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 |
|---|---|---|---|---|
| Whfo nontorsion joint prefab HCPCS L3931 | not published | not published | $174.28 – $276.80 | 17 |
| Whfo w/joint(s) custom fab HCPCS L3806 | not published | not published | $421.51 – $669.45 | 17 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,287.00 – $5,754.18 | 19 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $936.00 – $4,184.86 | 19 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $493.24 – $783.38 | 17 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $493.24 – $783.38 | 17 |
| Wilate injection HCPCS J7183 | not published | not published | $1.09 – $3.50 | 6 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.30 – $0.47 | 17 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $64.97 – $103.19 | 17 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $232.48 – $336.92 | 5 |
| Wound pouch each HCPCS A6154 | not published | not published | $16.88 – $26.81 | 17 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $710.00 | $710.00 | $373.61 – $504.37 | 13 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $403.89 – $545.25 | 13 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | not published | not published | $42.66 – $57.59 | 13 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | not published | not published | $51.10 – $68.98 | 13 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $1,680.63 – $2,669.23 | 17 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,432.20 – $2,274.67 | 17 |
| Wrist X-ray CPT 73110 | not published | not published | $26.77 – $213.67 | 3 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,976.76 – $3,139.56 | 17 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $13.92 – $41.34 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | $1,152.00 | $1,152.00 | $273.21 – $811.67 | 2 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $4,086.49 | 19 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $4,086.49 | 19 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $24.67 – $110.30 | 3 |
| X-ray abdomen 1 view CPT 74018 | not published | not published | $26.71 – $182.03 | 3 |
| X-ray abdomen 2 views CPT 74019 | not published | not published | $32.97 – $245.18 | 3 |
| X-ray abdomen >=3 views CPT 74021 | $1,648.00 | $1,648.00 | $38.11 – $245.18 | 3 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | not published | not published | $46.16 – $245.18 | 3 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | not published | not published | $28.86 – $182.03 | 3 |
| X-ray ankle 2 views (both sides) CPT 73600 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $82.37 – $828.27 | 3 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.90 – $55.98 | 22 |
| X-ray bone age studies CPT 77072 | not published | not published | $27.74 – $245.18 | 3 |
| X-ray bone length studies CPT 77073 | $1,594.00 | $1,594.00 | $40.05 – $245.18 | 3 |
| X-ray bone survey complete CPT 77075 | not published | not published | $79.07 – $477.12 | 3 |
| X-ray bone survey infant CPT 77076 | not published | not published | $99.55 – $481.44 | 3 |
| X-ray cervical spine 2-3 views CPT 72040 | not published | not published | $31.94 – $187.71 | 3 |
| X-ray cervical spine 4-5 views CPT 72050 | not published | not published | $39.99 – $265.61 | 3 |
| X-ray cervical spine >= 6 views CPT 72052 | not published | not published | $44.13 – $313.21 | 3 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $3,299.00 | $3,299.00 | $146.71 – $680.97 | 3 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $3,768.00 | $3,768.00 | $177.51 – $1,041.78 | 3 |
| X-ray consultation CPT 76140 | not published | not published | $232.64 – $273.70 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $25.68 – $182.03 | 3 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,648.00 | $1,648.00 | $85.27 – $449.49 | 3 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $52.48 – $404.06 | 3 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $60.74 – $511.74 | 3 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $23.59 – $245.18 | 3 |
| X-ray exam of eye sockets CPT 70200 | not published | not published | $40.23 – $245.18 | 3 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $26.71 – $182.03 | 3 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $76.99 – $517.79 | 3 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $26.71 – $245.18 | 3 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $51.73 – $1,086.50 | 3 |
| X-ray exam of penis CPT 74445 | not published | not published | $166.10 – $254.43 | 3 |
| X-ray exam of perineum CPT 74775 | not published | not published | $88.15 – $517.79 | 3 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $24.62 – $192.03 | 3 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $25.68 – $182.03 | 3 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $43.05 – $517.79 | 3 |
| X-ray exam of teeth CPT 70300 | not published | not published | $16.40 – $182.03 | 3 |
| X-ray exam of teeth CPT 70310 | not published | not published | $24.68 – $517.79 | 3 |
| X-ray exam si joints CPT 72200 | not published | not published | $25.68 – $245.18 | 3 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $35.00 – $245.18 | 3 |
| X-ray eye detection foreign body (both sides) CPT 70030 | not published | not published | $26.71 – $182.03 | 3 |
| X-ray facial bones complete > 3 views CPT 70150 | not published | not published | $38.18 – $245.18 | 3 |
| X-ray fallopian tube CPT 74742 | not published | not published | $86.33 – $86.33 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $26.71 – $182.03 | 3 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $20.54 – $205.03 | 3 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $23.59 – $182.03 | 3 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $23.59 – $182.03 | 3 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $24.68 – $245.18 | 3 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $26.77 – $182.03 | 3 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $23.59 – $182.03 | 3 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $41.05 – $304.54 | 3 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | not published | not published | $33.00 – $245.18 | 3 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | not published | not published | $43.11 – $259.11 | 3 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | not published | not published | $45.16 – $304.54 | 3 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $27.80 – $182.03 | 3 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $50.43 – $245.18 | 3 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $24.68 – $182.03 | 3 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $28.86 – $207.19 | 3 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $25.74 – $207.19 | 3 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $23.59 – $182.03 | 3 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $33.00 – $245.18 | 3 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | not published | not published | $38.96 – $256.95 | 3 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | not published | not published | $44.13 – $304.54 | 3 |
| X-ray male genital tract CPT 74440 | not published | not published | $55.81 – $518.73 | 3 |
| X-ray mandible complete > 4 views CPT 70110 | not published | not published | $36.09 – $245.18 | 3 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $27.80 – $196.37 | 3 |
| X-ray nasal bones complete > 3 views CPT 70160 | not published | not published | $25.68 – $192.03 | 3 |
| X-ray neck soft tissue CPT 70360 | not published | not published | $26.71 – $182.03 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $25.65 – $182.03 | 3 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $64.55 – $517.79 | 3 |
| X-ray optic foramina CPT 70190 | not published | not published | $32.00 – $182.03 | 3 |
| X-ray pelvis 1-2 views CPT 72170 | not published | not published | $25.68 – $245.18 | 3 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $37.93 – $245.18 | 3 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,364.00 | $2,364.00 | $76.29 – $828.27 | 3 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $31.94 – $182.03 | 3 |
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.