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 |
|---|---|---|---|---|
| Nm imaging gastric emptying study CPT 78264 | $496.20 | $1,654.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,567.70 | $8,559.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,477.70 | $8,259.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $151.92 | $506.41 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $6,656.25 | $22,187.50 | not published | 0 |
| Ntrk translocation analysis CPT 81194 | $857.10 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,625.80 | $12,086.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $3,961.80 | $13,206.00 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $4,050.13 | $6,750.21 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $351.30 | $1,171.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $222.00 | $740.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $245.72 | $819.07 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $351.18 | $1,170.61 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $2,662.50 | $8,875.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $381.47 | $635.79 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $96.60 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $19.55 | $32.58 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $48.00 | $80.00 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $599.06 | $1,996.88 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $630.88 | $2,102.93 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,488.34 | $4,961.13 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,801.43 | $9,338.10 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $591.69 | $1,972.29 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $701.78 | $2,339.27 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $230.71 | $769.02 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $591.69 | $1,972.29 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $70.18 | $233.95 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $70.18 | $233.95 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $100.69 | $335.65 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,325.92 | $4,419.75 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $778.25 | $2,594.16 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,166.58 | $7,221.94 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $66.90 | $223.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $54.90 | $183.00 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $204.61 | $682.04 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $155.70 | $519.01 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $21.46 | $71.53 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $128.25 | $427.51 | not published | 0 |
| Osmolality blood CPT 83930 | $205.50 | $685.00 | not published | 0 |
| Osmolality urine CPT 83935 | $205.50 | $685.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $443.70 | $1,479.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $443.70 | $1,479.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $443.70 | $1,479.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $48.00 | $160.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $53.70 | $179.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $190.50 | $635.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $190.50 | $635.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $77.70 | $259.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $55.80 | $186.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $190.50 | $635.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $172.20 | $574.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $172.20 | $574.00 | not published | 0 |
| Outrigger HCPCS L1080 | $125.62 | $418.72 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $420.49 | $1,401.63 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $48.00 | $80.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $66,429.37 | $221,431.25 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $896.94 | $1,494.90 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $7,110.27 | $11,850.45 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $15,469.12 | $51,563.75 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $0.01 | $0.01 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $32,609.70 | $54,349.50 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $66.46 | $110.76 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $964.50 | $3,215.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $75.30 | $251.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $597.90 | $1,993.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $11,661.75 | $38,872.50 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $1,068.97 | $3,563.22 | not published | 0 |
| Patten bottom HCPCS L2370 | $768.29 | $2,560.97 | not published | 0 |
| Pdgfra gene CPT 81314 | $545.10 | $1,817.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $54.90 | $183.00 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $1,136.41 | $3,788.03 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $754.34 | $2,514.47 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $555.82 | $1,852.75 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $600.15 | $2,000.51 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $1,041.78 | $3,472.61 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,722.80 | $9,076.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,336.70 | $7,789.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $2,548.92 | $8,496.39 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,499.90 | $18,333.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $797.70 | $2,659.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,334.40 | $4,448.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $886.50 | $2,955.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $332.20 | $1,107.33 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $27,070.56 | $45,117.60 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $18,193.50 | $30,322.50 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,994.62 | $4,991.03 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $57.22 | $95.36 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $31,578.00 | $105,259.99 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $620.10 | $2,067.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $72.00 | $240.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $306.19 | $1,020.63 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $41.03 | $136.76 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $62,624.41 | $104,374.02 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $255.73 | $852.44 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $83,569.22 | $278,564.06 | not published | 0 |
| Ph body fluid CPT 83986 | $19.80 | $66.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $358.15 | $596.92 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $390.30 | $1,301.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $6,658.56 | $11,097.60 | 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.