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 |
|---|---|---|---|---|
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $198.00 | $660.00 | not published | 0 |
| Warde apolipoprotein b CPT 82172 | $39.00 | $130.00 | not published | 0 |
| Warde cadmium blood CPT 82300 | $37.20 | $124.00 | not published | 0 |
| Warde clozapine therapeutic drug level CPT 80159 | $8.40 | $28.00 | not published | 0 |
| Warde complement total hemolytic CPT 86162 | $602.10 | $2,007.00 | not published | 0 |
| Warde copper CPT 82525 | $42.30 | $141.00 | not published | 0 |
| Warde cryoglobulin CPT 82595 | $47.40 | $158.00 | not published | 0 |
| Warde erythropoietin CPT 82668 | $89.40 | $298.00 | not published | 0 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $21.00 | $70.00 | not published | 0 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $15.90 | $53.00 | not published | 0 |
| Warde gastrin CPT 82941 | $59.10 | $197.00 | not published | 0 |
| Warde growth hormone (hgh) CPT 83003 | $38.70 | $129.00 | not published | 0 |
| Warde haloperidol therapeutic drug level CPT 80173 | $51.60 | $172.00 | not published | 0 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $102.90 | $343.00 | not published | 0 |
| Warde hepatitis a antibody CPT 86708 | $27.60 | $92.00 | not published | 0 |
| Warde hepatitis be antibody CPT 86707 | $43.20 | $144.00 | not published | 0 |
| Warde immunofixation electrophoresis urine CPT 86335 | $72.60 | $242.00 | not published | 0 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $12.00 | $40.00 | not published | 0 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $348.00 | $1,160.00 | not published | 0 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $304.50 | $1,015.00 | not published | 0 |
| Warde mitochondrial antibody each CPT 86381 | $21.30 | $71.00 | not published | 0 |
| Warde neutralization rabies CPT 86382 | $26.70 | $89.00 | not published | 0 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $43.20 | $144.00 | not published | 0 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $39.90 | $133.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $83.10 | $277.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $36.00 | $120.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $414.60 | $1,382.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.70 | $239.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $132.30 | $441.00 | not published | 0 |
| Warde viscosity CPT 85810 | $50.10 | $167.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $152.10 | $507.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $553.20 | $1,844.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $45.30 | $151.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $50.70 | $169.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $288.00 | $960.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $72.60 | $242.00 | not published | 0 |
| Warde zinc CPT 84630 | $304.80 | $1,016.00 | not published | 0 |
| Wbc automated CPT 85048 | $36.90 | $123.00 | not published | 0 |
| Whfo electric custom fitted HCPCS L3904 | $7,374.43 | $24,581.44 | not published | 0 |
| Whfo nontorsion joint prefab HCPCS L3931 | $455.53 | $1,518.42 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $992.39 | $3,307.98 | not published | 0 |
| Who nontorsion jnts pre cst HCPCS L3915 | $1,161.36 | $3,871.19 | not published | 0 |
| Who nontorsion jnts pre ots HCPCS L3916 | $1,161.36 | $3,871.19 | not published | 0 |
| Woman's shoe oxford brace HCPCS L3224 | $162.20 | $540.67 | not published | 0 |
| Wrist X-ray CPT 73110 | $562.50 | $1,875.00 | not published | 0 |
| Xcellistem, 1 mg HCPCS A2004 | $5,362.27 | $17,874.25 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | $720.09 | $1,200.15 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $719.70 | $2,399.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $422.10 | $1,407.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $614.40 | $2,048.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $582.90 | $1,943.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $553.20 | $1,844.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $313.20 | $1,044.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $174.00 | $580.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $586.50 | $1,955.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $335.10 | $1,117.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $614.40 | $2,048.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $830.40 | $2,768.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $790.80 | $2,636.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $832.50 | $2,775.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $438.00 | $1,460.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $687.00 | $2,290.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $556.50 | $1,855.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $402.00 | $1,340.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $272.10 | $907.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $90.60 | $302.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $264.60 | $882.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $289.80 | $966.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $298.50 | $995.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $614.40 | $2,048.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $456.90 | $1,523.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $202.50 | $675.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $422.10 | $1,407.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $259.50 | $865.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $541.20 | $1,804.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $266.10 | $887.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $463.50 | $1,545.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $832.50 | $2,775.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $464.40 | $1,548.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $423.30 | $1,411.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $37.50 | $125.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $51.00 | $170.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $966.60 | $3,222.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $390.30 | $1,301.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $111.60 | $372.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $90.60 | $302.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $614.40 | $2,048.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $646.50 | $2,155.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $456.90 | $1,523.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $424.50 | $1,415.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $300.00 | $1,000.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $928.20 | $3,094.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,230.30 | $4,101.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $614.40 | $2,048.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $289.50 | $965.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $422.10 | $1,407.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $790.80 | $2,636.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $285.90 | $953.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $619.80 | $2,066.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $221.10 | $737.00 | 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.