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 |
|---|---|---|---|---|
| Hepatitis d quantification CPT 87523 | $37.80 | $63.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $3,612.00 | $6,020.00 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $10,420.90 | $17,368.17 | $3,493.34 – $3,493.34 | 3 |
| Herpes simplex type 1 antibody igg CPT 86695 | $120.60 | $201.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $83.40 | $139.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $232.20 | $387.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $255.00 | $425.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $389.62 | $649.36 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $389.62 | $649.36 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $6,910.93 | $11,518.21 | not published | 0 |
| Hinge ext/flex wrist finger HCPCS L3901 | $9,057.13 | $15,095.21 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $2,014.15 | $3,356.91 | not published | 0 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $999.77 | $1,666.28 | not published | 0 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $1,104.79 | $1,841.31 | not published | 0 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $2,087.71 | $3,479.52 | not published | 0 |
| Hip joint adjustable flexion HCPCS L2622 | $1,491.59 | $2,485.99 | not published | 0 |
| Hip X-ray CPT 73502 | $487.20 | $812.00 | not published | 0 |
| Hkafo torsion ball bearing j HCPCS L2060 | $2,857.27 | $4,762.11 | not published | 0 |
| Hkafo torsion bil rot straps HCPCS L2040 | $948.30 | $1,580.50 | not published | 0 |
| Hkafo torsion unilat rot str HCPCS L2070 | $727.55 | $1,212.58 | not published | 0 |
| Hkafo unilat torsion ball br HCPCS L2090 | $2,330.77 | $3,884.61 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $236.40 | $394.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $270.00 | $450.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $33.60 | $56.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $664.80 | $1,108.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $421.20 | $702.00 | not published | 0 |
| Hla typing a b or c CPT 86813 | $593.40 | $989.00 | not published | 0 |
| Ho abduction hip adjustable HCPCS L1650 | $1,156.00 | $1,926.66 | not published | 0 |
| Ho abduction static plastic HCPCS L1660 | $847.13 | $1,411.88 | not published | 0 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $1,671.01 | $2,785.02 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $22.52 | $37.53 | not published | 0 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $604.02 | $1,006.70 | not published | 0 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $1,819.65 | $3,032.75 | not published | 0 |
| Ho frejka cov only pre cst HCPCS L1610 | $256.57 | $427.62 | not published | 0 |
| Homocysteine CPT 83090 | $93.60 | $156.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $64.80 | $108.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $7,912.88 | $13,188.13 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $357.60 | $596.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $3,912.00 | $6,520.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $525.60 | $876.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $17,199.00 | $28,665.00 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $99.24 | $165.40 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $48.00 | $80.00 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $147.60 | $246.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $642.00 | $1,070.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $252.74 | $421.23 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $1,785.53 | $2,975.88 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1,659.00 | $2,765.00 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $176.98 | $294.97 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $70.80 | $118.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $991.20 | $1,652.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $21,958.48 | $36,597.47 | $10,371.37 – $10,371.37 | 2 |
| Hysteroscopy biopsy CPT 58558 | $16,947.93 | $28,246.55 | $3,158.41 – $3,158.41 | 3 |
| Hysteroscopy remove fb CPT 58562 | $12,981.78 | $21,636.30 | $3,158.41 – $3,158.41 | 3 |
| Hysteroscopy remove myoma CPT 58561 | $22,045.55 | $36,742.58 | $4,880.81 – $4,880.81 | 3 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $143.40 | $239.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $4,309.80 | $7,183.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $3,414.53 | $5,690.88 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $256.20 | $427.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $137.40 | $229.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $64.80 | $108.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $334.80 | $558.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,269.56 | $2,115.93 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $152,694.63 | $254,491.05 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $148,171.50 | $246,952.50 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $119,577.00 | $199,295.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $141,288.02 | $235,480.04 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,371.80 | $3,953.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,153.40 | $3,589.00 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $1,030.20 | $1,717.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $667.20 | $1,112.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $202.80 | $338.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $874.20 | $1,457.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $328.20 | $547.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $3,192.55 | $5,320.92 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $1,299.75 | $2,166.25 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,501.89 | $2,503.15 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $1,541.97 | $2,569.95 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $127,729.39 | $212,882.32 | $13,445.87 – $13,714.78 | 3 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $19,067.41 | $31,779.02 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $120.00 | $200.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $193.80 | $323.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $83.40 | $139.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $235.80 | $393.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $208.80 | $348.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $310.20 | $517.00 | not published | 0 |
| Immunology procedure CPT 86849 | $106.20 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $13,267.85 | $22,113.08 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $9,655.79 | $16,092.98 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $64,987.50 | $108,312.50 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $10,657.95 | $17,763.25 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $19,253.82 | $32,089.70 | not published | 0 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $127,729.39 | $212,882.32 | $7,974.65 – $13,445.87 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $994.20 | $1,657.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,707.20 | $4,512.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $1,057.80 | $1,763.00 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $6,951.64 | $11,586.07 | $1,611.44 – $1,611.44 | 3 |
| Incision of breast lesion CPT 19020 | $11,032.36 | $18,387.27 | $1,611.44 – $1,611.44 | 2 |
| Incision of burn scab initi CPT 16035 | $311.40 | $519.00 | not published | 0 |
| Incision of eardrum CPT 69421 | $15,314.90 | $25,524.83 | $5,775.89 – $5,891.41 | 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.