Southampton Medical Center
100 Fairview Dr., Franklin, VA · Bonsecours · · NPI 1851936983
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 |
|---|---|---|---|---|
| Mayo c1 esterase inhibitor CPT 83883 | $25.20 | $84.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $75.00 | $250.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $122.40 | $408.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $36.60 | $122.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $37.50 | $125.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $120.60 | $402.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $20.40 | $68.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $52.20 | $174.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $165.90 | $553.00 | not published | 0 |
| Mayo estriol CPT 82677 | $89.40 | $298.00 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $63.00 | $210.00 | not published | 0 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $233.10 | $777.00 | not published | 0 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $60.30 | $201.00 | not published | 0 |
| Mayo factor x CPT 85260 | $209.70 | $699.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $70.20 | $234.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,736.70 | $5,789.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $14.70 | $49.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $14.70 | $49.00 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $36.60 | $122.00 | not published | 0 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $37.80 | $126.00 | not published | 0 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $118.80 | $396.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $74.10 | $247.00 | not published | 0 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $40.50 | $135.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $76.20 | $254.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $70.80 | $236.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $290.10 | $967.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $66.90 | $223.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $104.40 | $348.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $52.50 | $175.00 | not published | 0 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $308.70 | $1,029.00 | not published | 0 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $132.00 | $440.00 | not published | 0 |
| Mayo inhab inhibin a CPT 86336 | $48.00 | $160.00 | not published | 0 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $13.80 | $46.00 | not published | 0 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $14.40 | $48.00 | not published | 0 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $39.60 | $132.00 | not published | 0 |
| Mayo legionella antibody CPT 86713 | $46.20 | $154.00 | not published | 0 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $122.40 | $408.00 | not published | 0 |
| Mayo metanephrines plasma CPT 83835 | $138.60 | $462.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $32.10 | $107.00 | not published | 0 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $109.20 | $364.00 | not published | 0 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $63.30 | $211.00 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $52.50 | $175.00 | not published | 0 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $262.80 | $876.00 | not published | 0 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $306.30 | $1,021.00 | not published | 0 |
| Mayo muramidase CPT 85549 | $42.30 | $141.00 | not published | 0 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $446.70 | $1,489.00 | not published | 0 |
| Mayo myoglobin CPT 83874 | $58.20 | $194.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $180.60 | $602.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $47.70 | $159.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $532.80 | $1,776.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $38.70 | $129.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $66.90 | $223.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $25.80 | $86.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $52.20 | $174.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $48.90 | $163.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $33.60 | $112.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $89.70 | $299.00 | not published | 0 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $254.10 | $847.00 | not published | 0 |
| Mayo renin CPT 84244 | $162.30 | $541.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $63.00 | $210.00 | not published | 0 |
| Mayo selenium CPT 84255 | $47.70 | $159.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $76.50 | $255.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $246.60 | $822.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $28.20 | $94.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $55.50 | $185.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $303.60 | $1,012.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $71.40 | $238.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $57.60 | $192.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $28.50 | $95.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $154.80 | $516.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $339.00 | $1,130.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $102.90 | $343.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $2,109.49 | $7,031.63 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $11,918.75 | $39,729.18 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $3,102.19 | $10,340.63 | not published | 0 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $3,929.12 | $13,097.08 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $11,183.91 | $37,279.69 | not published | 0 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $26,472.00 | $88,240.00 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $9.00 | $15.00 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $38.94 | $64.90 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $44,651.41 | $148,838.05 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $30.30 | $101.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $48.90 | $163.00 | not published | 0 |
| Metal frame recipro hip & ca HCPCS L2628 | $2,336.92 | $7,789.72 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $17.09 | $28.49 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,546.97 | $2,578.29 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $130.42 | $217.36 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $9.00 | $15.00 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $15.91 | $26.51 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $167.31 | $278.85 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $9.00 | $15.00 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $9.00 | $15.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $15.18 | $25.30 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $153.02 | $255.03 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $198.00 | $330.00 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $132.00 | $220.00 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | $995.18 | $3,317.27 | not published | 0 |
| Miroderm HCPCS Q4175 | $13,897.80 | $46,326.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $415.80 | $693.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $318.30 | $1,061.00 | 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.