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 |
|---|---|---|---|---|
| Ferritin CPT 82728 | $93.00 | $155.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $223.20 | $372.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $694.80 | $1,158.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,555.20 | $2,592.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $412.80 | $688.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $415.80 | $693.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $84.00 | $140.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $78.60 | $131.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $448.80 | $748.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $322.20 | $537.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $149.40 | $249.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $99.60 | $166.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $121.20 | $202.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $180.00 | $300.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $483.00 | $805.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $45.00 | $75.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $2,512.37 | $4,187.28 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $69,306.30 | $115,510.50 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $9,592.87 | $15,988.12 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,364.40 | $2,274.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,010.40 | $1,684.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $10,621.27 | $17,702.11 | not published | 0 |
| Fixation of knee joint CPT 27570 | $6,391.15 | $10,651.92 | $1,568.89 – $1,600.27 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $12,204.08 | $20,340.13 | $3,192.44 – $3,256.29 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $532.80 | $888.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $3,140.81 | $5,234.68 | $907.35 – $925.49 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $719.35 | $1,198.92 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $12,157.92 | $20,263.20 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $136.20 | $227.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $268.80 | $448.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $11,854.68 | $19,757.80 | not published | 0 |
| Flt3 gene CPT 81245 | $402.60 | $671.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $319.20 | $532.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $100.38 | $167.30 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $220.31 | $367.18 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $901.80 | $1,503.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $100.20 | $167.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $11,076.00 | $18,460.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $962.40 | $1,604.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $874.20 | $1,457.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $63.60 | $106.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $529.20 | $882.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $121.30 | $202.17 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,499.60 | $4,166.00 | not published | 0 |
| Folic acid CPT 82746 | $175.20 | $292.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $21.00 | $35.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $419.44 | $699.06 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $839.69 | $1,399.48 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $196.58 | $327.64 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $143.87 | $239.78 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $851.22 | $1,418.70 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $674.51 | $1,124.19 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $552.41 | $920.69 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $727.64 | $1,212.73 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $511.46 | $852.44 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $212.42 | $354.04 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $1,395.02 | $2,325.03 | not published | 0 |
| Foot X-ray CPT 73630 | $492.00 | $820.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $3,444.73 | $5,741.21 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $2,483.21 | $4,138.69 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $299.40 | $499.00 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $34.42 | $57.36 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $15,576.00 | $25,960.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $9,156.70 | $15,261.17 | $1,513.86 – $1,544.13 | 3 |
| Frenotomy 40806 CPT 40806 | $9,177.70 | $15,296.17 | $1,513.86 – $1,544.13 | 3 |
| Frenulotomy of penis CPT 54164 | $7,470.15 | $12,450.25 | $2,039.56 – $2,080.35 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $178.80 | $298.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $72.00 | $120.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,311.97 | $2,186.61 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $228.40 | $380.67 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $19,972.12 | $33,286.87 | $2,013.11 – $2,053.37 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $9,263.30 | $15,438.83 | $2,013.11 – $2,053.37 | 3 |
| Furnsh initial orthosis only HCPCS L1200 | $7,473.73 | $12,456.22 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $21.00 | $35.00 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $53,821.21 | $89,702.02 | $7,079.78 – $7,221.37 | 3 |
| Fusion of big toe joint CPT 28755 | $55,106.71 | $91,844.52 | $7,079.78 – $7,221.37 | 3 |
| Fusion of finger jnt add-on CPT 26861 | $36,922.72 | $61,537.87 | $7,079.78 – $7,221.37 | 3 |
| Fusion of finger joint CPT 26860 | $36,922.72 | $61,537.87 | $7,079.78 – $7,221.37 | 3 |
| Fusion of foot bones CPT 28730 | $92,125.19 | $153,541.98 | $12,526.51 – $12,777.04 | 3 |
| Fusion of foot bones CPT 28740 | $98,851.88 | $164,753.13 | $7,079.78 – $12,777.04 | 3 |
| G6pd full gene sequence CPT 81249 | $1,890.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $202.80 | $338.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $482.20 | $803.67 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $291.56 | $485.93 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $430.07 | $716.78 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,213.76 | $2,022.93 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $88.80 | $148.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $21,251.71 | $35,419.52 | $5,898.53 – $6,016.50 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $12,545.28 | $20,908.80 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $28,200.00 | $47,000.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $89.40 | $149.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $164.40 | $274.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $99.60 | $166.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $13,832.82 | $23,054.70 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $697.43 | $1,162.38 | not published | 0 |
| Gba gene CPT 81251 | $538.80 | $898.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $605.06 | $1,008.44 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $180,272.81 | $300,454.68 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $137,107.20 | $228,512.00 | 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.