CJW Medical Center-Chippenham Hospital Campus
14720 HANCOCK VILLAGE ST, CHESTERFIELD, VA · HCA Virginia · · NPI 1598708513
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 |
|---|---|---|---|---|
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $78.77 – $125.10 | 17 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $228.45 – $362.83 | 17 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $164.67 – $261.54 | 17 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $134.86 – $214.19 | 17 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $177.68 – $282.20 | 17 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $124.88 – $198.34 | 17 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $177.68 – $282.20 | 17 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $202.27 – $321.26 | 17 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $51.88 – $82.40 | 17 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $376.09 – $597.32 | 17 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $309.42 – $491.43 | 17 |
| Foot X-ray CPT 73630 | not published | not published | $24.62 – $182.03 | 3 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $861.61 – $1,368.44 | 17 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $666.45 – $1,058.48 | 17 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $75.56 – $2,613.12 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $49.76 – $222.48 | 3 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $1.82 – $1.82 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $1.44 – $5.83 | 6 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $3,612.00 | $3,612.00 | $0.10 – $0.29 | 6 |
| Foscarnet sodium injection HCPCS J1455 | $5,277.00 | $5,277.00 | $17.78 – $22.71 | 6 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $2.93 – $3.55 | 2 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $24.80 – $127.42 | 22 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $24.62 – $182.03 | 3 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $44.89 – $200.70 | 19 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $580.63 – $922.17 | 17 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $600.24 – $953.32 | 17 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $701.16 – $1,113.62 | 17 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $759.33 – $1,206.00 | 17 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $2.44 – $666.89 | 3 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $12.28 – $151.30 | 3 |
| Frozen blood prep CPT 86930 | not published | not published | $14.47 – $1,302.22 | 3 |
| Frozen blood thaw CPT 86931 | not published | not published | $10.82 – $1,302.22 | 3 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.52 – $54.05 | 22 |
| Fructosamine glycated protein CPT 82985 | $254.00 | $254.00 | $14.59 – $74.93 | 22 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $47.98 – $76.21 | 17 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $320.28 – $508.68 | 17 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,294.35 – $6,650.03 | 22 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $60.49 – $310.82 | 22 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $133.58 – $686.30 | 22 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $48.33 – $248.32 | 22 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $49.09 – $242.78 | 22 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $303.68 – $482.31 | 17 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $34.88 – $517.79 | 3 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $55.78 – $88.59 | 17 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,530.40 – $2,430.63 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.05 | 6 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $1,228.76 | 19 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $612.53 | 19 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $1,228.76 | 19 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $828.03 | 19 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $261.51 | 19 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $2,682.60 | 19 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $781.58 | 19 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $1,677.74 | 19 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $246.00 | $246.00 | $60.18 – $144.61 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $156.00 | $156.00 | $59.50 – $131.52 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.22 – $0.74 | 6 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.27 – $3.87 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.10 – $0.27 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $3,045.00 | $3,045.00 | $12.50 – $39.09 | 6 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $18.33 – $94.20 | 22 |
| Galactokinase - sendout CPT 82759 | not published | not published | $18.69 – $96.04 | 22 |
| Galactose transferase test CPT 82776 | not published | not published | $10.22 – $52.49 | 22 |
| Galectin-3 CPT 82777 | not published | not published | $38.50 – $197.84 | 22 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $8.12 – $9.57 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $815.68 – $963.28 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $833.09 – $1,457.84 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | $14,925.00 | $14,925.00 | $1,106.55 – $1,268.08 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $882.50 – $960.63 | 2 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.18 – $2.18 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $412.15 – $1,361.73 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $276.98 – $513.29 | 6 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $41.56 – $132.29 | 6 |
| Gammaglobulin iga CPT 82784 | not published | not published | $8.09 – $41.58 | 22 |
| Gammaglobulin ige CPT 82785 | $516.00 | $516.00 | $14.32 – $73.59 | 22 |
| Gamma glutamyltransferase CPT 82977 | $313.00 | $313.00 | $6.26 – $32.19 | 22 |
| Gammagraft HCPCS Q4111 | not published | not published | $6.46 – $336.92 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $48.86 – $169.41 | 6 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $41.10 – $130.06 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $27.28 – $88.83 | 6 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $17,808.00 – $17,808.00 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.54 – $156.89 | 22 |
| Gardner vag dna quant CPT 87512 | not published | not published | $36.34 – $186.71 | 22 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.84 – $30.00 | 22 |
| Gastric emptying imag study CPT 78265 | not published | not published | $137.58 – $2,037.08 | 3 |
| Gastric emptying imag study CPT 78266 | not published | not published | $145.99 – $2,335.15 | 3 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $82.19 – $1,020.78 | 3 |
| Gastrin test CPT 82938 | not published | not published | $15.39 – $79.09 | 22 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $96.44 – $1,260.92 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $27.57 – $32.43 | 4 |
| Gated heart multiple CPT 78473 | not published | not published | $209.00 – $1,302.04 | 3 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.94 – $4.67 | 17 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.14 – $4.98 | 17 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.58 – $4.10 | 17 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.16 – $1.84 | 17 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.36 – $6.93 | 17 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $211.25 | 19 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $62.86 – $99.83 | 17 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $74.52 – $118.35 | 17 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $87.25 – $138.58 | 17 |
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.