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 |
|---|---|---|---|---|
| Hepatitis b core antibody igm CPT 86705 | $128.40 | $214.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $102.00 | $170.00 | not published | 0 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $2,467.76 | $4,112.93 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $93.00 | $155.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $133.20 | $222.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $37.80 | $63.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $886.80 | $1,478.00 | not published | 0 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $357.59 | $595.98 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $22,826.17 | $38,043.62 | $3,493.34 – $3,563.21 | 3 |
| Herpes simplex type 1 antibody igg CPT 86695 | $84.60 | $141.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $114.60 | $191.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $208.80 | $348.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $84.60 | $141.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $347.12 | $578.54 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $347.12 | $578.54 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $6,157.22 | $10,262.04 | not published | 0 |
| Hinge ext/flex wrist finger HCPCS L3901 | $8,069.36 | $13,448.93 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,794.49 | $2,990.81 | not published | 0 |
| Hip arthro w/labral repair CPT 29916 | $21,798.25 | $36,330.42 | $7,079.78 – $7,221.37 | 3 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $890.74 | $1,484.56 | not published | 0 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $984.30 | $1,640.50 | not published | 0 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $1,860.02 | $3,100.04 | not published | 0 |
| Hip joint adjustable flexion HCPCS L2622 | $1,328.92 | $2,214.87 | not published | 0 |
| Hip X-ray CPT 73502 | $281.40 | $469.00 | not published | 0 |
| Histamine CPT 83088 | $142.80 | $238.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $148.20 | $247.00 | not published | 0 |
| Hkafo torsion ball bearing j HCPCS L2060 | $2,545.66 | $4,242.76 | not published | 0 |
| Hkafo torsion bil rot straps HCPCS L2040 | $844.88 | $1,408.13 | not published | 0 |
| Hkafo torsion unilat rot str HCPCS L2070 | $648.20 | $1,080.34 | not published | 0 |
| Hkafo unilat torsion ball br HCPCS L2090 | $2,076.57 | $3,460.95 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $1,071.00 | $1,785.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $270.00 | $450.00 | not published | 0 |
| Hla class i phenotype qual CPT 86830 | $316.20 | $527.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $148.20 | $247.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $1,848.60 | $3,081.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $580.80 | $968.00 | not published | 0 |
| Ho abduction hip adjustable HCPCS L1650 | $1,029.92 | $1,716.54 | not published | 0 |
| Ho abduction static plastic HCPCS L1660 | $754.74 | $1,257.90 | not published | 0 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $1,488.77 | $2,481.29 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $29.41 | $49.02 | not published | 0 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $538.15 | $896.91 | not published | 0 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $1,621.20 | $2,702.00 | not published | 0 |
| Ho frejka cov only pre cst HCPCS L1610 | $228.59 | $380.98 | not published | 0 |
| Homocysteine CPT 83090 | $219.00 | $365.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $35.40 | $59.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $109.20 | $182.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $7,049.90 | $11,749.84 | not published | 0 |
| Hpa-1 genotyping CPT 81105 | $219.00 | $365.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $190.20 | $317.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $162.00 | $270.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $3,912.00 | $6,520.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $14,647.50 | $24,412.50 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $67.76 | $112.94 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $26.89 | $44.82 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $147.60 | $246.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $377.40 | $629.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $319.28 | $532.14 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $742.10 | $1,236.83 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $615.86 | $1,026.44 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $120.85 | $201.42 | not published | 0 |
| Hyoscyamine sulfate inj HCPCS J1980 | $387.18 | $645.30 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $36.60 | $61.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $1,053.00 | $1,755.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $14,566.02 | $24,276.70 | $4,880.81 – $4,978.43 | 3 |
| Hysteroscopy biopsy CPT 58558 | $20,271.73 | $33,786.22 | $3,158.41 – $10,371.37 | 3 |
| Hysteroscopy dx sep proc CPT 58555 | $17,679.10 | $29,465.17 | $5,898.53 – $6,016.50 | 3 |
| Hysteroscopy remove fb CPT 58562 | $16,087.61 | $26,812.68 | $3,158.41 – $3,221.58 | 3 |
| Hysteroscopy remove myoma CPT 58561 | $20,056.82 | $33,428.03 | $5,898.53 – $6,016.50 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $10,636.20 | $17,727.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $6,220.80 | $10,368.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $121.20 | $202.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $866.93 | $1,444.88 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $136,041.84 | $226,736.40 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $132,012.00 | $220,020.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $106,536.00 | $177,560.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $125,879.23 | $209,798.72 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,953.40 | $6,589.00 | not published | 0 |
| Idh1 common variants CPT 81120 | $778.80 | $1,298.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $1,189.80 | $1,983.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,588.60 | $5,981.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $445.22 | $742.03 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $607.80 | $1,013.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $454.80 | $758.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $818.40 | $1,364.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $220.80 | $368.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $360.60 | $601.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $249.00 | $415.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $2,844.37 | $4,740.62 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $1,158.00 | $1,930.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,338.09 | $2,230.15 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $1,373.80 | $2,289.67 | not published | 0 |
| Immune complex assay CPT 86332 | $138.00 | $230.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $210.60 | $351.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $120.60 | $201.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $37.80 | $63.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $150.60 | $251.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $252.00 | $420.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $214.20 | $357.00 | not published | 0 |
| Immunology procedure CPT 86849 | $106.20 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $11,820.86 | $19,701.44 | 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.