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 |
|---|---|---|---|---|
| MRI tmj CPT 70336 | $2,728.20 | $4,547.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,928.60 | $4,881.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,292.40 | $7,154.00 | not published | 0 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,868.80 | $6,448.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $166.20 | $277.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $173.40 | $289.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $91.80 | $153.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $112.20 | $187.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $46.20 | $77.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $456.60 | $761.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $651.00 | $1,085.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $105.60 | $176.00 | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | $60,564.43 | $100,940.72 | $6,478.71 – $6,608.28 | 3 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $78,545.41 | $130,909.02 | $17,107.48 – $17,107.48 | 3 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.00 | $10.00 | not published | 0 |
| Mycophenolic acid HCPCS J7518 | $37.38 | $62.30 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $238.80 | $398.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $359.40 | $599.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,319.00 | $8,865.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $5,069.40 | $8,449.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $5,515.20 | $9,192.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $151.20 | $252.00 | not published | 0 |
| Myomectomy abdom method CPT 58140 | $27,546.02 | $45,910.03 | $1.44 – $1,025.53 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $156.32 | $260.54 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $48.00 | $80.00 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $66.15 | $110.25 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | $4.20 | $7.00 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $18,825.12 | $31,375.20 | $3,234.84 – $3,234.84 | 3 |
| Nasal/sinus endoscopy surg CPT 31287 | $35,079.44 | $58,465.73 | $6,885.86 – $6,885.86 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $158,477.86 | $264,129.77 | $30,107.39 – $30,107.39 | 3 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $27,409.51 | $45,682.52 | $6,885.86 – $7,023.57 | 3 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $27,356.83 | $45,594.72 | $6,885.86 – $6,885.86 | 3 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $31,005.94 | $51,676.57 | $6,885.86 – $6,885.86 | 1 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $27,409.51 | $45,682.52 | $6,885.86 – $6,885.86 | 3 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $149.40 | $249.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $48,480.55 | $80,800.91 | not published | 0 |
| Natriuretic peptide CPT 83880 | $263.40 | $439.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $187.80 | $313.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $26.40 | $44.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $33.60 | $56.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $1,804.06 | $3,006.76 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,887.80 | $4,813.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,830.60 | $3,051.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,340.20 | $5,567.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,459.00 | $5,765.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,087.40 | $3,479.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,678.80 | $7,798.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,273.60 | $5,456.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,695.80 | $4,493.00 | not published | 0 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $48.00 | $80.00 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | $12,737.55 | $21,229.25 | not published | 0 |
| Neurolysis celiac plexus CPT 64680 | $1,338.00 | $2,230.00 | not published | 0 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $5,599.33 | $9,332.21 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $255.00 | $425.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $280.20 | $467.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $309.00 | $515.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $165.60 | $276.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $322.77 | $537.95 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,646.00 | $4,410.00 | not published | 0 |
| Nipple/areola reconst 19350 CPT 19350 | $33,760.17 | $56,266.95 | $6,478.71 – $6,478.71 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $236.25 | $393.75 | not published | 0 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $45,275.60 | $75,459.34 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $2,506.20 | $4,177.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,816.80 | $3,028.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $7,896.29 | $13,160.48 | $3,158.41 – $3,158.41 | 3 |
| Njx interlaminar lmbr/sac CPT 62327 | $7,896.29 | $13,160.48 | $862.97 – $862.97 | 3 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,057.40 | $3,429.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $3,498.00 | $5,830.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $2,323.20 | $3,872.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $367.20 | $612.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $3,115.20 | $5,192.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,120.20 | $1,867.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,641.40 | $6,069.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,209.80 | $3,683.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,825.20 | $3,042.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,419.00 | $2,365.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $296.65 | $494.42 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $12,997.50 | $21,662.50 | not published | 0 |
| Nps surg dilat eust tube bi CPT 69706 | $42,862.37 | $71,437.28 | $5,775.89 – $5,775.89 | 3 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $301,688.18 | $502,813.63 | $13,445.87 – $13,445.87 | 1 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $301,688.18 | $502,813.63 | $13,445.87 – $13,445.87 | 3 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $30,431.81 | $50,719.68 | $6,885.86 – $6,885.86 | 3 |
| Nsl/sins ndsc total CPT 31253 | $33,332.86 | $55,554.77 | $6,885.86 – $6,885.86 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $35,787.22 | $59,645.37 | $6,885.86 – $6,885.86 | 3 |
| Ntrk translocation analysis CPT 81194 | $1,714.20 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,660.40 | $9,434.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $7,736.11 | $12,893.52 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $5,130.16 | $8,550.27 | not published | 0 |
| Observation per hour HCPCS G0378 | $14.40 | $24.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $180.60 | $301.00 | not published | 0 |
| Obtaining screen pap smear HCPCS Q0091 | $84.60 | $141.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $597.00 | $995.00 | not published | 0 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $145.20 | $242.00 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $61,922.88 | $103,204.80 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $26,312.91 | $43,854.85 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $479.81 | $799.69 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $685.75 | $1,142.91 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $5,199.00 | $8,665.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $372.12 | $620.20 | 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.