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 |
|---|---|---|---|---|
| Endo, single, pulmonary HCPCS C1601 | $8,253.75 | $27,512.50 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,113.22 | $3,710.73 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $290.42 | $484.04 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,092.64 | $3,642.12 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $311.96 | $1,039.88 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $3,856.50 | $12,855.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $186.73 | $311.22 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $48.00 | $80.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,058.31 | $1,763.85 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $436.79 | $727.98 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $196.97 | $328.29 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $219.60 | $732.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $219.60 | $732.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $76.50 | $255.00 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $6,345.00 | $10,575.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $191.57 | $319.28 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $167.70 | $559.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $825.60 | $2,752.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,014.60 | $3,382.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $1,534.20 | $5,114.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $2,010.90 | $6,703.00 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $1,624.01 | $2,706.68 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,746.32 | $2,910.53 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $726.00 | $2,420.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $726.00 | $2,420.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $6,067.30 | $10,112.17 | $1,872.25 – $1,909.69 | 3 |
| Estradiol total CPT 82670 | $429.60 | $1,432.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $46.20 | $154.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $171.00 | $285.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $106.80 | $356.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $123.60 | $412.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $183.90 | $613.00 | not published | 0 |
| Event monitor CPT 93270 | $483.30 | $1,611.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $2,966.53 | $9,888.44 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $1,711.03 | $5,703.43 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $270.60 | $902.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $270.60 | $902.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $554.40 | $1,848.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $155.70 | $519.00 | not published | 0 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $1,076.70 | $3,589.00 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,804.25 | $19,347.50 | not published | 0 |
| Exploration of toe joint CPT 28024 | $597.90 | $1,993.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $625.20 | $2,084.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $597.90 | $1,993.00 | not published | 0 |
| Extended steel shank HCPCS L2360 | $123.78 | $412.60 | not published | 0 |
| Extension per extension per HCPCS L2760 | $136.40 | $454.67 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $264.00 | $880.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $20.70 | $69.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $262.50 | $875.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $206.70 | $689.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $3,794.81 | $12,649.36 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $644.18 | $1,073.64 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,000.54 | $10,000.90 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $361,069.80 | $601,783.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $625.80 | $2,086.00 | not published | 0 |
| Factor ix CPT 85250 | $74.40 | $248.00 | not published | 0 |
| Factor viii CPT 85240 | $158.10 | $527.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $368.10 | $1,227.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $368.10 | $1,227.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $48.00 | $80.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $16.80 | $56.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $300.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,135.82 | $3,786.08 | not published | 0 |
| #fecal-sodium CPT 84302 | $17.10 | $57.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $129.53 | $431.77 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $48.00 | $80.00 | not published | 0 |
| Ferritin CPT 82728 | $454.50 | $1,515.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $873.68 | $1,456.14 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $347.40 | $1,158.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,195.80 | $3,986.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $279.60 | $932.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $66.90 | $223.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $292.50 | $975.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $277.20 | $924.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $25.50 | $85.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $241.50 | $805.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $2,976.21 | $4,960.35 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $39,837.66 | $132,792.19 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,514.04 | $18,380.13 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,105.16 | $20,350.55 | not published | 0 |
| Flex thermoplastic collar mo HCPCS L0130 | $413.49 | $1,378.29 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $7,140.00 | $11,900.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $57.60 | $192.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $107.10 | $357.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $6,814.14 | $22,713.79 | not published | 0 |
| Flt3 gene CPT 81245 | $302.40 | $1,008.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $151.50 | $505.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $122.31 | $203.85 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $481.07 | $801.78 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $270.60 | $902.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $50.10 | $167.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $9,691.50 | $16,152.50 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $384.90 | $1,283.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $267.30 | $445.50 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $87.88 | $146.47 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $166,320.00 | $277,200.00 | not published | 0 |
| Folic acid CPT 82746 | $286.20 | $954.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $48.00 | $80.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,301.42 | $10,502.36 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $482.66 | $1,608.86 | 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.