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 |
|---|---|---|---|---|
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $56.65 – $56.65 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $24.12 – $24.12 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $31.94 – $2,938.37 | 3 |
| Plasma volume single CPT 78110 | not published | not published | $23.44 – $2,938.37 | 3 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $117.16 – $186.07 | 17 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $127.15 – $201.95 | 17 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,764.95 – $2,803.15 | 17 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,948.70 – $6,271.47 | 17 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $21.68 – $111.37 | 22 |
| Platelet automated CPT 85049 | $182.00 | $182.00 | $3.90 – $20.03 | 22 |
| Platelet survival CPT 78191 | not published | not published | $72.93 – $848.52 | 3 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $81.64 – $129.67 | 17 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $1,302.67 | 19 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.23 – $81.25 | 6 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $74.30 – $118.00 | 17 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $926.88 | 19 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $3,390.63 | 19 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $3,440.79 | 19 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $208.35 | 19 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $909.85 | 19 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $3,024.63 | 19 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $1,479.90 | 19 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $198.75 – $315.66 | 17 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $36.64 – $163.82 | 3 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $13.85 – $16.29 | 4 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $22.69 – $116.56 | 22 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $112.82 – $362.44 | 6 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $206.77 – $328.40 | 17 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $9.15 – $46.99 | 22 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,978.93 – $64,205.31 | 2 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $52.58 – $83.51 | 17 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $52.58 – $83.51 | 17 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $21.75 – $111.78 | 22 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $457.48 – $726.58 | 17 |
| Postop app non-wgt bear dsg HCPCS L5450 | $22,026.00 | $22,026.00 | $446.65 – $709.38 | 17 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $658.32 – $1,045.58 | 17 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $18,754.00 | $18,754.00 | $1,252.42 – $1,989.13 | 17 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,581.75 – $2,512.19 | 17 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $698.21 – $1,108.92 | 17 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $548.71 – $871.48 | 17 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,628.09 – $2,585.79 | 17 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,360.55 – $2,160.88 | 17 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $476.43 – $756.69 | 17 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,848.61 – $2,936.02 | 17 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,214.56 – $1,929.00 | 17 |
| Potassium 24 hour urine CPT 84133 | $335.00 | $335.00 | $4.11 – $21.15 | 22 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.18 – $0.32 | 6 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.07 – $26.07 | 22 |
| Potassium serum/plasma/whole blood CPT 84132 | $416.00 | $416.00 | $4.14 – $21.28 | 22 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.50 – $3.97 | 17 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $4.28 – $6.80 | 17 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $6.67 – $10.60 | 17 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $5.28 – $8.38 | 17 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $55.00 | $55.00 | $2.70 – $4.29 | 17 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $4.34 – $6.90 | 17 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $4.42 – $7.02 | 17 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $612.53 | 19 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $117.10 – $117.10 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | $4,091.00 | $4,091.00 | $113.35 – $113.35 | 1 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $317.70 – $1,040.71 | 6 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $2,281.00 | $2,281.00 | $92.85 – $275.71 | 2 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $103.86 – $140.21 | 13 |
| Prealbumin CPT 84134 | $359.00 | $359.00 | $12.70 – $65.23 | 22 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $12.53 – $14.74 | 4 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.55 – $0.55 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.41 – $2.44 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 6 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $177.00 – $281.11 | 17 |
| Pregnancy associated plasma protein-a CPT 84163 | $603.00 | $603.00 | $13.10 – $67.29 | 22 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | not published | not published | $145.05 – $576.63 | 3 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $142.90 – $460.31 | 3 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $67.29 – $79.17 | 4 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,102.70 – $3,339.58 | 17 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,501.56 – $3,973.06 | 17 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,022.52 – $3,212.23 | 17 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,454.75 – $3,898.72 | 17 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $222.48 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,971.17 – $3,130.68 | 17 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,866.72 – $2,964.79 | 17 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,514.99 – $2,406.16 | 17 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,894.21 – $3,008.45 | 17 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $562.28 – $893.04 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $375.00 | $375.00 | $4.37 – $666.89 | 3 |
| Pretreat rbc absorption reference CPT 86978 | $1,551.00 | $1,551.00 | $4.37 – $151.30 | 3 |
| Pretreat rbc density gradient separation reference CPT 86972 | $366.00 | $366.00 | $5.09 – $666.89 | 3 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $264.00 | $264.00 | $3.62 – $151.30 | 3 |
| Pretreat rbc w enzyme reference CPT 86971 | $264.00 | $264.00 | $2.90 – $1,302.22 | 3 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $16.13 – $18.98 | 4 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $32.57 – $38.32 | 4 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $48.70 – $57.30 | 4 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $65.66 – $77.25 | 4 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $241.69 – $913.00 | 6 |
| Procalcitonin CPT 84145 | $751.00 | $751.00 | $23.69 – $121.70 | 22 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | $102.00 | $102.00 | $159.06 – $159.06 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $426.00 | $426.00 | $2.48 – $6.68 | 6 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.37 – $2.07 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $115.54 – $336.92 | 5 |
| Progesterone CPT 84144 | $597.00 | $597.00 | $18.16 – $93.27 | 22 |
| Prolactin CPT 84146 | $751.00 | $751.00 | $16.86 – $86.65 | 22 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $20.51 – $24.13 | 4 |
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.