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 |
|---|---|---|---|---|
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $8,041.27 | $13,402.12 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $193.20 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $35.54 | $59.24 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $48.00 | $80.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $18,698.16 | $31,163.60 | $3,820.23 – $3,820.23 | 3 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $142,930.12 | $238,216.87 | $7,079.78 – $7,974.65 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $10,985.95 | $18,309.92 | $1,568.89 – $1,568.89 | 3 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $158,477.86 | $264,129.77 | $30,107.39 – $30,107.39 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | $25,125.29 | $41,875.48 | $7,079.78 – $7,079.78 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | $46,724.71 | $77,874.52 | $7,079.78 – $7,079.78 | 3 |
| Optx medial ankle fx CPT 27766 | $81,937.26 | $136,562.10 | $7,079.78 – $7,079.78 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $61,210.86 | $102,018.10 | $12,526.51 – $12,526.51 | 3 |
| Oral everolimus HCPCS J7527 | $395.46 | $659.10 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $1,169.78 | $1,949.63 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $1,231.90 | $2,053.17 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $2,906.24 | $4,843.74 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $5,470.28 | $9,117.14 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $1,155.37 | $1,925.62 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $1,370.35 | $2,283.92 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $450.49 | $750.82 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $1,155.37 | $1,925.62 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $137.05 | $228.41 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $137.05 | $228.41 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $196.63 | $327.71 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $2,589.10 | $4,315.17 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $1,519.67 | $2,532.78 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $4,230.64 | $7,051.06 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $133.80 | $223.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $107.20 | $178.67 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $399.55 | $665.91 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $304.04 | $506.73 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $41.90 | $69.84 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $250.43 | $417.39 | not published | 0 |
| Osmolality blood CPT 83930 | $45.00 | $75.00 | not published | 0 |
| Osmolality urine CPT 83935 | $111.00 | $185.00 | not published | 0 |
| Osteochondral knee autograft CPT 27416 | $53,180.72 | $88,634.53 | $7,079.78 – $7,079.78 | 3 |
| Ot evaluation high complexity patient/family CPT 97167 | $351.00 | $585.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $356.40 | $594.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $349.80 | $583.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $331.20 | $552.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $96.00 | $160.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.40 | $234.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $141.00 | $235.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $233.40 | $389.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $168.60 | $281.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $210.00 | $350.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $285.00 | $475.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $235.80 | $393.00 | not published | 0 |
| Outrigger HCPCS L1080 | $245.29 | $408.81 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $821.08 | $1,368.46 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $210.00 | $350.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $129,715.05 | $216,191.75 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $190.00 | $316.67 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $9,006.34 | $15,010.57 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $30,206.19 | $50,343.65 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $122.85 | $204.75 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $338.84 | $564.73 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $10,326.41 | $17,210.68 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $51.35 | $85.58 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $170.63 | $284.38 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $232.20 | $387.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,595.40 | $2,659.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,809.60 | $3,016.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $18,952.00 | $31,586.67 | $6,478.71 – $6,478.71 | 3 |
| Paricalcitol HCPCS J2501 | $159.08 | $265.13 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $190.80 | $318.00 | not published | 0 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $7,542.87 | $12,571.45 | $3,158.41 – $3,158.41 | 3 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $179,875.66 | $299,792.77 | $3,192.44 – $3,192.44 | 3 |
| Partial removal finger bone CPT 26236 | $1,195.80 | $1,993.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $34,899.15 | $58,165.25 | $5,898.53 – $5,898.53 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $22,771.62 | $37,952.70 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $55,156.66 | $91,927.77 | $3,192.44 – $7,079.78 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $2,087.35 | $3,478.91 | not published | 0 |
| Patten bottom HCPCS L2370 | $1,500.22 | $2,500.37 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $582.60 | $971.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $1,090.20 | $1,817.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $107.20 | $178.67 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $35,042.23 | $58,403.71 | not published | 0 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $22,795.50 | $37,992.50 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $11,397.76 | $18,996.26 | not published | 0 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $13,650.01 | $22,750.01 | not published | 0 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $92,228.97 | $153,714.95 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $2,219.04 | $3,698.40 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $1,472.98 | $2,454.97 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $1,085.35 | $1,808.91 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $1,171.91 | $1,953.18 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $2,034.26 | $3,390.44 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,165.60 | $5,276.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,887.80 | $4,813.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,810.20 | $3,017.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $4,977.21 | $8,295.35 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,834.60 | $6,391.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $1,556.40 | $2,594.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $2,658.00 | $4,430.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,611.00 | $2,685.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $759.60 | $1,266.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $648.68 | $1,081.13 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $34,289.38 | $57,148.96 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $23,045.10 | $38,408.50 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,237.30 | $3,728.83 | 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.