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 |
|---|---|---|---|---|
| Laparoscopy remove adnexa CPT 58661 | $24,341.62 | $40,569.37 | $5,898.53 – $6,016.50 | 3 |
| Laparoscopy surg colpopexy CPT 57425 | $37,431.97 | $62,386.62 | $10,371.37 – $10,578.79 | 3 |
| Laparo sling operation 51992 CPT 51992 | $37,431.97 | $62,386.62 | $10,371.37 – $10,578.79 | 3 |
| Lap enterolysis CPT 44180 | $15,793.44 | $26,322.40 | $5,898.53 – $6,016.50 | 3 |
| Lap gastric bypass/roux-en-y CPT 43644 | $50,833.70 | $84,722.83 | $5,898.53 – $6,016.50 | 3 |
| Lap ing hernia repair init CPT 49650 | $23,877.37 | $39,795.62 | $5,898.53 – $6,016.50 | 3 |
| Lap ing hernia repair recur CPT 49651 | $22,529.90 | $37,549.83 | $5,898.53 – $6,016.50 | 3 |
| Lap insert tunnel ip cath CPT 49324 | $17,660.72 | $29,434.53 | $5,898.53 – $6,016.50 | 3 |
| Lap paraesophag hern repair CPT 43281 | $44,098.63 | $73,497.72 | $10,371.37 – $10,578.79 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $47,767.36 | $79,612.27 | $10,371.37 – $10,578.79 | 3 |
| Lap place gastr adj device CPT 43770 | $43,111.63 | $71,852.72 | $10,371.37 – $10,578.79 | 3 |
| Lap revision perm ip cath CPT 49325 | $14,108.51 | $23,514.18 | $5,898.53 – $6,016.50 | 3 |
| Lap rmvl gastr adj all parts CPT 43774 | $17,965.67 | $29,942.78 | $5,898.53 – $6,016.50 | 3 |
| Lap sleeve gastrectomy CPT 43775 | $46,729.10 | $77,881.83 | $10,371.37 – $10,578.79 | 3 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $17,386.84 | $28,978.07 | $5,898.53 – $6,016.50 | 3 |
| Laryngoscope w/vc inj CPT 31570 | $10,651.12 | $17,751.87 | $3,637.69 – $3,710.44 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | $11,678.80 | $19,464.67 | $3,637.69 – $3,710.44 | 3 |
| Laryngoscopy and dilation CPT 31528 | $11,678.80 | $19,464.67 | $3,637.69 – $3,710.44 | 3 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $19,353.59 | $32,255.98 | $3,234.84 – $3,299.54 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $13,679.96 | $22,799.93 | $3,637.69 – $3,710.44 | 3 |
| Laryngoscopy w/bx & op scope CPT 31536 | $12,751.80 | $21,253.00 | $3,637.69 – $3,637.69 | 2 |
| Laryngoscopy w/exc of tumor CPT 31540 | $15,268.14 | $25,446.90 | $3,637.69 – $3,710.44 | 3 |
| Laser surgery of prostate CPT 52648 | $26,120.78 | $43,534.63 | $5,231.42 – $5,336.05 | 3 |
| Laser surg penis lesion(s) CPT 54057 | $10,191.84 | $16,986.40 | $2,013.11 – $2,053.37 | 3 |
| Lateral thoracic extension HCPCS L1210 | $1,021.82 | $1,703.03 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $324.52 | $540.86 | not published | 0 |
| Lat retinacular release open CPT 27425 | $26,456.10 | $44,093.50 | $3,192.44 – $3,256.29 | 2 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $92,640.00 | $154,400.00 | not published | 0 |
| Lead capillary CPT 83655 | $100.20 | $167.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $102,566.38 | $170,943.96 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $25,476.00 | $42,460.00 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $6,160.88 | $10,268.14 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $5,201.18 | $8,668.63 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $7,477.81 | $12,463.01 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $6,497.72 | $10,829.54 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $846.60 | $1,411.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $393.72 | $656.20 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $4,632.00 | $7,720.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $5,535.24 | $9,225.40 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,389.60 | $2,316.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $93.00 | $155.00 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $11,219.94 | $18,699.90 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $22,369.96 | $37,283.26 | not published | 0 |
| Levalbuterol non-comp con HCPCS J7612 | $35.37 | $58.95 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $73.20 | $122.00 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $143,290.92 | $238,818.20 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $103.97 | $173.28 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $43.02 | $71.70 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $75.60 | $126.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $308.03 | $513.38 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $159.25 | $265.41 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $2,363.57 | $3,939.28 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,138.20 | $6,897.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $5,023.20 | $8,372.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $6,027.00 | $10,045.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $173.05 | $288.42 | not published | 0 |
| Limited autopsy CPT 88037 | $135.60 | $226.00 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $483.77 | $806.28 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $236.61 | $394.35 | not published | 0 |
| Lipase CPT 83690 | $93.60 | $156.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $189.00 | $315.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $72.00 | $120.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $87.60 | $146.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $289.20 | $482.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $143.40 | $239.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $83.40 | $139.00 | not published | 0 |
| Liver Function Test CPT 80076 | $74.40 | $124.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $640.80 | $1,068.00 | not published | 0 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $568.20 | $947.00 | not published | 0 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $66,144.69 | $110,241.15 | $3,192.44 – $3,256.29 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $21.00 | $35.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $720.46 | $1,200.77 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $296.08 | $493.46 | not published | 0 |
| Low back disk surgery CPT 63030 | $27,971.24 | $46,618.73 | $7,079.78 – $7,221.37 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,379.20 | $5,632.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,187.00 | $3,645.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,750.20 | $7,917.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,384.00 | $5,640.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $848.40 | $1,414.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $34,949.00 | $58,248.33 | $10,371.37 – $10,578.79 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $34,155.77 | $56,926.28 | $10,371.37 – $10,578.79 | 2 |
| Lso corset front HCPCS L0972 | $439.58 | $732.63 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $474.97 | $791.61 | not published | 0 |
| Lso full corset HCPCS L0976 | $624.44 | $1,040.73 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $708.70 | $1,181.16 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $7,008.22 | $11,680.36 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $5,410.55 | $9,017.58 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $676.46 | $1,127.43 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $4,173.16 | $6,955.26 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $5,662.30 | $9,437.16 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $1,089.40 | $1,815.67 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $1,197.61 | $1,996.01 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $3,975.28 | $6,625.46 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $327.02 | $545.03 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $379.82 | $633.04 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,508.00 | $4,180.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $370.28 | $617.14 | not published | 0 |
| Lumbar sling HCPCS L1090 | $420.26 | $700.44 | not published | 0 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $85,345.92 | $142,243.20 | $17,107.48 – $17,449.63 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | $149.40 | $249.00 | 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.