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 |
|---|---|---|---|---|
| Interrog device eval heart CPT 93289 | $105.00 | $175.00 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $96.00 | $160.00 | not published | 0 |
| Intra-atrial pacing CPT 93610 | $2,461.80 | $4,103.00 | not published | 0 |
| Intracard echo interv w/s&i CPT 93662 | $3,502.20 | $5,837.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $175.80 | $293.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $70.20 | $117.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $1,833.60 | $3,056.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $1,588.20 | $2,647.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $869.40 | $1,449.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $696.60 | $1,161.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $67,516.24 | $112,527.07 | $675.50 – $689.01 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $24,094.81 | $40,158.02 | $87.31 – $89.06 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $995.40 | $1,659.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $465.26 | $775.44 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $653.76 | $1,089.60 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $6.00 | $10.00 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $17,337.78 | $28,896.30 | not published | 0 |
| Iron CPT 83540 | $114.60 | $191.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $78.00 | $130.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $187.06 | $311.76 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $291.00 | $485.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,900.00 | $6,500.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $244.80 | $408.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $223.20 | $372.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $161.40 | $269.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $676.20 | $1,127.00 | not published | 0 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $11,724.74 | $19,541.24 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $676.20 | $1,127.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $5,165.78 | $8,609.63 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $5,077.55 | $8,462.59 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $7,604.00 | $12,673.34 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $5,401.97 | $9,003.28 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $5,369.84 | $8,949.73 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $5,911.68 | $9,852.80 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $9,522.75 | $15,871.25 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $7,773.65 | $12,956.08 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $812.08 | $1,353.47 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $5,243.92 | $8,739.87 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $19,208.54 | $32,014.23 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $4,090.21 | $6,817.02 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $55.80 | $93.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $48.00 | $80.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,967.40 | $3,279.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,352.60 | $3,921.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $21,653.84 | $36,089.73 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $24,435.30 | $40,725.50 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $137,253.60 | $228,756.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $135,174.00 | $225,290.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $57,189.00 | $95,315.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $3,821.27 | $6,368.78 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $70,586.77 | $117,644.62 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $62,112.46 | $103,520.76 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $4,074.30 | $6,790.50 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $15,607.83 | $26,013.05 | $3,282.70 – $3,348.35 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $14,125.60 | $23,542.67 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29879 | $12,658.40 | $21,097.33 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $14,906.86 | $24,844.77 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29882 | $57,260.59 | $95,434.32 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29883 | $49,657.76 | $82,762.93 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29888 | $91,596.62 | $152,661.03 | $7,279.94 – $7,425.54 | 3 |
| Knee arthroscopy/surgery CPT 29889 | $91,596.62 | $152,661.03 | $12,880.66 – $13,138.27 | 3 |
| Knee control condylar pad HCPCS L2810 | $382.85 | $638.09 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $384.41 | $640.69 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $671.97 | $1,119.95 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $671.97 | $1,119.95 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $569.50 | $949.16 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $371.78 | $619.63 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $549.79 | $916.32 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,688.40 | $7,814.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,628.80 | $6,048.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,225.40 | $3,709.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,379.60 | $2,299.34 | not published | 0 |
| Knee X-ray CPT 73564 | $1,069.80 | $1,783.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,696.20 | $4,493.67 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,696.20 | $4,493.67 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $4,408.28 | $7,347.14 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $378.02 | $630.03 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $625.39 | $1,042.31 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $4,206.04 | $7,010.07 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $5,845.34 | $9,742.23 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,335.47 | $2,225.78 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $3,748.48 | $6,247.47 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $5,484.68 | $9,141.14 | not published | 0 |
| Kras gene addl variants CPT 81276 | $640.20 | $1,067.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $2,574.60 | $4,291.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $505.13 | $841.89 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $728.80 | $1,214.66 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $48.00 | $80.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,721.08 | $2,868.46 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $234.08 | $390.13 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $219.60 | $366.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $171.00 | $285.00 | not published | 0 |
| Lactic acid CPT 83605 | $161.40 | $269.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $200.40 | $334.00 | not published | 0 |
| Lam facetec & foramot crv CPT 63045 | $109,610.28 | $182,683.80 | $12,880.66 – $13,138.27 | 3 |
| Lam facetec & foramot lumbar CPT 63047 | $100,230.13 | $167,050.22 | $7,279.94 – $7,425.54 | 3 |
| Laminotomy single lumbar CPT 63042 | $36,356.79 | $60,594.65 | $7,279.94 – $7,425.54 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $55,077.12 | $91,795.20 | 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.