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 |
|---|---|---|---|---|
| Puncture spinal lumbar diagnostic CPT 62270 | $1,098.00 | $1,830.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $23,762.16 | $39,603.60 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $7,874.40 | $13,124.00 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,344.00 | $2,240.00 | not published | 0 |
| Pyruvate CPT 84210 | $45.60 | $76.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $450.60 | $751.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $38.40 | $64.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $15,821.49 | $26,369.15 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72,205.34 | $120,342.24 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $699.60 | $1,166.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,398.60 | $2,331.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,172.40 | $1,954.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,242.80 | $3,738.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,344.00 | $2,240.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $31,066.36 | $51,777.26 | not published | 0 |
| Rapid Strep Test CPT 87880 | $82.80 | $138.00 | not published | 0 |
| Rbc count only automated CPT 85041 | $24.60 | $41.00 | not published | 0 |
| Rbc serum pretx incubj drugs CPT 86975 | $145.20 | $242.00 | not published | 0 |
| Reconstruction knee CPT 27427 | $139,320.67 | $232,201.12 | $7,079.78 – $7,221.37 | 3 |
| Reconstruction of jaw joint CPT 21240 | $28,727.14 | $47,878.57 | $5,775.89 – $5,775.89 | 2 |
| Reconstruct shoulder joint CPT 23472 | $57,398.20 | $95,663.67 | $17,107.48 – $17,449.63 | 3 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $655.80 | $1,093.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $523.80 | $873.00 | not published | 0 |
| Reduction of procidentia 45900 CPT 45900 | $1,155.00 | $1,925.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $143.40 | $239.00 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $782.81 | $1,304.68 | not published | 0 |
| Release of lower leg tendon CPT 27680 | $56,252.94 | $93,754.90 | $3,192.44 – $3,256.29 | 3 |
| Release palm contracture CPT 26123 | $23,174.81 | $38,624.68 | $3,192.44 – $3,256.29 | 3 |
| Relocation skin pocket pm CPT 33222 | $411.00 | $685.00 | not published | 0 |
| Rem endovas vena cava filter CPT 37193 | $2,945.40 | $4,909.00 | not published | 0 |
| Remote 30 day ecg tech supp CPT 93229 | $588.60 | $981.00 | not published | 0 |
| Removal anal seton other marker 46030 CPT 46030 | $9,769.00 | $16,281.67 | $2,708.17 – $2,762.33 | 3 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,894.80 | $3,158.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,739.60 | $4,566.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $370.80 | $618.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $120.00 | $200.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $443.40 | $739.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $1,309.80 | $2,183.00 | not published | 0 |
| Removal foreign body foot subcutaneous right CPT 28190 | $2,448.00 | $4,080.00 | not published | 0 |
| Removal foreign body jawbone CPT 41806 | $1,309.80 | $2,183.00 | not published | 0 |
| Removal mamma implant mat 19330 CPT 19330 | $22,761.96 | $37,936.60 | $7,974.65 – $8,134.14 | 3 |
| Removal of anal fissure CPT 46200 | $10,939.22 | $18,232.03 | $2,708.17 – $2,762.33 | 3 |
| Removal of ankle/heel lesion CPT 28100 | $56,252.94 | $93,754.90 | $3,192.44 – $3,256.29 | 3 |
| Removal of bone for graft CPT 20900 | $235,153.79 | $391,922.98 | $12,526.51 – $12,526.51 | 2 |
| Removal of bone for graft CPT 20902 | $95,609.36 | $159,348.93 | $12,526.51 – $12,526.51 | 1 |
| Removal of breast lesion CPT 19120 | $14,953.93 | $24,923.22 | $3,820.23 – $3,896.63 | 3 |
| Removal of foot lesion CPT 28080 | $54,833.17 | $91,388.62 | $1,568.89 – $1,600.27 | 3 |
| Removal of foot lesion CPT 28090 | $13,309.94 | $22,183.23 | $3,192.44 – $3,256.29 | 3 |
| Removal of foot lesion CPT 28104 | $92,125.19 | $153,541.98 | $3,192.44 – $3,256.29 | 3 |
| Removal of heel bone CPT 28118 | $34,854.97 | $58,091.62 | $7,079.78 – $7,221.37 | 3 |
| Removal of heel spur CPT 28119 | $42,624.53 | $71,040.88 | $7,079.78 – $7,221.37 | 3 |
| Removal of hydrocele CPT 55040 | $13,201.55 | $22,002.58 | $3,493.34 – $3,563.21 | 3 |
| Removal of implant deep CPT 20680 | $52,543.76 | $87,572.93 | $2,834.09 – $2,890.77 | 3 |
| Removal of intranasal lesion CPT 30117 | $13,671.99 | $22,786.65 | $3,234.84 – $3,299.54 | 3 |
| Removal of sperm cord lesion CPT 55520 | $16,222.28 | $27,037.13 | $3,493.34 – $3,563.21 | 3 |
| Removal of thyroid CPT 60240 | $35,364.86 | $58,941.43 | $5,898.53 – $6,016.50 | 3 |
| Removal of toe lesions CPT 28108 | $98,851.88 | $164,753.13 | $3,192.44 – $3,256.29 | 3 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $16,507.80 | $27,513.00 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $13,582.38 | $22,637.30 | $3,158.41 – $3,221.58 | 3 |
| Removal sutr or stapl no anes CPT 15853 | $131.40 | $219.00 | not published | 0 |
| Remove anal fist subq CPT 46270 | $11,208.82 | $18,681.37 | $2,708.17 – $2,762.33 | 3 |
| Remove bladder stone CPT 52317 | $22,848.47 | $38,080.78 | $3,439.27 – $3,508.06 | 3 |
| Remove bladder stone CPT 52318 | $21,682.02 | $36,136.70 | $3,439.27 – $3,508.06 | 3 |
| Remove epididymis lesion CPT 54840 | $14,793.20 | $24,655.33 | $2,039.56 – $2,080.35 | 3 |
| Remove femur lesion/bursa CPT 27062 | $12,892.85 | $21,488.08 | $7,079.78 – $7,221.37 | 3 |
| Remove foreign body from eye CPT 65235 | $3,000.00 | $5,000.00 | not published | 0 |
| Remove hip bone les super CPT 27065 | $21,754.42 | $36,257.37 | $7,079.78 – $7,221.37 | 3 |
| Remove intact mammary implant CPT 19328 | $20,124.47 | $33,540.78 | $7,974.65 – $8,134.14 | 3 |
| Remove int/ext hem 1 group CPT 46255 | $9,769.00 | $16,281.67 | $2,708.17 – $2,762.33 | 2 |
| Remove lower leg bone lesion CPT 27635 | $185,885.27 | $309,808.78 | $3,192.44 – $3,256.29 | 3 |
| Remove nerve lesion CPT 64784 | $20,255.15 | $33,758.58 | $5,898.53 – $6,016.50 | 3 |
| Remove prostate regrowth CPT 52630 | $13,773.02 | $22,955.03 | $5,231.42 – $5,336.05 | 3 |
| Remove renal tube w/fluoro CPT 50389 | $2,010.00 | $3,350.00 | not published | 0 |
| Remove skin nerve lesion CPT 64774 | $31,998.71 | $53,331.18 | $5,898.53 – $6,016.50 | 3 |
| Remove spinal lamina add-on 63048 CPT 63048 | $21,000.38 | $35,000.63 | $7,079.78 – $7,221.37 | 3 |
| Remove spine eltrd plate CPT 63662 | $17,472.18 | $29,120.30 | $3,411.10 – $3,479.32 | 3 |
| Remove/transplant tendon CPT 23440 | $27,038.81 | $45,064.68 | $7,079.78 – $7,221.37 | 3 |
| Remove wrist tendon lesion CPT 25111 | $12,049.97 | $20,083.28 | $1,568.89 – $1,600.27 | 3 |
| Renal function panel CPT 80069 | $278.40 | $464.00 | not published | 0 |
| Reopen fallopian tube CPT 58350 | $23,612.00 | $39,353.33 | $5,898.53 – $6,016.50 | 3 |
| Repair achilles tendon CPT 27650 | $35,524.10 | $59,206.83 | $7,079.78 – $7,221.37 | 3 |
| Repair biceps tendon CPT 23430 | $60,971.63 | $101,619.38 | $7,079.78 – $7,221.37 | 3 |
| Repair bladder defect CPT 57288 | $23,141.33 | $38,568.88 | $4,880.81 – $4,978.43 | 3 |
| Repair blood vessel dir lower extr CPT 35226 | $901.80 | $1,503.00 | not published | 0 |
| Repair blood vessel dir upper extr CPT 35206 | $4,138.20 | $6,897.00 | not published | 0 |
| Repair brow defect CPT 67900 | $2,018.40 | $3,364.00 | $2,319.68 – $2,366.07 | 3 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,470.60 | $2,451.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $2,631.00 | $4,385.00 | not published | 0 |
| Repair extns tendon finger without grft ea CPT 26418 | $23,619.53 | $39,365.88 | $3,192.44 – $3,256.29 | 2 |
| Repair eyelid defect CPT 67924 | $13,082.66 | $21,804.43 | $2,319.68 – $2,366.07 | 3 |
| Repair eyelid wound CPT 67935 | $2,937.00 | $4,895.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $4,135.80 | $6,893.00 | not published | 0 |
| Repair/graft of foot tendon CPT 28202 | $51,323.79 | $85,539.65 | $7,079.78 – $7,221.37 | 3 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $634.80 | $1,058.00 | not published | 0 |
| Repair of achilles tendon CPT 27654 | $36,579.59 | $60,965.98 | $7,079.78 – $7,221.37 | 3 |
| Repair of ankle ligament CPT 27695 | $53,733.97 | $89,556.62 | $7,079.78 – $7,221.37 | 3 |
| Repair of ankle ligament CPT 27698 | $58,152.97 | $96,921.62 | $7,079.78 – $7,221.37 | 3 |
| Repair of foot tendon CPT 28200 | $69,030.02 | $115,050.03 | $7,079.78 – $7,221.37 | 3 |
| Repair of leg tendon each CPT 27658 | $27,801.86 | $46,336.43 | $3,192.44 – $3,256.29 | 3 |
| Repair of metatarsals CPT 28322 | $81,221.77 | $135,369.62 | $7,079.78 – $7,221.37 | 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.