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 |
|---|---|---|---|---|
| Warde pancreatic elastase fecal quantitative CPT 82653 | $79.80 | $133.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $118.80 | $198.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $72.00 | $120.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $106.20 | $177.00 | not published | 0 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $186.60 | $311.00 | not published | 0 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $333.00 | $555.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $143.40 | $239.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $264.60 | $441.00 | not published | 0 |
| Warde viscosity CPT 85810 | $85.20 | $142.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $152.40 | $254.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $181.20 | $302.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $140.40 | $234.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $193.20 | $322.00 | not published | 0 |
| Warde zinc CPT 84630 | $120.00 | $200.00 | not published | 0 |
| Wbc automated CPT 85048 | $73.80 | $123.00 | not published | 0 |
| Wedging of cast CPT 29740 | $237.00 | $395.00 | not published | 0 |
| Whfo electric custom fitted HCPCS L3904 | $14,399.88 | $23,999.80 | not published | 0 |
| Whfo nontorsion joint prefab HCPCS L3931 | $889.49 | $1,482.49 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $1,937.83 | $3,229.71 | not published | 0 |
| Who nontorsion jnts pre cst HCPCS L3915 | $2,267.75 | $3,779.59 | not published | 0 |
| Who nontorsion jnts pre ots HCPCS L3916 | $2,267.75 | $3,779.59 | not published | 0 |
| Wilate injection HCPCS J7183 | $10,080.00 | $16,800.00 | not published | 0 |
| Woman's shoe oxford brace HCPCS L3224 | $316.72 | $527.87 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $649.20 | $1,082.00 | $407.84 – $416.00 | 3 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $264.00 | $440.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $307.80 | $513.00 | not published | 0 |
| Wrist arthroscopy/surgery CPT 29846 | $15,227.89 | $25,379.82 | $3,282.70 – $3,348.35 | 3 |
| Wrist endoscopy/surgery CPT 29848 | $8,505.68 | $14,176.13 | $1,613.25 – $1,645.51 | 3 |
| Wrist X-ray CPT 73110 | $662.40 | $1,104.00 | not published | 0 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $13,754.00 | $22,923.33 | $2,315.37 – $2,361.68 | 3 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $25,026.66 | $41,711.10 | $5,338.70 – $5,445.48 | 3 |
| Xcellistem, 1 mg HCPCS A2004 | $10,470.79 | $17,451.31 | not published | 0 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | $27,704.98 | $46,174.97 | $5,338.70 – $5,445.48 | 3 |
| Xe133 xenon 10mci HCPCS A9558 | $114.60 | $191.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,439.40 | $2,399.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $640.80 | $1,068.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $553.80 | $923.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $722.40 | $1,204.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $871.20 | $1,452.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $578.40 | $964.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,365.60 | $2,276.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $737.40 | $1,229.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $2,170.20 | $3,617.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $591.60 | $986.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,011.60 | $1,686.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,012.80 | $1,688.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $775.20 | $1,292.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,495.80 | $2,493.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $2,462.40 | $4,104.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $357.60 | $596.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $762.60 | $1,271.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,231.80 | $2,053.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $481.80 | $803.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $523.20 | $872.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $804.00 | $1,340.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $640.20 | $1,067.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $666.00 | $1,110.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $568.20 | $947.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $165.60 | $276.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $502.20 | $837.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $664.20 | $1,107.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $776.40 | $1,294.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $614.40 | $1,024.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $385.80 | $643.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $496.20 | $827.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $481.20 | $802.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $543.60 | $906.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $822.60 | $1,371.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,144.80 | $1,908.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,163.40 | $1,939.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $744.00 | $1,240.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $329.40 | $549.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $594.60 | $991.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $445.80 | $743.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $645.00 | $1,075.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $75.00 | $125.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $718.80 | $1,198.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,033.80 | $1,723.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $780.60 | $1,301.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $863.40 | $1,439.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $166.80 | $278.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $511.80 | $853.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $647.40 | $1,079.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $603.60 | $1,006.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $542.40 | $904.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,035.80 | $3,393.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $448.80 | $748.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $600.00 | $1,000.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $924.00 | $1,540.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $696.60 | $1,161.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $576.60 | $961.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $776.40 | $1,294.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $803.40 | $1,339.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $508.20 | $847.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $995.40 | $1,659.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $833.40 | $1,389.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $642.00 | $1,070.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $847.20 | $1,412.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,458.00 | $2,430.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $2,362.80 | $3,938.00 | 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.