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 |
|---|---|---|---|---|
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $315.00 | $525.00 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $61,661.60 | $102,769.33 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $1,752.35 | $2,920.58 | not published | 0 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $16,822.30 | $28,037.16 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $34,558.20 | $57,597.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $104,284.34 | $173,807.23 | $17,885.90 – $17,885.90 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,995.16 | $3,325.26 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,756.40 | $4,594.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $63,290.65 | $105,484.42 | $3,896.63 – $7,079.78 | 2 |
| Peripheral vascular rehab CPT 93668 | $144.00 | $240.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $186.00 | $310.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $597.89 | $996.48 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $80.12 | $133.53 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $4,027.20 | $6,712.00 | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $34,549.55 | $57,582.58 | $10,371.37 – $10,371.37 | 3 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $38,876.81 | $64,794.68 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $79,324.25 | $132,207.09 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $499.36 | $832.27 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $7,037.40 | $11,729.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $163,183.61 | $271,972.69 | not published | 0 |
| Ph body fluid CPT 83986 | $39.60 | $66.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $359.10 | $598.50 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $282.60 | $471.00 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $690.38 | $1,150.63 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $48.00 | $80.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $75.60 | $126.00 | not published | 0 |
| Phosphorus CPT 84100 | $96.60 | $161.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $34.20 | $57.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $89.82 | $149.70 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $3,402.59 | $5,670.98 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $47,830.80 | $79,718.00 | not published | 0 |
| Pin finger fracture each CPT 26756 | $8,129.86 | $13,549.77 | $3,192.44 – $3,192.44 | 3 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $388.06 | $646.76 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $5,013.00 | $8,355.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $3,189.60 | $5,316.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,538.20 | $5,897.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,610.00 | $4,350.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $829.20 | $1,382.00 | not published | 0 |
| Placement of seton CPT 46020 | $11,297.60 | $18,829.33 | $2,708.17 – $2,708.17 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $26,353.20 | $43,922.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $490.06 | $816.76 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $696.67 | $1,161.11 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $10,018.58 | $16,697.63 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $136.80 | $228.00 | not published | 0 |
| Platelet automated CPT 85049 | $39.60 | $66.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $366.37 | $610.62 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $405.00 | $675.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $613.17 | $1,021.95 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $327.60 | $546.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,184.96 | $1,974.93 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $2,753.23 | $4,588.72 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $6,615.10 | $11,025.17 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $8,414.89 | $14,024.82 | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $260,764.09 | $434,606.82 | $17,107.48 – $17,449.63 | 2 |
| Potassium 24 hour urine CPT 84133 | $91.20 | $152.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $105.00 | $175.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $41.40 | $69.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $910.35 | $1,517.25 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,481.60 | $4,136.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $477.60 | $796.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $477.60 | $796.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $16,039.67 | $26,732.78 | $396.63 – $396.63 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $157,122.55 | $261,870.92 | $12,526.51 – $12,526.51 | 3 |
| Pr correction hammertoe CPT 28285 | $179,875.66 | $299,792.77 | $3,192.44 – $3,192.44 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $58.80 | $98.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,648.20 | $2,747.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $39,912.74 | $66,521.23 | $3,439.27 – $3,439.27 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $3,572.40 | $5,954.00 | $95.25 – $95.25 | 3 |
| Prealbumin CPT 84134 | $151.20 | $252.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $6.00 | $10.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $6.00 | $10.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $5,584.64 | $9,307.73 | $1,872.25 – $1,872.25 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,944.60 | $3,241.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $918.60 | $1,531.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $9,085.46 | $15,142.43 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $7,921.87 | $13,203.12 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $18,993.47 | $31,655.78 | $396.63 – $396.63 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $684.60 | $1,141.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $2,367.60 | $3,946.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $333.00 | $555.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $124.20 | $207.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $498.00 | $830.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $285.60 | $476.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $668.40 | $1,114.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,250.40 | $2,084.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $9,032.49 | $15,054.15 | $1,611.44 – $1,611.44 | 2 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $6,919.49 | $11,532.48 | $396.63 – $396.63 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $342.00 | $570.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $6,642.72 | $11,071.20 | $195.76 – $195.76 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $460.20 | $767.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $9,476.23 | $15,793.72 | $396.63 – $396.63 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $240.00 | $400.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $240.00 | $400.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $399.60 | $666.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $12,233.75 | $20,389.58 | $1,905.24 – $1,905.24 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $30,960.05 | $51,600.08 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $6,300.00 | $10,500.00 | not published | 0 |
| Procalcitonin CPT 84145 | $171.60 | $286.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.00 | $80.00 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $6.00 | $10.00 | 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.