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 |
|---|---|---|---|---|
| Dexamethasone 4 mg tablet HCPCS J8540 | $11.94 | $19.90 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $48.00 | $80.00 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $2,172.10 | $3,620.17 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $172.80 | $288.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $172.80 | $288.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $109.80 | $183.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $172.80 | $288.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $83.70 | $279.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $211.50 | $705.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $48.60 | $162.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $74.70 | $249.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $525.30 | $1,751.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $395.10 | $1,317.00 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $83.62 | $139.36 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $48.00 | $80.00 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $19,697.04 | $32,828.40 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $249.30 | $831.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $4,274.40 | $7,124.00 | $884.93 – $902.63 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $260.70 | $869.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $845.08 | $2,816.93 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $48.00 | $80.00 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $48.00 | $80.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $215.70 | $719.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $181.50 | $605.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $543.60 | $906.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $309.17 | $515.29 | not published | 0 |
| Doppler echo complete CPT 93320 | $365.10 | $1,217.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,152.60 | $3,842.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $637.50 | $2,125.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $68,559.37 | $228,531.25 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $294.30 | $490.50 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,440.72 | $2,401.20 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $235.52 | $392.53 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $270.60 | $902.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $270.60 | $902.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $625.20 | $2,084.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $270.60 | $902.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $87.00 | $290.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $625.20 | $2,084.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $481.20 | $1,604.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $561.00 | $1,870.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $48.60 | $162.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $552.90 | $1,843.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $216.60 | $722.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $75.30 | $251.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $143.10 | $477.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $155.70 | $519.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $33,031.96 | $110,106.53 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $110.70 | $369.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $625.20 | $2,084.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $625.20 | $2,084.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $204.25 | $340.41 | not published | 0 |
| Drop lock knee HCPCS L2182 | $207.94 | $693.14 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $71.14 | $237.14 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,922.50 | $23,075.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $4,589.48 | $15,298.28 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $18,570.94 | $61,903.13 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,340.06 | $14,466.87 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $25,962.04 | $86,540.13 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $36,977.65 | $123,258.84 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $26,065.87 | $86,886.25 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $52.50 | $175.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $45.30 | $151.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $63.90 | $213.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $180.30 | $601.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $126.60 | $422.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $59.40 | $198.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $254.10 | $847.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $18,055.80 | $60,185.99 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $19,325.97 | $32,209.95 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,665.60 | $5,552.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $74.70 | $249.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $181.50 | $605.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $993.90 | $3,313.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $39.30 | $131.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,680.30 | $5,601.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $336.30 | $1,121.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,064.40 | $3,548.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $707.10 | $2,357.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $701.40 | $2,338.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $201.00 | $670.00 | not published | 0 |
| Echo stress CPT 93350 | $868.20 | $2,894.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $524.40 | $1,748.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $231.60 | $772.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $65.10 | $217.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $344.40 | $1,148.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $8,459.09 | $14,098.48 | $1,872.25 – $1,909.69 | 3 |
| Egfr gene com variants CPT 81235 | $592.20 | $1,974.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $14,350.87 | $47,836.25 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $163.50 | $545.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $27.00 | $90.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $68.40 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $68.40 | $228.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,182.55 | $3,941.83 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $812.94 | $2,709.80 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,117.96 | $3,726.52 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,259.89 | $4,199.65 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,625.46 | $5,418.19 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $220.20 | $734.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $666.60 | $2,222.00 | 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.