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 |
|---|---|---|---|---|
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $157.44 | $262.40 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $7,167.71 | $11,946.18 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $639.00 | $1,065.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $378.60 | $631.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $311.40 | $519.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $75.59 | $125.99 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $17,286.68 | $28,811.13 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $25,969.01 | $43,281.68 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $31,891.49 | $53,152.48 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | $42,967.72 | $71,612.87 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $28,305.66 | $47,176.10 | $3,282.70 – $3,348.35 | 3 |
| Sho arthrs srg rpr slap les CPT 29807 | $40,120.97 | $66,868.28 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $36,001.21 | $60,002.02 | $7,279.94 – $7,425.54 | 3 |
| Shoe clubfoot wedge HCPCS L3380 | $232.50 | $387.50 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $202.81 | $338.02 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $190.81 | $318.01 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $161.06 | $268.44 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $292.08 | $486.80 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $494.68 | $824.47 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $292.08 | $486.80 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $274.40 | $457.34 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $347.09 | $578.48 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $435.16 | $725.26 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $190.81 | $318.01 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $232.50 | $387.50 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $571.89 | $953.15 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $232.50 | $387.50 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $166.89 | $278.15 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $399.55 | $665.91 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $751.21 | $1,252.01 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $2,425.70 | $4,042.83 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $244.46 | $407.43 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $35,060.80 | $58,434.67 | $7,279.94 – $7,425.54 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,426.20 | $7,377.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $3,543.60 | $5,906.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,204.40 | $3,674.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $759.60 | $1,266.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $395.85 | $659.75 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $278.46 | $464.10 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $15,077.10 | $25,128.50 | not published | 0 |
| Sickling rbc CPT 85660 | $110.40 | $184.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $4,834.80 | $8,058.00 | $933.00 – $951.66 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $6,778.23 | $11,297.05 | $933.00 – $951.66 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $5,718.04 | $9,530.07 | $1,200.55 – $1,224.56 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,232.88 | $2,054.80 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,021.60 | $5,036.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,730.60 | $4,551.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,481.40 | $2,469.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $1,252.91 | $2,088.18 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $829.60 | $1,382.67 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $187,807.50 | $313,012.50 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $48.73 | $81.21 | not published | 0 |
| Skin Biopsy CPT 11102 | $150.60 | $251.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $5,349.00 | $8,915.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $718.80 | $1,198.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $910.29 | $1,517.15 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $404.17 | $673.62 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $35,349.46 | $58,915.76 | not published | 0 |
| Slp pure tone screening CPT 92551 | $8.40 | $14.00 | not published | 0 |
| Small bowel endoscopy CPT 44369 | $5,182.81 | $8,638.02 | $1,925.18 – $1,963.69 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | $5,871.69 | $9,786.15 | $1,925.18 – $1,963.69 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $37.80 | $63.00 | not published | 0 |
| Smear gram stain CPT 87205 | $202.20 | $337.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $31.80 | $53.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $139.80 | $233.00 | not published | 0 |
| Smear wet mount CPT 87210 | $97.20 | $162.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $702.00 | $1,170.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $5,042.72 | $8,404.53 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $3,844.04 | $6,406.73 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $2,547.88 | $4,246.46 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $142.55 | $237.59 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $79.20 | $132.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $171.00 | $285.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $129.00 | $215.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $196.65 | $327.75 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $145.53 | $242.55 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $300.51 | $500.85 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.60 | $71.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $48.00 | $80.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $354.78 | $591.30 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $3,954.00 | $6,590.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $748.81 | $1,248.02 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $67,499.53 | $112,499.22 | $12,880.66 – $12,880.66 | 1 |
| Spinal bone allograftstructural 20931 CPT 20931 | $74,617.19 | $124,361.98 | $12,880.66 – $12,880.66 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | $66,967.48 | $111,612.47 | $12,880.66 – $12,880.66 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,427.20 | $5,712.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $819.60 | $1,366.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,161.95 | $3,603.25 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $280.22 | $467.04 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $412.07 | $686.79 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $419.35 | $698.92 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $412.07 | $686.79 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $255.60 | $426.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $1,299.75 | $2,166.25 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $79,462.31 | $132,437.18 | $649.73 – $662.72 | 3 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $93,783.20 | $156,305.34 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $75,385.50 | $125,642.50 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $81,884.25 | $136,473.75 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,819.65 | $3,032.75 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $83,903.56 | $139,839.27 | $446.69 – $455.62 | 3 |
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.