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 |
|---|---|---|---|---|
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $6,654.00 | $6,654.00 | $599.37 – $2,060.38 | 6 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,099.00 | $1,099.00 | $25.81 – $336.92 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $336.92 – $1,055.97 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $2,378.00 | $2,378.00 | $54.08 – $336.92 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $336.92 – $336.92 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $5,293.38 – $5,293.38 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $55.60 – $336.92 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $89.64 – $336.92 | 5 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $115.91 – $336.92 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $44.02 – $336.92 | 5 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $336.92 – $336.92 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $336.92 – $336.92 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $336.92 – $336.92 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $31.88 – $336.92 | 5 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.21 – $156.48 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.22 – $0.40 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.80 – $19.98 | 13 |
| Group train without patient HCPCS G0543 | not published | not published | $7.40 – $8.71 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.69 – $70.37 | 22 |
| Growth hormone panel CPT 80428 | not published | not published | $58.05 – $298.22 | 22 |
| Growth hormone panel CPT 80430 | not published | not published | $112.55 – $578.23 | 22 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $338.01 | 19 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,785.00 | $2,785.00 | $121.76 – $4,034.23 | 3 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $579.27 – $920.01 | 17 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $22.13 | 18 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $44.08 – $70.01 | 17 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,289.87 – $3,636.86 | 17 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,551.22 – $4,051.93 | 17 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,227.12 – $5,125.42 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $3.92 – $10.44 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $658.00 | $658.00 | $0.66 – $1.93 | 6 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $219.75 – $349.02 | 17 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $28.81 – $45.75 | 17 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $24.95 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $98.06 – $155.75 | 17 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,641.32 – $2,606.81 | 17 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,684.93 – $2,676.06 | 17 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $651.45 – $1,034.65 | 17 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,671.89 – $2,655.36 | 17 |
| Hand X-ray CPT 73130 | not published | not published | $26.77 – $187.71 | 3 |
| Haptoglobin quantitative CPT 83010 | $443.00 | $443.00 | $10.95 – $56.25 | 22 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $175.47 – $278.68 | 17 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $126.20 – $200.43 | 17 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $124.97 – $198.48 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $2,682.60 | 19 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $904.93 | 19 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,677.74 | 19 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $1,451.20 | 19 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $781.58 | 19 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $904.93 | 19 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,677.74 | 19 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.45 – $43.41 | 22 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $165.10 – $1,996.35 | 3 |
| Hcg free betachain test CPT 84704 | not published | not published | $13.30 – $68.36 | 22 |
| Hcg qualitative CPT 84703 | not published | not published | $6.54 – $33.62 | 22 |
| Hcg quantitative CPT 84702 | not published | not published | $13.10 – $67.29 | 22 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $357.10 – $420.12 | 4 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $595.00 | $595.00 | $84.30 – $258.45 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $137.37 – $1,101.15 | 3 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $848.52 – $2,408.81 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $70.78 – $1,200.86 | 3 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $130.65 – $1,101.15 | 3 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $217.95 – $2,938.37 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $315.90 – $315.90 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $617.74 – $617.74 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $870.14 – $870.14 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $169.79 – $169.79 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $228.66 – $228.66 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | not published | not published | $179.62 – $401.74 | 2 |
| Head CT scan (with contrast) CPT 70460 | not published | not published | $159.93 – $401.74 | 2 |
| Head CT scan (without contrast) CPT 70450 | not published | not published | $121.06 – $245.18 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $3,038.36 | 19 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $7,265.38 | 19 |
| Heart first pass add-on CPT 78496 | not published | not published | $62.07 – $62.07 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $207.15 – $1,101.15 | 3 |
| Heart image spect CPT 78494 | not published | not published | $167.71 – $1,021.29 | 3 |
| Heart infarct image CPT 78466 | not published | not published | $96.68 – $876.34 | 3 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $113.29 – $1,101.15 | 3 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $95.51 – $151.70 | 17 |
| Heavy metal qual any number CPT 83015 | not published | not published | $18.22 – $93.62 | 22 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $77.82 – $123.59 | 17 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.65 – $18.78 | 22 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.93 – $30.49 | 22 |
| Helicobacter pylori antibody igm CPT 86677 | $644.00 | $644.00 | $14.66 – $75.34 | 22 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $273.83 – $336.92 | 5 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.12 – $36.62 | 22 |
| Hematocrit CPT 85014 | not published | not published | $2.07 – $10.60 | 22 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $222.46 – $653.50 | 3 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $31,548.00 | $31,548.00 | $28.11 – $93.57 | 6 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,298.44 – $8,415.17 | 17 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $5,259.20 – $8,352.86 | 17 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $70.10 – $82.47 | 4 |
| Hemoglobin CPT 85018 | $140.00 | $140.00 | $2.07 – $10.60 | 22 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.49 – $17.93 | 22 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $6.96 – $35.77 | 22 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $9.35 – $48.02 | 22 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $477.00 | $477.00 | $7.14 – $36.66 | 22 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $11.61 – $59.64 | 22 |
| Hemoglobin plasma CPT 83051 | $199.00 | $199.00 | $6.36 – $32.68 | 22 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $7.83 – $40.24 | 22 |
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.