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 |
|---|---|---|---|---|
| Echo stress CPT 93350 | $1,653.60 | $2,756.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $10,860.60 | $18,101.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,939.20 | $3,232.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $2,189.40 | $3,649.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $35,615.53 | $59,359.21 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $2,401.80 | $4,003.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,426.80 | $2,378.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $3,283.20 | $5,472.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $611.40 | $1,019.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $130.20 | $217.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $11,460.02 | $19,100.03 | $1,872.25 – $1,872.25 | 3 |
| Egd dilate stricture CPT 43245 | $4,677.97 | $7,796.62 | $1,872.25 – $1,872.25 | 3 |
| Egd guide wire insertion CPT 43248 | $4,544.48 | $7,574.13 | $884.93 – $884.93 | 3 |
| Egd lesion ablation CPT 43270 | $7,055.55 | $11,759.25 | $1,872.25 – $1,872.25 | 3 |
| Egd remove foreign body CPT 43247 | $2,490.60 | $4,151.00 | $884.93 – $884.93 | 3 |
| Egd remove lesion snare CPT 43251 | $5,508.73 | $9,181.22 | $1,872.25 – $1,872.25 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $4,786.13 | $7,976.88 | $1,872.25 – $1,872.25 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $9,228.71 | $15,381.18 | $1,872.25 – $1,872.25 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $10,528.58 | $17,547.63 | $1,872.25 – $1,872.25 | 3 |
| Egd varices ligation CPT 43244 | $6,115.60 | $10,192.67 | $1,872.25 – $1,872.25 | 3 |
| Egfr gene com variants CPT 81235 | $1,096.80 | $1,828.00 | not published | 0 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $115.80 | $193.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $28,022.61 | $46,704.35 | not published | 0 |
| Electrolyte panel CPT 80051 | $54.00 | $90.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,083.60 | $1,806.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $12,438.00 | $20,730.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $7,083.60 | $11,806.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $2,047.80 | $3,413.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $5,762.40 | $9,604.00 | not published | 0 |
| Emg needle test 4-extremities CPT 95864 | $295.20 | $492.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $136.80 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $136.80 | $228.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $2,309.14 | $3,848.56 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,587.41 | $2,645.68 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $2,183.01 | $3,638.35 | not published | 0 |
| Endo cholangiopancreatograph CPT 43262 | $20,674.08 | $34,456.80 | $3,761.73 – $3,761.73 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | $2,460.17 | $4,100.28 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $3,173.99 | $5,289.98 | not published | 0 |
| Endoluminal bx biliary tree CPT 47543 | $2,772.60 | $4,621.00 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,306.60 | $5,511.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $1,986.60 | $3,311.00 | not published | 0 |
| Endoscopic pancreatoscopy CPT 43273 | $21,128.94 | $35,214.90 | $3,761.73 – $3,761.73 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $3,908.40 | $6,514.00 | $1,872.25 – $1,872.25 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | $6,955.12 | $11,591.87 | $907.35 – $907.35 | 3 |
| Endoscopy maxillary sinus CPT 31267 | $33,332.86 | $55,554.77 | $6,885.86 – $6,885.86 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $440.40 | $734.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,333.20 | $2,222.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $16,116.90 | $26,861.50 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $2,173.75 | $3,622.92 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $24,016.95 | $40,028.25 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $97.86 | $163.10 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $2,133.56 | $3,555.94 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $609.17 | $1,015.28 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,783.20 | $42,972.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,299.00 | $2,165.00 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $7,713.00 | $12,855.00 | not published | 0 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,409.00 | $4,015.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $55.02 | $91.70 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $48.00 | $80.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $905.27 | $1,508.78 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,408.95 | $4,014.92 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $5,836.74 | $9,727.90 | not published | 0 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $580.23 | $967.05 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $110.40 | $184.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $127.20 | $212.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $153.00 | $255.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $724.50 | $1,207.50 | not published | 0 |
| Ercp remove duct calculi 43264 CPT 43264 | $16,025.62 | $26,709.37 | $3,761.73 – $3,761.73 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $14,782.27 | $24,637.12 | $1,872.25 – $1,872.25 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | $19,144.00 | $31,906.67 | $5,923.28 – $6,041.75 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $8,037.00 | $13,395.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $148.76 | $247.94 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $387.00 | $645.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $1,398.00 | $2,330.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $2,173.80 | $3,623.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $2,848.20 | $4,747.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $3,909.00 | $6,515.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $1,152.29 | $1,920.49 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1,359.75 | $2,266.25 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $1,452.00 | $2,420.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $2,922.74 | $4,871.23 | $884.93 – $884.93 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $1,452.00 | $2,420.00 | not published | 0 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $23,657.83 | $39,429.72 | $3,820.23 – $3,896.63 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $5,329.58 | $8,882.63 | $1,872.25 – $1,872.25 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $200.40 | $334.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $229.80 | $383.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $268.20 | $447.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $294.00 | $490.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $408.60 | $681.00 | not published | 0 |
| Estradiol total CPT 82670 | $240.00 | $400.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $92.40 | $154.00 | not published | 0 |
| Etonogestrel implant system HCPCS J7307 | $592.20 | $987.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $90.00 | $150.00 | not published | 0 |
| Euglobulin lysis CPT 85360 | $49.80 | $83.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $247.20 | $412.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $594.60 | $991.00 | not published | 0 |
| Event monitor CPT 93270 | $793.80 | $1,323.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $5,792.68 | $9,654.46 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $3,341.09 | $5,568.48 | not published | 0 |
| Exc abd les sc 3 cm/> CPT 22903 | $15,429.30 | $25,715.50 | $2,834.09 – $2,834.09 | 3 |
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.