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 |
|---|---|---|---|---|
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $6.17 – $9.80 | 17 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $249.47 – $396.21 | 17 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $184.56 – $293.13 | 17 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $612.21 – $972.34 | 17 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $51.00 | $51.00 | $6.17 – $9.80 | 17 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $53,797.00 | $53,797.00 | $12.63 – $39.56 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $8.92 – $29.63 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $64.97 – $198.14 | 6 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $31.90 – $97.71 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $29.55 – $79.90 | 6 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $28.13 – $55.39 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $21.20 – $35.17 | 6 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $101.47 – $161.16 | 17 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.52 – $5.30 | 6 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $26.81 – $81.91 | 6 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $8.94 – $29.28 | 6 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,436.00 | $3,436.00 | $9.77 – $32.09 | 6 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | not published | not published | $0.05 – $0.13 | 6 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $558.46 – $886.96 | 17 |
| Rotavirus antibody CPT 86759 | not published | not published | $15.86 – $81.51 | 22 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $92.77 – $147.34 | 17 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $19.41 – $61.96 | 6 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | not published | not published | $101.55 – $1,397.72 | 3 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $4,869.00 | $4,869.00 | $200.29 – $2,938.37 | 3 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | not published | not published | $288.65 – $4,715.05 | 3 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $561.65 – $1,453.00 | 2 |
| Rsv assay w/optic CPT 87807 | not published | not published | $11.40 – $58.57 | 22 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $341.04 – $922.20 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $22.52 – $30.40 | 13 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $52.37 – $70.70 | 13 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $53.05 – $71.62 | 13 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $55.34 – $74.71 | 13 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $42.49 – $57.36 | 13 |
| Rubella antibody igg CPT 86762 | not published | not published | $12.52 – $64.34 | 22 |
| Rubeola ag if CPT 87283 | not published | not published | $52.91 – $271.84 | 22 |
| Rubeola antibody igg CPT 86765 | $751.00 | $751.00 | $11.21 – $57.59 | 22 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $1,473.24 | 19 |
| Russell viper venom diluted CPT 85613 | $790.00 | $790.00 | $8.34 – $42.83 | 22 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $798.07 – $4,100.26 | 22 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $228.45 – $362.83 | 17 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $30.43 – $98.00 | 6 |
| Safety plan interven HCPCS G0560 | not published | not published | $29.50 – $34.71 | 4 |
| Salivary gland function exam CPT 78232 | not published | not published | $56.42 – $848.52 | 3 |
| Salivary gland imaging CPT 78230 | not published | not published | $64.55 – $923.94 | 3 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $62.62 – $848.52 | 3 |
| Salmonella antibody CPT 86768 | not published | not published | $11.47 – $58.97 | 22 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.30 – $1.30 | 1 |
| Sargramostim injection HCPCS J2820 | $5,567.00 | $5,567.00 | $50.90 – $163.64 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $188.77 | 21 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $137.31 – $508.59 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $202.80 | 22 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $61.17 – $329.16 | 22 |
| Sbrt management CPT 77435 | not published | not published | $1,976.99 – $1,976.99 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | not published | not published | $1,363.10 – $1,363.10 | 1 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | not published | not published | $786.47 – $786.47 | 1 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $486.00 | $486.00 | $926.59 – $926.59 | 1 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $613.41 – $613.41 | 1 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | not published | not published | $656.69 – $656.69 | 1 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | not published | not published | $637.21 – $637.21 | 1 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | not published | not published | $1,317.66 – $1,317.66 | 1 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | not published | not published | $785.98 – $785.98 | 1 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | not published | not published | $652.34 – $652.34 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $4,814.67 – $7,646.83 | 17 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.15 – $76.23 | 22 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $98.27 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.80 – $142.80 | 22 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $38.27 – $196.59 | 22 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.05 – $118.44 | 22 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.54 – $120.94 | 22 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $17.63 – $90.58 | 22 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $98.27 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.71 – $80.70 | 22 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $24.60 – $126.40 | 22 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $40.33 – $207.23 | 22 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $20.95 – $107.66 | 22 |
| Screening Mammogram CPT 77067 | not published | not published | $74.88 – $598.76 | 20 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $98.27 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $636.00 | $636.00 | $16.80 – $86.34 | 22 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.15 – $76.23 | 22 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.24 – $2.64 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $301.00 | $301.00 | $2.35 – $12.07 | 22 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,592.41 – $7,697.35 | 2 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.95 – $1.51 | 17 |
| Semen analysis HCPCS G0027 | not published | not published | $5.65 – $29.06 | 22 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $10.49 – $53.88 | 22 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.49 – $38.50 | 22 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $858.43 | 19 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $1.89 – $3.55 | 2 |
| Serpina1 gene CPT 81332 | $732.00 | $732.00 | $43.65 – $195.16 | 19 |
| Set radiation therapy field CPT 77280 | not published | not published | $114.89 – $114.89 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $173.03 – $173.03 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $253.40 – $253.40 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.27 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.82 | 2 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,558.98 – $2,476.02 | 17 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,840.64 – $2,923.37 | 17 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,747.20 – $2,774.97 | 17 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,558.98 – $2,476.02 | 17 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,840.64 – $2,923.37 | 17 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,840.64 – $2,923.37 | 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.