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 |
|---|---|---|---|---|
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $20,115.07 | $33,525.12 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $120.00 | $200.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $193.80 | $323.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $83.40 | $139.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $235.80 | $393.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $208.80 | $348.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $310.20 | $517.00 | not published | 0 |
| Immunology procedure CPT 86849 | $106.20 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $13,267.85 | $22,113.08 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $9,655.79 | $16,092.98 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $64,987.50 | $108,312.50 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | $153,823.48 | $256,372.47 | $30,958.59 – $31,577.76 | 3 |
| Implant neuroelectrodes CPT 64561 | $96,112.00 | $160,186.67 | $19,463.54 – $19,852.82 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $10,657.95 | $17,763.25 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $19,253.82 | $32,089.70 | not published | 0 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $178,326.40 | $297,210.67 | $13,826.01 – $14,102.53 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $994.20 | $1,657.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,707.20 | $4,512.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $1,057.80 | $1,763.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,687.60 | $6,146.00 | $1,657.00 – $1,690.14 | 3 |
| Incision of achilles tendon CPT 27606 | $118,429.69 | $197,382.82 | $7,279.94 – $7,425.54 | 3 |
| Incision of breast lesion CPT 19020 | $10,629.40 | $17,715.67 | $1,657.00 – $1,690.14 | 3 |
| Incision of burn scab initi CPT 16035 | $311.40 | $519.00 | not published | 0 |
| Incision of eye CPT 65850 | $21,578.49 | $35,964.15 | $4,146.94 – $4,229.88 | 3 |
| Incision tendon sheath CPT 26055 | $9,886.58 | $16,477.63 | $1,613.25 – $1,645.51 | 3 |
| Incisn windpipe CPT 31600 | $5,928.60 | $9,881.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $221.40 | $369.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $393.60 | $656.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $810.60 | $1,351.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $810.60 | $1,351.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,484.40 | $2,474.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $142.80 | $238.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $162.00 | $270.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $177.60 | $296.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $69.60 | $116.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $121.80 | $203.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $430.80 | $718.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $80.40 | $134.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $331.20 | $552.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $134.40 | $224.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $116.40 | $194.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $104.40 | $174.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $170.40 | $284.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $148.20 | $247.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $156.60 | $261.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $306.60 | $511.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $184.20 | $307.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $114.00 | $190.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $490.20 | $817.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $187.80 | $313.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $224.40 | $374.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,375.80 | $2,293.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $568.20 | $947.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $115.80 | $193.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $189.00 | $315.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $190.20 | $317.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.20 | $217.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $300.60 | $501.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $122.40 | $204.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $183.00 | $305.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $230.40 | $384.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $280.80 | $468.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $403.80 | $673.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $2,000.40 | $3,334.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $475.80 | $793.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $501.00 | $835.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $480.00 | $800.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $6,726.65 | $11,211.08 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $2,880.00 | $4,800.00 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $5,450.57 | $9,084.29 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $403.80 | $673.00 | not published | 0 |
| Initial foot exam pt lops HCPCS G0245 | $250.20 | $417.00 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,385.40 | $2,309.00 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $0.01 | $0.01 | not published | 0 |
| Inj. acthar gel to 40 units HCPCS J0801 | $39,958.13 | $66,596.88 | not published | 0 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $19,937.15 | $33,228.58 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $33,679.01 | $56,131.68 | not published | 0 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | $2,856.95 | $4,761.59 | not published | 0 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $21,888.00 | $36,480.00 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $1,140.10 | $1,900.16 | not published | 0 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $2,200.34 | $3,667.23 | not published | 0 |
| Inj ceftolozane tazobactam HCPCS J0695 | $1,647.70 | $2,746.17 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $67.10 | $111.83 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $801.00 | $1,335.00 | not published | 0 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $3,406.36 | $5,677.26 | not published | 0 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $1,455.00 | $2,425.00 | not published | 0 |
| Inj daptomycin (xellia) HCPCS J0873 | $345.60 | $576.00 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $4,753.20 | $7,922.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,068.60 | $1,781.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $9,461.32 | $15,768.87 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $279.60 | $466.00 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $2,190.00 | $3,650.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,279.20 | $2,132.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $702.60 | $1,171.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $5,642.64 | $9,404.40 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $1,365.89 | $2,276.48 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,749.76 | $6,249.60 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $19,231.58 | $32,052.63 | $6,661.88 – $6,795.12 | 3 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,554.70 | $4,257.83 | $708.19 – $722.35 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,692.00 | $2,820.00 | 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.