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 |
|---|---|---|---|---|
| C-reactive protein CPT 86140 | $143.10 | $477.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $143.10 | $477.00 | not published | 0 |
| Creatine kinase CPT 82550 | $124.20 | $414.00 | not published | 0 |
| Creatinine CPT 82565 | $105.00 | $350.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $159.60 | $532.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $132.60 | $442.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $120.00 | $400.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $296.10 | $987.00 | not published | 0 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $151.80 | $506.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $3,422.40 | $11,408.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $136.80 | $456.00 | not published | 0 |
| Crotalidae poly immune fab HCPCS J0840 | $12,664.08 | $21,106.80 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $109.50 | $365.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $4,437.30 | $14,791.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,826.60 | $9,422.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,453.80 | $4,846.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $4,436.10 | $14,787.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $8,874.90 | $29,583.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $4,437.30 | $14,791.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $4,436.10 | $14,787.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $847.50 | $2,825.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,656.20 | $8,854.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,165.70 | $7,219.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $4,779.03 | $15,930.09 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $5,253.46 | $17,511.53 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $200.86 | $669.53 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $4,867.90 | $16,226.34 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $983.10 | $3,277.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $3,633.90 | $12,113.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $2,708.10 | $9,027.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $5,454.90 | $18,183.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,016.00 | $6,720.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $408.00 | $1,360.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,582.80 | $5,276.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $87.00 | $290.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,916.20 | $23,054.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $8,254.20 | $27,514.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,967.70 | $16,559.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $824.10 | $2,747.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $3,485.40 | $11,618.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $595.50 | $1,985.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,828.10 | $9,427.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $2,502.00 | $8,340.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $495.90 | $1,653.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $2,347.50 | $7,825.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $81.90 | $273.00 | not published | 0 |
| Culture afb any source CPT 87116 | $98.70 | $329.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $319.80 | $1,066.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $213.00 | $710.00 | not published | 0 |
| Culture body fluid CPT 87070 | $114.90 | $383.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $137.10 | $457.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $140.10 | $467.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $108.30 | $361.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $140.10 | $467.00 | not published | 0 |
| Culture typing added method CPT 87158 | $137.10 | $457.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $36.60 | $122.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $378.60 | $1,262.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $64.20 | $214.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $47.40 | $158.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $9,505.12 | $31,683.75 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $48.00 | $80.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $46.80 | $156.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $7.49 | $12.48 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $48.00 | $80.00 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $11,981.25 | $39,937.50 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $38,795.42 | $129,318.07 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $275.40 | $918.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $262.20 | $874.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $262.20 | $874.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $773.10 | $2,577.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $773.10 | $2,577.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,878.50 | $6,464.17 | $680.34 – $693.95 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $773.10 | $2,577.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $773.10 | $2,577.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $91.44 | $152.40 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $75.30 | $251.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $201.90 | $673.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $203.40 | $678.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $52.80 | $176.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $93.90 | $313.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $211.50 | $705.00 | not published | 0 |
| Dch validity tests CPT 81002 | $12.00 | $40.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $20.10 | $67.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $242.70 | $809.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $625.20 | $2,084.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $155.70 | $519.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,076.70 | $3,589.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $242.70 | $809.00 | not published | 0 |
| Decalcification CPT 88311 | $68.40 | $228.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $318.30 | $1,061.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $92.70 | $309.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $48.60 | $162.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $5,311.69 | $17,705.63 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $129.11 | $215.18 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $75.30 | $251.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $12,913.12 | $43,043.75 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,656.25 | $22,187.50 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $3,045.90 | $10,153.00 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,466.14 | $8,220.47 | not published | 0 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | $7,603.20 | $12,672.00 | 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.