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 |
|---|---|---|---|---|
| Intro cath svc/ivc CPT 36010 | $1,374.00 | $2,290.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,753.60 | $6,256.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,325.80 | $5,543.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $546.60 | $911.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $1,188.88 | $1,981.47 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $863.55 | $1,439.25 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $10.20 | $17.00 | not published | 0 |
| Iron CPT 83540 | $78.60 | $131.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $55.20 | $92.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $151.03 | $251.72 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $115.20 | $192.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $2,439.60 | $4,066.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $279.00 | $465.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $68.40 | $114.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $208.80 | $348.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $458.40 | $764.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $612.60 | $1,021.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $4,602.40 | $7,670.67 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $4,523.80 | $7,539.66 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $6,774.71 | $11,291.19 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $4,812.83 | $8,021.39 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $4,784.21 | $7,973.68 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $5,266.96 | $8,778.26 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $8,484.20 | $14,140.34 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $6,925.86 | $11,543.10 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $723.52 | $1,205.86 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $4,672.02 | $7,786.70 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $17,113.67 | $28,522.78 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $3,644.14 | $6,073.56 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $49.20 | $82.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $23.41 | $39.02 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $848.40 | $1,414.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,178.60 | $3,631.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $637.80 | $1,063.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $19,292.28 | $32,153.80 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $21,770.40 | $36,284.00 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $122,284.80 | $203,808.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $120,432.00 | $200,720.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $50,952.00 | $84,920.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $3,404.52 | $5,674.20 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $62,888.62 | $104,814.36 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $55,338.50 | $92,230.84 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,629.96 | $6,049.93 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $10,755.45 | $17,925.75 | $3,192.44 – $3,256.29 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $10,374.89 | $17,291.48 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29873 | $12,875.12 | $21,458.53 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29875 | $14,729.92 | $24,549.87 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29876 | $12,743.67 | $21,239.45 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29879 | $34,469.57 | $57,449.28 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $12,039.83 | $20,066.38 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29882 | $34,469.57 | $57,449.28 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29883 | $10,690.99 | $17,818.32 | $3,192.44 – $3,256.29 | 2 |
| Knee arthroscopy/surgery CPT 29888 | $34,508.99 | $57,514.98 | $7,079.78 – $7,221.37 | 3 |
| Knee control condylar pad HCPCS L2810 | $341.10 | $568.50 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $342.49 | $570.82 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $598.69 | $997.81 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $598.69 | $997.81 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $507.39 | $845.65 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $331.24 | $552.06 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $489.83 | $816.39 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,818.00 | $8,030.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,853.20 | $6,422.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $4,861.20 | $8,102.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,229.15 | $2,048.58 | not published | 0 |
| Knee X-ray CPT 73564 | $504.60 | $841.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,402.15 | $4,003.59 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,402.15 | $4,003.59 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $3,927.52 | $6,545.87 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $336.79 | $561.32 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $557.18 | $928.64 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $3,747.34 | $6,245.56 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $5,207.85 | $8,679.75 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,189.82 | $1,983.04 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $3,339.67 | $5,566.12 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $4,886.53 | $8,144.21 | not published | 0 |
| Kras gene addl variants CPT 81276 | $755.40 | $1,259.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $788.40 | $1,314.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $450.05 | $750.08 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $649.31 | $1,082.19 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $21.00 | $35.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,533.38 | $2,555.63 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $177.61 | $296.01 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $71.40 | $119.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $84.00 | $140.00 | not published | 0 |
| Lactation class HCPCS S9443 | $117.00 | $195.00 | not published | 0 |
| Lactic acid CPT 83605 | $71.40 | $119.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $152.40 | $254.00 | not published | 0 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $103,933.77 | $173,222.95 | $26,474.25 – $26,474.25 | 1 |
| Lam facetec & foramot lumbar CPT 63047 | $112,495.48 | $187,492.47 | $7,079.78 – $7,221.37 | 3 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $103,933.77 | $173,222.95 | $27,003.74 – $27,003.74 | 1 |
| Laminotomy single lumbar CPT 63042 | $25,317.56 | $42,195.93 | $7,079.78 – $7,221.37 | 3 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $36.67 | $61.12 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $22,193.11 | $36,988.52 | $5,898.53 – $6,016.50 | 3 |
| Laparo-myomectomy complex CPT 58546 | $33,505.78 | $55,842.97 | $10,371.37 – $10,578.79 | 3 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $21,663.51 | $36,105.85 | $10,371.37 – $10,578.79 | 3 |
| Laparoscopic myomectomy CPT 58545 | $34,822.95 | $58,038.25 | $5,898.53 – $6,016.50 | 3 |
| Laparoscopy biopsy CPT 49321 | $15,744.93 | $26,241.55 | $5,898.53 – $6,016.50 | 3 |
| Laparoscopy excise lesions CPT 58662 | $25,979.88 | $43,299.80 | $5,898.53 – $6,016.50 | 3 |
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.