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $180.80 | $226.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $132.00 | $165.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $144.00 | $180.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $215.20 | $269.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $233.60 | $292.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $296.00 | $370.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $316.80 | $396.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $67.20 | $84.00 | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (18-39 YEARS) | $176.00 | $220.00 | 20% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $184.80 | $231.00 | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 INITIAL NEW PATIENT PREVENTIVE MEDICINE EVALUATION (40-64 YEARS) | $206.40 | $258.00 | 20% |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $216.80 | $271.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $126.40 | $158.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $167.20 | $209.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $246.40 | $308.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $157.60 | $197.00 | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $240.00 | $300.00 | 20% |
Source file: https://wvumedicine.org/wp-content/uploads/2026/08/881740605_Grant-Memorial-Hospital-Inc_standardcharges.csv