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 |
|---|---|---|---|---|
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,308.00 | $2,180.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $36,922.72 | $61,537.87 | $1,568.89 – $1,600.27 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $45,625.31 | $76,042.18 | $299.49 – $305.48 | 3 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $47,306.27 | $78,843.78 | $12,526.51 – $12,777.04 | 3 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $150,792.39 | $251,320.65 | $26,474.25 – $26,474.25 | 1 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $111,892.72 | $186,487.87 | $26,474.25 – $27,003.74 | 3 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $90,936.65 | $151,561.08 | $17,107.48 – $17,107.48 | 2 |
| Arthrodesis subtalar CPT 28725 | $85,256.35 | $142,093.92 | $12,526.51 – $12,777.04 | 3 |
| Arthrodesis triple CPT 28715 | $194,887.94 | $324,813.23 | $12,526.51 – $12,777.04 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $36,040.73 | $60,067.88 | $7,079.78 – $7,221.37 | 3 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $14,939.75 | $24,899.58 | $3,192.44 – $7,079.78 | 3 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $23,390.18 | $38,983.63 | $3,192.44 – $3,256.29 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $24,456.58 | $40,760.97 | $7,079.78 – $7,221.37 | 3 |
| Artiss fibrin sealant HCPCS C9250 | $3,783.19 | $6,305.31 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $51,878.40 | $86,464.00 | not published | 0 |
| Aspa gene CPT 81200 | $432.60 | $721.00 | not published | 0 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $928.20 | $1,547.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $12,550.37 | $20,917.28 | $2,039.56 – $2,080.35 | 3 |
| Aspirate pleura without imaging 32554 CPT 32554 | $992.40 | $1,654.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,890.00 | $3,150.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $289.20 | $482.00 | not published | 0 |
| Assay acid phosphatase CPT 84060 | $52.80 | $88.00 | not published | 0 |
| Assay dir meas fr estradiol CPT 82681 | $102.00 | $170.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $33.60 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $160.20 | $267.00 | not published | 0 |
| Assay of adp & amp CPT 82030 | $217.20 | $362.00 | not published | 0 |
| Assay of feces porphyrins CPT 84126 | $130.80 | $218.00 | not published | 0 |
| Assay of fluoride CPT 82735 | $91.20 | $152.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $447.00 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $60.60 | $101.00 | not published | 0 |
| Assay of lrh hormone CPT 83727 | $220.80 | $368.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $126.00 | $210.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $72.00 | $120.00 | not published | 0 |
| Assay of urine sulfate CPT 84392 | $28.20 | $47.00 | not published | 0 |
| Assay phosphatidylglycerol CPT 84081 | $135.60 | $226.00 | not published | 0 |
| Assay toxin or antitoxin CPT 87230 | $28.80 | $48.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $311.40 | $519.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $633.60 | $1,056.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $71.40 | $119.00 | not published | 0 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $81,094.03 | $135,156.72 | $17,107.48 – $17,449.63 | 3 |
| Ast/sgot CPT 84450 | $70.80 | $118.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $47,979.95 | $79,966.59 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $15,378.24 | $25,630.40 | not published | 0 |
| Autopsy (necropsy) complete CPT 88020 | $229.20 | $382.00 | not published | 0 |
| Autopsy (necropsy) complete CPT 88027 | $413.40 | $689.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $366.00 | $610.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $2,422.90 | $4,038.16 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $25.10 | $41.83 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $368.90 | $614.83 | not published | 0 |
| Baclofen eval charges CPT 97750 | $45.60 | $76.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $375.60 | $626.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $2,181.00 | $3,635.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $181.80 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $672.75 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $94.80 | $158.00 | not published | 0 |
| Below knee total contact HCPCS L5637 | $1,319.66 | $2,199.43 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $90.60 | $151.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $107.55 | $179.25 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $248.40 | $414.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $84.60 | $141.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $1,143.00 | $1,905.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $78.92 | $131.53 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $13,197.33 | $21,995.55 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $11,554.31 | $19,257.19 | not published | 0 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $10,157.90 | $16,929.84 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $163.20 | $272.00 | not published | 0 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $25,317.56 | $42,195.93 | $7,079.78 – $7,221.37 | 3 |
| Bilateral n block inj occipital 64405 CPT 64405 | $855.60 | $1,426.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $855.00 | $1,425.00 | not published | 0 |
| Bilicheck CPT 88720 | $30.00 | $50.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $101.40 | $169.00 | not published | 0 |
| Bilirubin total CPT 82247 | $100.20 | $167.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $1,398.86 | $2,331.44 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,676.40 | $2,794.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $20,989.42 | $34,982.37 | $7,079.78 – $7,221.37 | 2 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,305.00 | $2,175.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $7,373.40 | $12,289.00 | $1,611.44 – $1,643.67 | 3 |
| Biopsy needle lymph node superficial CPT 38505 | $1,734.00 | $2,890.00 | not published | 0 |
| Biopsy of prostate CPT 55700 | $29,757.78 | $49,596.30 | $122.17 – $124.61 | 3 |
| Biopsy/removal lymph nodes CPT 38525 | $34,416.32 | $57,360.53 | $3,820.23 – $3,896.63 | 3 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,074.80 | $3,458.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $807.00 | $1,345.00 | not published | 0 |
| Biospy of bladder CPT 53899 | $25,900.31 | $43,167.18 | $243.77 – $248.65 | 3 |
| Biovance 1 square cm HCPCS Q4154 | $16,443.60 | $27,406.00 | not published | 0 |
| Bk flex inner socket ext fra HCPCS L5645 | $3,093.76 | $5,156.27 | not published | 0 |
| Bk fork strap HCPCS L5684 | $186.58 | $310.96 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $393.91 | $656.51 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $236.83 | $394.72 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $410.40 | $684.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $387.59 | $645.98 | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $13,742.38 | $22,903.97 | $2,013.11 – $2,053.37 | 3 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $152,856.00 | $254,760.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $21,770.40 | $36,284.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $4,863.60 | $8,106.00 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $26,170.80 | $43,618.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $35,296.12 | $58,826.86 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $37,982.40 | $63,304.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,776.00 | $2,960.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,776.00 | $2,960.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $567.00 | $945.00 | 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.