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 |
|---|---|---|---|---|
| Tx closed hip disl traumatic without anes CPT 27250 | $172.80 | $288.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,878.00 | $8,130.00 | not published | 0 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $16,360.83 | $27,268.05 | $3,192.44 – $3,192.44 | 3 |
| Tx open nsl fx uncomp CPT 21325 | $13,221.00 | $22,035.00 | $3,234.84 – $3,299.54 | 2 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $13,923.74 | $23,206.23 | $3,192.44 – $3,192.44 | 3 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,010.40 | $1,684.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $600.00 | $1,000.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $583.20 | $972.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $1,002.00 | $1,670.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $523.80 | $873.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $1,581.60 | $2,636.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,134.00 | $1,890.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,108.80 | $1,848.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $701.40 | $1,169.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,174.80 | $1,958.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $500.40 | $834.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $700.20 | $1,167.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $696.00 | $1,160.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $615.60 | $1,026.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $829.80 | $1,383.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $530.40 | $884.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $3,756.00 | $6,260.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $677.40 | $1,129.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $829.80 | $1,383.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,838.40 | $3,064.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $855.60 | $1,426.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $1,823.40 | $3,039.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $964.20 | $1,607.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $991.80 | $1,653.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,605.00 | $2,675.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $3,078.00 | $5,130.00 | not published | 0 |
| Umbilicoplasty 15847 CPT 15847 | $41,630.21 | $69,383.68 | $6,478.71 – $6,478.71 | 2 |
| Unlisted hystsc px uterus CPT 58579 | $14,406.38 | $24,010.63 | $197.26 – $197.26 | 3 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $12,495.52 | $20,825.87 | $5,898.53 – $5,898.53 | 3 |
| Unlisted maaa CPT 81599 | $141.60 | $236.00 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $779.40 | $1,299.00 | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | $453.60 | $756.00 | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | $57,105.52 | $95,175.87 | $240.67 – $240.67 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | $174.00 | $290.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $461.40 | $769.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $16,288.61 | $27,147.68 | $5,898.53 – $5,898.53 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,419.60 | $2,366.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,525.00 | $5,875.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,852.20 | $3,087.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,289.60 | $3,816.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $3,662.18 | $6,103.63 | $884.93 – $884.93 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $5,214.09 | $8,690.15 | $884.93 – $884.93 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $6,437.46 | $10,729.10 | $884.93 – $884.93 | 3 |
| Urea nitrogen CPT 84520 | $28.80 | $48.00 | not published | 0 |
| Uric acid blood CPT 84550 | $41.40 | $69.00 | not published | 0 |
| Uric acid urine CPT 84560 | $43.20 | $72.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $12.60 | $21.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $163.20 | $272.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $34.20 | $57.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $156.00 | $260.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $124.80 | $208.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $23,146.58 | $38,577.63 | not published | 0 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $79,583.54 | $132,639.24 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $128.72 | $214.54 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $450.75 | $751.25 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $29.40 | $49.00 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $24.60 | $41.00 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $576.08 | $960.13 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $47.40 | $79.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $97.20 | $162.00 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $114.56 | $190.93 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $25.20 | $42.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $81.00 | $135.00 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $58.78 | $97.97 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,031.50 | $1,719.17 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $725.36 | $1,208.93 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $426.26 | $710.43 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $147.00 | $245.00 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $276.00 | $460.00 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $159.00 | $265.00 | not published | 0 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $42.00 | $70.00 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,890.56 | $3,150.93 | not published | 0 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $211.80 | $353.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $163.80 | $273.00 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $327.60 | $546.00 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $195.60 | $326.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $212.05 | $353.41 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $183.77 | $306.29 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $835.70 | $1,392.84 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $31,713.90 | $52,856.50 | not published | 0 |
| Vaginal bx CPT 58999 | $12,224.43 | $20,374.05 | $197.26 – $197.26 | 3 |
| Vaginal hysterectomy CPT 58260 | $20,007.05 | $33,345.08 | $4,880.81 – $4,880.81 | 3 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $73.50 | $122.50 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $82.80 | $138.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $630.00 | $1,050.00 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $393.25 | $655.41 | not published | 0 |
| Vancomycin hcl injection HCPCS J3370 | $383.25 | $638.75 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $269.40 | $449.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $109.80 | $183.00 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $225.58 | $375.97 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $48.00 | $80.00 | not published | 0 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $51,105.11 | $85,175.19 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $5,417.40 | $9,029.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $1,054.80 | $1,758.00 | not published | 0 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,884.40 | $6,474.00 | 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.