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 |
|---|---|---|---|---|
| Mayo insft insulin free CPT 83527 | $74.40 | $124.00 | not published | 0 |
| Mayo insulin antibodies CPT 86337 | $106.20 | $177.00 | not published | 0 |
| Mayo iodine CPT 83789 | $98.40 | $164.00 | not published | 0 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $392.40 | $654.00 | not published | 0 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $27.60 | $46.00 | not published | 0 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $73.20 | $122.00 | not published | 0 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $66.00 | $110.00 | not published | 0 |
| Mayo legionella antibody CPT 86713 | $87.60 | $146.00 | not published | 0 |
| Mayo leptospira antibody igm CPT 86720 | $85.20 | $142.00 | not published | 0 |
| Mayo lipoprotein electrophoresis CPT 83700 | $65.40 | $109.00 | not published | 0 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $70.20 | $117.00 | not published | 0 |
| Mayo manganese CPT 83785 | $136.20 | $227.00 | not published | 0 |
| Mayo metanephrines plasma CPT 83835 | $130.20 | $217.00 | not published | 0 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $262.80 | $438.00 | not published | 0 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $64.20 | $107.00 | not published | 0 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $218.40 | $364.00 | not published | 0 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $84.00 | $140.00 | not published | 0 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $93.00 | $155.00 | not published | 0 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $313.20 | $522.00 | not published | 0 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $612.60 | $1,021.00 | not published | 0 |
| Mayo muramidase CPT 85549 | $84.60 | $141.00 | not published | 0 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $893.40 | $1,489.00 | not published | 0 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $95.40 | $159.00 | not published | 0 |
| Mayo myoglobin CPT 83874 | $97.20 | $162.00 | not published | 0 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $55.80 | $93.00 | not published | 0 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $105.60 | $176.00 | not published | 0 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $262.80 | $438.00 | not published | 0 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $216.00 | $360.00 | not published | 0 |
| Mayo organic acids qualitative each specimen CPT 83919 | $108.60 | $181.00 | not published | 0 |
| Mayo oxalate 24 hour urine CPT 83945 | $85.20 | $142.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $95.40 | $159.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $330.60 | $551.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $269.40 | $449.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $133.80 | $223.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $107.40 | $179.00 | not published | 0 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $70.20 | $117.00 | not published | 0 |
| Mayo pregnenolone CPT 84140 | $32.40 | $54.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $118.20 | $197.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $129.00 | $215.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $122.40 | $204.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $229.20 | $382.00 | not published | 0 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $508.20 | $847.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $179.40 | $299.00 | not published | 0 |
| Mayo renin CPT 84244 | $142.20 | $237.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $142.20 | $237.00 | not published | 0 |
| Mayo selenium CPT 84255 | $136.80 | $228.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $130.80 | $218.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $121.80 | $203.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $123.00 | $205.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $56.40 | $94.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $53.40 | $89.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $1,145.40 | $1,909.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $146.40 | $244.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $174.00 | $290.00 | not published | 0 |
| Mayo thyroglobulin CPT 84432 | $102.00 | $170.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $115.20 | $192.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $57.00 | $95.00 | not published | 0 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $22.20 | $37.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $293.40 | $489.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $42.60 | $71.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $223.20 | $372.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $171.00 | $285.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $189.60 | $316.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $124.80 | $208.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $73.20 | $122.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $206.40 | $344.00 | not published | 0 |
| #mec-opiates CPT 80356 | $104.40 | $174.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $5,905.80 | $9,843.00 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $33,368.18 | $55,613.64 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $8,685.00 | $14,475.00 | not published | 0 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $11,000.12 | $18,333.53 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $31,310.89 | $52,184.81 | not published | 0 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $74,112.00 | $123,520.00 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $30.73 | $51.21 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $16,753.12 | $27,921.86 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $41.23 | $68.72 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $125,007.77 | $208,346.28 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $90.00 | $150.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $168.60 | $281.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $223.80 | $373.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $174.60 | $291.00 | not published | 0 |
| Metal frame recipro hip & ca HCPCS L2628 | $6,542.51 | $10,904.19 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $21.37 | $35.62 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $90.00 | $150.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,680.58 | $2,800.97 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $224.28 | $373.80 | not published | 0 |
| Methylphenidate CPT 80360 | $22.20 | $37.00 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $42.97 | $71.61 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $141.40 | $235.66 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $315.34 | $525.57 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $21.00 | $35.00 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $21.00 | $35.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $21.00 | $35.00 | not published | 0 |
| Mgmt promoter methylation analysis CPT 81287 | $543.60 | $906.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $172.08 | $286.80 | not published | 0 |
| Microalbumin urine screen CPT 82044 | $22.80 | $38.00 | not published | 0 |
| Microdissection manual CPT 88381 | $798.60 | $1,331.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $847.20 | $1,412.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $280.35 | $467.25 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $108.98 | $181.64 | 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.