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 |
|---|---|---|---|---|
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $162,120.00 | $270,200.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,098.80 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $101,904.00 | $169,840.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $3,082.80 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $3,082.80 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $44.24 | $73.74 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $142.80 | $238.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $1,155.00 | $1,925.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $54.00 | $90.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $362.40 | $604.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $83.40 | $139.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $374.40 | $624.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,344.00 | $2,240.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,601.20 | $6,002.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,030.20 | $1,717.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $445.80 | $743.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $445.80 | $743.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,507.80 | $2,513.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,507.80 | $2,513.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $29,454.78 | $49,091.30 | $3,457.56 – $3,526.71 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,507.80 | $2,513.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,507.80 | $2,513.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $445.80 | $743.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $445.80 | $743.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $111.60 | $186.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $525.60 | $876.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $162.00 | $270.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $315.00 | $525.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $315.00 | $525.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $289.20 | $482.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $445.80 | $743.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $518.40 | $864.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $555.00 | $925.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $15.00 | $25.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $30,644.93 | $51,074.88 | $2,834.09 – $2,890.77 | 3 |
| Ghs fb removal - incisional CPT 10121 | $2,083.80 | $3,473.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $1,309.80 | $2,183.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $120.00 | $200.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $273.00 | $455.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $294.60 | $491.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $223.20 | $372.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $141.60 | $236.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $150.60 | $251.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $121.20 | $202.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,577.60 | $4,296.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $11,538.56 | $19,230.93 | $1,167.54 – $1,190.90 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $901.80 | $1,503.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $901.80 | $1,503.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $2,093.40 | $3,489.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $1,209.60 | $2,016.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $74.40 | $124.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $412.80 | $688.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $433.20 | $722.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $243.60 | $406.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $335.40 | $559.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $391.20 | $652.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $525.60 | $876.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $509.40 | $849.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $14,522.66 | $24,204.43 | $1,611.44 – $4,978.43 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $15,801.06 | $26,335.10 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $759.60 | $1,266.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,035.60 | $1,726.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $82.80 | $138.00 | not published | 0 |
| Ghs mbp CPT 83873 | $105.00 | $175.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $85.20 | $142.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $721.20 | $1,202.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $374.40 | $624.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $149.40 | $249.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $282.00 | $470.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $728.40 | $1,214.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,178.40 | $1,964.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,776.00 | $2,960.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,344.00 | $2,240.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,776.00 | $2,960.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $2,332.80 | $3,888.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,776.00 | $2,960.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,336.20 | $2,227.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $1,344.00 | $2,240.00 | not published | 0 |
| Ghs o2 saturation CPT 82810 | $34.20 | $57.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $804.00 | $1,340.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $35.40 | $59.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $817.80 | $1,363.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,497.60 | $2,496.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,239.60 | $2,066.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $922.20 | $1,537.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $147.60 | $246.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $9,793.19 | $16,321.98 | $240.67 – $245.48 | 3 |
| Ghs ppd (tb intradermal) CPT 86580 | $52.20 | $87.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $71.40 | $119.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $112.20 | $187.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $115.20 | $192.00 | 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.