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 |
|---|---|---|---|---|
| Tube trach disp innr can 5 xlt HCPCS A7521 | $281.18 | $937.27 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $222.90 | $743.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $2,067.90 | $6,893.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $422.70 | $1,409.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $442.20 | $1,474.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $232.20 | $774.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $264.00 | $880.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $277.50 | $925.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $439.20 | $1,464.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $214.20 | $714.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $135.90 | $453.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $422.70 | $1,409.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $422.70 | $1,409.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $425.70 | $1,419.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $422.70 | $1,409.00 | not published | 0 |
| Unlisted maaa CPT 81599 | $70.80 | $236.00 | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | $226.80 | $756.00 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $144.60 | $482.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $230.70 | $769.00 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,266.30 | $4,221.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,699.80 | $5,666.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $913.50 | $3,045.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $4,065.58 | $6,775.97 | $947.76 – $966.72 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $4,929.71 | $8,216.18 | $947.76 – $966.72 | 3 |
| Urea nitrogen CPT 84520 | $70.50 | $235.00 | not published | 0 |
| Uric acid blood CPT 84550 | $54.30 | $181.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $21.60 | $72.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $16.20 | $54.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $4.20 | $14.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $36.60 | $122.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $28.80 | $96.00 | not published | 0 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $426.84 | $711.40 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $58.78 | $97.97 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $579.55 | $965.92 | not published | 0 |
| Vaccine rabies im CPT 90675 | $2,151.32 | $3,585.54 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $241.30 | $402.16 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $10,092.45 | $33,641.50 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $44.22 | $73.70 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $144.30 | $481.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $1,402.50 | $2,337.50 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $159.19 | $265.32 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $60.90 | $203.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $37.20 | $124.00 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $71.79 | $239.30 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $27.63 | $46.05 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $46,893.15 | $78,155.25 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $1,004.40 | $3,348.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,055.70 | $3,519.00 | not published | 0 |
| Vest large holster HCPCS Q0498 | $744.52 | $2,481.75 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $203.21 | $338.69 | not published | 0 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $340.20 | $567.00 | not published | 0 |
| Vital capacity test CPT 94150 | $94.50 | $315.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $67.80 | $226.00 | not published | 0 |
| Vitamin D Test CPT 82306 | $118.80 | $396.00 | not published | 0 |
| Volume measurement urine timed CPT 81050 | $16.20 | $54.00 | not published | 0 |
| Warde 1003990 aldosterone CPT 82088 | $265.20 | $884.00 | not published | 0 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $132.30 | $441.00 | not published | 0 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $265.20 | $884.00 | not published | 0 |
| Warde 1015200 kappa light chain free CPT 83521 | $30.30 | $101.00 | not published | 0 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $118.20 | $394.00 | not published | 0 |
| Warde 3008005 oligoclonal bands CPT 83916 | $76.50 | $255.00 | not published | 0 |
| Warde 3016000 west nile virus antibody CPT 86788 | $19.80 | $66.00 | not published | 0 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $19.80 | $66.00 | not published | 0 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $198.60 | $662.00 | not published | 0 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $47.70 | $159.00 | not published | 0 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $16.80 | $56.00 | not published | 0 |
| Warde 3400852 arsenic CPT 82175 | $126.60 | $422.00 | not published | 0 |
| Warde 3708165 mercury urine CPT 83825 | $126.60 | $422.00 | not published | 0 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $109.20 | $364.00 | not published | 0 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $20.10 | $67.00 | not published | 0 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $44.10 | $147.00 | not published | 0 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $82.80 | $276.00 | not published | 0 |
| Warde aldolase CPT 82085 | $67.20 | $224.00 | not published | 0 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $170.70 | $569.00 | not published | 0 |
| Warde apolipoprotein b CPT 82172 | $110.70 | $369.00 | not published | 0 |
| Warde clozapine therapeutic drug level CPT 80159 | $51.00 | $170.00 | not published | 0 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $41.40 | $138.00 | not published | 0 |
| Warde complement total hemolytic CPT 86162 | $163.50 | $545.00 | not published | 0 |
| Warde copper CPT 82525 | $38.70 | $129.00 | not published | 0 |
| Warde cryoglobulin CPT 82595 | $96.90 | $323.00 | not published | 0 |
| Warde erythropoietin CPT 82668 | $168.30 | $561.00 | not published | 0 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $21.00 | $70.00 | not published | 0 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $133.50 | $445.00 | not published | 0 |
| Warde gastrin CPT 82941 | $133.50 | $445.00 | not published | 0 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $25.20 | $84.00 | not published | 0 |
| Warde hepatitis a antibody CPT 86708 | $37.20 | $124.00 | not published | 0 |
| Warde hepatitis be antibody CPT 86707 | $40.20 | $134.00 | not published | 0 |
| Warde immunofixation electrophoresis urine CPT 86335 | $54.90 | $183.00 | not published | 0 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $111.30 | $371.00 | not published | 0 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $244.80 | $816.00 | not published | 0 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $56.40 | $188.00 | not published | 0 |
| Warde mitochondrial antibody each CPT 86381 | $21.30 | $71.00 | not published | 0 |
| Warde neutralization rabies CPT 86382 | $26.70 | $89.00 | not published | 0 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $31.50 | $105.00 | not published | 0 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $39.90 | $133.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $323.40 | $1,078.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $70.50 | $235.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $110.40 | $368.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $98.10 | $327.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $208.80 | $696.00 | 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.