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 |
|---|---|---|---|---|
| Inj levocarnitine per 1 gm HCPCS J1955 | $408.19 | $680.32 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $2,527.56 | $4,212.60 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $96.08 | $160.13 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,407.60 | $2,346.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $48.00 | $80.00 | not published | 0 |
| Inj meropenem (wg crit care) HCPCS J2183 | $345.45 | $575.75 | not published | 0 |
| Inj multihance HCPCS A9577 | $240.13 | $400.21 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $293.60 | $489.34 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $3,465.00 | $5,775.00 | not published | 0 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $123,845.75 | $206,409.59 | not published | 0 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $189.54 | $315.90 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $14,962.79 | $24,937.98 | not published | 0 |
| Inj ontruzant 10 mg HCPCS Q5112 | $21,141.53 | $35,235.88 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $775.80 | $1,293.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,389.02 | $2,315.04 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $1,671.60 | $2,786.00 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $1,176.53 | $1,960.88 | not published | 0 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $54,056.85 | $90,094.75 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $0.07 | $0.11 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,407.60 | $2,346.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $756.00 | $1,260.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $287.85 | $479.75 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $10,692.86 | $17,821.44 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $3,821.27 | $6,368.78 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $7,588.80 | $12,648.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $16,736.65 | $27,894.42 | $3,158.41 – $3,158.41 | 3 |
| Insert and remove bone pin CPT 20650 | $2,481.60 | $4,136.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $1,557.00 | $2,595.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $1,452.00 | $2,420.00 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $124.20 | $207.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $17,584.40 | $29,307.33 | $8.61 – $60.32 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $118.20 | $197.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $133.80 | $223.00 | not published | 0 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $9,093.00 | $15,155.00 | not published | 0 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $9,093.00 | $15,155.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $8,932.80 | $14,888.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,607.60 | $4,346.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $20,640.60 | $34,401.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $23,722.20 | $39,537.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $15,638.40 | $26,064.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $6,373.80 | $10,623.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $5,815.20 | $9,692.00 | not published | 0 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $155,353.73 | $258,922.88 | $30,625.64 – $30,625.64 | 3 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $8,140.20 | $13,567.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $11,513.40 | $19,189.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $11,830.80 | $19,718.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $10,581.81 | $17,636.35 | $3,080.71 – $3,080.71 | 3 |
| Insert multi-comp penis pros CPT 54405 | $64,626.21 | $107,710.35 | $20,222.16 – $20,626.61 | 3 |
| Insert/repl sq defib w/eltrd CPT 33270 | $65,328.00 | $108,880.00 | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $3,033.60 | $5,056.00 | not published | 0 |
| Insert vad art access left hrt arterial access CPT 33990 | $10,623.60 | $17,706.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $540.00 | $900.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $301.80 | $503.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $552.00 | $920.00 | not published | 0 |
| Insj biomechanical device 22853 CPT 22853 | $171,677.97 | $286,129.95 | $12,526.51 – $12,526.51 | 3 |
| Ins mark abd/pel for right perq CPT 49411 | $2,620.20 | $4,367.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $345.73 | $576.22 | not published | 0 |
| Ins pm gen w/exist mlt leads CPT 33221 | $6,814.80 | $11,358.00 | not published | 0 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $42,183.00 | $70,305.00 | not published | 0 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $6,736.80 | $11,228.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $11,651.11 | $19,418.52 | $3,439.27 – $3,439.27 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,001.80 | $5,003.00 | not published | 0 |
| Insulin total CPT 83525 | $87.60 | $146.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $24,018.70 | $40,031.17 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $78,781.80 | $131,303.00 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $18,118.52 | $30,197.53 | not published | 0 |
| Interdental fixation CPT 21110 | $1,156.80 | $1,928.00 | not published | 0 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $49,235.46 | $82,059.10 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $10,398.00 | $17,330.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $175.80 | $293.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $70.20 | $117.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $2,281.20 | $3,802.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $13,118.40 | $21,864.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $16,455.60 | $27,426.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $941.40 | $1,569.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $960.60 | $1,601.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $696.60 | $1,161.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,666.20 | $7,777.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,745.80 | $6,243.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $995.40 | $1,659.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $523.42 | $872.37 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $819.72 | $1,366.20 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $6.00 | $10.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $125.23 | $208.72 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $16,980.30 | $28,300.50 | not published | 0 |
| Iron CPT 83540 | $114.60 | $191.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $78.00 | $130.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $177.32 | $295.53 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $48.00 | $80.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $24,792.72 | $41,321.20 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $244.80 | $408.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $223.20 | $372.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $161.40 | $269.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $676.20 | $1,127.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $676.20 | $1,127.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $5,165.78 | $8,609.63 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $5,077.55 | $8,462.59 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $7,604.00 | $12,673.34 | 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.