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 |
|---|---|---|---|---|
| Device tiss remov myosure reach HCPCS C1782 | $4,815.58 | $8,025.96 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $8.86 | $14.76 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $596.30 | $993.83 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $213.75 | $356.25 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $205.20 | $342.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $196.65 | $327.75 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $167.40 | $279.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $117.00 | $195.00 | not published | 0 |
| Diag laparo separate proc 49320 CPT 49320 | $15,206.68 | $25,344.47 | $6,065.29 – $6,186.60 | 3 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $97.20 | $162.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $149.40 | $249.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $433.80 | $723.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $340.80 | $568.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $2,635.20 | $4,392.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $397.44 | $662.40 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $79.53 | $132.55 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $184.28 | $307.13 | not published | 0 |
| Diffusing capacity CPT 94729 | $642.60 | $1,071.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $842.40 | $1,404.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $48.00 | $80.00 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $28,650.24 | $47,750.40 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $53.40 | $89.00 | not published | 0 |
| Dilate esophagus 1/mult pass CPT 43450 | $4,719.26 | $7,865.43 | $909.95 – $928.15 | 3 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $869.40 | $1,449.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $521.40 | $869.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,650.16 | $2,750.27 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $107.84 | $179.73 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $48.00 | $80.00 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $117.02 | $195.03 | not published | 0 |
| Disaccharidases CPT 82657 | $114.60 | $191.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $431.40 | $719.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $70.20 | $117.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $378.00 | $630.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,164.00 | $1,940.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $186.64 | $311.07 | not published | 0 |
| Doppler echo complete CPT 93320 | $1,312.80 | $2,188.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,588.20 | $7,647.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $444.00 | $740.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $640.80 | $1,068.00 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | $1,264.18 | $2,106.96 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $133,874.25 | $223,123.75 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,530.84 | $2,551.40 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,619.00 | $4,365.00 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $138.67 | $231.12 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $669.60 | $1,116.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $541.20 | $902.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $541.20 | $902.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $1,456.80 | $2,428.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $541.20 | $902.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $174.00 | $290.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,250.40 | $2,084.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,351.80 | $2,253.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $962.40 | $1,604.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $1,122.00 | $1,870.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $272.40 | $454.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,176.40 | $5,294.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $603.60 | $1,006.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $392.40 | $654.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $286.20 | $477.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $795.00 | $1,325.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $64,500.72 | $107,501.20 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $221.40 | $369.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,401.20 | $4,002.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $6,387.00 | $10,645.00 | $710.45 – $724.66 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | $3,495.60 | $5,826.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $74.94 | $124.90 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $48.00 | $80.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $406.04 | $676.74 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $138.92 | $231.53 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $13,517.40 | $22,529.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $8,961.77 | $14,936.29 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $36,263.03 | $60,438.38 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $8,474.74 | $14,124.56 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $50,695.45 | $84,492.42 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $72,205.37 | $120,342.29 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $50,898.21 | $84,830.35 | not published | 0 |
| Drug assay caffeine CPT 80155 | $90.60 | $151.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $62.40 | $104.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $460.20 | $767.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $90.60 | $151.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $127.80 | $213.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $600.60 | $1,001.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $372.60 | $621.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $660.60 | $1,101.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $118.80 | $198.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $372.60 | $621.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,192.20 | $1,987.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $36,314.86 | $60,524.77 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $24,994.93 | $41,658.21 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $14,794.11 | $24,656.85 | $3,740.54 – $3,815.35 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $10,327.24 | $17,212.07 | $1,785.72 – $1,821.43 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $14,765.78 | $24,609.63 | $1,785.72 – $1,821.43 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | $583.20 | $972.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $48.00 | $80.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $226.20 | $377.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $238.20 | $397.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $393.60 | $656.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $525.00 | $875.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,237.20 | $2,062.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,630.60 | $6,051.00 | 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.