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 |
|---|---|---|---|---|
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.50 – $17.97 | 22 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $58.36 – $185.98 | 6 |
| Ue triple control harness HCPCS L6677 | not published | not published | $303.04 – $481.30 | 17 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $1,046.21 | 19 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $968.00 | $968.00 | $78.80 – $525.21 | 3 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $8.05 – $245.18 | 3 |
| Ultrasound breast complete CPT 76641 | not published | not published | $103.70 – $442.99 | 3 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $96.44 – $343.48 | 3 |
| Ultrasound chest CPT 76604 | not published | not published | $85.03 – $245.18 | 3 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $2,386.00 | $2,386.00 | $67.43 – $245.18 | 3 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $58.84 – $245.18 | 3 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $74.14 – $74.14 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $1,011.00 | $1,011.00 | $89.63 – $494.93 | 3 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $90.27 – $533.87 | 3 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $106.78 – $725.90 | 3 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,608.00 | $1,608.00 | $113.17 – $321.35 | 3 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $41.68 – $41.68 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $96.77 – $96.77 | 1 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $147.71 – $147.71 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | $1,816.00 | $1,816.00 | $311.51 – $311.51 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $104.73 – $654.50 | 3 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $88.15 – $458.15 | 3 |
| Ultrasound joint complete left CPT 76881 | not published | not published | $35.18 – $245.18 | 3 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | not published | not published | $98.55 – $245.18 | 3 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $52.39 – $240.48 | 3 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $133.01 – $133.01 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $67.73 – $67.73 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $2,414.00 | $2,414.00 | $279.33 – $571.80 | 3 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $125.66 – $453.81 | 3 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $94.44 – $328.34 | 3 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $108.96 – $371.60 | 3 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $98.13 – $1,098.01 | 3 |
| Ultrasound retroperitoneal limited CPT 76775 | not published | not published | $83.22 – $245.18 | 3 |
| Ultrasound scrotum and contents CPT 76870 | not published | not published | $91.26 – $455.97 | 3 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $195.11 – $724.25 | 3 |
| Ultrasound transabd ea addl gest CPT 76812 | $2,414.00 | $2,414.00 | $263.78 – $263.78 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | not published | not published | $99.61 – $563.65 | 3 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $229.14 – $944.42 | 3 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $121.06 – $121.06 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.74 – $11.73 | 17 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $12,267.03 – $19,482.93 | 17 |
| Unlisted CT procedure CPT 76497 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.76 – $222.48 | 3 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.76 – $222.48 | 3 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $182.03 – $285.63 | 2 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $98.69 – $98.69 | 1 |
| Unlisted maaa CPT 81599 | not published | not published | $1,001.84 – $1,001.84 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.76 – $222.48 | 3 |
| Unlisted mr procedure CPT 76498 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $98.69 – $98.69 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $222.48 | 3 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $848.52 – $2,408.81 | 2 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.76 – $222.48 | 3 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $24.67 – $110.30 | 3 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $182.03 – $530.70 | 2 |
| Unlisted urinalysis px CPT 81099 | not published | not published | $98.69 – $98.69 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $848.52 – $2,408.81 | 2 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $8,058.00 | $8,058.00 | $324.28 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $7,811.00 | $7,811.00 | $252.74 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $7,811.00 | $7,811.00 | $209.45 – $517.79 | 2 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $356.81 – $566.70 | 17 |
| Urea nitrogen CPT 84520 | $220.00 | $220.00 | $3.43 – $17.66 | 22 |
| Urea nitrogen 24 hour urine CPT 84540 | $243.00 | $243.00 | $4.84 – $24.86 | 22 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.26 – $32.19 | 22 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.46 – $22.94 | 22 |
| Ureteral reflux study CPT 78740 | not published | not published | $83.55 – $1,194.36 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $3,289.00 | $3,289.00 | $47.19 – $517.79 | 3 |
| Urethrocystography void s&i CPT 74455 | $3,473.00 | $3,473.00 | $48.28 – $574.96 | 3 |
| Uric acid blood CPT 84550 | $313.00 | $313.00 | $3.94 – $20.21 | 22 |
| Uric acid urine CPT 84560 | not published | not published | $4.42 – $22.71 | 22 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.09 – $21.01 | 22 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.65 – $13.64 | 22 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.89 – $9.70 | 22 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $2.76 – $14.17 | 22 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.95 – $10.06 | 22 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $23.93 – $395.39 | 2 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $3.30 – $5.24 | 17 |
| Urinary pouch w/barrier HCPCS A5071 | $46.00 | $46.00 | $7.28 – $11.57 | 17 |
| Urinary suspensory HCPCS A5105 | not published | not published | $41.98 – $66.68 | 17 |
| Urine Culture Test CPT 87086 | $597.00 | $597.00 | $7.02 – $36.08 | 22 |
| Urine ost pouch w faucet/tap HCPCS A4428 | $70.00 | $70.00 | $7.90 – $12.54 | 17 |
| Urine pregnancy test CPT 81025 | not published | not published | $7.49 – $38.50 | 22 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.09 – $134.04 | 22 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $37.91 | 19 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $66.60 – $66.60 | 1 |
| Urography, antegrade CPT 74425 | not published | not published | $72.84 – $828.27 | 3 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $71.09 – $771.33 | 3 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $480.62 – $480.62 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $9.62 – $9.62 | 1 |
| Use 1st target lesion CPT 76982 | $1,011.00 | $1,011.00 | $86.39 – $423.54 | 3 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,853.35 – $2,943.55 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $9,178.00 | $9,178.00 | $10.89 – $33.10 | 6 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $346.91 – $1,080.43 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $137.40 – $428.37 | 6 |
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.