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 |
|---|---|---|---|---|
| #aptt mix-1:1 incubated CPT 87532 | $331.20 | $552.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $719.40 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $213.00 | $355.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $190.81 | $318.01 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $149.06 | $248.43 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $149.06 | $248.43 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $48.00 | $80.00 | not published | 0 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $1,264.73 | $2,107.88 | not published | 0 |
| Argatroban nonesrd (accord) HCPCS J0891 | $2,079.00 | $3,465.00 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,138.80 | $1,898.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $23,675.59 | $39,459.32 | $5,429.18 – $5,429.18 | 3 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,446.00 | $7,410.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,646.00 | $4,410.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,847.60 | $4,746.00 | not published | 0 |
| Artery x-rays chest CPT 75756 | $1,325.40 | $2,209.00 | not published | 0 |
| Artery x-rays lung CPT 75746 | $6,027.00 | $10,045.00 | not published | 0 |
| Arthrd ant ntrbdy cervical CPT 22551 | $98,193.46 | $163,655.77 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $11,235.55 | $18,725.92 | $1,905.24 – $1,943.35 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,148.60 | $3,581.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,327.80 | $2,213.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $7,653.41 | $12,755.68 | $299.49 – $305.48 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $57,053.79 | $95,089.65 | $299.49 – $299.49 | 3 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $171,677.97 | $286,129.95 | $12,777.04 – $12,777.04 | 1 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $161,460.39 | $269,100.65 | $17,107.48 – $17,107.48 | 1 |
| Arthrodesis subtalar CPT 28725 | $185,599.84 | $309,333.07 | $12,526.51 – $12,526.51 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $28,647.10 | $47,745.17 | $3,192.44 – $3,192.44 | 3 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $33,073.90 | $55,123.17 | $3,192.44 – $3,192.44 | 3 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $24,224.43 | $40,374.05 | $3,192.44 – $3,192.44 | 3 |
| Arthrp w/prostc dstl ulna CPT 25442 | $50,350.89 | $83,918.15 | $17,107.48 – $17,107.48 | 3 |
| Arthrt elbow w/synovectomy CPT 24102 | $11,819.47 | $19,699.12 | $3,192.44 – $3,192.44 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $28,647.10 | $47,745.17 | $3,192.44 – $3,192.44 | 3 |
| Artiss fibrin sealant HCPCS C9250 | $4,246.28 | $7,077.14 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $58,228.80 | $97,048.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,871.80 | $6,453.00 | not published | 0 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $513.60 | $856.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,250.40 | $2,084.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $3,261.00 | $5,435.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $174.00 | $290.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $33.60 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $160.20 | $267.00 | not published | 0 |
| Assay of adp & amp CPT 82030 | $91.80 | $153.00 | not published | 0 |
| Assay of digoxin free CPT 80163 | $185.40 | $309.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $447.00 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $60.60 | $101.00 | not published | 0 |
| Assay of leflunomide CPT 80193 | $103.20 | $172.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $120.60 | $201.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $72.00 | $120.00 | not published | 0 |
| Assay toxin or antitoxin CPT 87230 | $168.60 | $281.00 | not published | 0 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $35,279.78 | $58,799.63 | $7,079.78 – $7,079.78 | 3 |
| Ast/sgot CPT 84450 | $54.00 | $90.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $66,059.35 | $110,098.92 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $186.60 | $311.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $17,260.68 | $28,767.80 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $11,125.80 | $18,543.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $17,901.00 | $29,835.00 | not published | 0 |
| Autgrft implnt knee w/scope CPT 29866 | $52,768.31 | $87,947.18 | $7,079.78 – $7,079.78 | 3 |
| Autolog prp diab wound ulcer HCPCS G0465 | $3,448.80 | $5,748.00 | not published | 0 |
| Autolog prp not diab ulcer HCPCS G0460 | $3,448.80 | $5,748.00 | not published | 0 |
| Automated diff wbc count CPT 85004 | $29.40 | $49.00 | not published | 0 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $11,935.91 | $19,893.19 | not published | 0 |
| Av fistula revision CPT 36833 | $12,749.10 | $21,248.50 | $5,429.18 – $5,429.18 | 3 |
| Av fuse uppr arm basilic CPT 36819 | $23,323.05 | $38,871.75 | $5,429.18 – $5,537.77 | 3 |
| Av fusion direct any site CPT 36821 | $12,145.09 | $20,241.82 | $3,080.71 – $3,080.71 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $11,448.21 | $19,080.35 | $195.76 – $195.76 | 3 |
| Azacitidine injection HCPCS J9025 | $3,335.87 | $5,559.78 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $6.00 | $10.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $49.35 | $82.25 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $540.23 | $900.38 | not published | 0 |
| Baclofen eval charges CPT 97750 | $103.20 | $172.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $288.00 | $480.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $172.20 | $287.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $9,388.15 | $15,646.92 | $3,158.41 – $3,158.41 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $181.80 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $672.75 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $187.80 | $313.00 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,782.74 | $19,637.90 | not published | 0 |
| Below knee total contact HCPCS L5637 | $1,481.20 | $2,468.66 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $13,338.00 | $22,230.00 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $14,100.66 | $23,501.10 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $18,660.28 | $31,100.46 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $122.40 | $204.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $85.20 | $142.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $144.38 | $240.63 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $228.60 | $381.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $168.00 | $280.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $762.00 | $1,270.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $91.69 | $152.81 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $18,170.23 | $30,283.72 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $15,908.11 | $26,513.52 | not published | 0 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $13,985.52 | $23,309.20 | not published | 0 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $42,824.24 | $71,373.73 | $7,079.78 – $7,221.37 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,188.00 | $1,980.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,188.00 | $1,980.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47553 | $4,067.40 | $6,779.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47556 | $4,169.40 | $6,949.00 | not published | 0 |
| Bilicheck CPT 88720 | $33.00 | $55.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $168.00 | $280.00 | not published | 0 |
| Bilirubin total CPT 82247 | $183.60 | $306.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $1,570.10 | $2,616.83 | not published | 0 |
| Biofeedback, pt CPT 90901 | $60.00 | $100.00 | 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.