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 |
|---|---|---|---|---|
| Thi/glut/ischia wgt bearing HCPCS L2500 | $1,306.92 | $2,178.20 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $611.10 | $1,018.50 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $666.13 | $1,110.21 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,210.40 | $3,684.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $748.30 | $1,247.17 | not published | 0 |
| Thoracic pad HCPCS L1060 | $452.32 | $753.86 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,969.20 | $3,282.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $4,801.34 | $8,002.24 | not published | 0 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,171.20 | $6,952.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $17,980.20 | $29,967.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $43,756.20 | $72,927.00 | not published | 0 |
| Thrombin time CPT 85670 | $58.20 | $97.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $55.20 | $92.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $79.20 | $132.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $2,674.79 | $4,457.99 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $4,760.21 | $7,933.69 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $2,244.80 | $3,741.34 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $3,368.30 | $5,613.83 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $176.40 | $294.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $1,536.00 | $2,560.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $231.00 | $385.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $722.40 | $1,204.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $108.00 | $180.00 | not published | 0 |
| Tilt table study CPT 93660 | $2,061.00 | $3,435.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $13,435.12 | $22,391.86 | not published | 0 |
| Tissue culture placenta CPT 88235 | $474.60 | $791.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $765.60 | $1,276.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $513.00 | $855.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $45.00 | $75.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $58,911.91 | $98,186.51 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $40.20 | $67.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | $35,297.11 | $58,828.52 | $10,371.37 – $10,578.79 | 3 |
| Tlh w/t/o 250 g or less CPT 58571 | $22,275.79 | $37,126.32 | $10,371.37 – $10,578.79 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $30,194.35 | $50,323.92 | $10,371.37 – $10,578.79 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $3,724.73 | $6,207.88 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $3,207.43 | $5,345.71 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $3,813.43 | $6,355.72 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $4,743.44 | $7,905.74 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $2,088.62 | $3,481.03 | not published | 0 |
| Tlso corset front HCPCS L0970 | $446.29 | $743.82 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $1,448.42 | $2,414.04 | not published | 0 |
| Tlso full corset HCPCS L0974 | $729.82 | $1,216.36 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $1,584.56 | $2,640.93 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $1,584.56 | $2,640.93 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,985.78 | $3,309.64 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,985.78 | $3,309.64 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $2,747.89 | $4,579.81 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $6,019.52 | $10,032.53 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $4,192.42 | $6,987.37 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $6,308.23 | $10,513.71 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,181.39 | $1,968.99 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,973.23 | $3,288.72 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $573.60 | $956.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,349.57 | $20,582.61 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $14,221.25 | $23,702.08 | $3,234.84 – $3,299.54 | 3 |
| Tonsillectomy (child under 12) CPT 42825 | $17,027.51 | $28,379.18 | $5,775.89 – $5,891.41 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $5,266.46 | $8,777.43 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $513.88 | $856.46 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $448.06 | $746.76 | not published | 0 |
| Total Hip Replacement CPT 27130 | $73,831.89 | $123,053.15 | $12,526.51 – $12,777.04 | 3 |
| Total Knee Replacement CPT 27447 | $62,825.99 | $104,709.98 | $12,526.51 – $12,777.04 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $42,257.22 | $70,428.70 | $17,107.48 – $17,449.63 | 3 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $61,469.20 | $102,448.67 | $17,107.48 – $17,449.63 | 3 |
| Toxoplasma antibody igg CPT 86777 | $83.40 | $139.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $112.80 | $188.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $15,273.87 | $25,456.45 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $634.80 | $1,058.00 | not published | 0 |
| Transcath biopsy CPT 37200 | $3,685.80 | $6,143.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $19,165.20 | $31,942.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,995.00 | $3,325.00 | not published | 0 |
| Transferrin CPT 84466 | $87.60 | $146.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,327.20 | $2,212.00 | not published | 0 |
| Transplant forearm tendon CPT 25310 | $23,743.04 | $39,571.73 | $3,192.44 – $3,192.44 | 1 |
| Transplant hand tendon CPT 26480 | $23,743.04 | $39,571.73 | $3,192.44 – $3,256.29 | 3 |
| Trans shoe caliper plate new HCPCS L3610 | $419.61 | $699.35 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $318.68 | $531.14 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $318.68 | $531.14 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $419.61 | $699.35 | not published | 0 |
| Trapezius sling HCPCS L1070 | $468.53 | $780.88 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $6,496.98 | $10,828.30 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $15,765.87 | $26,276.45 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $14,039.08 | $23,398.46 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $15,980.40 | $26,634.00 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $148.80 | $248.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $22,240.49 | $37,067.48 | $5,898.53 – $6,016.50 | 2 |
| Treat elbow dislocation CPT 24605 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $445.80 | $743.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $445.80 | $743.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $445.80 | $743.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $3,039.00 | $5,065.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $445.80 | $743.00 | not published | 0 |
| Treat kneecap fracture CPT 27524 | $17,763.52 | $29,605.87 | $7,079.78 – $7,221.37 | 3 |
| Treat lower leg fracture CPT 27827 | $61,153.76 | $101,922.93 | $12,526.51 – $12,777.04 | 3 |
| Treat lower leg joint CPT 27829 | $54,022.34 | $90,037.23 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $34,233.07 | $57,055.12 | $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.