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 |
|---|---|---|---|---|
| Foot arch supp premold metat HCPCS L3050 | $113.00 | $376.66 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $82.70 | $275.66 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $489.29 | $1,630.96 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $387.71 | $1,292.38 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $317.53 | $1,058.43 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $418.25 | $1,394.17 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $293.99 | $979.98 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $122.10 | $407.01 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $801.86 | $2,672.88 | not published | 0 |
| Foot X-ray CPT 73630 | $591.30 | $1,971.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,980.05 | $6,600.16 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,427.37 | $4,757.89 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $89.70 | $299.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $37.20 | $124.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $754.13 | $2,513.76 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $131.29 | $437.63 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $4,295.94 | $14,319.81 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $48.00 | $80.00 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $945.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,552.00 | $10,920.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $191.81 | $319.69 | not published | 0 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $10,977.12 | $18,295.20 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $246.90 | $823.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $338.70 | $1,129.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $208.80 | $696.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $23,560.42 | $39,267.36 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $510.66 | $851.10 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $103,621.84 | $345,406.13 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $78,810.00 | $262,700.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $93,187.50 | $310,625.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $4,049.40 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $58,575.00 | $195,250.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $1,541.40 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $1,541.40 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $48.00 | $80.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $346.50 | $1,155.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $27.00 | $90.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $60.90 | $203.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $671.70 | $2,239.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,398.30 | $4,661.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,038.60 | $3,462.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $86.40 | $288.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $86.40 | $288.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $597.90 | $1,993.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $597.90 | $1,993.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,724.40 | $5,748.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $597.90 | $1,993.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $597.90 | $1,993.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $86.40 | $288.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $86.40 | $288.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $157.80 | $526.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $48.60 | $162.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $206.40 | $688.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $206.40 | $688.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $87.00 | $290.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $86.40 | $288.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $155.70 | $519.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $110.70 | $369.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $624.60 | $2,082.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $624.60 | $2,082.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $212.40 | $708.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $483.00 | $1,610.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $68.40 | $228.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $773.10 | $2,577.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $451.50 | $1,505.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $177.90 | $593.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $177.90 | $593.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $425.40 | $1,418.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $216.90 | $723.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $176.10 | $587.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $554.40 | $1,848.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $554.40 | $1,848.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $297.60 | $992.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $4,366.50 | $14,555.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $157.80 | $526.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $554.40 | $1,848.00 | not published | 0 |
| Ghs mbp CPT 83873 | $93.00 | $310.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $390.60 | $1,302.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $231.00 | $770.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $249.60 | $832.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $98.70 | $329.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $98.70 | $329.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $352.80 | $1,176.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $242.70 | $809.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $887.70 | $2,959.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $671.70 | $2,239.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,094.40 | $3,648.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $887.70 | $2,959.00 | 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.