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 |
|---|---|---|---|---|
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $28,655.86 | $47,759.77 | $7,079.78 – $7,221.37 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $9,068.27 | $15,113.78 | $3,158.41 – $3,221.58 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $175.80 | $293.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $159.00 | $265.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $8,794.21 | $14,657.02 | $3,158.41 – $3,221.58 | 3 |
| Treatment of ankle fracture CPT 27792 | $54,022.34 | $90,037.23 | $7,079.78 – $7,221.37 | 3 |
| Treatment of ankle fracture CPT 27814 | $36,117.92 | $60,196.53 | $7,079.78 – $7,221.37 | 3 |
| Treatment of fibula fracture CPT 27784 | $61,153.76 | $101,922.93 | $12,526.51 – $12,777.04 | 3 |
| Treatment of thigh fracture CPT 27503 | $1,507.80 | $2,513.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,507.80 | $2,513.00 | not published | 0 |
| Treatment of tibia fracture CPT 27759 | $49,512.28 | $82,520.47 | $12,526.51 – $12,777.04 | 3 |
| Treat metatarsal fracture CPT 28485 | $40,038.97 | $66,731.62 | $7,079.78 – $7,221.37 | 3 |
| Treat thigh fracture CPT 27246 | $445.80 | $743.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat ulnar fracture CPT 24685 | $47,636.29 | $79,393.82 | $7,079.78 – $7,221.37 | 3 |
| Treat wrist dislocation CPT 25675 | $445.80 | $743.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $84.60 | $141.00 | not published | 0 |
| Treprostinil injection HCPCS J3285 | $45,648.52 | $76,080.87 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $929.40 | $1,549.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $67.12 | $111.86 | not published | 0 |
| Trichinella antibody CPT 86784 | $27.00 | $45.00 | not published | 0 |
| #tricyclicantidprssnt CPT 80337 | $111.60 | $186.00 | not published | 0 |
| Triglycerides CPT 84478 | $61.20 | $102.00 | not published | 0 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $11,109.00 | $18,515.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $16,630.20 | $27,717.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,245.00 | $7,075.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $4,221.00 | $7,035.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,444.80 | $7,408.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $6,027.00 | $10,045.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $32,796.47 | $54,660.78 | $3,457.56 – $3,457.56 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $32,796.47 | $54,660.78 | $3,457.56 – $3,457.56 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $7,398.28 | $12,330.47 | $2,013.11 – $2,053.37 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $15,801.06 | $26,335.10 | not published | 0 |
| Troponin quantitative CPT 84484 | $54.60 | $91.00 | not published | 0 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $15,761.83 | $26,269.72 | $3,439.27 – $3,508.06 | 3 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,617.00 | $2,695.00 | not published | 0 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,886.40 | $3,144.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $787.21 | $1,312.01 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $25,746.00 | $42,910.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $445.80 | $743.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,135.80 | $6,893.00 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $243.60 | $406.00 | not published | 0 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $829.20 | $1,382.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $554.40 | $924.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $455.40 | $759.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $736.20 | $1,227.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $280.80 | $468.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $223.20 | $372.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $914.40 | $1,524.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $878.40 | $1,464.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $426.00 | $710.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $541.20 | $902.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $624.00 | $1,040.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $332.40 | $554.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $743.40 | $1,239.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $361.80 | $603.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $714.60 | $1,191.00 | not published | 0 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $487.80 | $813.00 | not published | 0 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $487.80 | $813.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $3,831.60 | $6,386.00 | not published | 0 |
| Umbilicoplasty 15847 CPT 15847 | $36,500.75 | $60,834.58 | $6,478.71 – $6,608.28 | 3 |
| Unlisted fluoroscopic px CPT 76496 | $181.20 | $302.00 | not published | 0 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $42,481.00 | $70,801.67 | $10,371.37 – $10,578.79 | 3 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $17,576.56 | $29,294.27 | $5,898.53 – $6,016.50 | 3 |
| Unlisted maaa CPT 81599 | $141.60 | $236.00 | not published | 0 |
| Unlisted procedure larynx CPT 31599 | $11,204.38 | $18,673.97 | $231.09 – $235.71 | 3 |
| Unlisted procedure microbiology CPT 87999 | $1,122.00 | $1,870.00 | not published | 0 |
| Unlisted px arthroscopy CPT 29999 | $14,661.32 | $24,435.53 | $240.67 – $245.48 | 3 |
| Unlisted px foot/toes CPT 28899 | $35,578.20 | $59,297.00 | $7,079.78 – $7,221.37 | 3 |
| Unlisted px hands/fingers CPT 26989 | $453.60 | $756.00 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $289.20 | $482.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $461.40 | $769.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $23,260.70 | $38,767.83 | $5,898.53 – $6,016.50 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,174.80 | $1,958.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,152.20 | $8,587.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,602.40 | $6,004.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $7,798.85 | $12,998.08 | $884.93 – $902.63 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $4,701.12 | $7,835.20 | $884.93 – $902.63 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $5,782.99 | $9,638.32 | $1,872.25 – $1,909.69 | 3 |
| Urea nitrogen CPT 84520 | $52.20 | $87.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $60.60 | $101.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $67.20 | $112.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $886.80 | $1,478.00 | not published | 0 |
| Uric acid blood CPT 84550 | $70.20 | $117.00 | not published | 0 |
| Uric acid urine CPT 84560 | $63.60 | $106.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $68.40 | $114.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $40.80 | $68.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $75.60 | $126.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $91.80 | $153.00 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $146.48 | $244.13 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $512.92 | $854.87 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $66.36 | $110.60 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $0.01 | $0.01 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $58.78 | $97.97 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $485.05 | $808.42 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $241.30 | $402.16 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $209.12 | $348.53 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $950.97 | $1,584.95 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $28,255.20 | $47,092.00 | not published | 0 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $48.04 | $80.07 | 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.