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 |
|---|---|---|---|---|
| Nras gene variants exon 2&3 CPT 81311 | $1,199.40 | $1,999.00 | not published | 0 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $22,745.62 | $37,909.37 | $6,885.86 – $7,023.57 | 3 |
| Nsl/sins ndsc surg max sins CPT 31295 | $21,437.32 | $35,728.87 | $6,885.86 – $7,023.57 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $44,942.98 | $74,904.97 | $6,885.86 – $6,885.86 | 2 |
| Ntrk translocation analysis CPT 81194 | $1,714.20 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,801.60 | $6,336.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $6,892.42 | $11,487.36 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $3,726.12 | $6,210.20 | not published | 0 |
| Observation per hour HCPCS G0378 | $15.00 | $25.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $231.60 | $386.00 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $61,922.88 | $103,204.80 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $28,618.00 | $47,696.67 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $427.49 | $712.48 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $610.96 | $1,018.27 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $4,632.00 | $7,720.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $238.04 | $396.74 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $13,696.72 | $22,827.86 | not published | 0 |
| Onco (ovar) two proteins CPT 81500 | $525.60 | $876.00 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $193.20 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $10.20 | $17.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $21.00 | $35.00 | not published | 0 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $39,629.94 | $66,049.90 | $7,221.37 – $7,974.65 | 3 |
| Opn impltj nea sacral nerve CPT 64581 | $69,567.88 | $115,946.47 | $18,928.40 – $19,306.96 | 3 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $147,555.54 | $245,925.90 | $30,107.39 – $30,709.54 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | $39,196.58 | $65,327.63 | $7,079.78 – $7,221.37 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $13,508.71 | $22,514.52 | $3,192.44 – $3,256.29 | 3 |
| Optx medial ankle fx CPT 27766 | $196,840.33 | $328,067.22 | $7,079.78 – $7,221.37 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $32,888.97 | $54,814.95 | $12,526.51 – $12,777.04 | 3 |
| Oral aprepitant HCPCS J8501 | $580.46 | $967.43 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $136.20 | $227.00 | not published | 0 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,397.77 | $8,996.28 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $1,042.20 | $1,737.00 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $1,097.55 | $1,829.25 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $2,589.29 | $4,315.48 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $4,873.70 | $8,122.83 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $577.20 | $962.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $1,029.37 | $1,715.62 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $1,220.90 | $2,034.84 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $401.36 | $668.94 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $1,029.37 | $1,715.62 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $122.10 | $203.50 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $122.10 | $203.50 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $175.18 | $291.97 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $2,306.74 | $3,844.56 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $1,353.94 | $2,256.56 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $3,769.24 | $6,282.07 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $107.40 | $179.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $95.51 | $159.19 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $355.97 | $593.28 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $270.88 | $451.47 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $37.33 | $62.22 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $223.12 | $371.87 | not published | 0 |
| Osmolality blood CPT 83930 | $74.40 | $124.00 | not published | 0 |
| Osmolality urine CPT 83935 | $76.80 | $128.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $280.80 | $468.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $364.80 | $608.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $364.80 | $608.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $104.40 | $174.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $109.20 | $182.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $153.00 | $255.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $41,608.30 | $69,347.17 | $26.91 – $27.45 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $136.20 | $227.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $175.20 | $292.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $148.20 | $247.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.20 | $152.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $172.20 | $287.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $121.80 | $203.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $118.80 | $198.00 | not published | 0 |
| Outrigger HCPCS L1080 | $218.54 | $364.23 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $731.53 | $1,219.22 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $143.40 | $239.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $115,568.40 | $192,614.00 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $6,541.45 | $10,902.42 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $26,911.92 | $44,853.20 | not published | 0 |
| Palonosetron hcl HCPCS J2469 | $232.50 | $387.50 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $231.38 | $385.63 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $30,000.92 | $50,001.54 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $36.43 | $60.71 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $148.46 | $247.43 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $250.80 | $418.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $817.20 | $1,362.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,390.80 | $2,318.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $817.20 | $1,362.00 | not published | 0 |
| Parial mast w/lymph removal 19302 CPT 19302 | $28,287.93 | $47,146.55 | $6,478.71 – $6,608.28 | 3 |
| Paricalcitol HCPCS J2501 | $108.63 | $181.05 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $251.40 | $419.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $121,676.02 | $202,793.37 | $3,192.44 – $3,256.29 | 3 |
| Partial removal finger bone CPT 26236 | $1,507.80 | $2,513.00 | not published | 0 |
| Partial removal of fibula CPT 27641 | $40,979.63 | $68,299.38 | $12,526.51 – $12,777.04 | 3 |
| Partial removal of foot bone CPT 28288 | $42,294.40 | $70,490.67 | $7,079.78 – $7,221.37 | 3 |
| Partial removal of thyroid CPT 60220 | $32,716.37 | $54,527.28 | $5,898.53 – $6,016.50 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $20,288.16 | $33,813.60 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $55,106.71 | $91,844.52 | $3,192.44 – $3,256.29 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | $15,135.27 | $25,225.45 | $3,192.44 – $3,256.29 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $1,859.70 | $3,099.50 | not published | 0 |
| Patten bottom HCPCS L2370 | $1,336.61 | $2,227.68 | not published | 0 |
| Pca3/klk3 antigen CPT 81313 | $546.00 | $910.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $1,090.20 | $1,817.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $95.51 | $159.19 | 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.