St Francis Medical Center
13710 St. Francis Boulevard, Midlothian, VA · Bonsecours · · NPI 1447212592
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $120.60 | $201.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $151.20 | $252.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,284.00 | $2,140.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $378.60 | $631.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $70.20 | $117.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $175.80 | $293.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $224.40 | $374.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $224.40 | $374.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $224.40 | $374.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $224.40 | $374.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $224.40 | $374.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $8,463.00 | $14,105.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $4,077.60 | $6,796.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,457.00 | $4,095.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $1,764.00 | $2,940.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,323.20 | $3,872.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,604.00 | $4,340.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,969.20 | $3,282.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,324.80 | $7,208.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $3,663.00 | $6,105.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,527.20 | $4,212.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $388.52 | $647.54 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,315.00 | $5,525.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,041.20 | $3,402.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,583.40 | $2,639.00 | not published | 0 |
| Abdominoplasty 15830 CPT 15830 | $43,273.32 | $72,122.20 | $6,478.71 – $6,478.71 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $688.80 | $1,148.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $990.31 | $1,650.51 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $1,180.12 | $1,966.87 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $417.32 | $695.54 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $381.61 | $636.01 | not published | 0 |
| Abl1 gene CPT 81170 | $992.40 | $1,654.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $2,534.40 | $4,224.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $5,150.40 | $8,584.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,523.80 | $15,873.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $24,686.02 | $41,143.37 | $5,775.89 – $5,775.89 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | $24,125.17 | $40,208.62 | $1,513.86 – $1,513.86 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $294.60 | $491.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $14,683.24 | $24,472.07 | $884.93 – $884.93 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $4,870.80 | $8,118.00 | $240.67 – $240.67 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $58,883.95 | $98,139.92 | $12,526.51 – $12,526.51 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $6,546.00 | $10,910.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $416.85 | $694.75 | not published | 0 |
| Acetone qualitative CPT 82009 | $89.40 | $149.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $218.40 | $364.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $48.00 | $80.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $131.04 | $218.40 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $555.00 | $925.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $327.60 | $546.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $48.00 | $80.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $60.00 | $100.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,879.67 | $33,132.79 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $237.00 | $395.00 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $894.85 | $1,491.42 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $57.49 | $95.82 | not published | 0 |
| Adh-sendout CPT 84588 | $153.60 | $256.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,195.24 | $1,992.06 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $376.80 | $628.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $817.20 | $1,362.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $262.20 | $437.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $57.60 | $96.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $37.20 | $62.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $19.20 | $32.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $25.20 | $42.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.40 | $64.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $36,385.38 | $60,642.30 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $118.80 | $198.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.60 | $41.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $630.00 | $1,050.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $2,115.84 | $3,526.40 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,829.92 | $8,049.87 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $2,020.23 | $3,367.05 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $4,182.91 | $6,971.51 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,314.62 | $2,191.03 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,892.69 | $3,154.49 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,925.71 | $3,209.52 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $3,605.04 | $6,008.40 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,337.39 | $2,228.98 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,637.76 | $4,396.27 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,694.82 | $6,158.04 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,613.00 | $6,021.66 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $2,364.92 | $3,941.54 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $7,438.52 | $12,397.54 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $2,994.62 | $4,991.04 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $367.62 | $612.70 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $457.20 | $762.00 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $828.25 | $1,380.42 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $78.60 | $131.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $735.00 | $1,225.00 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $771.75 | $1,286.25 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $118.20 | $197.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $110.40 | $184.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $900.05 | $1,500.08 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $9.97 | $16.61 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $67.20 | $112.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $37.20 | $62.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $45.60 | $76.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $45.00 | $75.00 | 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.