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 |
|---|---|---|---|---|
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $2,105.33 | $3,508.89 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $167.70 | $559.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,366.40 | $7,888.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $66.60 | $222.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $950.70 | $3,169.00 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,093.20 | $3,644.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $9,855.21 | $16,425.35 | $2,040.52 – $2,081.33 | 3 |
| Cataract Surgery CPT 66984 | $5,460.76 | $9,101.27 | $2,411.58 – $2,459.81 | 3 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $2,481.75 | $8,272.50 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,535.27 | $21,784.25 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $4,877.47 | $16,258.22 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $5,814.74 | $19,382.47 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $23,154.73 | $77,182.43 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $49,635.00 | $165,450.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,653.43 | $18,844.76 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $41,362.50 | $137,875.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $10,754.25 | $35,847.50 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $13,980.52 | $46,601.75 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,512.79 | $18,375.98 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $6,746.12 | $22,487.08 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $3,631.63 | $12,105.43 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,489.05 | $4,963.50 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $37.80 | $126.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $6,238.54 | $20,795.13 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $5,368.85 | $17,896.18 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,145.29 | $3,817.65 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,782.48 | $19,274.93 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $134.96 | $449.86 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $11,492.42 | $38,308.07 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $19,854.00 | $66,180.00 | not published | 0 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $9,347.92 | $31,159.75 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,837.47 | $9,458.23 | not published | 0 |
| Cath symplicity spyral HCPCS C1735 | $26,472.00 | $88,240.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $11,126.51 | $37,088.38 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $579.07 | $1,930.25 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $194.70 | $649.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $125.70 | $419.00 | not published | 0 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $56.10 | $93.50 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $93.26 | $155.43 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $42.31 | $70.51 | not published | 0 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $63.05 | $105.08 | not published | 0 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $39.60 | $66.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $6.30 | $21.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $128.40 | $428.00 | not published | 0 |
| Cellesta or duo per sq cm HCPCS Q4184 | $11,118.24 | $37,060.80 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $213.90 | $713.00 | not published | 0 |
| Cer post col occ/man sup adj HCPCS L0180 | $495.19 | $1,650.64 | not published | 0 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $1,254.11 | $4,180.37 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $6,323.94 | $10,539.90 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $149.70 | $499.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $144.60 | $482.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $898.50 | $2,995.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $718.80 | $2,396.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $422.70 | $1,409.00 | not published | 0 |
| Chest X-ray CPT 71046 | $187.20 | $624.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $150.60 | $502.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $187.80 | $626.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $410.70 | $1,369.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $30.90 | $103.00 | not published | 0 |
| Chlamydia type CPT 87140 | $8.70 | $29.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $69.90 | $233.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $147.71 | $246.18 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $43.69 | $72.82 | not published | 0 |
| Cholesterol CPT 82465 | $70.50 | $235.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $371.10 | $1,237.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $47.70 | $159.00 | not published | 0 |
| Cholinesterase CPT 82480 | $12.30 | $41.00 | not published | 0 |
| Chromatography CPT 83021 | $11.10 | $37.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $273.60 | $912.00 | not published | 0 |
| Circum 28 days or older CPT 54161 | $1,288.80 | $4,296.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $116.05 | $193.41 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $365.15 | $608.58 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $18,199.50 | $60,665.00 | not published | 0 |
| Clearance of airways CPT 31720 | $132.00 | $440.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $70.62 | $117.70 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $3,193.18 | $10,643.95 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $566.23 | $1,887.45 | not published | 0 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $24.75 | $41.25 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $222.90 | $743.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $996.90 | $3,323.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $996.90 | $3,323.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $996.90 | $3,323.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $222.90 | $743.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $317.40 | $1,058.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,494.60 | $4,982.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $144.60 | $482.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $964.50 | $3,215.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $222.90 | $743.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $222.90 | $743.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $222.90 | $743.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $222.90 | $743.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $996.90 | $3,323.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $222.90 | $743.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $226.80 | $756.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $222.90 | $743.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $222.90 | $743.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $996.90 | $3,323.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $222.90 | $743.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $222.90 | $743.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $996.90 | $3,323.00 | 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.