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 |
|---|---|---|---|---|
| Shoe post-op mens m HCPCS L3260 | $571.89 | $953.15 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $232.50 | $387.50 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $166.89 | $278.15 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $399.55 | $665.91 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $751.21 | $1,252.01 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $2,425.70 | $4,042.83 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $244.46 | $407.43 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $39,687.95 | $66,146.58 | $7,079.78 – $7,079.78 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,426.20 | $7,377.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $3,543.60 | $5,906.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,204.40 | $3,674.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $759.60 | $1,266.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $395.85 | $659.75 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $278.46 | $464.10 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $15,077.10 | $25,128.50 | not published | 0 |
| Sickling rbc CPT 85660 | $106.20 | $177.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $5,087.12 | $8,478.53 | $907.35 – $907.35 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $2,638.20 | $4,397.00 | $907.35 – $907.35 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $4,085.12 | $6,808.53 | $1,167.54 – $1,167.54 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,303.37 | $2,172.28 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,021.60 | $5,036.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,730.60 | $4,551.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,481.40 | $2,469.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $1,252.91 | $2,088.18 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $829.60 | $1,382.67 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $187,807.50 | $313,012.50 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $84.69 | $141.15 | not published | 0 |
| Skin Biopsy CPT 11102 | $376.20 | $627.00 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $27,096.18 | $45,160.30 | $6,478.71 – $6,478.71 | 2 |
| Sleeve fing rolyan med HCPCS L3933 | $910.29 | $1,517.15 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $404.17 | $673.62 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $35,349.46 | $58,915.76 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $37.80 | $63.00 | not published | 0 |
| Smear gram stain CPT 87205 | $202.20 | $337.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $31.80 | $53.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $139.80 | $233.00 | not published | 0 |
| Smear wet mount CPT 87210 | $97.20 | $162.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $702.00 | $1,170.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $5,042.72 | $8,404.53 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $3,844.04 | $6,406.73 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $2,547.88 | $4,246.46 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $142.55 | $237.59 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $79.20 | $132.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $1.20 | $2.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $252.00 | $420.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $193.20 | $322.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $114.00 | $190.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $333.90 | $556.50 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.60 | $71.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $48.00 | $80.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $354.78 | $591.30 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $3,954.00 | $6,590.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $748.81 | $1,248.02 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $171,677.97 | $286,129.95 | $12,526.51 – $12,526.51 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | $171,677.97 | $286,129.95 | $12,526.51 – $12,777.04 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,427.20 | $5,712.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $819.60 | $1,366.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,161.95 | $3,603.25 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $280.22 | $467.04 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $412.07 | $686.79 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $419.35 | $698.92 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $412.07 | $686.79 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $18,993.47 | $31,655.78 | $3,457.56 – $3,457.56 | 2 |
| Sputum specimen collection CPT 89220 | $153.60 | $256.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $255.60 | $426.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $1,299.75 | $2,166.25 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $93,783.20 | $156,305.34 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $75,385.50 | $125,642.50 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $81,884.25 | $136,473.75 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,819.65 | $3,032.75 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $114.00 | $190.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $470.35 | $783.92 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $255.60 | $426.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $275.40 | $459.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $558.00 | $930.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $275.40 | $459.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $73.31 | $122.18 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $688.82 | $1,148.03 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $121.80 | $203.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $48.00 | $80.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $48.00 | $80.00 | not published | 0 |
| Strapping of knee CPT 29530 | $97.20 | $162.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $55.20 | $92.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $311.40 | $519.00 | not published | 0 |
| Stress tte complete CPT 93351 | $2,269.80 | $3,783.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $733.80 | $1,223.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $231.60 | $386.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $259.20 | $432.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $48.00 | $80.00 | not published | 0 |
| Suction lipectomy lwr extrem CPT 15879 | $60,564.43 | $100,940.72 | $7,974.65 – $7,974.65 | 1 |
| Suction lipectomy trunk CPT 15877 | $35,126.24 | $58,543.73 | $3,457.56 – $6,478.71 | 2 |
| Suction lipectomy upr extrem CPT 15878 | $39,465.22 | $65,775.37 | $2,834.09 – $2,834.09 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $127.68 | $212.80 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $1,186.88 | $1,978.13 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.60 | $146.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $154.80 | $258.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $172.80 | $288.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $259.80 | $433.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $337.20 | $562.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $811.20 | $1,352.00 | 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.