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 |
|---|---|---|---|---|
| T4 (thyroxine) total CPT 84436 | $266.10 | $887.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $6.00 | $10.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $22.80 | $76.00 | not published | 0 |
| Talymed HCPCS Q4127 | $3,461.25 | $11,537.50 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $703.80 | $2,346.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $378.00 | $1,260.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,312.70 | $7,709.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,598.40 | $15,328.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $64.80 | $216.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $6,857.84 | $11,429.73 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,141.90 | $8,569.84 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $448.20 | $747.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $460.20 | $767.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $224.40 | $374.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $531.00 | $885.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $1,031.10 | $1,718.50 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $12,891.63 | $21,486.05 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $129.13 | $215.21 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,104.60 | $1,841.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,258.78 | $2,097.97 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $2,344.80 | $3,908.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $6,946.51 | $11,577.51 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $451.80 | $1,506.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $200.10 | $667.00 | not published | 0 |
| T cells total count CPT 86359 | $79.20 | $264.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $9,001.44 | $15,002.40 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $32,857.15 | $54,761.92 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $7,683.49 | $25,611.65 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $66.94 | $111.56 | not published | 0 |
| Test socket below knee HCPCS L5620 | $619.62 | $2,065.39 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,019.40 | $3,398.00 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $1,464.90 | $4,883.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $37.20 | $124.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $23.70 | $79.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $23.70 | $79.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $48.00 | $80.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $816.80 | $2,722.67 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,089.41 | $3,631.38 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $575.71 | $1,919.04 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $751.22 | $2,504.08 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $351.26 | $1,170.88 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $382.89 | $1,276.31 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $430.13 | $1,433.76 | not published | 0 |
| Thoracic pad HCPCS L1060 | $259.99 | $866.64 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $2,759.84 | $9,199.47 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $22.80 | $76.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $1,537.49 | $5,124.96 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $2,736.20 | $9,120.66 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,290.33 | $4,301.09 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,936.12 | $6,453.72 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $222.00 | $740.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $388.80 | $1,296.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $879.60 | $2,932.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $7,722.58 | $25,741.94 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $945.30 | $3,151.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $35.10 | $117.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $33,862.90 | $112,876.33 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $20.10 | $67.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,140.99 | $7,136.65 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,843.65 | $6,145.49 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,191.98 | $7,306.61 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,726.56 | $9,088.53 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,200.55 | $4,001.83 | not published | 0 |
| Tlso corset front HCPCS L0970 | $256.53 | $855.11 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $832.56 | $2,775.21 | not published | 0 |
| Tlso full corset HCPCS L0974 | $419.50 | $1,398.35 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $910.81 | $3,036.05 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $910.81 | $3,036.05 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,141.44 | $3,804.80 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,141.44 | $3,804.80 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,579.50 | $5,265.01 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,460.05 | $11,533.51 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $2,409.83 | $8,032.76 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,626.01 | $12,086.69 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $679.07 | $2,263.57 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,134.22 | $3,780.75 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $48.00 | $80.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $10,517.05 | $17,528.42 | not published | 0 |
| Tocilizumab for covid-19 HCPCS Q0249 | $9,595.10 | $15,991.84 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $134.40 | $448.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $67.20 | $224.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $5,724.41 | $9,540.68 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $295.38 | $984.59 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $257.54 | $858.48 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $76.20 | $254.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $74.10 | $247.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $416.70 | $1,389.00 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $190.50 | $635.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $285.39 | $475.65 | not published | 0 |
| Transferrin CPT 84466 | $148.20 | $494.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $977.40 | $3,258.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $241.20 | $803.99 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $183.18 | $610.60 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $183.18 | $610.60 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $241.20 | $803.99 | not published | 0 |
| Trapezius sling HCPCS L1070 | $269.31 | $897.71 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $9,185.62 | $30,618.75 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $74.40 | $248.00 | not published | 0 |
| Treat clavicle dislocation 23545 CPT 23545 | $215.70 | $719.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $597.90 | $1,993.00 | 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.