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 |
|---|---|---|---|---|
| Implant cartilage 10mm synthetic HCPCS L8699 | $8,602.73 | $14,337.89 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $57,900.00 | $96,500.00 | not published | 0 |
| Implant nerve end CPT 64787 | $20,536.72 | $34,227.87 | $5,898.53 – $6,016.50 | 3 |
| Implant neuroelectrodes CPT 63655 | $132,204.27 | $220,340.45 | $30,107.39 – $30,709.54 | 3 |
| Implant neuroelectrodes CPT 64561 | $88,340.15 | $147,233.58 | $6,218.03 – $6,342.39 | 3 |
| Implant spine infusion pump CPT 62362 | $15,704.54 | $26,174.23 | $17,585.60 – $17,937.31 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $9,495.60 | $15,826.00 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $17,154.01 | $28,590.02 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $30,031.74 | $50,052.90 | $6,218.03 – $6,342.39 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,107.60 | $1,846.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $669.60 | $1,116.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $3,015.00 | $5,025.00 | not published | 0 |
| Incise thigh tendon & fascia CPT 27305 | $12,892.85 | $21,488.08 | $7,079.78 – $7,079.78 | 2 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,814.40 | $3,024.00 | not published | 0 |
| Incision of anal sphincter CPT 46080 | $11,085.08 | $18,475.13 | $2,708.17 – $2,762.33 | 3 |
| Incision of breast lesion CPT 19020 | $2,083.80 | $3,473.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $518.40 | $864.00 | not published | 0 |
| Incision of foot tendon 28234 CPT 28234 | $12,093.89 | $20,156.48 | $3,192.44 – $3,256.29 | 3 |
| Incision of heel bone CPT 28300 | $96,064.09 | $160,106.82 | $7,079.78 – $7,221.37 | 3 |
| Incision of metatarsal CPT 28306 | $66,144.69 | $110,241.15 | $12,526.51 – $12,777.04 | 2 |
| Incision of metatarsal CPT 28308 | $39,517.45 | $65,862.42 | $7,079.78 – $7,221.37 | 3 |
| Incision of midfoot bones CPT 28304 | $69,030.02 | $115,050.03 | $7,079.78 – $7,221.37 | 2 |
| Incision of palm tendon CPT 26450 | $23,743.04 | $39,571.73 | $3,192.44 – $3,256.29 | 2 |
| Incision of tendon sheath CPT 25000 | $6,781.25 | $11,302.08 | $1,568.89 – $1,600.27 | 2 |
| Incision of tongue fold CPT 41010 | $9,177.70 | $15,296.17 | $1,513.86 – $1,544.13 | 3 |
| Incision tendon sheath CPT 26055 | $13,616.56 | $22,694.27 | $1,568.89 – $1,600.27 | 3 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $2,868.00 | $4,780.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $221.40 | $369.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $743.40 | $1,239.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $810.60 | $1,351.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $1,273.80 | $2,123.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,152.00 | $1,920.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $68.40 | $114.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $147.60 | $246.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $68.40 | $114.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $89.40 | $149.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $304.20 | $507.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $332.40 | $554.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $51.00 | $85.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $128.40 | $214.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $81.00 | $135.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $102.00 | $170.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $159.00 | $265.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $124.20 | $207.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $228.00 | $380.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $73.20 | $122.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $140.40 | $234.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $366.60 | $611.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $84.60 | $141.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $73.20 | $122.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $490.20 | $817.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $198.00 | $330.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $192.00 | $320.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,862.40 | $3,104.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $195.60 | $326.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $192.00 | $320.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $232.20 | $387.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $207.00 | $345.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.20 | $217.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $218.40 | $364.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $190.20 | $317.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $230.40 | $384.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $262.20 | $437.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $403.80 | $673.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,058.40 | $1,764.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $372.00 | $620.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $468.60 | $781.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $360.60 | $601.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $436.80 | $728.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $495.00 | $825.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $5,430.37 | $9,050.61 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $2,325.00 | $3,875.00 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $4,400.20 | $7,333.67 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,119.00 | $1,865.00 | not published | 0 |
| Inj alymsys 10 mg HCPCS Q5126 | $11,900.02 | $19,833.36 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $27,188.78 | $45,314.64 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $616.98 | $1,028.30 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $62.92 | $104.87 | not published | 0 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $34.99 | $58.32 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $93.57 | $155.95 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $282.00 | $470.00 | not published | 0 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $2,423.08 | $4,038.46 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,601.40 | $2,669.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $7,178.59 | $11,964.32 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $1,180.80 | $1,968.00 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $1,383.00 | $2,305.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $304.80 | $508.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $777.60 | $1,296.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,359.00 | $2,265.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $4,013.84 | $6,689.73 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $1,102.67 | $1,837.79 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $6,054.30 | $10,090.50 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $855.60 | $1,426.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $49,149.44 | $81,915.73 | $1,568.89 – $12,526.51 | 3 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $758.40 | $1,264.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,497.60 | $2,496.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,776.00 | $2,960.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,239.60 | $2,066.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,776.00 | $2,960.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,344.00 | $2,240.00 | 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.