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 |
|---|---|---|---|---|
| Genome sequence analysis CPT 81425 | $1,541.40 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $1,541.40 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $22.00 | $36.66 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $577.50 | $1,925.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $27.00 | $90.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $101.10 | $337.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $672.00 | $2,240.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,800.60 | $6,002.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $377.10 | $1,257.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $222.90 | $743.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $222.90 | $743.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $996.90 | $3,323.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $996.90 | $3,323.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,724.40 | $5,748.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $996.90 | $3,323.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $996.90 | $3,323.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $222.90 | $743.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $222.90 | $743.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $262.80 | $876.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $81.00 | $270.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $157.50 | $525.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $157.50 | $525.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $144.60 | $482.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $222.90 | $743.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $259.20 | $864.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $184.20 | $614.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,041.90 | $3,473.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $1,041.90 | $3,473.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $120.60 | $402.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $194.70 | $649.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $143.10 | $477.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $419.40 | $1,398.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,288.80 | $4,296.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $752.10 | $2,507.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $450.90 | $1,503.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $224.40 | $748.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,046.70 | $3,489.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $125.70 | $419.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $231.90 | $773.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $517.80 | $1,726.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $517.80 | $1,726.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $149.70 | $499.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $231.30 | $771.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $262.80 | $876.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $517.80 | $1,726.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $517.80 | $1,726.00 | not published | 0 |
| Ghs mbp CPT 83873 | $52.50 | $175.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $58.50 | $195.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $360.60 | $1,202.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $187.20 | $624.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $56.40 | $188.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $141.00 | $470.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $291.30 | $971.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $403.50 | $1,345.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $888.00 | $2,960.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $672.00 | $2,240.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $888.00 | $2,960.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $888.00 | $2,960.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $888.00 | $2,960.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $672.00 | $2,240.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $672.00 | $2,240.00 | not published | 0 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $44.10 | $147.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $402.00 | $1,340.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $17.70 | $59.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $63.30 | $211.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $408.90 | $1,363.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $748.80 | $2,496.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,251.00 | $4,170.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $461.40 | $1,538.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $10,863.02 | $18,105.03 | $257.76 – $262.91 | 3 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $48.60 | $162.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $23.10 | $77.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $98.70 | $329.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $262.80 | $876.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $22.20 | $74.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $34.20 | $114.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $38.40 | $128.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $380.40 | $1,268.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $380.40 | $1,268.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $189.00 | $630.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $167.10 | $557.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $403.50 | $1,345.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $964.50 | $3,215.00 | 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.