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 |
|---|---|---|---|---|
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $48.00 | $80.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $48.00 | $80.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $37.80 | $126.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $306.00 | $1,020.00 | not published | 0 |
| Phosphorus CPT 84100 | $159.60 | $532.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $37.80 | $126.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $123.60 | $412.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $116.25 | $193.75 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,742.53 | $5,808.42 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,495.00 | $81,650.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $143.78 | $239.64 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $250.97 | $836.56 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $356.77 | $1,189.25 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $5,130.69 | $17,102.30 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $66.90 | $223.00 | not published | 0 |
| Platelet automated CPT 85049 | $90.30 | $301.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $187.63 | $625.42 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $314.02 | $1,046.72 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $104.70 | $349.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,274.30 | $17,581.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $606.84 | $2,022.79 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,409.98 | $4,699.93 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,387.71 | $11,292.37 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $4,309.42 | $14,364.72 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $159.60 | $532.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $95.13 | $158.55 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $159.90 | $533.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,240.80 | $4,136.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $243.60 | $812.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $243.60 | $812.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $155.70 | $519.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $27.90 | $93.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $75.30 | $251.00 | not published | 0 |
| Prealbumin CPT 84134 | $272.10 | $907.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $6.00 | $10.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $6.00 | $10.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,334.40 | $4,448.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,334.40 | $4,448.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $4,652.83 | $15,509.42 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $4,056.93 | $13,523.10 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $289.20 | $964.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $62.10 | $207.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $142.80 | $476.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $142.80 | $476.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $326.10 | $1,087.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $142.80 | $476.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $625.20 | $2,084.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $155.70 | $519.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $177.90 | $593.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $177.90 | $593.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $230.10 | $767.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $624.60 | $2,082.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $249.60 | $832.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $15,855.19 | $52,850.63 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,155.15 | $1,925.25 | not published | 0 |
| Procalcitonin CPT 84145 | $131.10 | $437.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.00 | $80.00 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $6.00 | $10.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,071.00 | $3,570.00 | not published | 0 |
| Progesterone CPT 84144 | $253.50 | $845.00 | not published | 0 |
| Prolactin CPT 84146 | $486.30 | $1,621.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $6.00 | $10.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $407.70 | $679.50 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $156.02 | $260.03 | not published | 0 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $6,922.50 | $23,075.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $436.65 | $1,455.50 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $83.63 | $278.76 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $2,079.89 | $6,932.97 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.88 | $49.61 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $48.00 | $80.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $141.43 | $471.44 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,656.47 | $15,521.58 | not published | 0 |
| Protein c activity CPT 85303 | $281.70 | $939.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $118.20 | $394.00 | not published | 0 |
| Protein s total CPT 85305 | $89.70 | $299.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $210.00 | $700.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $78.90 | $263.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $159.90 | $533.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $11,800.80 | $19,668.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $15.00 | $50.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $125.70 | $419.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $121.80 | $406.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $554.40 | $1,848.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $470.70 | $1,569.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $620.10 | $2,067.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $150.30 | $501.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $277.80 | $926.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $195.30 | $651.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $245.70 | $819.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $296.10 | $987.00 | not published | 0 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $107.40 | $358.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $190.50 | $635.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $163.50 | $545.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $163.50 | $545.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $443.70 | $1,479.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $443.70 | $1,479.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $443.70 | $1,479.00 | 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.