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 |
|---|---|---|---|---|
| Pelvic MRI (with contrast) CPT 72196 | $3,568.80 | $5,948.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $2,658.00 | $4,430.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,611.00 | $2,685.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $759.60 | $1,266.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $648.68 | $1,081.13 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $35,011.26 | $58,352.10 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $23,530.26 | $39,217.10 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $4,355.81 | $7,259.68 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $480.82 | $801.36 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $61,661.60 | $102,769.33 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $1,577.11 | $2,628.52 | not published | 0 |
| Perc cryo ablate renal tum CPT 50593 | $17,777.40 | $29,629.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $4,783.80 | $7,973.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $2,142.00 | $3,570.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,773.47 | $2,955.78 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,756.40 | $4,594.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $31,443.82 | $52,406.37 | $8,364.11 – $8,364.11 | 1 |
| Peripheral vascular rehab CPT 93668 | $144.00 | $240.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $597.89 | $996.48 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $80.12 | $133.53 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $26,827.80 | $44,713.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $4,027.20 | $6,712.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $3,720.60 | $6,201.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $8,743.20 | $14,572.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $39,695.27 | $66,158.78 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $80,994.23 | $134,990.39 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $499.36 | $832.27 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,013.40 | $11,689.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $163,183.61 | $271,972.69 | not published | 0 |
| Ph body fluid CPT 83986 | $39.60 | $66.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $323.19 | $538.65 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $282.60 | $471.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $4,630.12 | $7,716.87 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $621.34 | $1,035.57 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $48.00 | $80.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $208.80 | $348.00 | not published | 0 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $12,227.36 | $20,378.93 | $3,167.80 – $3,231.16 | 3 |
| Phosphorus CPT 84100 | $96.60 | $161.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $34.20 | $57.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $115.69 | $192.81 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $3,402.59 | $5,670.98 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $47,830.80 | $79,718.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $56.70 | $94.50 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $3,189.60 | $5,316.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,538.20 | $5,897.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,852.40 | $4,754.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,811.00 | $9,685.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $829.20 | $1,382.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $51,737.54 | $86,229.23 | $11,581.93 – $11,813.57 | 3 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,725.40 | $11,209.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,678.40 | $14,464.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,654.00 | $11,090.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $6,725.40 | $11,209.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $490.06 | $816.76 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $696.67 | $1,161.11 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $10,018.58 | $16,697.63 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $136.80 | $228.00 | not published | 0 |
| Platelet automated CPT 85049 | $86.40 | $144.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $366.37 | $610.62 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $5,889.00 | $9,815.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $5,119.20 | $8,532.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $4,918.20 | $8,197.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $405.00 | $675.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $5,025.60 | $8,376.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $7,320.60 | $12,201.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $82.20 | $137.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $84.00 | $140.00 | not published | 0 |
| Pm phone r-strip device eval CPT 93293 | $94.80 | $158.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $613.17 | $1,021.95 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $327.60 | $546.00 | not published | 0 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $55,834.23 | $93,057.05 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,884.80 | $9,808.00 | not published | 0 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $94,885.04 | $158,141.73 | $17,591.15 – $17,591.15 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,184.96 | $1,974.93 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $2,753.23 | $4,588.72 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $6,615.10 | $11,025.17 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $8,414.89 | $14,024.82 | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $91,942.84 | $153,238.07 | $17,591.15 – $17,591.15 | 1 |
| Potassium 24 hour urine CPT 84133 | $91.20 | $152.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $113.40 | $189.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $41.40 | $69.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $1,906.80 | $3,178.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,147.20 | $1,912.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $35,098.29 | $58,497.15 | $7,279.94 – $7,425.54 | 3 |
| Pq thr inj ext pse CPT 36002 | $1,156.80 | $1,928.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $819.32 | $1,365.53 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,481.60 | $4,136.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $477.60 | $796.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $477.60 | $796.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $452.40 | $754.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $119,363.11 | $198,938.52 | $3,282.70 – $3,348.35 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $58.80 | $98.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,648.20 | $2,747.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $15,998.08 | $26,663.47 | $3,536.51 – $3,607.24 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $537.60 | $896.00 | not published | 0 |
| Prealbumin CPT 84134 | $151.20 | $252.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $457.79 | $762.98 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $6.00 | $10.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,944.60 | $3,241.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $890.40 | $1,484.00 | 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.