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 |
|---|---|---|---|---|
| Anterior thoracic extension HCPCS L1220 | $522.89 | $1,742.96 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $159.90 | $533.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $205.80 | $686.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $321.60 | $1,072.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $176.10 | $587.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $247.50 | $825.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $21.00 | $70.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $72.60 | $242.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $25.20 | $84.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $89.70 | $299.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $315.30 | $1,051.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $243.60 | $812.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $243.60 | $812.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $243.60 | $812.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $99.90 | $333.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $99.90 | $333.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $99.90 | $333.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $205.50 | $685.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $99.90 | $333.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,642.94 | $22,143.13 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $163.50 | $545.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $38.10 | $127.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $243.60 | $812.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $243.60 | $812.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $99.90 | $333.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $64.20 | $214.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $359.70 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $106.50 | $355.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $163.50 | $545.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $97.71 | $325.71 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $76.33 | $254.45 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $76.33 | $254.45 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $87.20 | $145.33 | not published | 0 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $0.01 | $0.01 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $131.10 | $437.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,074.30 | $3,581.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $131.10 | $437.00 | not published | 0 |
| Artiss fibrin sealant HCPCS C9250 | $2,174.60 | $7,248.66 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $29,820.00 | $99,400.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,935.90 | $6,453.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $241.50 | $805.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $87.00 | $290.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $16.80 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $80.10 | $267.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $223.50 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $30.30 | $101.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $36.00 | $120.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $537.30 | $1,791.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $7.20 | $24.00 | not published | 0 |
| Ast/sgot CPT 84450 | $159.60 | $532.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $52,152.12 | $86,920.20 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $93.30 | $311.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $8,839.50 | $29,465.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $321.30 | $1,071.00 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $6.00 | $10.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $100.97 | $168.29 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $403.97 | $673.28 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $90.90 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $336.37 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $93.90 | $313.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $795.02 | $1,325.03 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $2,563.90 | $4,273.17 | not published | 0 |
| Below knee total contact HCPCS L5637 | $758.55 | $2,528.49 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $43.80 | $146.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $159.68 | $266.14 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $205.80 | $686.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $114.60 | $382.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $381.00 | $1,270.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $118.67 | $197.78 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $14,344.92 | $23,908.20 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $594.00 | $1,980.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $594.00 | $1,980.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $159.60 | $532.00 | not published | 0 |
| Bilirubin total CPT 82247 | $159.60 | $532.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $804.07 | $2,680.25 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $242.70 | $809.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $9,451.87 | $31,506.25 | not published | 0 |
| Bk flex inner socket ext fra HCPCS L5645 | $1,778.31 | $5,927.70 | not published | 0 |
| Bk fork strap HCPCS L5684 | $107.25 | $357.49 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $226.42 | $754.73 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $136.13 | $453.78 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $138.00 | $460.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $477.45 | $795.75 | not published | 0 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $87,862.50 | $292,875.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $12,513.75 | $41,712.50 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,795.62 | $9,318.75 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $15,043.12 | $50,143.75 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $20,288.41 | $67,628.03 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $21,832.50 | $72,775.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $887.70 | $2,959.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $887.70 | $2,959.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $283.50 | $945.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $703.80 | $2,346.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $378.00 | $1,260.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $68.40 | $228.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $68.40 | $228.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $271.20 | $904.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $200.10 | $667.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $213.00 | $710.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $17.70 | $59.00 | 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.