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 |
|---|---|---|---|---|
| Prep bk ptb open end socket HCPCS L5535 | $9,085.46 | $15,142.43 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $7,921.87 | $13,203.12 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $22,984.28 | $38,307.13 | $1,657.00 – $3,282.70 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $11,830.28 | $19,717.13 | $741.49 – $756.32 | 2 |
| Pressure velocity wire add ves CPT 93572 | $2,367.60 | $3,946.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $333.00 | $555.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $124.20 | $207.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $498.00 | $830.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $229.80 | $383.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $668.40 | $1,114.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $7,261.50 | $12,102.50 | $1,657.00 – $1,657.00 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $9,164.40 | $15,274.00 | $1,657.00 – $1,657.00 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $11,022.21 | $18,370.35 | $407.84 – $416.00 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $52.80 | $88.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $69.60 | $116.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $155.40 | $259.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $144.00 | $240.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $142.80 | $238.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,314.80 | $8,858.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $57,352.87 | $95,588.12 | $18,391.57 – $18,759.41 | 3 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,652.40 | $2,754.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $342.00 | $570.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $7,413.54 | $12,355.90 | $201.29 – $205.32 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $9,458.14 | $15,763.57 | $305.73 – $311.84 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $5,852.70 | $9,754.50 | $407.84 – $416.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $240.00 | $400.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $240.00 | $400.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $399.60 | $666.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $10,425.72 | $17,376.20 | $1,959.11 – $1,998.29 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $30,960.05 | $51,600.08 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $5,670.00 | $9,450.00 | not published | 0 |
| Procalcitonin CPT 84145 | $171.60 | $286.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.00 | $80.00 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $12.06 | $20.10 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,142.00 | $3,570.00 | not published | 0 |
| Progesterone CPT 84144 | $133.20 | $222.00 | not published | 0 |
| Prolactin CPT 84146 | $166.80 | $278.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $6.00 | $10.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $48.00 | $80.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $132.30 | $220.50 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $108.49 | $180.81 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $13,081.88 | $21,803.13 | $5,379.33 – $5,486.91 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $13,517.40 | $22,529.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $852.64 | $1,421.06 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $163.30 | $272.17 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $4,061.35 | $6,768.92 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $29.06 | $48.44 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $48.00 | $80.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $276.17 | $460.28 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $9,092.59 | $15,154.31 | not published | 0 |
| Protein c activity CPT 85303 | $148.80 | $248.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $154.80 | $258.00 | not published | 0 |
| Protein s total CPT 85305 | $179.40 | $299.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $97.20 | $162.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $104.40 | $174.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $90.60 | $151.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $17,164.80 | $28,608.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $41.40 | $69.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $28,561.16 | $47,601.93 | $3,592.11 – $3,663.95 | 3 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $88.20 | $147.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,574.20 | $35,957.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $21,519.00 | $35,865.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,057.80 | $21,763.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $21,355.20 | $35,592.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $11,401.80 | $19,003.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $20,959.20 | $34,932.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $21,574.20 | $35,957.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $47,660.05 | $79,433.42 | $10,664.59 – $10,664.59 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $251.40 | $419.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $423.00 | $705.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $9,164.40 | $15,274.00 | $1,657.00 – $1,690.14 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $941.40 | $1,569.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $15,310.17 | $25,516.95 | $2,070.03 – $2,070.03 | 2 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,369.40 | $3,949.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $166.80 | $278.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $216.60 | $361.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $73.80 | $123.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $101.40 | $169.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $103.20 | $172.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $364.80 | $608.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $303.60 | $506.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $366.00 | $610.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $249.60 | $416.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $100.20 | $167.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $142.80 | $238.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $89.40 | $149.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $393.60 | $656.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $283.80 | $473.00 | not published | 0 |
| Pulse ox single CPT 94760 | $214.80 | $358.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $2,235.57 | $3,725.95 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $106.20 | $177.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $481.80 | $803.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,581.20 | $4,302.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $26,670.87 | $44,451.45 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $8,838.30 | $14,730.50 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,418.40 | $2,364.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $102.68 | $171.13 | 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.