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 |
|---|---|---|---|---|
| Monitor reveal linq ii cardiac HCPCS C1764 | $8,189.77 | $27,299.25 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $467.70 | $1,559.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $34.25 | $57.09 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $9.47 | $15.79 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $95.57 | $159.28 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $222.00 | $740.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $284.70 | $949.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $274.80 | $916.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $1,470.30 | $4,901.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $1,952.10 | $6,507.00 | not published | 0 |
| MRI compatible system HCPCS L0859 | $2,322.92 | $7,743.06 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $913.50 | $3,045.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,699.80 | $5,666.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,058.70 | $3,529.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,699.80 | $5,666.00 | not published | 0 |
| MRI tmj CPT 70336 | $2,306.70 | $7,689.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $913.50 | $3,045.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,699.80 | $5,666.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $83.10 | $277.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $86.70 | $289.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.90 | $153.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $56.10 | $187.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $23.10 | $77.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $228.30 | $761.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $27.90 | $93.00 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $9.00 | $15.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $51.00 | $170.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $249.90 | $833.00 | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $190.67 | $317.79 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $14.71 | $24.52 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $43.56 | $72.60 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $124.50 | $415.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $124.50 | $415.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $101.10 | $337.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $22.50 | $75.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $13.20 | $44.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $16.80 | $56.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $574.11 | $1,913.71 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,044.90 | $3,483.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $935.10 | $3,117.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $825.60 | $2,752.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,699.80 | $5,666.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $913.50 | $3,045.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,699.80 | $5,666.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $943.50 | $3,145.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $913.50 | $3,045.00 | not published | 0 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.00 | $15.00 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | $4,053.52 | $13,511.75 | not published | 0 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $1,781.90 | $5,939.66 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $194.70 | $324.50 | not published | 0 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $148.50 | $247.50 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $888.00 | $2,960.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $888.00 | $2,960.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $888.00 | $2,960.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62327 | $888.00 | $2,960.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,155.30 | $3,851.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,164.90 | $3,883.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $866.40 | $2,888.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $883.20 | $2,944.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,380.30 | $4,601.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $323.40 | $1,078.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $94.41 | $314.69 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $4,136.25 | $13,787.50 | not published | 0 |
| Ntrk translocation analysis CPT 81194 | $857.10 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,632.20 | $8,774.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $2,461.90 | $8,206.32 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $3,402.11 | $5,670.18 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $213.30 | $711.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $19.20 | $64.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $152.69 | $508.98 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $218.23 | $727.43 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,654.50 | $5,515.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $185.26 | $308.77 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $14.33 | $23.88 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $9.00 | $15.00 | not published | 0 |
| Optx prox humrl fx w/int fix CPT 23615 | $29,356.86 | $48,928.10 | $13,415.89 – $13,684.21 | 3 |
| Ortho dvc repair per 15 min HCPCS L4205 | $372.26 | $1,240.88 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $392.03 | $1,306.78 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $924.87 | $3,082.89 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $1,740.83 | $5,802.77 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $288.60 | $962.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $367.68 | $1,225.60 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $436.09 | $1,453.64 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $143.36 | $477.87 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $367.68 | $1,225.60 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $43.61 | $145.38 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $43.61 | $145.38 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $62.57 | $208.58 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $823.94 | $2,746.47 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $483.61 | $1,612.03 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,346.33 | $4,487.78 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $83.10 | $277.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $34.12 | $113.72 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $127.15 | $423.83 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $96.76 | $322.52 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $13.33 | $44.45 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $79.70 | $265.66 | not published | 0 |
| Osmolality blood CPT 83930 | $40.50 | $135.00 | not published | 0 |
| Osmolality urine CPT 83935 | $124.80 | $416.00 | 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.