Southern Virginia Medical Center
727 N Main St, Emporia, VA · Bonsecours · · NPI 1104461276
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 |
|---|---|---|---|---|
| 88334 ap bill cytologic exam each additional site CPT 88334 | $87.90 | $293.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,578.40 | $11,928.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $861.90 | $2,873.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,631.60 | $8,772.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,792.80 | $15,976.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $1,434.90 | $4,783.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,122.50 | $7,075.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $198.97 | $663.23 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $344.40 | $1,148.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,428.90 | $4,763.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,334.40 | $4,448.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $860.40 | $2,868.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $507.15 | $1,690.51 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $604.36 | $2,014.54 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $213.72 | $712.40 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $195.43 | $651.43 | not published | 0 |
| Abl1 gene CPT 81170 | $496.20 | $1,654.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $594.00 | $1,980.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $36.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $539.53 | $899.21 | not published | 0 |
| Acetone qualitative CPT 82009 | $88.80 | $296.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $109.20 | $364.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $72.37 | $120.62 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $134.36 | $223.94 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $237.60 | $792.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $508.50 | $1,695.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $208.61 | $347.68 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $10,180.73 | $33,935.78 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $458.27 | $1,527.57 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $84.85 | $141.41 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $819.94 | $1,366.56 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $460.50 | $1,535.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $358.50 | $1,195.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $208.50 | $695.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $103.50 | $345.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $44.10 | $147.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $28,725.30 | $47,875.50 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $87.60 | $292.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $18.30 | $61.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $315.00 | $1,050.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,083.56 | $3,611.86 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $2,473.49 | $8,244.96 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,034.59 | $3,448.65 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,142.14 | $7,140.47 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $673.24 | $2,244.13 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $969.28 | $3,230.94 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $986.19 | $3,287.30 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $1,846.20 | $6,154.01 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $684.90 | $2,283.01 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $1,350.85 | $4,502.82 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $1,892.19 | $6,307.29 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $1,850.28 | $6,167.59 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,211.12 | $4,037.06 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $3,809.40 | $12,698.00 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $1,533.60 | $5,112.00 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $188.26 | $627.55 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $234.14 | $780.47 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $424.16 | $1,413.88 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $10.20 | $34.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $951.30 | $1,585.50 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $208.80 | $696.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $159.60 | $532.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $6.00 | $10.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $33.60 | $112.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $159.60 | $532.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.00 | $110.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $22.50 | $75.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $6,707.64 | $22,358.79 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $13,227.30 | $44,091.00 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $16,597.84 | $55,326.13 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $10,322.51 | $34,408.38 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $46,859.15 | $156,197.16 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $31,458.77 | $104,862.56 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $26,622.34 | $88,741.13 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $25,136.66 | $83,788.88 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $8,240.44 | $27,468.13 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $9,411.94 | $31,373.13 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $199.50 | $665.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $213.90 | $713.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $119,596.90 | $199,328.16 | not published | 0 |
| Alt/sgpt CPT 84460 | $159.60 | $532.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $48.00 | $80.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $59.81 | $99.69 | not published | 0 |
| Ammonia CPT 82140 | $320.10 | $1,067.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,240.80 | $4,136.00 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $182.14 | $303.56 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $72.78 | $121.30 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,060.30 | $10,201.00 | not published | 0 |
| Amylase CPT 82150 | $306.00 | $1,020.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $60.90 | $203.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $74.40 | $248.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $74.40 | $248.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $172.80 | $288.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $2,594.20 | $4,323.66 | not published | 0 |
| Ankle X-ray CPT 73610 | $591.30 | $1,971.00 | not published | 0 |
| Anterior asis pad HCPCS L1250 | $189.86 | $632.88 | not published | 0 |
| Anterior swing band HCPCS L2335 | $674.84 | $2,249.46 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $226.42 | $754.73 | not published | 0 |
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.