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 |
|---|---|---|---|---|
| Revise/replace knee joint CPT 27487 | $64,784.91 | $107,974.85 | $17,107.48 – $17,107.48 | 3 |
| Revise ulnar nerve at wrist CPT 64719 | $29,545.96 | $49,243.27 | $1,905.24 – $1,905.24 | 3 |
| Revise wrist/forearm tendon CPT 25280 | $37,116.49 | $61,860.82 | $3,192.44 – $7,079.78 | 3 |
| Revision of arm nerve(s) CPT 64713 | $71,533.60 | $119,222.67 | $17,107.48 – $17,107.48 | 3 |
| Revision of big toe CPT 28310 | $51,494.86 | $85,824.77 | $7,079.78 – $7,079.78 | 3 |
| Revision of calf tendon CPT 27687 | $34,343.53 | $57,239.22 | $3,192.44 – $3,192.44 | 3 |
| Revision of cervix CPT 57720 | $2,356.80 | $3,928.00 | not published | 0 |
| Revision of cervix CPT 59320 | $8,871.60 | $14,786.00 | $3,158.41 – $3,158.41 | 3 |
| Revision of eyelid CPT 67961 | $1,762.80 | $2,938.00 | not published | 0 |
| Revision of hip tendon CPT 27097 | $12,126.01 | $20,210.02 | $3,192.44 – $3,192.44 | 2 |
| Revision of nose CPT 30120 | $14,932.05 | $24,886.75 | $3,234.84 – $3,234.84 | 2 |
| Revision of penis CPT 54435 | $2,671.80 | $4,453.00 | not published | 0 |
| Revision of scrotum CPT 55175 | $35,810.13 | $59,683.55 | $20,222.16 – $20,626.61 | 3 |
| Revision open av fistula without thromb CPT 36832 | $21,768.01 | $36,280.02 | $5,429.18 – $5,429.18 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | $69,701.83 | $116,169.72 | $17,107.48 – $17,107.48 | 2 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,651.00 | $6,085.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $88.20 | $147.00 | not published | 0 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $22,648.16 | $37,746.93 | $5,775.89 – $5,775.89 | 2 |
| Rho d immune globulin inj HCPCS J2790 | $671.58 | $1,119.30 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $409.58 | $682.63 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,606.50 | $2,677.50 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,492.58 | $2,487.63 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $890.23 | $1,483.71 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $4,580.32 | $7,633.87 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $26,776.32 | $44,627.20 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $42,841.70 | $71,402.83 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $24,098.18 | $40,163.63 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $20,428.80 | $34,048.00 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $20,428.80 | $34,048.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $1,330.80 | $2,218.00 | not published | 0 |
| Rmvl ext fixj sys under anes CPT 20694 | $99,241.91 | $165,403.18 | $12,526.51 – $12,526.51 | 3 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $71,731.80 | $119,553.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $93,251.40 | $155,419.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,780.00 | $36,300.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,020.80 | $28,368.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $7,425.00 | $12,375.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,655.60 | $4,426.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $26,232.07 | $43,720.12 | $2,834.09 – $3,457.56 | 3 |
| Rocker bottom, contact afo HCPCS L2232 | $455.38 | $758.97 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $15,031.49 | $25,052.49 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $14,353.91 | $23,923.18 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $115.92 | $193.20 | not published | 0 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $33,344.83 | $55,574.72 | $6,316.41 – $6,316.41 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $17,374.56 | $28,957.60 | $5,898.53 – $5,898.53 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $15,200.45 | $25,334.08 | $6,316.41 – $6,316.41 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $41,630.21 | $69,383.68 | $3,493.34 – $3,493.34 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $13,521.12 | $22,535.20 | $5,898.53 – $5,898.53 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $15,567.97 | $25,946.62 | $6,316.41 – $6,316.41 | 3 |
| Rsv vacc mrna lipid nano im CPT 90683 | $704.40 | $1,174.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $134.40 | $224.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $130.80 | $218.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $14,611.95 | $24,353.25 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $55.80 | $93.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,000.20 | $1,667.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $379.20 | $632.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $325.80 | $543.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,344.60 | $2,241.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,420.20 | $2,367.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $444.00 | $740.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $556.80 | $928.00 | not published | 0 |
| Scan proc cranial extra CPT 61782 | $28,095.41 | $46,825.68 | $6,885.86 – $6,885.86 | 3 |
| Scan proc spinal CPT 61783 | $63,319.12 | $105,531.87 | $12,526.51 – $12,526.51 | 3 |
| Scope plantar fasciotomy CPT 29893 | $44,546.44 | $74,244.07 | $3,192.44 – $3,192.44 | 3 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $30,414.15 | $50,690.25 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $5,879.96 | $9,799.93 | $907.35 – $907.35 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $4,515.66 | $7,526.10 | $907.35 – $907.35 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $93.00 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $471.00 | $785.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $561,070.88 | $935,118.14 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.60 | $36.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $255.00 | $425.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $6.00 | $10.00 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $160.63 | $267.72 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $7,167.71 | $11,946.18 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $639.00 | $1,065.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $376.20 | $627.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $378.60 | $631.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $378.60 | $631.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $777.60 | $1,296.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $376.20 | $627.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $376.20 | $627.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $75.59 | $125.99 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $17,286.68 | $28,811.13 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $25,969.01 | $43,281.68 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $58,792.17 | $97,986.95 | $7,079.78 – $7,079.78 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $25,553.55 | $42,589.25 | $3,192.44 – $3,192.44 | 3 |
| Shoe clubfoot wedge HCPCS L3380 | $232.50 | $387.50 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $202.81 | $338.02 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $190.81 | $318.01 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $161.06 | $268.44 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $292.08 | $486.80 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $494.68 | $824.47 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $292.08 | $486.80 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $274.40 | $457.34 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $347.09 | $578.48 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $435.16 | $725.26 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $190.81 | $318.01 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $232.50 | $387.50 | 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.