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 |
|---|---|---|---|---|
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $57,189.00 | $95,315.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $29,594.09 | $49,323.48 | $7,279.94 – $7,279.94 | 2 |
| Clearance of airways CPT 31720 | $180.60 | $301.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $111.04 | $185.07 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $10,034.07 | $16,723.45 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $1,779.31 | $2,965.51 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $172.80 | $288.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,195.80 | $1,993.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,195.80 | $1,993.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,195.80 | $1,993.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $172.80 | $288.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $381.00 | $635.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,039.00 | $5,065.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $174.00 | $290.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,965.00 | $3,275.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $710.40 | $1,184.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $142.80 | $238.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $83.40 | $139.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $214.20 | $357.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $172.80 | $288.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $476.40 | $794.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $172.80 | $288.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $172.80 | $288.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,195.20 | $1,992.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $172.80 | $288.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $172.80 | $288.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $453.60 | $756.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $172.80 | $288.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $172.80 | $288.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,566.00 | $2,610.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $172.80 | $288.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $172.80 | $288.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $172.80 | $288.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $172.80 | $288.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,965.00 | $3,275.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,195.80 | $1,993.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $181.80 | $303.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $537.60 | $896.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $80,928.00 | $134,880.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $113.40 | $189.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $62,112.46 | $103,520.76 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $1,533.71 | $2,556.18 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $72.00 | $120.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $51.60 | $86.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $441.92 | $736.53 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $296.35 | $493.91 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $714.65 | $1,191.09 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $489.80 | $816.33 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $318.00 | $530.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $145.20 | $242.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $37.80 | $63.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $4,872.71 | $8,121.18 | $933.00 – $951.66 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $6,650.55 | $11,084.25 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $6,881.63 | $11,469.38 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy submucous njx CPT 45381 | $16,275.49 | $27,125.82 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | $4,214.30 | $7,023.83 | $933.00 – $951.66 | 3 |
| Colonoscopy w/ablation CPT 45388 | $5,401.36 | $9,002.27 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | $7,165.80 | $11,943.00 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/control bleed CPT 45382 | $12,653.16 | $21,088.60 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $6,121.65 | $10,202.75 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $7,454.58 | $12,424.30 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/resection CPT 45390 | $13,487.60 | $22,479.33 | $2,784.74 – $2,840.43 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,356.80 | $3,928.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $9,064.72 | $15,107.86 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $205.80 | $343.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $210.60 | $351.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $204.00 | $340.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $203.40 | $339.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $142.20 | $237.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,921.80 | $3,203.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,921.80 | $3,203.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $4,325.57 | $7,209.28 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $69.60 | $116.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $36,367.01 | $60,611.68 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $600.00 | $1,000.00 | 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.