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 |
|---|---|---|---|---|
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $97.77 – $155.28 | 17 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $67.23 – $106.77 | 17 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $91.05 – $144.61 | 17 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $271.43 – $431.10 | 17 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $784.34 – $1,245.71 | 17 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $656.59 – $1,042.82 | 17 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $419.12 – $665.66 | 17 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,515.52 – $2,407.01 | 17 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,841.61 – $2,924.91 | 17 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $677.87 – $1,076.61 | 17 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,046.67 – $1,662.36 | 17 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $934.01 – $1,483.42 | 17 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $306.06 – $486.09 | 17 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $91.77 – $145.75 | 17 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,877.96 – $2,982.64 | 17 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $595.42 – $945.66 | 17 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $690.79 – $1,097.13 | 17 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $149.02 – $236.68 | 17 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $472.86 – $751.02 | 17 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $949.35 – $1,507.79 | 17 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $96.19 – $152.78 | 17 |
| Brace m arm board HCPCS L3809 | not published | not published | $232.02 – $368.51 | 17 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,095.31 – $1,739.61 | 17 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,014.04 – $1,610.54 | 17 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $232.02 – $368.51 | 17 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $123.33 – $195.89 | 17 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $64.29 – $102.11 | 17 |
| Brachytx isodose complex CPT 77318 | not published | not published | $470.84 – $470.84 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $297.18 – $297.18 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $227.60 – $227.60 | 1 |
| Braf gene CPT 81210 | $732.00 | $732.00 | $175.40 – $784.21 | 19 |
| Brain flow imaging only CPT 78610 | not published | not published | $41.99 – $1,101.15 | 3 |
| Brain image < 4 views CPT 78600 | not published | not published | $61.68 – $958.56 | 3 |
| Brain image 4+ views CPT 78605 | not published | not published | $75.96 – $1,101.15 | 3 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $71.75 – $1,146.76 | 3 |
| Brain image w/flow 4 + views CPT 78606 | $3,594.00 | $3,594.00 | $88.33 – $1,762.33 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,044.00 | $4,044.00 | $208.39 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,914.00 | $3,914.00 | $169.22 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,914.00 | $3,914.00 | $169.22 – $517.79 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $8,058.00 | $8,058.00 | $323.19 – $828.27 | 2 |
| Brain MRI (with contrast) CPT 70552 | $7,811.00 | $7,811.00 | $251.68 – $828.27 | 2 |
| Brain MRI (without contrast) CPT 70551 | $7,811.00 | $7,811.00 | $208.39 – $517.79 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $38.00 – $60.35 | 17 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $2,092.43 | 19 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $2,612.09 | 19 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $1,677.74 | 19 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $1,347.34 | 19 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $1,264.76 | 19 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $827.67 | 19 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $1,677.74 | 19 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $1,264.76 | 19 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $1,967.24 | 19 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,588.06 – $8,159.04 | 22 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $128.15 – $203.54 | 17 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $336.96 – $535.17 | 17 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $336.96 – $535.17 | 17 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $82.16 – $623.07 | 21 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $9.62 – $73.55 | 21 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $67,876.00 | $67,876.00 | $211.59 – $711.39 | 6 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $415,989.15 – $1,297,043.03 | 5 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $8.74 – $19.40 | 17 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $17.30 – $20.35 | 4 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.84 – $0.87 | 2 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $168.53 – $267.66 | 17 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $5.30 – $8.42 | 17 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $784.21 | 19 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.33 – $12.40 | 2 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $5.06 – $5.06 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.01 – $2.78 | 6 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.48 – $0.95 | 6 |
| Bundled special stain group 1 microorganisms CPT 88312 | $413.00 | $413.00 | $49.76 – $366.89 | 3 |
| Bundled special stain group 2 CPT 88313 | $378.00 | $378.00 | $33.84 – $300.84 | 3 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.03 | 6 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.89 – $0.89 | 1 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $26.95 – $26.95 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $44.00 | $44.00 | $16.19 – $16.19 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $58.00 | $58.00 | $24.86 – $24.86 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.55 – $11.16 | 6 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.72 – $3.34 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,636.45 – $5,296.10 | 6 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,636.45 – $5,296.10 | 6 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $16.48 – $16.48 | 1 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.24 – $2.36 | 6 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $3.99 – $14.68 | 6 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $64.94 – $64.94 | 1 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $61.43 – $201.03 | 6 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $54.30 – $173.92 | 6 |
| C1 esterase inhibitor func - sendout CPT 86161 | $391.00 | $391.00 | $10.45 – $53.65 | 22 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $95,948.00 | $95,948.00 | $188.45 – $611.62 | 6 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $275.00 | $275.00 | $1.68 – $48.57 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $19.66 – $64.02 | 6 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $612.53 | 19 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $3,783.67 | 19 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $828.03 | 19 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.52 – $5.38 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $65.05 – $217.51 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $17,559.00 | $17,559.00 | $1,606.50 – $3,797.98 | 2 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $69.94 – $359.33 | 22 |
| Calcium 24 hour urine CPT 82340 | $243.00 | $243.00 | $5.24 – $26.96 | 22 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.08 | 2 |
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.