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 |
|---|---|---|---|---|
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $893.40 | $1,489.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $98.40 | $164.00 | not published | 0 |
| Mayo renin CPT 84244 | $111.00 | $185.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $152.40 | $254.00 | not published | 0 |
| Mayo selenium CPT 84255 | $127.80 | $213.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $118.20 | $197.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $137.40 | $229.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $175.20 | $292.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $56.40 | $94.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $83.40 | $139.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $2,889.60 | $4,816.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $147.00 | $245.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $147.60 | $246.00 | not published | 0 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $73.80 | $123.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $162.60 | $271.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $75.60 | $126.00 | not published | 0 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $22.20 | $37.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $279.00 | $465.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $42.60 | $71.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $218.40 | $364.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $309.60 | $516.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $189.60 | $316.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $496.20 | $827.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $124.80 | $208.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $180.60 | $301.00 | not published | 0 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $262.50 | $437.50 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $6,628.73 | $11,047.88 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $37,452.76 | $62,421.27 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $9,748.13 | $16,246.88 | not published | 0 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $12,346.64 | $20,577.73 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $35,143.63 | $58,572.71 | not published | 0 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $83,184.00 | $138,640.00 | not published | 0 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | $559.80 | $933.00 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $48.00 | $80.00 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,671.40 | $32,785.67 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $108.15 | $180.25 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $140,309.89 | $233,849.81 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $90.00 | $150.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $171.00 | $285.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $397.80 | $663.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $261.00 | $435.00 | not published | 0 |
| Metal frame recipro hip & ca HCPCS L2628 | $7,343.38 | $12,238.97 | not published | 0 |
| Methadone injection HCPCS J1230 | $48.00 | $80.00 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $26.85 | $44.75 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $90.00 | $150.00 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $439.20 | $732.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,461.10 | $4,101.83 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $328.44 | $547.40 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,189.51 | $1,982.52 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $16.70 | $27.83 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $171.36 | $285.60 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $341.25 | $568.75 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $48.00 | $80.00 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $48.00 | $80.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $48.00 | $80.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $243.43 | $405.72 | not published | 0 |
| Microalbumin urine screen CPT 82044 | $21.60 | $36.00 | not published | 0 |
| Microdissection manual CPT 88381 | $391.80 | $653.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $1,150.80 | $1,918.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $315.00 | $525.00 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $487.80 | $813.00 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $159.60 | $266.00 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | $3,127.20 | $5,212.00 | not published | 0 |
| Minocycline hydrochloride HCPCS J2265 | $2,714.25 | $4,523.75 | not published | 0 |
| Miroderm HCPCS Q4175 | $43,671.60 | $72,786.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $636.60 | $1,061.00 | not published | 0 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $7,008.97 | $11,681.62 | $1,568.89 – $1,600.27 | 2 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $25,735.05 | $42,891.75 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $130.20 | $217.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $865.80 | $1,443.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $1,155.00 | $1,925.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $935.40 | $1,559.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $3,315.60 | $5,526.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $54.50 | $90.83 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $48.00 | $80.00 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $304.08 | $506.80 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $652.80 | $1,088.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $631.20 | $1,052.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $387.00 | $645.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $638.40 | $1,064.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $616.80 | $1,028.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $549.60 | $916.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $1,587.60 | $2,646.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | $2,116.20 | $3,527.00 | not published | 0 |
| MRA pelvis CPT 72198 | $1,890.00 | $3,150.00 | not published | 0 |
| MRA without cont, lwr ext HCPCS C8913 | $1,919.40 | $3,199.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,587.60 | $2,646.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,298.20 | $5,497.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $2,940.60 | $4,901.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,728.20 | $4,547.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,384.60 | $5,641.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $3,968.40 | $6,614.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $2,728.20 | $4,547.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $4,661.40 | $7,769.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $2,707.20 | $4,512.00 | not published | 0 |
| MRI compatible system HCPCS L0859 | $7,299.40 | $12,165.66 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,424.00 | $4,040.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,426.20 | $7,377.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,999.40 | $4,999.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,426.20 | $7,377.00 | 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.