Mary Immaculate Hospital
2 Bernardine Dr., Newport News, VA · Bonsecours · · NPI 1427064310
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 |
|---|---|---|---|---|
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $127.80 | $213.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $444.60 | $741.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $57,466.31 | $95,777.18 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $368.40 | $614.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,083.80 | $3,473.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,083.80 | $3,473.00 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $21.00 | $35.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $361.76 | $602.93 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $123.77 | $206.28 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $12,043.20 | $20,072.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $7,984.41 | $13,307.35 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $32,308.20 | $53,847.00 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $7,550.48 | $12,584.14 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $45,166.63 | $75,277.72 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $64,330.70 | $107,217.83 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $45,347.28 | $75,578.80 | not published | 0 |
| Drug assay caffeine CPT 80155 | $75.00 | $125.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $184.20 | $307.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $62.40 | $104.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $460.20 | $767.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $90.60 | $151.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $127.80 | $213.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $43.20 | $72.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $600.60 | $1,001.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $235.20 | $392.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $45.60 | $76.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $456.60 | $761.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $201.00 | $335.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $249.60 | $416.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $594.60 | $991.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $613.80 | $1,023.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $31,412.00 | $52,353.33 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $4,267.19 | $7,111.98 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $8,893.68 | $14,822.80 | $1,736.62 – $1,736.62 | 2 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $9,823.80 | $16,373.00 | $1,736.62 – $1,771.35 | 3 |
| Ear irrigation 69209 CPT 69209 | $142.80 | $238.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $216.60 | $361.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $231.60 | $386.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $978.00 | $1,630.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $374.40 | $624.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $76.20 | $127.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,941.60 | $3,236.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $874.80 | $1,458.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,758.80 | $4,598.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $772.20 | $1,287.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,415.40 | $2,359.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $372.60 | $621.00 | not published | 0 |
| Echo stress CPT 93350 | $1,886.40 | $3,144.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,369.40 | $3,949.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $1,650.00 | $2,750.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $1,047.60 | $1,746.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,048.80 | $1,748.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $2,668.20 | $4,447.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $873.60 | $1,456.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $30,331.91 | $50,553.18 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $100.80 | $168.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $754.20 | $1,257.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $380.40 | $634.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $907.80 | $1,513.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,059.60 | $1,766.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $130.20 | $217.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $5,272.10 | $8,786.83 | $1,872.25 – $1,909.69 | 3 |
| Egd dilate stricture CPT 43245 | $7,531.16 | $12,551.93 | $1,872.25 – $1,909.69 | 3 |
| Egd guide wire insertion CPT 43248 | $3,661.57 | $6,102.62 | $884.93 – $902.63 | 3 |
| Egd remove foreign body CPT 43247 | $4,310.38 | $7,183.97 | $884.93 – $902.63 | 3 |
| Egd remove lesion snare CPT 43251 | $4,476.60 | $7,461.00 | $1,872.25 – $1,909.69 | 3 |
| Egd varices ligation CPT 43244 | $4,802.05 | $8,003.42 | $1,872.25 – $1,909.69 | 3 |
| Egfr gene com variants CPT 81235 | $937.80 | $1,563.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $24,966.48 | $41,610.80 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $128.40 | $214.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,093.80 | $1,823.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $11,646.60 | $19,411.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $8,376.60 | $13,961.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $7,719.00 | $12,865.00 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,609.65 | $16,016.08 | not published | 0 |
| Embolization s&i CPT 75894 | $3,173.40 | $5,289.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,931.20 | $21,552.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $12,931.20 | $21,552.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $11,154.00 | $18,590.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $136.80 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $136.80 | $228.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $2,057.30 | $3,428.84 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,414.29 | $2,357.15 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,944.93 | $3,241.55 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $20,357.11 | $33,928.52 | $5,898.53 – $6,016.50 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | $2,191.86 | $3,653.10 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $2,827.84 | $4,713.06 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,950.40 | $6,584.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $2,775.00 | $4,625.00 | not published | 0 |
| Endoscopy maxillary sinus CPT 31267 | $22,834.62 | $38,057.70 | $6,885.86 – $7,023.57 | 3 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $44,942.98 | $74,904.97 | $6,885.86 – $7,023.57 | 3 |
| Endo, single, pulmonary HCPCS C1601 | $14,359.20 | $23,932.00 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,936.69 | $3,227.81 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $267.21 | $445.35 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $210.00 | $350.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,900.88 | $3,168.13 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $542.73 | $904.55 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $24,188.40 | $40,314.00 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $7,713.00 | $12,855.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $4,363.73 | $7,272.89 | 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.