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 |
|---|---|---|---|---|
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,158.20 | $3,597.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $16,286.82 | $27,144.70 | $299.49 – $305.48 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $378.00 | $630.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $378.00 | $630.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $208.20 | $347.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $163.20 | $272.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $294.60 | $491.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $228.60 | $381.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,591.20 | $2,652.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $893.40 | $1,489.00 | not published | 0 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $397.51 | $662.51 | not published | 0 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $19,355.50 | $32,259.16 | not published | 0 |
| Inj herzuma 10 mg HCPCS Q5113 | $12,643.97 | $21,073.29 | not published | 0 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $21.00 | $35.00 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $17,842.98 | $29,738.30 | not published | 0 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $278.74 | $464.56 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,725.97 | $2,876.61 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $168.50 | $280.83 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,477.80 | $2,463.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $21.00 | $35.00 | not published | 0 |
| Inj meropenem (wg crit care) HCPCS J2183 | $235.90 | $393.16 | not published | 0 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $315.48 | $525.80 | not published | 0 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | $329.82 | $549.70 | not published | 0 |
| Inj multihance HCPCS A9577 | $196.31 | $327.18 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $774.20 | $1,290.34 | not published | 0 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $2,366.10 | $3,943.50 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $3,448.80 | $5,748.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $10,867.71 | $18,112.85 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $370.20 | $617.00 | not published | 0 |
| Inj progesterone per 50 mg HCPCS J2675 | $21.00 | $35.00 | not published | 0 |
| Inj prohance multipack HCPCS A9576 | $725.90 | $1,209.83 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,182.96 | $1,971.60 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $574.20 | $957.00 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $1,241.89 | $2,069.82 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,477.80 | $2,463.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $739.80 | $1,233.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $171.77 | $286.28 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $9,106.56 | $15,177.60 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $200.76 | $334.60 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $3,404.52 | $5,674.20 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $685.20 | $1,142.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $7,935.60 | $13,226.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,674.60 | $2,791.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $679.20 | $1,132.00 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $4,135.80 | $6,893.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $2,205.60 | $3,676.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $2,419.80 | $4,033.00 | not published | 0 |
| Insert hepatic shunt (tips) CPT 37182 | $13,275.00 | $22,125.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $9,993.23 | $16,655.38 | $3,158.41 – $3,221.58 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $165.60 | $276.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $277.20 | $462.00 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $4,999.20 | $8,332.00 | not published | 0 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $2,883.00 | $4,805.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $8,590.80 | $14,318.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,127.00 | $3,545.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $21,831.60 | $36,386.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $13,957.80 | $23,263.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $12,770.40 | $21,284.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,984.80 | $3,308.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $6,441.00 | $10,735.00 | not published | 0 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $38,239.20 | $63,732.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $6,328.20 | $10,547.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $7,342.20 | $12,237.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $12,470.40 | $20,784.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $12,760.41 | $21,267.35 | $3,080.71 – $3,142.32 | 3 |
| Insert multi-comp penis pros CPT 54405 | $85,701.14 | $142,835.23 | $20,222.16 – $20,626.61 | 3 |
| Insert swan-ganz cath CPT 93503 | $178.80 | $298.00 | not published | 0 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,178.00 | $8,630.00 | not published | 0 |
| Ins icd gen exist mlt leads CPT 33231 | $73,398.00 | $122,330.00 | not published | 0 |
| Insitu hybridization auto CPT 88367 | $239.40 | $399.00 | not published | 0 |
| Insitu hybridization (fish) CPT 88366 | $318.60 | $531.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $304.20 | $507.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $351.60 | $586.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $318.60 | $531.00 | not published | 0 |
| Insj biomechanical device 22853 CPT 22853 | $96,007.62 | $160,012.70 | $26,474.25 – $27,003.74 | 3 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $308.03 | $513.38 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,374.60 | $12,291.00 | not published | 0 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $126,327.19 | $210,545.32 | $30,107.39 – $30,709.54 | 3 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $3,829.20 | $6,382.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $19,431.60 | $32,386.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $85,291.10 | $142,151.83 | $18,928.40 – $19,306.96 | 3 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $6,526.20 | $10,877.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $17,708.54 | $29,514.23 | $3,439.27 – $3,508.06 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $4,099.80 | $6,833.00 | not published | 0 |
| Insulin total CPT 83525 | $87.00 | $145.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $21,399.24 | $35,665.40 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $70,189.90 | $116,983.17 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $16,142.52 | $26,904.20 | not published | 0 |
| Interdental fixation CPT 21110 | $1,929.00 | $3,215.00 | not published | 0 |
| Interdiscal perq aspir dx CPT 62267 | $1,330.80 | $2,218.00 | not published | 0 |
| Interferon beta-1b / .25 mg HCPCS J1830 | $3,304.10 | $5,506.84 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $9,264.00 | $15,440.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $13,340.93 | $22,234.88 | $2,708.17 – $2,762.33 | 3 |
| Intracard echo interv w/s&i CPT 93662 | $4,497.60 | $7,496.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $96.00 | $160.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $118.80 | $198.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $1,671.60 | $2,786.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $13,641.60 | $22,736.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $18,300.00 | $30,500.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $2,761.20 | $4,602.00 | 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.