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 |
|---|---|---|---|---|
| Hepb vacc 3 dose immunsup im CPT 90740 | $260.06 | $433.44 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $59.40 | $198.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $91.50 | $305.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $116.10 | $387.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $176.10 | $587.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $199.53 | $665.09 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $199.53 | $665.09 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $3,539.21 | $11,797.36 | not published | 0 |
| Hinge ext/flex wrist finger HCPCS L3901 | $4,638.31 | $15,461.05 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,031.48 | $3,438.26 | not published | 0 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $512.00 | $1,706.66 | not published | 0 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $565.78 | $1,885.94 | not published | 0 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $1,069.15 | $3,563.85 | not published | 0 |
| Hip joint adjustable flexion HCPCS L2622 | $763.87 | $2,546.24 | not published | 0 |
| Hip X-ray CPT 73502 | $636.60 | $2,122.00 | not published | 0 |
| Hkafo torsion ball bearing j HCPCS L2060 | $1,463.26 | $4,877.52 | not published | 0 |
| Hkafo torsion bil rot straps HCPCS L2040 | $485.64 | $1,618.80 | not published | 0 |
| Hkafo torsion unilat rot str HCPCS L2070 | $372.59 | $1,241.97 | not published | 0 |
| Hkafo unilat torsion ball br HCPCS L2090 | $1,193.62 | $3,978.75 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $535.50 | $1,785.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $135.00 | $450.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $16.80 | $56.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $382.80 | $1,276.00 | not published | 0 |
| Ho abduction hip adjustable HCPCS L1650 | $592.01 | $1,973.36 | not published | 0 |
| Ho abduction static plastic HCPCS L1660 | $433.83 | $1,446.09 | not published | 0 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $855.75 | $2,852.51 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $30.23 | $50.38 | not published | 0 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $309.33 | $1,031.10 | not published | 0 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $931.87 | $3,106.25 | not published | 0 |
| Ho frejka cov only pre cst HCPCS L1610 | $131.39 | $437.98 | not published | 0 |
| Homocysteine CPT 83090 | $685.50 | $2,285.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $32.40 | $108.00 | not published | 0 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $27.90 | $93.00 | not published | 0 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $87.60 | $292.00 | not published | 0 |
| Hopd mntl hlt, grp HCPCS C7903 | $27.90 | $93.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $4,052.32 | $13,507.75 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,956.00 | $6,520.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $12,474.00 | $20,790.00 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $128.44 | $214.07 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $48.00 | $80.00 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $101.70 | $339.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $290.40 | $968.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $605.17 | $1,008.61 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $54.02 | $90.04 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $388.67 | $647.79 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $18.90 | $63.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $10,727.66 | $17,879.44 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $5,443.20 | $9,072.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $2,106.66 | $3,511.10 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $137.40 | $229.00 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $78,197.62 | $260,658.75 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $75,881.25 | $252,937.50 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $61,237.50 | $204,125.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $72,356.10 | $241,187.00 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,185.90 | $3,953.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,076.70 | $3,589.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $165.33 | $275.55 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $101.10 | $337.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $437.10 | $1,457.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $88.20 | $294.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $1,634.96 | $5,449.87 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $665.62 | $2,218.75 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $769.14 | $2,563.81 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $789.67 | $2,632.24 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $41.40 | $138.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $96.90 | $323.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $46.80 | $156.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $59.10 | $197.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $543.00 | $1,810.00 | not published | 0 |
| Immunology procedure CPT 86849 | $53.10 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $6,794.70 | $22,649.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,944.90 | $16,483.01 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $33,281.25 | $110,937.50 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $5,458.12 | $18,193.75 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $9,860.22 | $32,867.41 | not published | 0 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $8,840.92 | $14,734.86 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $16,381.80 | $27,303.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $624.60 | $2,082.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $625.20 | $2,084.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $155.70 | $519.00 | not published | 0 |
| Incision tendon sheath CPT 26055 | $597.90 | $1,993.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $110.70 | $369.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $237.90 | $793.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $405.30 | $1,351.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $405.30 | $1,351.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $493.50 | $1,645.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $92.70 | $309.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $228.60 | $762.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $88.80 | $296.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $60.90 | $203.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $210.60 | $702.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $40.20 | $134.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $234.30 | $781.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $67.20 | $224.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $37.20 | $124.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $85.20 | $284.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $212.10 | $707.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.00 | $180.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $180.30 | $601.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $95.40 | $318.00 | 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.