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 |
|---|---|---|---|---|
| Albumin serum plasma or whole blood CPT 82040 | $110.40 | $184.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $6.00 | $10.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $67.20 | $112.00 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.73 | $148,721.21 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $37.20 | $62.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $45.60 | $76.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $45.00 | $75.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $25.20 | $42.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $20.40 | $34.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $13,097.84 | $21,829.73 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $25,828.63 | $43,047.72 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $32,410.20 | $54,017.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $20,156.53 | $33,594.21 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $91,500.74 | $152,501.23 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $61,428.79 | $102,381.31 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $51,984.80 | $86,641.34 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $49,083.76 | $81,806.27 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $16,090.91 | $26,818.18 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $18,378.47 | $30,630.78 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $3,456.00 | $5,760.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $399.00 | $665.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $181.80 | $303.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $83,163.40 | $138,605.67 | not published | 0 |
| Alt/sgpt CPT 84460 | $54.00 | $90.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $95.40 | $159.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $105.60 | $176.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $97.15 | $161.91 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $95.40 | $159.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $48.00 | $80.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $48.00 | $80.00 | not published | 0 |
| Ammonia CPT 82140 | $178.80 | $298.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,481.60 | $4,136.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $453.60 | $756.00 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,542.35 | $2,570.59 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $52.22 | $87.04 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $77.21 | $128.68 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $23,531.39 | $39,218.98 | $3,282.70 – $3,348.35 | 3 |
| Amputation toe interphalangeal joint CPT 28825 | $28,360.57 | $47,267.62 | $3,282.70 – $3,348.35 | 3 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $15,641.54 | $26,069.23 | $3,282.70 – $3,348.35 | 3 |
| Amylase CPT 82150 | $148.20 | $247.00 | not published | 0 |
| Anal pressure record CPT 91122 | $2,751.96 | $4,586.60 | $177.70 – $181.25 | 3 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $181.80 | $303.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $683.40 | $1,139.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $775.20 | $1,292.00 | not published | 0 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $74.40 | $124.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $115.80 | $193.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $92.40 | $154.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $7,291.80 | $12,153.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $755.40 | $1,259.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $92,678.36 | $154,463.93 | $402.93 – $410.99 | 3 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $55,791.08 | $92,985.13 | $180.86 – $11,813.57 | 3 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $359.10 | $598.50 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $55,791.08 | $92,985.13 | $490.82 – $500.64 | 3 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $12,111.00 | $20,185.00 | not published | 0 |
| Anidulafungin injection HCPCS J0348 | $1,803.91 | $3,006.52 | not published | 0 |
| Ankle X-ray CPT 73610 | $569.40 | $949.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $213.60 | $356.00 | not published | 0 |
| Anterior asis pad HCPCS L1250 | $370.74 | $617.90 | not published | 0 |
| Anterior swing band HCPCS L2335 | $1,317.74 | $2,196.23 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $442.12 | $736.87 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $1,021.03 | $1,701.72 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $154.80 | $258.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $52.20 | $87.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $86.40 | $144.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $99.60 | $166.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $675.60 | $1,126.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $124.80 | $208.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $22,809.60 | $38,016.00 | not published | 0 |
| Anti-inhibitor HCPCS J7198 | $38,880.00 | $64,800.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $495.00 | $825.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $42.00 | $70.00 | not published | 0 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $68,288.78 | $113,814.63 | $12,880.66 – $13,138.27 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $87,672.79 | $146,121.32 | $12,880.66 – $12,880.66 | 1 |
| Antinuclear antibodies CPT 86038 | $145.20 | $242.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $50.40 | $84.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $91.20 | $152.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $77.40 | $129.00 | not published | 0 |
| Antithrombin iii injection HCPCS J7197 | $12,844.80 | $21,408.00 | not published | 0 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $29,153.15 | $48,588.58 | not published | 0 |
| Apheresis plasma CPT 36514 | $3,655.80 | $6,093.00 | not published | 0 |
| Apheresis rbc CPT 36512 | $2,833.80 | $4,723.00 | not published | 0 |
| Apheresis wbc CPT 36511 | $4,722.60 | $7,871.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,061.40 | $1,769.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $25,936.15 | $43,226.92 | $6,065.29 – $6,186.60 | 3 |
| Appl hip spica cast 1 leg CPT 29305 | $237.00 | $395.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $477.60 | $796.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $477.60 | $796.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $477.60 | $796.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $579.60 | $966.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $237.00 | $395.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $237.00 | $395.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $237.00 | $395.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $237.00 | $395.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $237.00 | $395.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $376.80 | $628.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $237.00 | $395.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $18,820.49 | $31,367.48 | $741.49 – $756.32 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,335.00 | $2,225.00 | not published | 0 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $12,971.51 | $21,619.18 | 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.