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 |
|---|---|---|---|---|
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $8,482.15 | $14,136.92 | not published | 0 |
| Ferritin CPT 82728 | $178.80 | $298.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $3,078.80 | $5,131.34 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $694.80 | $1,158.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $759.60 | $1,266.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $559.20 | $932.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $133.80 | $223.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $27.60 | $46.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $7,630.96 | $12,718.27 | $202.83 – $206.89 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $199.20 | $332.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $49.20 | $82.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $183.00 | $305.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $51.00 | $85.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $203.40 | $339.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $483.00 | $805.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85421 | $196.80 | $328.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $178.80 | $298.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $3,311.28 | $5,518.80 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $77,790.04 | $129,650.06 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $10,767.13 | $17,945.22 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $5,316.48 | $8,860.80 | $710.45 – $724.66 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $141.00 | $235.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $11,921.41 | $19,869.02 | not published | 0 |
| Fixation of knee joint CPT 27570 | $5,497.24 | $9,162.07 | $1,613.25 – $1,645.51 | 3 |
| Fix g/colon tube w/device CPT 49460 | $1,772.40 | $2,954.00 | not published | 0 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $338.40 | $564.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $9,103.35 | $15,172.25 | $933.00 – $951.66 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $807.40 | $1,345.67 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $7,140.00 | $11,900.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $113.40 | $189.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $1,344.00 | $2,240.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $13,305.80 | $22,176.33 | not published | 0 |
| Flt3 gene CPT 81245 | $235.80 | $393.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $341.40 | $569.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $85.05 | $141.75 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $622.18 | $1,036.97 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $541.20 | $902.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $421.20 | $702.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $9,691.50 | $16,152.50 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $995.40 | $1,659.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $954.00 | $1,590.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,035.00 | $1,725.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $345.71 | $576.18 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $1,815.07 | $3,025.11 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $166,320.00 | $277,200.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,166.60 | $3,611.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $818.40 | $1,364.00 | not published | 0 |
| Folic acid CPT 82746 | $84.60 | $141.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $48.00 | $80.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $6,207.60 | $10,346.00 | not published | 0 |
| Followup eval of foot pt lop HCPCS G0246 | $250.20 | $417.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $1,236.77 | $2,061.28 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $942.47 | $1,570.79 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $220.64 | $367.74 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $161.48 | $269.13 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $955.42 | $1,592.37 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $757.08 | $1,261.80 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $620.03 | $1,033.39 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $816.71 | $1,361.18 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $574.07 | $956.79 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $238.43 | $397.38 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $1,565.78 | $2,609.64 | not published | 0 |
| Foot X-ray CPT 73630 | $890.40 | $1,484.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $3,866.39 | $6,443.99 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $2,787.19 | $4,645.31 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $179.40 | $299.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,927.47 | $3,212.45 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $126.16 | $210.27 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $87.00 | $145.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,472.56 | $2,454.27 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $256.36 | $427.27 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $10,167.63 | $16,946.05 | $1,657.00 – $1,690.14 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $11,619.58 | $19,365.97 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $8,388.59 | $13,980.98 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $48.00 | $80.00 | not published | 0 |
| Fuse/graft added joint CPT 26863 | $43,917.79 | $73,196.32 | $7,279.94 – $7,425.54 | 3 |
| Fusion/graft of finger joint CPT 26862 | $43,917.79 | $73,196.32 | $7,279.94 – $7,425.54 | 3 |
| Fusion of finger joint CPT 26860 | $28,779.05 | $47,965.08 | $3,282.70 – $3,348.35 | 3 |
| Fusion of foot bones CPT 28740 | $117,474.55 | $195,790.92 | $7,279.94 – $7,425.54 | 3 |
| Fusion of knuckle CPT 26850 | $29,042.40 | $48,404.00 | $7,279.94 – $7,425.54 | 3 |
| Fusion of knuckle with graft CPT 26852 | $35,110.19 | $58,516.98 | $7,279.94 – $7,425.54 | 3 |
| G6pd full gene sequence CPT 81249 | $1,890.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $213.00 | $355.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $245.52 | $409.20 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $362.16 | $603.60 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $18,308.89 | $30,514.82 | $6,065.29 – $6,186.60 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $10,977.12 | $18,295.20 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $133.80 | $223.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $164.40 | $274.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $112.80 | $188.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $34,269.70 | $57,116.16 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $919.21 | $1,532.01 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $90.00 | $150.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $202,339.88 | $337,233.14 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $153,890.40 | $256,484.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $181,965.00 | $303,275.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,098.80 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $114,378.00 | $190,630.00 | 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.