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 |
|---|---|---|---|---|
| Blood gases ph venous CPT 82800 | $57.90 | $193.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $67.20 | $224.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $15.00 | $50.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $14.10 | $47.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $90.30 | $301.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $124.20 | $414.00 | not published | 0 |
| Blood typing abo CPT 86900 | $114.90 | $383.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $321.60 | $1,072.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $337.80 | $1,126.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $40.50 | $135.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $35.10 | $117.00 | not published | 0 |
| Body jacket mold to patient HCPCS L1300 | $4,137.39 | $13,791.31 | not published | 0 |
| Bone filler cerament 10cc HCPCS C1602 | $19,801.01 | $66,003.38 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $1,402.50 | $4,675.00 | not published | 0 |
| Bone tendon board add on HCPCS C9356 | $8,386.87 | $27,956.25 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $11,981.25 | $39,937.50 | not published | 0 |
| Boot j walker l HCPCS L4386 | $1,355.19 | $4,517.29 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $1,516.96 | $5,056.53 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $846.67 | $2,822.25 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $798.75 | $2,662.50 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $3,578.40 | $11,928.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $402.30 | $1,341.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $7,213.50 | $12,022.50 | not published | 0 |
| Brace adj motion lerman type HCPCS L2186 | $394.26 | $1,314.21 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $932.51 | $3,108.38 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $825.37 | $2,751.25 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,236.97 | $4,123.24 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $2,747.70 | $9,159.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $269.92 | $899.75 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $209.41 | $698.02 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $143.96 | $479.87 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $179.19 | $597.29 | not published | 0 |
| Brace back epic lo 627 HCPCS L0642 | $3,357.41 | $11,191.38 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $3,110.01 | $10,366.71 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $2,387.60 | $7,958.66 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $897.61 | $2,992.03 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,864.39 | $16,214.63 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $5,287.83 | $17,626.11 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $2,652.76 | $8,842.52 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $491.58 | $1,638.59 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,472.36 | $4,907.88 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $196.54 | $655.15 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $4,022.13 | $13,407.11 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $2,010.93 | $6,703.11 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $2,255.14 | $7,517.13 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $159.62 | $532.06 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,653.55 | $5,511.82 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $2,033.24 | $6,777.48 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $1,449.73 | $4,832.44 | not published | 0 |
| Brace m arm board HCPCS L3809 | $9,632.92 | $32,109.75 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $575.85 | $1,919.49 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,253.57 | $10,845.25 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $745.50 | $2,485.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $4,238.70 | $14,129.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $159.75 | $532.50 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $199.69 | $665.63 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $71.89 | $239.63 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $306.19 | $1,020.63 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $111.82 | $372.75 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $72,793.80 | $180,428.75 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $372.75 | $1,242.50 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $20,412.51 | $68,041.70 | not published | 0 |
| Braf gene CPT 81210 | $164.40 | $548.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $4,781.70 | $15,939.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $4,621.50 | $15,405.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $5,499.90 | $18,333.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $112.62 | $375.41 | not published | 0 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,290.00 | $4,300.00 | not published | 0 |
| Budesonide non-comp unit HCPCS J7626 | $105.31 | $175.51 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $48.00 | $80.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $81.30 | $271.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $63.90 | $213.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $107.23 | $178.71 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $26.45 | $44.08 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $47.38 | $78.97 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $21.59 | $35.98 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $17,173.12 | $57,243.75 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $77.07 | $128.45 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $241.80 | $806.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $22.50 | $75.00 | not published | 0 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $43,722.33 | $72,870.55 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $36,580.09 | $121,933.63 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $934.54 | $3,115.13 | not published | 0 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $149.51 | $249.18 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $792.00 | $1,320.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $31.20 | $104.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $12.04 | $20.06 | not published | 0 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $67.95 | $113.25 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $68.09 | $113.48 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $536.81 | $894.68 | not published | 0 |
| Calcium ionized CPT 82330 | $98.10 | $327.00 | not published | 0 |
| Calcium total CPT 82310 | $87.30 | $291.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $20.10 | $67.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $54.30 | $181.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $133,125.00 | $443,750.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $881.40 | $2,938.00 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $122,927.62 | $409,758.75 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $2,217.86 | $7,392.88 | not published | 0 |
| Carbamazepine free CPT 80157 | $48.30 | $161.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $384.60 | $1,282.00 | 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.