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 |
|---|---|---|---|---|
| Antibody elution rbc reference CPT 86860 | $106.80 | $356.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $279.30 | $931.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $321.60 | $1,072.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $137.70 | $459.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $259.80 | $866.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $21.00 | $70.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $87.00 | $290.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $49.20 | $164.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $40.20 | $134.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $61.20 | $204.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $167.10 | $557.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $167.10 | $557.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $167.10 | $557.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $166.50 | $555.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $166.50 | $555.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $166.50 | $555.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $101.40 | $338.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $166.50 | $555.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,127.98 | $13,759.93 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $54.60 | $182.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $63.00 | $210.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $167.10 | $557.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $167.10 | $557.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $166.50 | $555.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $359.70 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $106.50 | $355.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $61.20 | $204.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $60.72 | $202.40 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $47.44 | $158.12 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $47.44 | $158.12 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $42.35 | $70.58 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $245.10 | $817.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $189.00 | $630.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $654.00 | $2,180.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $466.50 | $1,555.00 | not published | 0 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $13,140.87 | $21,901.45 | $7,582.44 – $7,734.09 | 2 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $13,140.87 | $21,901.45 | $7,582.44 – $7,734.09 | 2 |
| Artiss fibrin sealant HCPCS C9250 | $1,351.31 | $4,504.38 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $18,530.40 | $61,768.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,935.90 | $6,453.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $78.90 | $263.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $144.60 | $482.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $16.80 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $80.10 | $267.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $223.50 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $30.30 | $101.00 | not published | 0 |
| Assay of lrh hormone CPT 83727 | $110.40 | $368.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $63.00 | $210.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $36.00 | $120.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $8.40 | $28.00 | not published | 0 |
| Ast/sgot CPT 84450 | $70.50 | $235.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $5,492.94 | $18,309.80 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $126.30 | $421.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $40.92 | $68.20 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $377.52 | $629.20 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $127.80 | $426.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $90.90 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $336.37 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $20.70 | $69.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $667.82 | $1,113.03 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $3,243.73 | $5,406.21 | not published | 0 |
| Below knee total contact HCPCS L5637 | $471.37 | $1,571.22 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $43.80 | $146.00 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $75.00 | $250.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $42.30 | $141.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $72.64 | $121.07 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $12,049.73 | $20,082.89 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $427.50 | $1,425.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $427.50 | $1,425.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $69.90 | $233.00 | not published | 0 |
| Bilirubin total CPT 82247 | $70.50 | $235.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $499.66 | $1,665.53 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $403.50 | $1,345.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $5,873.47 | $19,578.25 | not published | 0 |
| Bk flex inner socket ext fra HCPCS L5645 | $1,105.06 | $3,683.52 | not published | 0 |
| Bk fork strap HCPCS L5684 | $66.64 | $222.14 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $140.70 | $469.00 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $84.59 | $281.98 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $149.70 | $499.00 | not published | 0 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $54,598.50 | $181,995.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $7,776.15 | $25,920.50 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,737.22 | $5,790.75 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $9,347.92 | $31,159.75 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $12,607.39 | $42,024.63 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $13,566.90 | $45,223.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $888.00 | $2,960.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $888.00 | $2,960.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $283.50 | $945.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $738.90 | $2,463.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $369.90 | $1,233.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $18.60 | $62.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $70.20 | $234.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $27.90 | $93.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $33.00 | $110.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $45.90 | $153.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $63.60 | $212.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $26.40 | $88.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $5.70 | $19.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $41.70 | $139.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $20.70 | $69.00 | 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.