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 |
|---|---|---|---|---|
| Pr application splint static short arm CPT 29125 | $334.20 | $557.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $448.80 | $748.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $75,090.36 | $125,150.60 | $12,526.51 – $12,777.04 | 2 |
| Pr correction hammertoe CPT 28285 | $185,885.27 | $309,808.78 | $3,192.44 – $3,256.29 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $17.40 | $29.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $32,384.37 | $53,973.95 | $3,439.27 – $3,508.06 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $389.40 | $649.00 | not published | 0 |
| Prealbumin CPT 84134 | $95.40 | $159.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $10.20 | $17.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $10.20 | $17.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | $71.40 | $119.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $978.60 | $1,631.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $399.60 | $666.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $8,094.61 | $13,491.01 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $7,057.92 | $11,763.20 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $32,796.47 | $54,660.78 | $396.63 – $404.56 | 2 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $9,263.30 | $15,438.83 | $721.10 – $735.52 | 2 |
| Pressure velocity wire add ves CPT 93572 | $1,474.20 | $2,457.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $305.40 | $509.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $342.00 | $570.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $305.40 | $509.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $315.00 | $525.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $100.20 | $167.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $9,533.28 | $15,888.80 | $1,611.44 – $1,643.67 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $9,010.12 | $15,016.87 | $1,611.44 – $1,643.67 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $9,154.94 | $15,258.23 | $396.63 – $404.56 | 3 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,211.00 | $8,685.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,045.40 | $13,409.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,387.20 | $7,312.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $696.00 | $1,160.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $550.80 | $918.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $470.40 | $784.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $518.40 | $864.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $390.00 | $650.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $13,980.35 | $23,300.58 | $1,905.24 – $1,943.35 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $27,583.56 | $45,972.60 | not published | 0 |
| Procalcitonin CPT 84145 | $192.60 | $321.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $32.27 | $53.78 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,569.40 | $5,949.00 | not published | 0 |
| Progesterone CPT 84144 | $120.00 | $200.00 | not published | 0 |
| Prolactin CPT 84146 | $152.40 | $254.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $10.20 | $17.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | $21.00 | $35.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $86.04 | $143.40 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $82.31 | $137.19 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $2,499.60 | $4,166.00 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $14,873.44 | $24,789.07 | $5,231.42 – $5,336.05 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $12,043.20 | $20,072.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $759.65 | $1,266.08 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $145.49 | $242.49 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $3,618.43 | $6,030.71 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $25.89 | $43.15 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $22.20 | $37.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $246.05 | $410.09 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $8,100.95 | $13,501.59 | not published | 0 |
| Protein c activity CPT 85303 | $225.60 | $376.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $104.40 | $174.00 | not published | 0 |
| Protein s total CPT 85305 | $189.00 | $315.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $58.20 | $97.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $81.00 | $135.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $58.20 | $97.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $6,928.50 | $11,547.50 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $60.00 | $100.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $18,950.78 | $31,584.63 | $3,493.34 – $3,563.21 | 3 |
| Prq card revasc mi 1 vsl CPT 92941 | $19,974.00 | $33,290.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $21,208.20 | $35,347.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $22,216.80 | $37,028.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $21,630.00 | $36,050.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $2,098.80 | $3,498.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $11,694.00 | $19,490.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $19,430.40 | $32,384.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $193.20 | $322.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $13,253.29 | $22,088.82 | $3,158.41 – $3,221.58 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $15,801.06 | $26,335.10 | $1,611.44 – $1,643.67 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $413.40 | $689.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $760.80 | $1,268.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $510.60 | $851.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $485.40 | $809.00 | not published | 0 |
| Pr robotic surgical system HCPCS S2900 | $0.01 | $0.01 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,170.00 | $1,950.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $115.20 | $192.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $145.20 | $242.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $127.80 | $213.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $148.80 | $248.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $136.80 | $228.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $377.40 | $629.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $305.40 | $509.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $301.80 | $503.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $255.60 | $426.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $196.80 | $328.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $129.60 | $216.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $100.80 | $168.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $118.80 | $198.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $75.60 | $126.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $141.00 | $235.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $61.20 | $102.00 | not published | 0 |
| Pulse ox single CPT 94760 | $48.00 | $80.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,991.76 | $3,319.60 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $106.20 | $177.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $457.80 | $763.00 | 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.