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 |
|---|---|---|---|---|
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,142.00 | $3,570.00 | not published | 0 |
| Progesterone CPT 84144 | $133.20 | $222.00 | not published | 0 |
| Prolactin CPT 84146 | $166.80 | $278.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $6.00 | $10.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $48.00 | $80.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $315.00 | $525.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $120.54 | $200.90 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $18,184.53 | $30,307.55 | $5,231.42 – $5,231.42 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $13,517.40 | $22,529.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $852.64 | $1,421.06 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $163.30 | $272.17 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $4,061.35 | $6,768.92 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $29.06 | $48.44 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $48.00 | $80.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $276.17 | $460.28 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $9,092.59 | $15,154.31 | not published | 0 |
| Protein c activity CPT 85303 | $185.40 | $309.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $155.40 | $259.00 | not published | 0 |
| Protein s total CPT 85305 | $179.40 | $299.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $97.20 | $162.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $104.40 | $174.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $90.60 | $151.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $8,135.40 | $13,559.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $42.60 | $71.00 | not published | 0 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $88.20 | $147.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,574.20 | $35,957.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $21,519.00 | $35,865.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,057.80 | $21,763.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $11,401.80 | $19,003.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $21,574.20 | $35,957.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $1,189.20 | $1,982.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $251.40 | $419.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $17,755.35 | $29,592.25 | $297.32 – $297.32 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $1,108.80 | $1,848.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $3,711.60 | $6,186.00 | $721.10 – $721.10 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $941.40 | $1,569.00 | not published | 0 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $6,416.40 | $10,694.00 | $2,013.11 – $2,013.11 | 3 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,369.40 | $3,949.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $166.80 | $278.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $130.80 | $218.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $101.40 | $169.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $103.20 | $172.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $364.80 | $608.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $303.60 | $506.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $366.00 | $610.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $249.60 | $416.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $186.60 | $311.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $100.20 | $167.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $142.80 | $238.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $116.40 | $194.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $89.40 | $149.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $426.60 | $711.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $283.80 | $473.00 | not published | 0 |
| Pulse ox single CPT 94760 | $214.80 | $358.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $2,235.57 | $3,725.95 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $106.20 | $177.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $2,256.00 | $3,760.00 | $396.63 – $396.63 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,581.20 | $4,302.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $26,670.87 | $44,451.45 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $8,838.30 | $14,730.50 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,418.40 | $2,364.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $114.08 | $190.14 | not published | 0 |
| Pyruvate CPT 84210 | $48.00 | $80.00 | not published | 0 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $475.20 | $792.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $27.60 | $46.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $18,577.49 | $30,962.48 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $63,179.68 | $105,299.46 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $929.40 | $1,549.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,403.60 | $4,006.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $286.80 | $478.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $42,772.52 | $71,287.53 | not published | 0 |
| Rapid Strep Test CPT 87880 | $127.20 | $212.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $30,220.88 | $50,368.14 | not published | 0 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $137,173.68 | $228,622.80 | not published | 0 |
| Rbc count only automated CPT 85041 | $10.80 | $18.00 | not published | 0 |
| Reconstruct ankle joint CPT 27702 | $128,372.00 | $213,953.33 | $26,474.25 – $27,003.74 | 3 |
| Reconstruct finger joint CPT 26548 | $24,239.36 | $40,398.93 | $3,192.44 – $3,192.44 | 3 |
| Reconstruction ankle joint CPT 27703 | $56,723.11 | $94,538.52 | $17,107.48 – $17,107.48 | 3 |
| Reconstruction of throat CPT 42950 | $17,398.01 | $28,996.68 | $5,775.89 – $5,891.41 | 3 |
| Reconstruct shoulder joint CPT 23470 | $24,085.28 | $40,142.13 | $12,526.51 – $12,526.51 | 2 |
| Reconstruct shoulder joint CPT 23472 | $70,138.27 | $116,897.12 | $17,107.48 – $17,107.48 | 3 |
| Reduction of procidentia 45900 CPT 45900 | $693.00 | $1,155.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $210.00 | $350.00 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $878.63 | $1,464.39 | not published | 0 |
| Reinforce tibia CPT 27745 | $128,372.00 | $213,953.33 | $26,474.25 – $27,003.74 | 3 |
| Release finger contracture CPT 26525 | $61,753.39 | $102,922.32 | $7,079.78 – $7,221.37 | 3 |
| Release of lower leg tendon CPT 27680 | $185,728.66 | $309,547.77 | $3,192.44 – $3,192.44 | 3 |
| Release palm contracture CPT 26121 | $8,903.63 | $14,839.38 | $3,192.44 – $3,192.44 | 3 |
| Release palm contracture CPT 26123 | $22,932.30 | $38,220.50 | $3,192.44 – $3,192.44 | 3 |
| Release palm contracture CPT 26125 | $13,680.44 | $22,800.73 | $3,192.44 – $3,192.44 | 3 |
| Release palm/finger tendon CPT 26440 | $9,335.66 | $15,559.43 | $1,568.89 – $1,600.27 | 3 |
| Rem/biv cast full arm/leg CPT 29705 | $237.00 | $395.00 | not published | 0 |
| Rem/biv cast shldr/hip spica CPT 29710 | $237.00 | $395.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,560.00 | $2,600.00 | not published | 0 |
| Rem endovas vena cava filter CPT 37193 | $5,423.40 | $9,039.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $4,111.20 | $6,852.00 | $1,535.88 – $1,535.88 | 3 |
| Removal cerumen impacted (both sides) CPT 69210 | $6,200.30 | $10,333.83 | $129.90 – $129.90 | 3 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $277.80 | $463.00 | 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.