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 |
|---|---|---|---|---|
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $26.10 | $87.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $48.00 | $80.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,334.40 | $4,448.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $11,089.31 | $36,964.38 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $12,513.75 | $41,712.50 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $70,290.00 | $234,300.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $69,225.00 | $230,750.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $29,287.50 | $97,625.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,956.94 | $6,523.13 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $36,148.74 | $120,495.79 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $31,808.89 | $106,029.63 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,086.52 | $6,955.07 | not published | 0 |
| Knee control condylar pad HCPCS L2810 | $196.07 | $653.56 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $196.87 | $656.22 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $344.13 | $1,147.09 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $344.13 | $1,147.09 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $291.65 | $972.17 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $190.39 | $634.65 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $281.56 | $938.53 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $1,217.10 | $4,057.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $5,499.90 | $18,333.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $706.52 | $2,355.07 | not published | 0 |
| Knee X-ray CPT 73564 | $1,032.30 | $3,441.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $1,380.77 | $4,602.58 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $1,380.77 | $4,602.58 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $2,257.56 | $7,525.20 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $193.59 | $645.30 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $320.27 | $1,067.57 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $2,153.99 | $7,179.96 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $2,993.50 | $9,978.34 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $683.92 | $2,279.72 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $1,919.66 | $6,398.88 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $2,808.80 | $9,362.68 | not published | 0 |
| Kras gene addl variants CPT 81276 | $373.20 | $1,244.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $1,636.50 | $5,455.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $258.69 | $862.30 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $373.23 | $1,244.10 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $48.00 | $80.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $881.39 | $2,937.98 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $208.80 | $696.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $144.00 | $240.00 | not published | 0 |
| Lactic acid CPT 83605 | $408.30 | $1,361.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $100.20 | $334.00 | not published | 0 |
| Lateral thoracic extension HCPCS L1210 | $587.35 | $1,957.83 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $186.53 | $621.78 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $53,250.00 | $177,500.00 | not published | 0 |
| Lead capillary CPT 83655 | $388.80 | $1,296.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $58,955.74 | $196,519.13 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $14,643.75 | $48,812.50 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $3,541.31 | $11,804.37 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $2,989.67 | $9,965.56 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $4,298.29 | $14,327.62 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $3,734.93 | $12,449.76 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,763.40 | $5,878.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $226.31 | $754.38 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,662.50 | $8,875.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,181.69 | $10,605.63 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $798.75 | $2,662.50 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $102.96 | $171.60 | not published | 0 |
| Levalbuterol non-comp con HCPCS J7612 | $63.67 | $106.11 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $19.00 | $31.67 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $142.70 | $237.83 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $477.90 | $1,593.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $82.90 | $138.17 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $82,364.44 | $274,548.13 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $75.43 | $125.71 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $122.31 | $203.85 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $177.06 | $590.19 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $91.54 | $305.12 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $1,358.59 | $4,528.65 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,241.70 | $4,139.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,511.60 | $8,372.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $99.47 | $331.57 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $278.07 | $926.91 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $191.62 | $319.37 | not published | 0 |
| Lipase CPT 83690 | $306.00 | $1,020.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $51.60 | $172.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $32.10 | $107.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $87.00 | $290.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $71.70 | $239.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $252.00 | $840.00 | not published | 0 |
| Liver Function Test CPT 80076 | $271.20 | $904.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $48.00 | $80.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $414.13 | $1,380.42 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $170.19 | $567.29 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $517.50 | $1,725.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,352.40 | $14,508.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,545.60 | $15,152.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $778.50 | $2,595.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $4,669.20 | $15,564.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $614.40 | $2,048.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $252.67 | $842.24 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $273.01 | $910.04 | not published | 0 |
| Lso full corset HCPCS L0976 | $358.93 | $1,196.44 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $407.36 | $1,357.88 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $4,028.36 | $13,427.88 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $3,110.01 | $10,366.71 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $388.83 | $1,296.11 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,398.75 | $7,995.84 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,254.72 | $10,849.07 | 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.