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 |
|---|---|---|---|---|
| Exc abdl tum deep < 5 cm CPT 22900 | $9,711.19 | $16,185.32 | $2,834.09 – $2,834.09 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $16,836.56 | $28,060.93 | $2,834.09 – $2,834.09 | 3 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $17,586.00 | $29,310.00 | $1,611.44 – $1,611.44 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $10,795.40 | $17,992.33 | $3,820.23 – $3,896.63 | 2 |
| Exc back tum deep 5 cm/> CPT 21933 | $10,610.57 | $17,684.28 | $2,834.09 – $2,834.09 | 2 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $10,490.26 | $17,483.77 | $2,834.09 – $2,834.09 | 2 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $42,496.87 | $70,828.12 | $10,371.37 – $10,371.37 | 2 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $541.20 | $902.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $5,981.39 | $9,968.98 | $690.91 – $704.73 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $6,996.28 | $11,660.47 | $1,611.44 – $1,611.44 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $9,174.41 | $15,290.68 | $2,834.09 – $2,834.09 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $311.40 | $519.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $5,580.12 | $9,300.20 | $1,611.44 – $1,611.44 | 3 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $12,827.24 | $21,378.73 | $1,611.44 – $1,611.44 | 3 |
| Exc forearm les sc 3 cm/> CPT 25071 | $9,069.44 | $15,115.73 | $1,611.44 – $1,611.44 | 3 |
| Exc hand les sc < 1.5 cm CPT 26115 | $7,783.18 | $12,971.97 | $1,611.44 – $1,611.44 | 3 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $27,531.79 | $45,886.32 | $2,834.09 – $2,834.09 | 3 |
| Excise parotid gland/lesion CPT 42415 | $49,855.00 | $83,091.67 | $5,775.89 – $5,775.89 | 2 |
| Excise parotid gland/lesion CPT 42420 | $41,888.00 | $69,813.33 | $5,775.89 – $5,775.89 | 3 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $15,318.57 | $25,530.95 | $1,611.44 – $1,611.44 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $6,779.55 | $11,299.25 | $1,611.44 – $1,611.44 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $8,805.13 | $14,675.22 | $690.91 – $690.91 | 1 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $12,044.03 | $20,073.38 | $1,611.44 – $1,611.44 | 2 |
| Excision breast lesion CPT 19125 | $30,623.56 | $51,039.27 | $3,820.23 – $3,820.23 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | $15,453.25 | $25,755.42 | $3,234.84 – $3,234.84 | 2 |
| Excision olecranon bursa CPT 24105 | $15,792.54 | $26,320.90 | $3,192.44 – $3,192.44 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $10,869.61 | $18,116.02 | $1,611.44 – $1,643.67 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $126,315.25 | $210,525.42 | $26,474.25 – $26,474.25 | 3 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $5,508.00 | $9,180.00 | $1,611.44 – $1,611.44 | 3 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,351.80 | $2,253.00 | not published | 0 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,330.80 | $2,218.00 | not published | 0 |
| Exc neck tum deep 5 cm/> CPT 21554 | $23,043.54 | $38,405.90 | $2,890.77 – $2,890.77 | 1 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $16,039.67 | $26,732.78 | $2,834.09 – $2,834.09 | 3 |
| Exc prtl bn phlnx toe CPT 28124 | $14,594.27 | $24,323.78 | $3,192.44 – $3,192.44 | 3 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $8,083.20 | $13,472.00 | $690.91 – $690.91 | 3 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $16,770.29 | $27,950.48 | $3,192.44 – $3,192.44 | 3 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $9,131.15 | $15,218.58 | $2,834.09 – $2,890.77 | 3 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $14,190.32 | $23,650.53 | $1,611.44 – $1,611.44 | 2 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $8,245.33 | $13,742.22 | $2,834.09 – $2,834.09 | 3 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $10,692.01 | $17,820.02 | $2,834.09 – $2,834.09 | 3 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $8,969.67 | $14,949.45 | $1,611.44 – $1,611.44 | 3 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $15,429.30 | $25,715.50 | $2,834.09 – $2,834.09 | 3 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $8,359.52 | $13,932.53 | $1,611.44 – $1,611.44 | 3 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $9,419.18 | $15,698.63 | $1,568.89 – $1,568.89 | 3 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $9,844.29 | $16,407.15 | $1,611.44 – $1,611.44 | 3 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,228.40 | $3,714.00 | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $9,132.19 | $15,220.32 | $1,611.44 – $1,611.44 | 3 |
| Exc vagina lesion 57135 CPT 57135 | $9,743.46 | $16,239.10 | $3,158.41 – $3,158.41 | 3 |
| Exome sequence analysis CPT 81415 | $16,600.80 | $27,668.00 | not published | 0 |
| Exome sequence analysis CPT 81416 | $41,674.80 | $69,458.00 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $11,333.82 | $18,889.70 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $31,442.29 | $52,403.82 | $3,637.69 – $3,710.44 | 3 |
| Exploration of knee joint CPT 27310 | $37,667.39 | $62,778.98 | $3,192.44 – $3,192.44 | 3 |
| Exploration of toe joint CPT 28024 | $1,195.80 | $1,993.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,250.40 | $2,084.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $12,980.35 | $21,633.92 | $1,568.89 – $1,568.89 | 3 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $8,088.96 | $13,481.60 | $1,611.44 – $1,611.44 | 2 |
| Extended steel shank HCPCS L2360 | $241.70 | $402.84 | not published | 0 |
| Extension per extension per HCPCS L2760 | $266.35 | $443.91 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $652.80 | $1,088.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $41.40 | $69.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $841.80 | $1,403.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $130.80 | $218.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $7,410.03 | $12,350.05 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $748.20 | $1,247.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,312.60 | $10,521.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $863.40 | $1,439.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $200.40 | $334.00 | not published | 0 |
| Factor ix CPT 85250 | $133.80 | $223.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $9,500.40 | $15,834.00 | not published | 0 |
| Factor viii CPT 85240 | $316.20 | $527.00 | not published | 0 |
| Factor viii recombinant nos HCPCS J7192 | $13,269.98 | $22,116.64 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $48.00 | $80.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $33.60 | $56.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $600.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $2,217.89 | $3,696.49 | not published | 0 |
| #fecal-sodium CPT 84302 | $32.40 | $54.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $68.40 | $114.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $252.93 | $421.55 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $328.13 | $546.88 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $8,040.37 | $13,400.62 | not published | 0 |
| Ferritin CPT 82728 | $178.80 | $298.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,918.45 | $4,864.08 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,566.00 | $2,610.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $694.80 | $1,158.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $759.60 | $1,266.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | $156.60 | $261.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $627.00 | $1,045.00 | not published | 0 |
| Fetal fluid drainage w/us CPT 59074 | $172.20 | $287.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $184.20 | $307.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $27.60 | $46.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $767.40 | $1,279.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $199.20 | $332.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $49.20 | $82.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $183.00 | $305.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $51.00 | $85.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $203.40 | $339.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $483.00 | $805.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85421 | $196.80 | $328.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $178.80 | $298.00 | 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.