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 |
|---|---|---|---|---|
| Replace g-j tube perc CPT 49452 | $1,179.60 | $1,966.00 | not published | 0 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | $38,030.42 | $63,384.03 | $7,279.94 – $7,425.54 | 3 |
| Repl trach puncture dilator HCPCS L8514 | $483.51 | $805.85 | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $4,522.80 | $7,538.00 | not published | 0 |
| Reptilase test CPT 85635 | $77.40 | $129.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $12,477.60 | $20,796.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $876.60 | $1,461.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $447.60 | $746.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $109.20 | $182.00 | not published | 0 |
| Revise arm/leg nerve CPT 64708 | $15,235.21 | $25,392.02 | $3,282.70 – $3,348.35 | 3 |
| Revise breast reconst 19380 CPT 19380 | $34,388.41 | $57,314.02 | $6,661.88 – $7,425.54 | 3 |
| Revise hip joint replacement CPT 27138 | $44,222.29 | $73,703.82 | $12,880.66 – $13,138.27 | 3 |
| Revise hip joint replacement CPT 27137 | $43,700.33 | $72,833.88 | $12,880.66 – $13,138.27 | 3 |
| Revise kneecap with implant CPT 27438 | $26,596.52 | $44,327.53 | $12,880.66 – $13,138.27 | 3 |
| Revise/replace knee joint CPT 27486 | $30,701.17 | $51,168.62 | $12,880.66 – $13,138.27 | 3 |
| Revise/replace knee joint CPT 27487 | $133,876.26 | $223,127.10 | $17,591.15 – $17,942.97 | 3 |
| Revision of cervix CPT 57720 | $34,369.66 | $57,282.77 | $3,247.71 – $3,312.66 | 3 |
| Revision of cervix CPT 59320 | $8,641.15 | $14,401.92 | $3,247.71 – $3,312.66 | 3 |
| Revision of eyelid CPT 67961 | $1,762.80 | $2,938.00 | not published | 0 |
| Revision of foot and ankle CPT 28262 | $118,429.69 | $197,382.82 | $7,279.94 – $7,425.54 | 3 |
| Revision of iris CPT 66761 | $4,795.93 | $7,993.22 | $551.80 – $562.83 | 3 |
| Revision of knee joint CPT 27446 | $46,295.75 | $77,159.58 | $12,880.66 – $13,138.27 | 3 |
| Revision of penis CPT 54435 | $2,671.80 | $4,453.00 | not published | 0 |
| Revision open av fistula without thromb CPT 36832 | $17,066.68 | $28,444.47 | $5,582.68 – $5,694.33 | 3 |
| Revis reconst shoulder joint CPT 23473 | $62,962.68 | $104,937.80 | $12,880.66 – $13,138.27 | 2 |
| Rheumatoid factor quantitative CPT 86431 | $88.20 | $147.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $980.06 | $1,633.44 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $409.58 | $682.63 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,687.39 | $2,812.32 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,492.58 | $2,487.63 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $890.23 | $1,483.71 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $4,580.32 | $7,633.87 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $7,434.26 | $12,390.44 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $27,340.03 | $45,566.72 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $43,743.63 | $72,906.05 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $4,921.10 | $8,201.84 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $4,171.78 | $6,952.96 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $20,858.88 | $34,764.80 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $13,071.19 | $21,785.32 | $407.84 – $407.84 | 2 |
| Rmvl icd by tv extr CPT 33244 | $9,262.20 | $15,437.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $71,731.80 | $119,553.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $93,251.40 | $155,419.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $45,064.80 | $75,108.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $4,153.80 | $6,923.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $202.80 | $338.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $5,923.20 | $9,872.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,780.00 | $36,300.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,571.40 | $2,619.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,655.60 | $4,426.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $4,523.40 | $7,539.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $4,911.60 | $8,186.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $455.38 | $758.97 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $31,714.68 | $52,857.80 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $15,142.58 | $25,237.64 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $178.61 | $297.68 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,499.00 | $4,165.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,587.80 | $4,313.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $5,809.80 | $9,683.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $3,470.40 | $5,784.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $40,203.59 | $67,005.98 | $1,105.55 – $3,626.42 | 3 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $28,009.91 | $46,683.18 | $6,494.99 – $6,624.89 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $17,741.40 | $29,569.00 | $10,664.59 – $10,877.88 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $17,277.10 | $28,795.17 | $6,494.99 – $6,624.89 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $14,873.94 | $24,789.90 | $3,592.11 – $3,663.95 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $15,557.46 | $25,929.10 | $6,065.29 – $6,186.60 | 3 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $21,397.05 | $35,661.75 | $52.28 – $1,339.44 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $22,703.14 | $37,838.57 | $927.78 – $927.78 | 1 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $30,910.99 | $51,518.32 | $10,664.59 – $10,877.88 | 3 |
| Rpr fem hernia init blocked CPT 49553 | $12,947.46 | $21,579.10 | $3,592.11 – $3,663.95 | 3 |
| Rsv assay w/optic CPT 87807 | $41.40 | $69.00 | not published | 0 |
| Rsv vacc mrna lipid nano im CPT 90683 | $704.40 | $1,174.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $134.40 | $224.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $130.80 | $218.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $14,919.57 | $24,865.95 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,000.20 | $1,667.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $595.20 | $992.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $486.60 | $811.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $339.60 | $566.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $462.00 | $770.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,344.60 | $2,241.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,420.20 | $2,367.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $444.00 | $740.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $556.80 | $928.00 | not published | 0 |
| Scan proc spinal CPT 61783 | $103,617.13 | $172,695.22 | $17,591.15 – $17,942.97 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $4,173.60 | $6,956.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $30,414.15 | $50,690.25 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $4,455.83 | $7,426.38 | $933.00 – $951.66 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $4,120.80 | $6,868.00 | $933.00 – $951.66 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $93.00 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $471.00 | $785.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $166.80 | $278.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $1.80 | $3.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $561,070.88 | $935,118.14 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $501.60 | $836.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.60 | $36.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $255.00 | $425.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $1,052.40 | $1,754.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $2,050.20 | $3,417.00 | 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.