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 |
|---|---|---|---|---|
| Culture anaerobic additional method definitive id each CPT 87076 | $148.80 | $248.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $420.60 | $701.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $22.80 | $38.00 | not published | 0 |
| Culture body fluid CPT 87070 | $240.60 | $401.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $246.00 | $410.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $112.80 | $188.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $216.60 | $361.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $74.40 | $124.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $294.60 | $491.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $147.60 | $246.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $136.20 | $227.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $73.20 | $122.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $832.80 | $1,388.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $135.00 | $225.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $94.80 | $158.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $18,560.43 | $30,934.05 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $48.00 | $80.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $121.20 | $202.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $873.00 | $1,455.00 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $121.24 | $202.06 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $672.61 | $1,121.01 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $226.80 | $378.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $31.22 | $52.03 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $124.60 | $207.67 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $23,395.50 | $38,992.50 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $75,754.89 | $126,258.15 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $550.80 | $918.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $524.40 | $874.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $524.40 | $874.00 | not published | 0 |
| Cystatin c CPT 82610 | $130.80 | $218.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $2,676.60 | $4,461.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $74.40 | $124.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $843.00 | $1,405.00 | not published | 0 |
| Cystoscopy and treatment CPT 52214 | $16,927.26 | $28,212.10 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy and treatment CPT 52234 | $12,159.60 | $20,266.00 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy and treatment CPT 52235 | $17,539.87 | $29,233.12 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy and treatment CPT 52240 | $20,369.83 | $33,949.72 | $5,379.33 – $5,486.91 | 3 |
| Cystoscopy and treatment CPT 52283 | $13,081.88 | $21,803.13 | $5,379.33 – $5,486.91 | 3 |
| Cystoscopy and treatment CPT 52310 | $1,546.20 | $2,577.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $1,546.20 | $2,577.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $41,439.20 | $69,065.33 | $6,065.29 – $6,186.60 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $7,904.77 | $13,174.62 | $2,097.22 – $2,139.16 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | $15,998.08 | $26,663.47 | $3,536.51 – $3,607.24 | 3 |
| Cysto/uretero stricture tx CPT 52344 | $13,060.84 | $21,768.07 | $3,536.51 – $3,607.24 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | $27,308.19 | $45,513.65 | $5,379.33 – $5,486.91 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | $17,733.35 | $29,555.58 | $5,379.33 – $5,486.91 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $8,940.32 | $14,900.53 | $2,097.22 – $2,139.16 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $118.27 | $197.11 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $1,837.80 | $3,063.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $158.40 | $264.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $162.00 | $270.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $544.20 | $907.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $92.40 | $154.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $67.80 | $113.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $152.40 | $254.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $80.40 | $134.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $105.60 | $176.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $187.80 | $313.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $423.00 | $705.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $93.60 | $156.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $113.40 | $189.00 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $61,528.26 | $102,547.10 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $22,291.20 | $37,152.00 | not published | 0 |
| Dch validity tests CPT 81002 | $51.00 | $85.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $40.20 | $67.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,210.80 | $2,018.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $307.80 | $513.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $4,266.60 | $7,111.00 | $1,657.00 – $1,690.14 | 3 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $11,823.51 | $19,705.85 | $741.49 – $756.32 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $9,604.70 | $16,007.83 | $407.84 – $416.00 | 3 |
| Debride nail1-5 11720 CPT 11720 | $89.40 | $149.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $229.80 | $383.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $5,012.47 | $8,354.12 | $2,914.21 – $2,972.50 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $690.60 | $1,151.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $10,046.96 | $16,744.93 | $741.49 – $756.32 | 3 |
| Decalcification CPT 88311 | $79.20 | $132.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $582.00 | $970.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $708.00 | $1,180.00 | not published | 0 |
| Deep muscle biopsy 20205 CPT 20205 | $24,618.45 | $41,030.75 | $2,914.21 – $2,972.50 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $139.48 | $232.47 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,435.37 | $7,392.28 | not published | 0 |
| Delayed breast prosthesis 19342 CPT 19342 | $31,443.82 | $52,406.37 | $8,200.11 – $8,364.11 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $185.40 | $309.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $19,870.51 | $33,117.51 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $97.20 | $162.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $10,372.01 | $17,286.68 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $89.78 | $149.63 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $166.20 | $277.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $6,170.15 | $10,283.58 | $1,959.11 – $1,998.29 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $376.20 | $627.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $376.20 | $627.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $188.40 | $314.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $150.60 | $251.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $5,834.30 | $9,723.83 | $1,959.11 – $1,998.29 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $6,037.20 | $10,062.00 | $1,959.11 – $1,998.29 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $778.20 | $1,297.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $17.40 | $29.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $25,215.15 | $42,025.25 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $12,997.50 | $21,662.50 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $5,947.66 | $9,912.76 | 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.