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 |
|---|---|---|---|---|
| Repair of nasal septum CPT 30520 | $19,586.59 | $32,644.32 | $5,775.89 – $5,891.41 | 3 |
| Repair of ruptured tendon CPT 24342 | $23,507.50 | $39,179.17 | $7,079.78 – $7,221.37 | 3 |
| Repair of thigh muscle CPT 27385 | $26,564.06 | $44,273.43 | $7,079.78 – $7,221.37 | 3 |
| Repair rectum & vagina CPT 57250 | $33,114.40 | $55,190.67 | $10,371.37 – $10,578.79 | 3 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $289.20 | $482.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $634.80 | $1,058.00 | not published | 0 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $4,135.80 | $6,893.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $4,135.80 | $6,893.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $289.20 | $482.00 | not published | 0 |
| Repeat thyroid surgery CPT 60260 | $33,947.38 | $56,578.97 | $5,775.89 – $5,891.41 | 3 |
| Replace duod/jej tube perc CPT 49451 | $1,053.00 | $1,755.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $1,033.80 | $1,723.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $1,216.80 | $2,028.00 | not published | 0 |
| Repl trach puncture dilator HCPCS L8514 | $430.78 | $717.96 | not published | 0 |
| Reposition intraocular lens CPT 66825 | $18,664.99 | $31,108.32 | $2,251.71 – $2,296.74 | 3 |
| Reposition pm/icd lead CPT 33215 | $4,440.60 | $7,401.00 | not published | 0 |
| Reptilase test CPT 85635 | $28.20 | $47.00 | not published | 0 |
| Rerepair ing hernia reduce CPT 49520 | $16,788.01 | $27,980.02 | $3,493.34 – $3,563.21 | 3 |
| Resect inferior turbinate CPT 30140 | $19,196.55 | $31,994.25 | $3,234.84 – $3,299.54 | 3 |
| Restorigin 1 sq cm HCPCS Q4191 | $11,116.80 | $18,528.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $642.00 | $1,070.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $518.40 | $864.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $123.00 | $205.00 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $21,433.80 | $35,723.00 | not published | 0 |
| Revise arm/leg nerve CPT 64708 | $15,689.69 | $26,149.48 | $1,905.24 – $1,943.35 | 3 |
| Revise breast reconst 19380 CPT 19380 | $61,193.50 | $101,989.17 | $6,478.71 – $8,134.14 | 3 |
| Revise hip joint replacement CPT 27134 | $54,005.71 | $90,009.52 | $12,526.51 – $12,777.04 | 3 |
| Revise hip joint replacement CPT 27138 | $57,249.09 | $95,415.15 | $12,526.51 – $12,777.04 | 3 |
| Revise lower leg tendon CPT 27691 | $90,969.40 | $151,615.67 | $7,079.78 – $7,221.37 | 3 |
| Revise prosth vag graft lap CPT 57426 | $22,483.63 | $37,472.72 | $7,235.13 – $7,379.83 | 3 |
| Revise/remove sling repair CPT 57287 | $9,687.44 | $16,145.73 | $3,158.41 – $3,221.58 | 3 |
| Revise/replace knee joint CPT 27486 | $64,403.55 | $107,339.25 | $12,526.51 – $12,777.04 | 3 |
| Revise/replace knee joint CPT 27487 | $106,588.89 | $177,648.15 | $17,107.48 – $17,107.48 | 2 |
| Revise spermatic cord veins CPT 55530 | $15,662.12 | $26,103.53 | $3,439.27 – $3,508.06 | 3 |
| Revision of big toe CPT 28310 | $29,229.86 | $48,716.43 | $7,079.78 – $7,221.37 | 3 |
| Revision of bladder neck CPT 52500 | $12,360.66 | $20,601.10 | $3,439.27 – $3,508.06 | 3 |
| Revision of calf tendon CPT 27687 | $39,367.30 | $65,612.17 | $7,079.78 – $7,221.37 | 3 |
| Revision of cervix CPT 57720 | $3,928.20 | $6,547.00 | not published | 0 |
| Revision of cervix CPT 59320 | $9,844.04 | $16,406.73 | $3,158.41 – $3,221.58 | 3 |
| Revision of eyelid CPT 67961 | $2,937.00 | $4,895.00 | not published | 0 |
| Revision of foot CPT 28116 | $25,719.67 | $42,866.12 | $3,192.44 – $3,256.29 | 3 |
| Revision of foot tendon CPT 28238 | $36,026.40 | $60,044.00 | $7,079.78 – $7,221.37 | 3 |
| Revision of iris CPT 66762 | $57,285.79 | $95,476.32 | $536.62 – $547.36 | 3 |
| Revision of knee joint CPT 27446 | $44,576.80 | $74,294.67 | $12,526.51 – $12,526.51 | 1 |
| Revision of penis CPT 54435 | $4,453.20 | $7,422.00 | not published | 0 |
| Revision tips CPT 37183 | $12,687.60 | $21,146.00 | not published | 0 |
| Revis reconst shoulder joint CPT 23473 | $45,165.26 | $75,275.43 | $12,526.51 – $12,777.04 | 3 |
| Revis reconst shoulder joint CPT 23474 | $42,699.58 | $71,165.97 | $12,526.51 – $12,777.04 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $17,472.18 | $29,120.30 | $3,411.10 – $3,479.32 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $17,095.46 | $28,492.43 | $3,411.10 – $3,479.32 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $65,063.02 | $108,438.37 | $3,411.10 – $3,479.32 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $73.20 | $122.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $571.95 | $953.25 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $364.91 | $608.18 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,280.28 | $2,133.80 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,329.80 | $2,216.33 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $793.14 | $1,321.90 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $4,080.79 | $6,801.32 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $44,016.56 | $73,360.94 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $3,000.60 | $5,001.00 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $19,448.06 | $32,413.44 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $31,116.60 | $51,861.00 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $17,502.89 | $29,171.48 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $14,837.76 | $24,729.60 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $14,837.76 | $24,729.60 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $20,193.00 | $33,655.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $23,409.00 | $39,015.00 | not published | 0 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $52,433.42 | $87,389.03 | $3,493.34 – $3,563.21 | 3 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $6,109.80 | $10,183.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,570.40 | $9,284.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,071.40 | $5,119.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $405.71 | $676.19 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $122.07 | $203.45 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,259.60 | $3,766.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $233.40 | $389.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $746.40 | $1,244.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,481.80 | $5,803.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,241.00 | $3,735.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $3,942.60 | $6,571.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $21,453.77 | $35,756.28 | $10,371.37 – $10,578.79 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $21,270.50 | $35,450.83 | $6,316.41 – $6,442.74 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $23,816.57 | $39,694.28 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $22,053.29 | $36,755.48 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $41,608.30 | $69,347.17 | $1.44 – $1,339.44 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $32,239.42 | $53,732.37 | $17.22 – $927.78 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $31,114.21 | $51,857.02 | $6,316.41 – $6,442.74 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $19,583.05 | $32,638.42 | $5,898.53 – $6,016.50 | 3 |
| Rsv assay w/optic CPT 87807 | $208.80 | $348.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $100.80 | $168.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $105.00 | $175.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $700.20 | $1,167.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $586.80 | $978.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $499.20 | $832.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $354.60 | $591.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $218.40 | $364.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $669.60 | $1,116.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $697.20 | $1,162.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $464.40 | $774.00 | 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.