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 |
|---|---|---|---|---|
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $3,679.20 | $6,132.00 | not published | 0 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $2,901.61 | $4,836.02 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,498.01 | $2,496.68 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $77,790.04 | $129,650.06 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $10,767.13 | $17,945.22 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $975.00 | $1,625.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $11,921.41 | $19,869.02 | not published | 0 |
| Fixation of knee joint CPT 27570 | $6,129.48 | $10,215.80 | $1,568.89 – $1,568.89 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $14,085.92 | $23,476.53 | $3,192.44 – $3,256.29 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $3,877.28 | $6,462.13 | $907.35 – $907.35 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $807.40 | $1,345.67 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $7,140.00 | $11,900.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $113.40 | $189.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $1,344.00 | $2,240.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $13,305.80 | $22,176.33 | not published | 0 |
| Flt3 gene CPT 81245 | $235.80 | $393.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $341.40 | $569.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $541.20 | $902.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $421.20 | $702.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $9,691.50 | $16,152.50 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $845.40 | $1,409.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $954.00 | $1,590.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,035.00 | $1,725.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $338.58 | $564.30 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $67.90 | $113.17 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $6,930.00 | $11,550.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,166.60 | $3,611.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $818.40 | $1,364.00 | not published | 0 |
| Folic acid CPT 82746 | $84.60 | $141.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $48.00 | $80.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $1,295.40 | $2,159.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $18,181.91 | $30,303.19 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $242.34 | $403.90 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $942.47 | $1,570.79 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $220.64 | $367.74 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $161.48 | $269.13 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $955.42 | $1,592.37 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $757.08 | $1,261.80 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $620.03 | $1,033.39 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $816.71 | $1,361.18 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $574.07 | $956.79 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $238.43 | $397.38 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $1,565.78 | $2,609.64 | not published | 0 |
| Foot X-ray CPT 73630 | $890.40 | $1,484.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $3,866.39 | $6,443.99 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $2,787.19 | $4,645.31 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $179.40 | $299.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $136.50 | $227.50 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $424.52 | $707.53 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $333.00 | $555.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $49.80 | $83.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,472.56 | $2,454.27 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $256.36 | $427.27 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $8,388.59 | $13,980.98 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $48.00 | $80.00 | not published | 0 |
| Fusion of ankle joint open CPT 27870 | $160,669.49 | $267,782.48 | $12,526.51 – $12,526.51 | 3 |
| Fusion of big toe joint CPT 28750 | $89,676.59 | $149,460.98 | $7,079.78 – $7,079.78 | 3 |
| Fusion of big toe joint CPT 28755 | $27,902.89 | $46,504.82 | $7,079.78 – $7,079.78 | 3 |
| Fusion of finger joint CPT 26860 | $28,742.74 | $47,904.57 | $3,192.44 – $3,192.44 | 3 |
| Fusion of foot bones CPT 28730 | $182,955.64 | $304,926.07 | $12,526.51 – $12,526.51 | 3 |
| Fusion of foot bones CPT 28735 | $157,122.55 | $261,870.92 | $12,526.51 – $12,526.51 | 3 |
| Fusion of foot bones CPT 28740 | $129,381.11 | $215,635.18 | $7,079.78 – $7,079.78 | 3 |
| Fusion of tendons at wrist CPT 25301 | $23,866.22 | $39,777.03 | $3,192.44 – $3,192.44 | 3 |
| G6pd full gene sequence CPT 81249 | $1,890.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $213.00 | $355.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $353.02 | $588.37 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $425.74 | $709.56 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $611.15 | $1,018.58 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,149.88 | $1,916.46 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $12,679.67 | $21,132.78 | $5,898.53 – $5,898.53 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $10,977.12 | $18,295.20 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $133.80 | $223.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $164.40 | $274.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $112.80 | $188.00 | not published | 0 |
| Gated heart multiple CPT 78473 | $780.00 | $1,300.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $90.00 | $150.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $202,339.88 | $337,233.14 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $153,890.40 | $256,484.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $181,965.00 | $303,275.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,098.80 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $114,378.00 | $190,630.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $3,082.80 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $3,082.80 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $48.72 | $81.20 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $171.00 | $285.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $4,536.98 | $7,561.63 | $837.86 – $837.86 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $693.00 | $1,155.00 | not published | 0 |
| Ghs abscess postoperative iandd complex CPT 10180 | $45,929.62 | $76,549.37 | $2,834.09 – $2,834.09 | 1 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $54.00 | $90.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $855.00 | $1,425.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $80.40 | $134.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $388.80 | $648.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $790.80 | $1,318.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,779.20 | $4,632.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $2,077.20 | $3,462.00 | $243.77 – $243.77 | 3 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $180.60 | $301.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $172.80 | $288.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $172.80 | $288.00 | 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.