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 |
|---|---|---|---|---|
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,195.80 | $1,993.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $445.80 | $743.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,195.80 | $1,993.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $172.80 | $288.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $381.00 | $635.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,039.00 | $5,065.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $174.00 | $290.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,965.00 | $3,275.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $9,282.60 | $15,471.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $150.60 | $251.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $83.40 | $139.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $214.20 | $357.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $172.80 | $288.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $476.40 | $794.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $172.80 | $288.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $172.80 | $288.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $36,990.37 | $61,650.62 | $1,568.89 – $1,600.27 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $5,796.08 | $9,660.13 | $1,568.89 – $1,568.89 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $172.80 | $288.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $172.80 | $288.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $445.80 | $743.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $453.60 | $756.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $172.80 | $288.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $445.80 | $743.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $6,284.15 | $10,473.58 | $3,234.84 – $3,234.84 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $6,379.80 | $10,633.00 | $1,568.89 – $1,568.89 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $172.80 | $288.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $172.80 | $288.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $172.80 | $288.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $172.80 | $288.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,965.00 | $3,275.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,195.80 | $1,993.00 | not published | 0 |
| Cmbn ant pst colprhy CPT 57260 | $28,492.69 | $47,487.82 | $4,880.81 – $4,880.81 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $35.40 | $59.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $537.60 | $896.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $113.40 | $189.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $62,112.46 | $103,520.76 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $1,533.71 | $2,556.18 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $48.00 | $80.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $57.00 | $95.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $294.00 | $490.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $441.92 | $736.53 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $296.35 | $493.91 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $714.65 | $1,191.09 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $489.80 | $816.33 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $165.60 | $276.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $96.00 | $160.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $37.80 | $63.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $6,028.29 | $10,047.15 | $907.35 – $907.35 | 3 |
| Colonoscopy submucous njx CPT 45381 | $6,630.58 | $11,050.97 | $1,167.54 – $1,167.54 | 3 |
| Colonoscopy w/ablation CPT 45388 | $15,366.89 | $25,611.48 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy w/control bleed CPT 45382 | $8,651.90 | $14,419.83 | $1,167.54 – $1,167.54 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $6,683.09 | $11,138.48 | $1,167.54 – $1,167.54 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $7,055.55 | $11,759.25 | $1,167.54 – $1,167.54 | 3 |
| Colonoscopy w/resection CPT 45390 | $11,716.91 | $19,528.18 | $2,708.17 – $2,708.17 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,356.80 | $3,928.00 | not published | 0 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $11,271.46 | $18,785.77 | $3,158.41 – $3,158.41 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $370.80 | $618.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $9,064.72 | $15,107.86 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $205.80 | $343.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $210.60 | $351.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $204.00 | $340.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $203.40 | $339.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $142.20 | $237.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,921.80 | $3,203.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $30,633.69 | $51,056.15 | $6,478.71 – $6,478.71 | 1 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,210.80 | $2,018.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,921.80 | $3,203.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $4,325.57 | $7,209.28 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $69.60 | $116.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $36,367.01 | $60,611.68 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $600.00 | $1,000.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $8,686.05 | $14,476.75 | $3,158.41 – $3,158.41 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $3,957.24 | $6,595.40 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $15,202.76 | $25,337.93 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $16,075.31 | $26,792.18 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $312.00 | $520.00 | 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.