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 |
|---|---|---|---|---|
| Clos txnose fx without stablz 21315 CPT 21315 | $1,023.90 | $3,413.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $86.40 | $288.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $86.40 | $288.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $86.40 | $288.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $86.40 | $288.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $238.20 | $794.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $86.40 | $288.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $86.40 | $288.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $86.40 | $288.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $86.40 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $86.40 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $86.40 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $86.40 | $288.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $86.40 | $288.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $226.80 | $756.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $86.40 | $288.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $86.40 | $288.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $86.40 | $288.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $86.40 | $288.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $86.40 | $288.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $215.70 | $719.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $86.40 | $288.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $86.40 | $288.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $597.90 | $1,993.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $86.40 | $288.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $86.40 | $288.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $597.90 | $1,993.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,023.90 | $3,413.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $597.90 | $1,993.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $597.90 | $1,993.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $174.60 | $582.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $57.60 | $192.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $31,808.89 | $106,029.63 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $785.44 | $2,618.13 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $36.00 | $120.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $226.31 | $754.38 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $151.76 | $505.88 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $365.99 | $1,219.96 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $250.83 | $836.11 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $78.90 | $263.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $72.60 | $242.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $27.60 | $92.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $5,372.37 | $8,953.95 | $907.35 – $925.49 | 3 |
| Colonoscopy submucous njx CPT 45381 | $8,941.07 | $14,901.78 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $8,941.07 | $14,901.78 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $8,941.07 | $14,901.78 | $1,167.54 – $1,190.90 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,178.40 | $3,928.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $4,642.20 | $15,474.01 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $196.20 | $654.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $105.30 | $351.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $275.40 | $918.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $289.80 | $966.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $369.90 | $1,233.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $960.90 | $3,203.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $960.90 | $3,203.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $960.90 | $3,203.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $388.80 | $1,296.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $605.40 | $2,018.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $960.90 | $3,203.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $960.90 | $3,203.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $2,215.20 | $7,384.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $249.30 | $831.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $18,624.19 | $62,080.63 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $74.40 | $248.00 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $7,785.60 | $25,952.01 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $8,232.45 | $27,441.50 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $674.10 | $2,247.00 | not published | 0 |
| Contrast baths charges CPT 97034 | $163.50 | $545.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $19,036.87 | $63,456.25 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $4,906.99 | $16,356.63 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $126.00 | $420.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $48.60 | $162.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $104.10 | $347.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $190.50 | $635.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $1,185.90 | $3,953.00 | not published | 0 |
| Coombs direct CPT 86880 | $109.20 | $364.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $164.10 | $547.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $164.10 | $547.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $11,502.00 | $19,170.00 | not published | 0 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $13,312.50 | $44,375.00 | not published | 0 |
| Cortisol acth stimulation test - sendout CPT 80400 | $56.70 | $189.00 | not published | 0 |
| Cortisol total am CPT 82533 | $282.60 | $942.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,089.92 | $1,816.53 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,480.06 | $28,266.88 | not published | 0 |
| Covers for upright each HCPCS L1120 | $91.30 | $304.32 | not published | 0 |
| Cover wrist HCPCS L3984 | $89.46 | $298.20 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $121.80 | $406.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $22.80 | $76.00 | not published | 0 |
| C-peptide CPT 84681 | $291.30 | $971.00 | not published | 0 |
| Cranial cervical orthosis HCPCS L0112 | $16,640.62 | $55,468.75 | 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.