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 |
|---|---|---|---|---|
| Sterile water/saline, 10 ml HCPCS A4216 | $513.00 | $855.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $470.35 | $783.92 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $255.60 | $426.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $275.40 | $459.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $558.00 | $930.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $275.40 | $459.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $73.31 | $122.18 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $688.82 | $1,148.03 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $121.80 | $203.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $48.00 | $80.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $48.00 | $80.00 | not published | 0 |
| Strapping of knee CPT 29530 | $97.20 | $162.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $55.20 | $92.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $311.40 | $519.00 | not published | 0 |
| Stress tte complete CPT 93351 | $2,269.80 | $3,783.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $733.80 | $1,223.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $231.60 | $386.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $259.20 | $432.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $48.00 | $80.00 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $118.51 | $197.51 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $1,186.88 | $1,978.13 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.60 | $146.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $154.80 | $258.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $172.80 | $288.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $259.80 | $433.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $337.20 | $562.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $811.20 | $1,352.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $43.20 | $72.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $202.80 | $338.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $360.60 | $601.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $498.01 | $830.02 | not published | 0 |
| Svc venogram s&i CPT 75827 | $4,217.40 | $7,029.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $27.60 | $46.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $98,781.00 | $164,635.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $86,823.30 | $144,705.50 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $41,950.73 | $69,917.89 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $35,743.13 | $59,571.88 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $205.20 | $342.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $99.60 | $166.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $85.20 | $142.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $42.00 | $70.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $65.27 | $108.78 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $2,410.02 | $4,016.70 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $301.20 | $502.00 | not published | 0 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $8,123.96 | $13,539.94 | not published | 0 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $40,657.30 | $67,762.17 | not published | 0 |
| Talymed HCPCS Q4127 | $6,758.70 | $11,264.50 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,407.60 | $2,346.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $756.00 | $1,260.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $4,625.40 | $7,709.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $9,196.80 | $15,328.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $22,311.60 | $37,186.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $2,748.10 | $4,580.16 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $322.20 | $537.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $726.00 | $1,210.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,385.60 | $3,976.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $276.60 | $461.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $822.00 | $1,370.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $121.20 | $202.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $60.60 | $101.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $438.01 | $730.01 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $1,031.10 | $1,718.50 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $35.70 | $59.50 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $36.00 | $60.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $209.40 | $349.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $358.20 | $597.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $52.80 | $88.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $155.40 | $259.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $160.20 | $267.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $126.60 | $211.00 | not published | 0 |
| T cells total count CPT 86359 | $158.40 | $264.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $62,970.00 | $104,950.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,114.20 | $1,857.00 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $47,792.22 | $79,653.70 | not published | 0 |
| Tension based scoliosis orth HCPCS L1005 | $15,003.38 | $25,005.63 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $48.00 | $80.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $199.20 | $332.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $1,209.91 | $2,016.52 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $1,669.80 | $2,783.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $3,739.22 | $6,232.04 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,929.80 | $4,883.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $74.40 | $124.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $116.40 | $194.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $126.60 | $211.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $140.40 | $234.00 | not published | 0 |
| Ther/proph/diag inj ia CPT 96373 | $468.00 | $780.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $48.00 | $80.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $1,594.95 | $2,658.25 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $2,127.28 | $3,545.46 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $1,124.18 | $1,873.63 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $1,466.90 | $2,444.83 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $685.90 | $1,143.17 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $747.67 | $1,246.11 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,321.80 | $2,203.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $839.90 | $1,399.83 | not published | 0 |
| Thoracic pad HCPCS L1060 | $507.68 | $846.14 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $5,389.07 | $8,981.79 | not published | 0 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,732.80 | $2,888.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $21,516.00 | $35,860.00 | not published | 0 |
| Thrombin time CPT 85670 | $58.20 | $97.00 | 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.