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 |
|---|---|---|---|---|
| Kafo fem fx cast semi-rigid HCPCS L2134 | $5,401.97 | $9,003.28 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $5,369.84 | $8,949.73 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $5,911.68 | $9,852.80 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $9,522.75 | $15,871.25 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $7,773.65 | $12,956.08 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $812.08 | $1,353.47 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $5,243.92 | $8,739.87 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $19,208.54 | $32,014.23 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $4,090.21 | $6,817.02 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $55.80 | $93.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $48.00 | $80.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,967.40 | $3,279.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,352.60 | $3,921.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $21,653.84 | $36,089.73 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $24,435.30 | $40,725.50 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $137,253.60 | $228,756.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $135,174.00 | $225,290.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $57,189.00 | $95,315.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $3,821.27 | $6,368.78 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $70,586.77 | $117,644.62 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $62,112.46 | $103,520.76 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $4,074.30 | $6,790.50 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $41,891.80 | $69,819.67 | $3,192.44 – $3,256.29 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $33,259.17 | $55,431.95 | $3,192.44 – $3,192.44 | 3 |
| Knee arthroscopy/surgery CPT 29879 | $13,738.69 | $22,897.82 | $3,192.44 – $3,192.44 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $16,490.90 | $27,484.83 | $3,192.44 – $3,192.44 | 3 |
| Knee arthroscopy/surgery CPT 29882 | $36,434.33 | $60,723.88 | $3,192.44 – $3,192.44 | 3 |
| Knee arthroscopy/surgery CPT 29883 | $89,546.71 | $149,244.52 | $7,079.78 – $7,079.78 | 2 |
| Knee arthroscopy/surgery CPT 29888 | $85,728.57 | $142,880.95 | $7,079.78 – $12,526.51 | 3 |
| Knee arthroscopy/surgery CPT 29889 | $110,743.06 | $184,571.77 | $12,526.51 – $12,526.51 | 3 |
| Knee control condylar pad HCPCS L2810 | $382.85 | $638.09 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $384.41 | $640.69 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $671.97 | $1,119.95 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $671.97 | $1,119.95 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $569.50 | $949.16 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $371.78 | $619.63 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $549.79 | $916.32 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,688.40 | $7,814.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,628.80 | $6,048.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,225.40 | $3,709.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,379.60 | $2,299.34 | not published | 0 |
| Knee X-ray CPT 73564 | $1,069.80 | $1,783.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,696.20 | $4,493.67 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,696.20 | $4,493.67 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $4,408.28 | $7,347.14 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $378.02 | $630.03 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $625.39 | $1,042.31 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $4,206.04 | $7,010.07 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $5,845.34 | $9,742.23 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,335.47 | $2,225.78 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $3,748.48 | $6,247.47 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $5,484.68 | $9,141.14 | not published | 0 |
| Kras gene addl variants CPT 81276 | $640.20 | $1,067.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $2,574.60 | $4,291.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $505.13 | $841.89 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $728.80 | $1,214.66 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $48.00 | $80.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,721.08 | $2,868.46 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $157.40 | $262.33 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $219.60 | $366.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $168.00 | $280.00 | not published | 0 |
| Lactic acid CPT 83605 | $161.40 | $269.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $200.40 | $334.00 | not published | 0 |
| Lam facetec & foramot lumbar CPT 63047 | $38,482.13 | $64,136.88 | $7,079.78 – $7,079.78 | 3 |
| Laminotomy single lumbar CPT 63042 | $42,824.24 | $71,373.73 | $7,079.78 – $7,079.78 | 3 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $97.15 | $161.91 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $15,039.41 | $25,065.68 | $5,898.53 – $5,898.53 | 3 |
| Laparo partial nephrectomy CPT 50543 | $33,579.59 | $55,965.98 | $10,371.37 – $10,371.37 | 3 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $22,561.49 | $37,602.48 | $6,316.41 – $6,316.41 | 3 |
| Laparoscopy biopsy CPT 49321 | $18,260.17 | $30,433.62 | $5,898.53 – $5,898.53 | 3 |
| Laparoscopy excise lesions CPT 58662 | $23,874.97 | $39,791.62 | $5,898.53 – $5,898.53 | 3 |
| Laparoscopy lymphadenectomy CPT 38571 | $35,877.43 | $59,795.72 | $10,371.37 – $10,371.37 | 3 |
| Laparoscopy pyeloplasty CPT 50544 | $30,751.85 | $51,253.08 | $10,371.37 – $10,371.37 | 1 |
| Laparoscopy remove adnexa CPT 58661 | $25,820.92 | $43,034.87 | $5,898.53 – $5,898.53 | 3 |
| Lap enterolysis CPT 44180 | $23,972.77 | $39,954.62 | $5,898.53 – $5,898.53 | 3 |
| Lap ing hernia repair init CPT 49650 | $19,362.97 | $32,271.62 | $5,898.53 – $5,898.53 | 3 |
| Lap ing hernia repair recur CPT 49651 | $20,332.33 | $33,887.22 | $5,898.53 – $5,898.53 | 3 |
| Lap insert tunnel ip cath CPT 49324 | $11,975.25 | $19,958.75 | $5,898.53 – $5,898.53 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $25,852.10 | $43,086.83 | $10,371.37 – $10,371.37 | 3 |
| Lap revision perm ip cath CPT 49325 | $9,997.80 | $16,663.00 | $5,898.53 – $5,898.53 | 3 |
| Laps abltj uterine fibroids CPT 58674 | $21,958.48 | $36,597.47 | $10,371.37 – $10,371.37 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | $34,029.50 | $56,715.83 | $10,371.37 – $10,371.37 | 3 |
| Laps surg prst8ect smpl stot CPT 55867 | $23,912.08 | $39,853.47 | $10,371.37 – $10,371.37 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | $12,280.35 | $20,467.25 | $3,637.69 – $3,637.69 | 3 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $12,006.24 | $20,010.40 | $1,736.62 – $1,736.62 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $25,432.42 | $42,387.37 | $3,637.69 – $3,637.69 | 3 |
| Larynscop w/tumr exc + scope CPT 31541 | $10,822.82 | $18,038.03 | $3,637.69 – $3,637.69 | 3 |
| Laser surgery of prostate CPT 52648 | $25,651.45 | $42,752.42 | $5,231.42 – $5,336.05 | 3 |
| Lateral thoracic extension HCPCS L1210 | $1,146.90 | $1,911.50 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $364.24 | $607.07 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $26,658.20 | $44,430.33 | $6,478.71 – $6,478.71 | 2 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $103,980.00 | $173,300.00 | not published | 0 |
| Lead capillary CPT 83655 | $115.80 | $193.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $115,121.46 | $191,869.10 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $28,594.50 | $47,657.50 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $6,915.04 | $11,525.06 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $5,837.86 | $9,729.76 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $8,393.16 | $13,988.60 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $7,293.11 | $12,155.18 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $2,194.80 | $3,658.00 | 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.