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 |
|---|---|---|---|---|
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $626.19 | $2,087.31 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $688.39 | $2,294.63 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,285.01 | $7,616.70 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $187.97 | $626.58 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $218.32 | $727.75 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $212.84 | $709.47 | not published | 0 |
| Lumbar sling HCPCS L1090 | $241.57 | $805.23 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $293.10 | $977.00 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $128,110.27 | $213,517.12 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $798.75 | $2,662.50 | not published | 0 |
| Magnesium CPT 83735 | $108.30 | $361.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $174.64 | $291.06 | not published | 0 |
| Mammosite ced HCPCS C1728 | $8,054.06 | $26,846.88 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $150.30 | $501.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $172.80 | $576.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $177.19 | $590.63 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $15,043.12 | $50,143.75 | not published | 0 |
| Mastoids complete CPT 70130 | $270.00 | $900.00 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $20,594.44 | $68,648.13 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $86,504.62 | $288,348.75 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $26.70 | $89.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $83.10 | $277.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $159.30 | $531.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $65.10 | $217.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $40.20 | $134.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $25.20 | $84.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $101.40 | $338.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $222.30 | $741.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $500.40 | $1,668.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $415.50 | $1,385.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,827.00 | $6,090.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $860.70 | $2,869.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $70.80 | $236.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $27.60 | $92.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $22.50 | $75.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $344.40 | $1,148.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $11.10 | $37.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $25.20 | $84.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $303.60 | $1,012.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $321.90 | $1,073.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $51.00 | $170.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $49.80 | $166.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $779.40 | $2,598.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $141.90 | $473.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $20.40 | $68.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $60.60 | $202.00 | not published | 0 |
| Mayo estriol CPT 82677 | $571.20 | $1,904.00 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $135.90 | $453.00 | not published | 0 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $233.10 | $777.00 | not published | 0 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $141.30 | $471.00 | not published | 0 |
| Mayo factor x CPT 85260 | $209.70 | $699.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,736.70 | $5,789.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $14.70 | $49.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $14.70 | $49.00 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $81.00 | $270.00 | not published | 0 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $129.60 | $432.00 | not published | 0 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $37.50 | $125.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $87.30 | $291.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $81.30 | $271.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $80.10 | $267.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $30.90 | $103.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $108.00 | $360.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $143.40 | $478.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $147.30 | $491.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $52.50 | $175.00 | not published | 0 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $216.60 | $722.00 | not published | 0 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $132.00 | $440.00 | not published | 0 |
| Mayo inhab inhibin a CPT 86336 | $133.20 | $444.00 | not published | 0 |
| Mayo insft insulin free CPT 83527 | $56.70 | $189.00 | not published | 0 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $196.20 | $654.00 | not published | 0 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $13.80 | $46.00 | not published | 0 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $477.90 | $1,593.00 | not published | 0 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $39.60 | $132.00 | not published | 0 |
| Mayo legionella antibody CPT 86713 | $273.60 | $912.00 | not published | 0 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $83.70 | $279.00 | not published | 0 |
| Mayo metanephrines plasma CPT 83835 | $609.60 | $2,032.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $32.10 | $107.00 | not published | 0 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $109.20 | $364.00 | not published | 0 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $181.50 | $605.00 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $198.60 | $662.00 | not published | 0 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $306.30 | $1,021.00 | not published | 0 |
| Mayo muramidase CPT 85549 | $258.30 | $861.00 | not published | 0 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $446.70 | $1,489.00 | not published | 0 |
| Mayo myoglobin CPT 83874 | $191.10 | $637.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $757.80 | $2,526.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $65.70 | $219.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $520.80 | $1,736.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $199.50 | $665.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $60.60 | $202.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $571.80 | $1,906.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $50.40 | $168.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $48.90 | $163.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $51.60 | $172.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $114.60 | $382.00 | not published | 0 |
| Mayo renin CPT 84244 | $1,037.70 | $3,459.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $21.60 | $72.00 | not published | 0 |
| Mayo selenium CPT 84255 | $38.40 | $128.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $109.20 | $364.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $54.00 | $180.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $28.20 | $94.00 | 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.