Memorial Regional Hospital
8260 Atlee Rd., Mechanicsville, VA · Bonsecours · · NPI 1912969064
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $120.60 | $201.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $151.20 | $252.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,770.60 | $2,951.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,284.00 | $2,140.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $24,094.81 | $40,158.02 | $87.31 – $89.06 | 3 |
| 3-d radiotherapy plan CPT 77295 | $6,811.20 | $11,352.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $70.20 | $117.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $93.00 | $155.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $224.40 | $374.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $224.40 | $374.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $224.40 | $374.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $224.40 | $374.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $224.40 | $374.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $224.40 | $374.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $8,928.00 | $14,880.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,077.60 | $6,796.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $13,032.23 | $21,720.38 | $3,167.80 – $3,167.80 | 2 |
| Abd/low ext cath 2nd CPT 36246 | $2,541.00 | $4,235.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $58,277.62 | $97,129.37 | $239.38 – $18,759.41 | 3 |
| Abd/low ext cath addl CPT 36248 | $1,668.00 | $2,780.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,323.20 | $3,872.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,604.00 | $4,340.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,969.20 | $3,282.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,324.80 | $7,208.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,663.00 | $6,105.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,527.20 | $4,212.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $388.52 | $647.54 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,315.00 | $5,525.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,041.20 | $3,402.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,583.40 | $2,639.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $688.80 | $1,148.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $990.31 | $1,650.51 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $1,180.12 | $1,966.87 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $417.32 | $695.54 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $381.61 | $636.01 | not published | 0 |
| Abl1 gene CPT 81170 | $992.40 | $1,654.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $2,874.00 | $4,790.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,694.40 | $17,824.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $2,367.60 | $3,946.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,523.80 | $15,873.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $27,097.20 | $45,162.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $1,714.20 | $2,857.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $11,811.60 | $19,686.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $856.80 | $1,428.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $25,485.90 | $42,476.50 | $1,959.11 – $1,998.29 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $6,546.00 | $10,910.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $66.34 | $110.57 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $297.68 | $496.13 | not published | 0 |
| Acetone qualitative CPT 82009 | $89.40 | $149.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $218.40 | $364.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $48.00 | $80.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $81.23 | $135.39 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $555.00 | $925.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $327.60 | $546.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $60.00 | $100.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,879.67 | $33,132.79 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $237.00 | $395.00 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $894.85 | $1,491.42 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $59.00 | $98.33 | not published | 0 |
| Adh-sendout CPT 84588 | $153.60 | $256.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $4,478.76 | $7,464.60 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $376.80 | $628.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $421.20 | $702.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $817.20 | $1,362.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $595.20 | $992.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $262.20 | $437.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $57.60 | $96.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $37.20 | $62.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $85.20 | $142.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $25.20 | $42.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.40 | $64.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $37,151.39 | $61,918.98 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $118.80 | $198.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.60 | $41.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $630.00 | $1,050.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $2,115.84 | $3,526.40 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,829.92 | $8,049.87 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $2,020.23 | $3,367.05 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $4,182.91 | $6,971.51 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,314.62 | $2,191.03 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,892.69 | $3,154.49 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,925.71 | $3,209.52 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $3,605.04 | $6,008.40 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,337.39 | $2,228.98 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,637.76 | $4,396.27 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,694.82 | $6,158.04 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,613.00 | $6,021.66 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $2,364.92 | $3,941.54 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $7,438.52 | $12,397.54 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $2,994.62 | $4,991.04 | not published | 0 |
| After cataract laser surgery CPT 66821 | $2,694.28 | $4,490.47 | $551.80 – $562.83 | 3 |
| Air conduction bilat CPT 92552 | $42.60 | $71.00 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $367.62 | $612.70 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $457.20 | $762.00 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $828.25 | $1,380.42 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $78.60 | $131.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $661.50 | $1,102.50 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $439.43 | $732.38 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $118.20 | $197.00 | 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.