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 |
|---|---|---|---|---|
| Pretreat rbc w chem/drugs reference CPT 86970 | $160.20 | $534.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,041.90 | $3,473.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $14,175.54 | $23,625.90 | $1,680.28 – $1,713.89 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $205.20 | $684.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $238.80 | $796.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $235.20 | $784.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $259.20 | $864.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $168.00 | $560.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $14,098.89 | $23,498.15 | $2,040.52 – $2,081.33 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $9,852.55 | $32,841.83 | not published | 0 |
| Procalcitonin CPT 84145 | $70.80 | $236.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $15.27 | $25.45 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $9.00 | $15.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,784.70 | $5,949.00 | not published | 0 |
| Progesterone CPT 84144 | $60.00 | $200.00 | not published | 0 |
| Prolactin CPT 84146 | $176.70 | $589.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $9.00 | $15.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $9.00 | $15.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $198.00 | $330.00 | not published | 0 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $4,301.70 | $14,339.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $271.34 | $904.46 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $51.97 | $173.23 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $1,292.46 | $4,308.21 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $9.25 | $30.83 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $13.97 | $23.28 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $87.89 | $292.96 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,893.57 | $9,645.24 | not published | 0 |
| Protein c activity CPT 85303 | $112.80 | $376.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $45.90 | $153.00 | not published | 0 |
| Protein s total CPT 85305 | $431.70 | $1,439.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $115.20 | $384.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $61.80 | $206.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $70.50 | $235.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $14,929.80 | $24,883.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $96.60 | $322.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $202.80 | $676.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,035.60 | $3,452.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $380.40 | $1,268.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $380.40 | $1,268.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $380.40 | $1,268.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $380.40 | $1,268.00 | not published | 0 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,033.50 | $3,445.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $74.40 | $248.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $101.40 | $338.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $29.40 | $98.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $63.90 | $213.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $91.80 | $306.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $202.20 | $674.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $162.00 | $540.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $202.20 | $674.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $123.90 | $413.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $103.20 | $344.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $43.80 | $146.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $119.40 | $398.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $24.00 | $80.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $430.20 | $1,434.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $163.20 | $544.00 | not published | 0 |
| Pulse ox single CPT 94760 | $144.90 | $483.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $711.43 | $2,371.45 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $63.60 | $212.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $228.90 | $763.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $726.90 | $2,423.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $8,487.58 | $28,291.95 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $2,812.65 | $9,375.50 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $672.00 | $2,240.00 | not published | 0 |
| Pyruvate CPT 84210 | $22.80 | $76.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $60.90 | $203.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,409.31 | $5,682.18 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72,205.34 | $120,342.24 | not published | 0 |
| Rapid Strep Test CPT 87880 | $99.00 | $330.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $9.00 | $30.00 | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | $41,785.34 | $69,642.23 | $18,322.11 – $18,688.55 | 3 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $270.90 | $903.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $348.00 | $1,160.00 | not published | 0 |
| Reduction of procidentia 45900 CPT 45900 | $577.50 | $1,925.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $165.00 | $275.00 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $279.61 | $932.04 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $96.90 | $323.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $221.70 | $739.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $573.90 | $1,913.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $450.90 | $1,503.00 | not published | 0 |
| Removal foreign body jawbone CPT 41806 | $964.50 | $3,215.00 | not published | 0 |
| Removal of heel spur CPT 28119 | $34,324.64 | $57,207.73 | $7,582.44 – $7,734.09 | 3 |
| Removal of implant deep CPT 20680 | $11,700.54 | $19,500.90 | $3,035.31 – $3,096.01 | 3 |
| Removal of kneecap bursa CPT 27340 | $11,763.32 | $19,605.53 | $3,419.10 – $3,419.10 | 1 |
| Removal of toe lesions CPT 28108 | $14,175.54 | $23,625.90 | $1,680.28 – $1,713.89 | 3 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $125.70 | $419.00 | not published | 0 |
| Remove foreign body from eye CPT 65235 | $1,500.00 | $5,000.00 | not published | 0 |
| Renal function panel CPT 80069 | $166.20 | $554.00 | not published | 0 |
| Repair achilles tendon CPT 27650 | $34,324.64 | $57,207.73 | $7,582.44 – $7,734.09 | 3 |
| Repair biceps tendon CPT 23430 | $22,857.13 | $38,095.22 | $7,582.44 – $7,734.09 | 3 |
| Repair blood vessel dir lower extr CPT 35226 | $450.90 | $1,503.00 | not published | 0 |
| Repair blood vessel dir upper extr CPT 35206 | $2,069.10 | $6,897.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $717.30 | $2,391.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $1,315.50 | $4,385.00 | not published | 0 |
| Repair elbow deb/attch open CPT 24359 | $12,406.50 | $20,677.50 | $3,419.10 – $3,487.49 | 3 |
| Repair extns tendon finger without grft ea CPT 26418 | $996.90 | $3,323.00 | not published | 0 |
| Repair eyelid wound CPT 67935 | $1,468.50 | $4,895.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $2,067.90 | $6,893.00 | 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.