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 |
|---|---|---|---|---|
| Test stress cardiovascular tracing only CPT 93017 | $990.90 | $3,303.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $3,252.34 | $5,420.57 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $21,888.50 | $36,480.83 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $1,464.90 | $4,883.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $21.30 | $71.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $9.00 | $15.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $507.57 | $1,691.89 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $676.97 | $2,256.57 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $357.75 | $1,192.51 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $466.82 | $1,556.06 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $218.28 | $727.59 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $237.93 | $793.11 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,073.70 | $3,579.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $267.28 | $890.95 | not published | 0 |
| Thoracic pad HCPCS L1060 | $161.56 | $538.54 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $984.60 | $3,282.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $1,714.99 | $5,716.63 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $27.90 | $93.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $955.41 | $3,184.69 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $1,700.30 | $5,667.66 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $801.82 | $2,672.73 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $1,203.12 | $4,010.40 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $133.50 | $445.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $70.80 | $236.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $402.90 | $1,343.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $4,798.88 | $15,996.26 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $41.70 | $139.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $21,042.69 | $70,142.31 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $20.10 | $67.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $1,330.43 | $4,434.78 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,145.66 | $3,818.86 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,362.12 | $4,540.39 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $1,694.31 | $5,647.69 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $746.03 | $2,486.77 | not published | 0 |
| Tlso corset front HCPCS L0970 | $159.41 | $531.37 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $517.36 | $1,724.54 | not published | 0 |
| Tlso full corset HCPCS L0974 | $260.68 | $868.94 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $565.99 | $1,886.63 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $565.99 | $1,886.63 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $709.30 | $2,364.34 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $709.30 | $2,364.34 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $981.52 | $3,271.72 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $2,150.11 | $7,167.02 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $1,497.49 | $4,991.63 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $2,253.23 | $7,510.77 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $421.98 | $1,406.60 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $704.82 | $2,349.39 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $528.00 | $880.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $64.50 | $215.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $523.76 | $872.93 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $183.55 | $611.83 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $160.04 | $533.47 | not published | 0 |
| Total Hip Replacement CPT 27130 | $35,245.21 | $58,742.02 | $13,415.89 – $13,684.21 | 3 |
| Total Knee Replacement CPT 27447 | $36,356.77 | $60,594.62 | $13,415.89 – $13,415.89 | 1 |
| Toxoplasma antibody igg CPT 86777 | $132.30 | $441.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $56.40 | $188.00 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $317.40 | $1,058.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $27.06 | $45.10 | not published | 0 |
| Transferrin CPT 84466 | $43.80 | $146.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $591.00 | $1,970.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $149.88 | $499.60 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $113.83 | $379.43 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $113.83 | $379.43 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $149.88 | $499.60 | not published | 0 |
| Trapezius sling HCPCS L1070 | $167.35 | $557.84 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $5,708.02 | $19,026.75 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $74.40 | $248.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $996.90 | $3,323.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $996.90 | $3,323.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $996.90 | $3,323.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $222.90 | $743.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $222.90 | $743.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $996.90 | $3,323.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $222.90 | $743.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $1,519.50 | $5,065.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $996.90 | $3,323.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $996.90 | $3,323.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $222.90 | $743.00 | not published | 0 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $18,332.06 | $30,553.43 | $7,582.44 – $7,734.09 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $1,964.10 | $6,547.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $361.20 | $1,204.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $345.60 | $1,152.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $89.70 | $299.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $1,964.10 | $6,547.00 | not published | 0 |
| Treatment of ankle fracture CPT 27814 | $24,213.68 | $40,356.13 | $7,582.44 – $7,734.09 | 3 |
| Treatment of ankle fracture CPT 27822 | $43,294.01 | $72,156.68 | $7,582.44 – $7,734.09 | 2 |
| Treatment of thigh fracture CPT 27503 | $996.90 | $3,323.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $996.90 | $3,323.00 | not published | 0 |
| Treat thigh fracture CPT 27246 | $222.90 | $743.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $996.90 | $3,323.00 | not published | 0 |
| Treat wrist dislocation CPT 25675 | $222.90 | $743.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $108.60 | $362.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $34.65 | $57.75 | not published | 0 |
| Trichomonas assay w/optic CPT 87808 | $20.10 | $67.00 | not published | 0 |
| #tricyclicantidprssnt CPT 80337 | $209.10 | $697.00 | not published | 0 |
| Triglycerides CPT 84478 | $70.50 | $235.00 | not published | 0 |
| Trluml dil aq o/f can without st CPT 66174 | $9,325.48 | $15,542.47 | $4,319.25 – $4,405.64 | 3 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,069.10 | $6,897.00 | not published | 0 |
| Troponin quantitative CPT 84484 | $36.00 | $120.00 | not published | 0 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,714.20 | $5,714.00 | 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.