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 |
|---|---|---|---|---|
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,439.40 | $2,399.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $640.80 | $1,068.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $553.80 | $923.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $871.20 | $1,452.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $578.40 | $964.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,365.60 | $2,276.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $737.40 | $1,229.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $232.20 | $387.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $2,170.20 | $3,617.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $911.40 | $1,519.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $591.60 | $986.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,011.60 | $1,686.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,012.80 | $1,688.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $775.20 | $1,292.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,495.80 | $2,493.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $2,462.40 | $4,104.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $357.60 | $596.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $762.60 | $1,271.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,231.80 | $2,053.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $544.20 | $907.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $666.00 | $1,110.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $553.80 | $923.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $165.60 | $276.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $492.00 | $820.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $664.20 | $1,107.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $776.40 | $1,294.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $614.40 | $1,024.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $385.80 | $643.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $496.20 | $827.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $481.20 | $802.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $543.60 | $906.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,144.80 | $1,908.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,163.40 | $1,939.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $329.40 | $549.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $594.60 | $991.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $445.80 | $743.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $645.00 | $1,075.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $402.60 | $671.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $102.00 | $170.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,033.80 | $1,723.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $758.40 | $1,264.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $612.60 | $1,021.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $154.80 | $258.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $511.80 | $853.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $647.40 | $1,079.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $603.60 | $1,006.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $542.40 | $904.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,035.80 | $3,393.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $466.20 | $777.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $600.00 | $1,000.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $924.00 | $1,540.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $696.60 | $1,161.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $576.60 | $961.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $776.40 | $1,294.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $803.40 | $1,339.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $508.20 | $847.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $995.40 | $1,659.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $844.80 | $1,408.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $642.00 | $1,070.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $847.20 | $1,412.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,458.00 | $2,430.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $2,362.80 | $3,938.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $503.40 | $839.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $127.80 | $213.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $559.80 | $933.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $942.00 | $1,570.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $924.00 | $1,540.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $735.60 | $1,226.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $809.40 | $1,349.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $430.80 | $718.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,794.60 | $2,991.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,529.40 | $2,549.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $534.60 | $891.00 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $306.60 | $511.00 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $286.80 | $478.00 | not published | 0 |
| Zika virus igm antibody CPT 86794 | $159.00 | $265.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $344.30 | $573.83 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $179.09 | $298.48 | 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.