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 |
|---|---|---|---|---|
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $21.00 | $35.00 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,025.79 | $1,709.65 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $88.80 | $148.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $96.60 | $161.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $109.20 | $182.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $322.65 | $537.75 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,489.20 | $2,482.00 | not published | 0 |
| Ercp remove forgn body duct 43275 CPT 43275 | $12,675.41 | $21,125.68 | $1,872.25 – $1,909.69 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $432.00 | $720.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $748.20 | $1,247.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $1,115.40 | $1,859.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $2,041.80 | $3,403.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $2,585.40 | $4,309.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $786.85 | $1,311.42 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $928.52 | $1,547.53 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $2,419.80 | $4,033.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $10,610.68 | $17,684.47 | $884.93 – $902.63 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $2,418.00 | $4,030.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $10,818.62 | $18,031.03 | $1,872.25 – $1,909.69 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $132.60 | $221.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $156.60 | $261.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $172.20 | $287.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $281.40 | $469.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $264.60 | $441.00 | not published | 0 |
| Estradiol total CPT 82670 | $157.80 | $263.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $123.00 | $205.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $90.00 | $150.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $304.80 | $508.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $365.40 | $609.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $200.40 | $334.00 | not published | 0 |
| Event monitor CPT 93270 | $186.60 | $311.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $253.80 | $423.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $67.80 | $113.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $5,160.93 | $8,601.55 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $2,976.71 | $4,961.18 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $8,931.35 | $14,885.58 | $2,834.09 – $2,890.77 | 2 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $12,301.36 | $20,502.27 | $1,611.44 – $1,643.67 | 3 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $8,874.49 | $14,790.82 | $1,611.44 – $1,643.67 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $901.80 | $1,503.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $901.80 | $1,503.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $3,065.40 | $5,109.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $10,179.58 | $16,965.97 | $2,834.09 – $2,890.77 | 2 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $518.40 | $864.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $15,300.34 | $25,500.57 | $5,898.53 – $6,016.50 | 2 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | $75,090.36 | $125,150.60 | $12,526.51 – $12,777.04 | 3 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $98,851.88 | $164,753.13 | $7,079.78 – $7,221.37 | 3 |
| Exc forearm les sc 3 cm/> CPT 25071 | $9,137.48 | $15,229.13 | $1,611.44 – $1,643.67 | 2 |
| Exchange nephrostomy cath CPT 50435 | $3,437.40 | $5,729.00 | not published | 0 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $15,801.06 | $26,335.10 | $2,834.09 – $2,890.77 | 2 |
| Excise foot tendon sheath CPT 28088 | $39,833.80 | $66,389.67 | $12,526.51 – $12,777.04 | 3 |
| Excise intrspinl lesion lmbr CPT 63267 | $26,015.20 | $43,358.67 | $7,079.78 – $7,221.37 | 3 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $18,755.36 | $31,258.93 | $5,898.53 – $6,016.50 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $15,801.06 | $26,335.10 | $1,611.44 – $1,643.67 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $15,801.06 | $26,335.10 | $690.91 – $2,834.09 | 3 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $17,455.30 | $29,092.17 | $1,611.44 – $1,643.67 | 2 |
| Excision lesion mouth roof CPT 42106 | $13,118.71 | $21,864.52 | $3,234.84 – $3,299.54 | 3 |
| Excision of anal lesion(s) CPT 46922 | $9,878.65 | $16,464.42 | $2,708.17 – $2,762.33 | 3 |
| Excision of neck cyst confined 42810 CPT 42810 | $19,531.57 | $32,552.62 | $3,234.84 – $3,299.54 | 3 |
| Excision of penis lesion(s) 54060 CPT 54060 | $14,793.20 | $24,655.33 | $2,039.56 – $2,080.35 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $13,863.61 | $23,106.02 | $1,611.44 – $1,643.67 | 3 |
| Excis partial tal calc CPT 28120 | $40,790.73 | $67,984.55 | $7,079.78 – $7,221.37 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $40,790.73 | $67,984.55 | $7,079.78 – $7,221.37 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | $8,565.01 | $14,275.02 | $2,834.09 – $2,890.77 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $448.80 | $748.00 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $62,716.55 | $104,527.58 | $3,192.44 – $3,256.29 | 3 |
| Exc rect tum transanal full CPT 45172 | $11,672.09 | $19,453.48 | $2,708.17 – $2,762.33 | 3 |
| Exc rect tum transanal part CPT 45171 | $11,331.42 | $18,885.70 | $2,708.17 – $2,762.33 | 3 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $53,733.97 | $89,556.62 | $7,079.78 – $7,221.37 | 2 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $5,649.60 | $9,416.00 | $2,834.09 – $2,890.77 | 3 |
| Exc vagina lesion 57135 CPT 57135 | $9,690.86 | $16,151.43 | $3,158.41 – $3,221.58 | 3 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $10,097.76 | $16,829.60 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $31,835.57 | $53,059.28 | $6,885.86 – $7,023.57 | 3 |
| Exploration of toe joint CPT 28024 | $1,507.80 | $2,513.00 | not published | 0 |
| Explore parathyroid glands CPT 60500 | $36,532.38 | $60,887.30 | $5,775.89 – $5,891.41 | 3 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,083.80 | $3,473.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $1,507.80 | $2,513.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $14,397.66 | $23,996.10 | $1,611.44 – $1,611.44 | 2 |
| Extended steel shank HCPCS L2360 | $215.34 | $358.90 | not published | 0 |
| Extension per extension per HCPCS L2760 | $237.30 | $395.50 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $578.40 | $964.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $305.40 | $509.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $545.40 | $909.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $126.00 | $210.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $6,601.90 | $11,003.16 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $200.40 | $334.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,857.76 | $11,429.60 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $813.60 | $1,356.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $401.40 | $669.00 | not published | 0 |
| Factor ix CPT 85250 | $202.80 | $338.00 | not published | 0 |
| Factor viii CPT 85240 | $315.00 | $525.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $21.00 | $35.00 | not published | 0 |
| Fancc gene CPT 81242 | $112.80 | $188.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $45.60 | $76.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $600.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,976.01 | $3,293.35 | not published | 0 |
| #fecal-sodium CPT 84302 | $28.20 | $47.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $68.40 | $114.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $225.35 | $375.58 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $32.27 | $53.78 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,847.57 | $11,412.62 | 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.