healthcosts.net

Southampton Medical Center

100 Fairview Dr., Franklin, VA · Bonsecours · · NPI 1851936983

Source: hospital's published price file ↗ · Published Apr 1, 2026 · Ingested Sep 16, 2026

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
Hydration IV infusion each additional hour CPT 96361 $79.50 $265.00 not published 0
Hydration IV infusion initial 31minutes - 1 hour CPT 96360 $237.60 $792.00 not published 0
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 $158.86 $264.77 not published 0
Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 $176.55 $294.25 not published 0
Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 $9.00 $15.00 not published 0
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 $111.25 $185.41 not published 0
#hypersens-actinomyces ab CPT 86602 $18.90 $63.00 not published 0
Hysteroscopy biopsy CPT 58558 $7,140.51 $11,900.85 $3,382.66 – $3,450.31 3
I-123 iobenguane diag HCPCS A9582 $10,636.20 $17,727.00 not published 0
I-123 ioflupane diag HCPCS A9584 $6,220.80 $10,368.00 not published 0
I-123 sod iodide diag per 100 uci HCPCS A9516 $405.60 $676.00 not published 0
Icd cobalt xt dr MRI is1 df1 HCPCS C1721 $48,592.66 $161,975.55 not published 0
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 $47,153.25 $157,177.50 not published 0
Icd crtp serena MRI HCPCS C2621 $38,053.50 $126,845.00 not published 0
Icd reliance df4 ib 64cm HCPCS C1895 $44,962.69 $149,875.64 not published 0
I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 $1,976.70 $6,589.00 not published 0
I&d upper arm/elbow deep abscess/hematoma CPT 23930 $1,794.30 $5,981.00 not published 0
Ifosfamide 1 gram intravenous solution HCPCS J9208 $138.88 $231.47 not published 0
Ihc/icc per specimen each additional single antibody stain CPT 88341 $110.40 $368.00 not published 0
Ihc/icc per specimen initial single antibody stain CPT 88342 $124.50 $415.00 not published 0
Immob elbow child sm HCPCS L3762 $1,015.98 $3,386.60 not published 0
Immobilizer shldr cntor adlt HCPCS L3670 $413.62 $1,378.75 not published 0
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $477.95 $1,593.17 not published 0
Immobilizer shldr sling med HCPCS L3660 $490.71 $1,635.69 not published 0
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $206.10 $687.00 not published 0
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $54.00 $180.00 not published 0
Immunodiff gel qual ea antigen/ab CPT 86331 $21.60 $72.00 not published 0
Immunofixation electrophoresis serum CPT 86334 $58.20 $194.00 not published 0
Immunology procedure CPT 86849 $53.10 $177.00 not published 0
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 $4,222.28 $14,074.28 not published 0
Implant cartilage 10mm synthetic HCPCS L8699 $3,072.80 $10,242.68 not published 0
Implant cochlear osia osi300 HCPCS L8690 $20,681.25 $68,937.50 not published 0
Implant ureth bulk agent HCPCS L8606 $3,391.72 $11,305.75 not published 0
Impl ear abutment ba300 9mm HCPCS L8693 $6,127.23 $20,424.09 not published 0
In-111 oxyquinolin per 0.5 mci HCPCS A9547 $3,684.00 $6,140.00 not published 0
In-111 pentetate dtpa / 0.5 mci HCPCS A9548 $8,190.90 $13,651.50 not published 0
In-111 pentetreotide HCPCS A9572 $3,015.00 $5,025.00 not published 0
Incision & drainage hematoma/seroma/fluid collection CPT 10140 $1,041.90 $3,473.00 not published 0
Incision of breast lesion CPT 19020 $1,041.90 $3,473.00 not published 0
Incision of burn scab initi CPT 16035 $259.20 $864.00 not published 0
Incision of metatarsal CPT 28308 $20,753.40 $34,589.00 $7,582.44 – $7,734.09 2
Incision tendon sheath CPT 26055 $5,426.57 $9,044.28 $1,680.28 – $1,713.89 3
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 $110.70 $369.00 not published 0
Infect ag drug suscept pheno predict CPT 87900 $237.90 $793.00 not published 0
Infect ag genotype na cytomegalovirus CPT 87910 $405.30 $1,351.00 not published 0
Infect ag genotype na dna hepatitis b CPT 87912 $405.30 $1,351.00 not published 0
Infect ag genotype na hiv-1 revr trn/prt CPT 87901 $821.10 $2,737.00 not published 0
Infect ag ia optc obs influenza CPT 87804 $37.50 $125.00 not published 0
Infect ag if legionella pneumophila CPT 87278 $73.80 $246.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 $50.10 $167.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 $40.50 $135.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 $59.10 $197.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 $53.70 $179.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 $114.00 $380.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 $65.10 $217.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 $183.30 $611.00 not published 0
Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 $184.50 $615.00 not published 0
Infectious agent nucleic acid amplified probe CPT 87798 $132.30 $441.00 not published 0
Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 $97.80 $326.00 not published 0
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 $94.20 $314.00 not published 0
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 $687.90 $2,293.00 not published 0
Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 $97.80 $326.00 not published 0
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 $67.50 $225.00 not published 0
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 $103.50 $345.00 not published 0
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 $65.10 $217.00 not published 0
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 $136.80 $456.00 not published 0
Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 $57.90 $193.00 not published 0
Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 $429.00 $1,430.00 not published 0
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 $115.20 $384.00 not published 0
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 $131.10 $437.00 not published 0
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 $201.90 $673.00 not published 0
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 $529.20 $1,764.00 not published 0
Infectious agent nucleic acid quantification bk virus CPT 87799 $539.70 $1,799.00 not published 0
Infectious agent nucleic acid quantification hepatitis b CPT 87517 $146.40 $488.00 not published 0
Infectious agent nucleic acid quantification hepatitis c CPT 87522 $363.60 $1,212.00 not published 0
Infectious agent nucleic acid quantification hiv-1 CPT 87536 $366.60 $1,222.00 not published 0
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 $247.50 $825.00 not published 0
Infliximab 100 mg intravenous solution HCPCS J1745 $5,850.78 $9,751.30 not published 0
Initiation & management bipap/cpap initial day CPT 94660 $231.60 $772.00 not published 0
Inj., benralizumab, 1 mg HCPCS J0517 $29,293.72 $48,822.87 not published 0
Inj, clindamycin (baxter) HCPCS J0737 $45.87 $76.45 not published 0
Inj cntr knee arthro incl ct/mri CPT 27369 $405.00 $1,350.00 not published 0
Inj, cyclophosphamd, sandoz HCPCS J9074 $455.11 $758.52 not published 0
Inj daptomycin (xellia) HCPCS J0873 $300.60 $501.00 not published 0
Injection arthrography hip without anesthesia (both sides) CPT 27093 $405.00 $1,350.00 not published 0
Injection, doxercalciferol HCPCS J1270 $9.00 $15.00 not published 0
Injection epidural blood patch or clot CPT 62273 $672.00 $2,240.00 not published 0
Injection for arthrography wrist (both sides) CPT 25246 $145.20 $484.00 not published 0
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 $405.00 $1,350.00 not published 0
Injection, inclisiran, 1 mg HCPCS J1306 $17,974.53 $29,957.55 not published 0
Injection,onabotulinumtoxina HCPCS J0585 $3,261.51 $5,435.85 not published 0
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 $537.30 $1,791.00 not published 0
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 $672.00 $2,240.00 not published 0
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 $748.80 $2,496.00 not published 0
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 $888.00 $2,960.00 not published 0
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 $1,251.00 $4,170.00 not published 0
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 $888.00 $2,960.00 not published 0
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 $672.00 $2,240.00 not published 0
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 $672.00 $2,240.00 not published 0
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 $189.00 $630.00 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.