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 |
|---|---|---|---|---|
| Tlso rig fram pelvic pre ots HCPCS L0469 | $2,228.86 | $3,714.77 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $3,084.25 | $5,140.42 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $6,756.36 | $11,260.60 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $4,705.61 | $7,842.69 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $7,080.41 | $11,800.69 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,326.01 | $2,210.01 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $2,214.77 | $3,691.29 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $840.00 | $1,400.00 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $105.75 | $176.25 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $120.60 | $201.00 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $268.80 | $448.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $107.40 | $179.00 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $14,780.27 | $24,633.78 | $3,234.84 – $3,299.54 | 3 |
| Tonsillectomy (child under 12) CPT 42825 | $12,966.95 | $21,611.58 | $5,775.89 – $5,775.89 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $789.79 | $1,316.32 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $576.78 | $961.30 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $502.90 | $838.17 | not published | 0 |
| Total hip arthroplasty CPT 27132 | $50,702.65 | $84,504.42 | $12,526.51 – $12,777.04 | 3 |
| Total Hip Replacement CPT 27130 | $53,942.73 | $89,904.55 | $12,526.51 – $12,526.51 | 3 |
| Total hysterectomy CPT 58150 | $36,054.38 | $60,090.63 | $1.44 – $1,138.53 | 3 |
| Total Knee Replacement CPT 27447 | $51,936.53 | $86,560.88 | $12,526.51 – $12,526.51 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $62,978.46 | $104,964.10 | $17,107.48 – $17,107.48 | 3 |
| Toxoplasma antibody igg CPT 86777 | $150.60 | $251.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $148.20 | $247.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $833.40 | $1,389.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $21,029.24 | $35,048.73 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $381.00 | $635.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $220.50 | $367.50 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $2,940.60 | $4,901.00 | not published | 0 |
| Transferrin CPT 84466 | $94.80 | $158.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,989.00 | $3,315.00 | not published | 0 |
| Transplant hand tendon CPT 26480 | $24,899.82 | $41,499.70 | $3,192.44 – $3,192.44 | 3 |
| Trans shoe caliper plate new HCPCS L3610 | $470.98 | $784.96 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $357.69 | $596.15 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $357.69 | $596.15 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $470.98 | $784.96 | not published | 0 |
| Trapezius sling HCPCS L1070 | $525.88 | $876.46 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $8,945.12 | $14,908.53 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $21,706.63 | $36,177.71 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $19,329.16 | $32,215.26 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $17,936.55 | $29,894.25 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $148.80 | $248.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $22,957.60 | $38,262.67 | $5,898.53 – $5,898.53 | 3 |
| Treat elbow dislocation CPT 24605 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat finger fracture each CPT 26727 | $10,255.71 | $17,092.85 | $3,192.44 – $3,192.44 | 3 |
| Treat finger fracture each CPT 26742 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $172.80 | $288.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $172.80 | $288.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $14,085.92 | $23,476.53 | $3,192.44 – $3,192.44 | 2 |
| Treat heel fracture CPT 28415 | $28,325.04 | $47,208.40 | $7,079.78 – $7,079.78 | 3 |
| Treat hip dislocation CPT 27252 | $2,989.20 | $4,982.00 | not published | 0 |
| Treat humerus fracture CPT 24515 | $33,461.74 | $55,769.57 | $12,526.51 – $12,526.51 | 3 |
| Treat humerus fracture CPT 24535 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $172.80 | $288.00 | not published | 0 |
| Treat knee fracture CPT 27536 | $59,067.02 | $98,445.03 | $7,079.78 – $7,079.78 | 3 |
| Treat lower leg fracture CPT 27827 | $99,241.91 | $165,403.18 | $12,526.51 – $12,777.04 | 3 |
| Treat lower leg joint CPT 27829 | $58,355.53 | $97,259.22 | $7,079.78 – $7,079.78 | 3 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $35,955.58 | $59,925.97 | $7,079.78 – $7,079.78 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $38,858.36 | $64,763.93 | $7,079.78 – $7,079.78 | 3 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $36,897.19 | $61,495.32 | $7,079.78 – $7,079.78 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $8,732.51 | $14,554.18 | $3,158.41 – $3,158.41 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $456.60 | $761.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $238.20 | $397.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $172.20 | $287.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $9,000.16 | $15,000.27 | $3,158.41 – $3,158.41 | 3 |
| Treatment of ankle fracture CPT 27792 | $46,246.16 | $77,076.93 | $7,079.78 – $7,079.78 | 3 |
| Treatment of ankle fracture CPT 27814 | $62,487.06 | $104,145.10 | $7,079.78 – $7,079.78 | 3 |
| Treatment of ankle fracture CPT 27822 | $58,844.89 | $98,074.82 | $7,079.78 – $7,079.78 | 3 |
| Treatment of ankle fracture CPT 27823 | $46,766.89 | $77,944.82 | $7,079.78 – $7,079.78 | 3 |
| Treatment of thigh fracture CPT 27503 | $1,195.80 | $1,993.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,965.00 | $3,275.00 | not published | 0 |
| Treatment of tibia fracture CPT 27759 | $148,698.26 | $247,830.43 | $12,526.51 – $12,526.51 | 3 |
| Treat metacarpal fracture CPT 26615 | $67,846.05 | $113,076.75 | $3,192.44 – $3,192.44 | 3 |
| Treat metatarsal fracture CPT 28485 | $37,699.48 | $62,832.47 | $7,079.78 – $7,079.78 | 3 |
| Treat thigh fracture CPT 27235 | $26,715.31 | $44,525.52 | $7,079.78 – $7,079.78 | 3 |
| Treat thigh fracture CPT 27246 | $658.20 | $1,097.00 | not published | 0 |
| Treat thumb fracture CPT 26665 | $9,957.46 | $16,595.77 | $3,192.44 – $3,192.44 | 3 |
| Treat ulnar fracture CPT 24675 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat ulnar fracture CPT 24685 | $30,534.82 | $50,891.37 | $7,079.78 – $7,079.78 | 3 |
| Treat wrist dislocation CPT 25675 | $172.80 | $288.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $95.40 | $159.00 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $907.20 | $1,512.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $3.00 | $5.00 | not published | 0 |
| Triglycerides CPT 84478 | $53.40 | $89.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $12,703.80 | $21,173.00 | not published | 0 |
| Trnscath plc stnt ante carotid art CPT 37218 | $7,922.40 | $13,204.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $12,208.20 | $20,347.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $14,173.20 | $23,622.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,736.80 | $11,228.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $5,314.80 | $8,858.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $5,314.80 | $8,858.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,483.40 | $4,139.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $26,232.07 | $43,720.12 | $3,457.56 – $3,457.56 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $34,482.72 | $57,471.20 | $2,834.09 – $2,834.09 | 2 |
| Troponin quantitative CPT 84484 | $74.40 | $124.00 | not published | 0 |
| Tte w or without contr, cont ecg HCPCS C8930 | $3,625.80 | $6,043.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $883.57 | $1,472.62 | 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.