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 |
|---|---|---|---|---|
| Block tap inj(s) w/wo img bi CPT 64488 | $1,477.80 | $2,463.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $739.80 | $1,233.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $57.60 | $96.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $73.80 | $123.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $100.80 | $168.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $84.60 | $141.00 | not published | 0 |
| Blood count spun microhematocrit CPT 85013 | $14.40 | $24.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $73.80 | $123.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $57.00 | $95.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $20.40 | $34.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $55.20 | $92.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $79.20 | $132.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $95.40 | $159.00 | not published | 0 |
| Blood typing abo CPT 86900 | $90.60 | $151.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $76.80 | $128.00 | not published | 0 |
| Blood typing patient serum CPT 86904 | $53.40 | $89.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $675.60 | $1,126.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $84.00 | $140.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $103.20 | $172.00 | not published | 0 |
| Body jacket mold to patient HCPCS L1300 | $7,197.89 | $11,996.49 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | $17,216.81 | $28,694.68 | $3,192.44 – $3,192.44 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $649.20 | $1,082.00 | not published | 0 |
| Bone filler cerament 10cc HCPCS C1602 | $34,448.18 | $57,413.64 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $489.60 | $816.00 | not published | 0 |
| Bone marrow aspir bone grfg CPT 20939 | $104,951.17 | $174,918.62 | $27,003.74 – $27,003.74 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $844.80 | $1,408.00 | not published | 0 |
| Bone marrow imaging body CPT 78104 | $369.60 | $616.00 | not published | 0 |
| Bone marrow imaging ltd CPT 78102 | $1,108.80 | $1,848.00 | not published | 0 |
| Bone tendon board add on HCPCS C9356 | $14,590.80 | $24,318.00 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $20,844.00 | $34,740.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $2,357.64 | $3,929.40 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $2,639.08 | $4,398.47 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $1,472.98 | $2,454.96 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,389.60 | $2,316.00 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $6,225.41 | $10,375.68 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $127.80 | $213.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $6,636.42 | $11,060.70 | not published | 0 |
| Bowel imaging CPT 78290 | $624.00 | $1,040.00 | not published | 0 |
| Brace adj motion lerman type HCPCS L2186 | $685.91 | $1,143.18 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $1,622.31 | $2,703.85 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $1,435.92 | $2,393.20 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $2,151.98 | $3,586.63 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $4,780.22 | $7,967.04 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $469.59 | $782.65 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $364.31 | $607.18 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $250.45 | $417.42 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $311.74 | $519.56 | not published | 0 |
| Brace back epic lo 627 HCPCS L0642 | $5,840.95 | $9,734.92 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $5,410.55 | $9,017.58 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $4,153.75 | $6,922.91 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,561.58 | $2,602.64 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $8,462.66 | $14,104.44 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $9,199.34 | $15,332.23 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $4,615.04 | $7,691.74 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $855.20 | $1,425.34 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $2,561.50 | $4,269.16 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $341.93 | $569.89 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $6,997.38 | $11,662.30 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $3,498.46 | $5,830.76 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $3,923.30 | $6,538.84 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $277.69 | $462.81 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $2,876.71 | $4,794.51 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $3,537.28 | $5,895.46 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $2,522.12 | $4,203.54 | not published | 0 |
| Brace m arm board HCPCS L3809 | $16,758.58 | $27,930.96 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,001.81 | $1,669.68 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $5,660.30 | $9,433.84 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $1,296.96 | $2,161.60 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $7,374.14 | $12,290.24 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $277.92 | $463.20 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,005.80 | $3,343.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $347.40 | $579.00 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $125.06 | $208.44 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $532.68 | $887.80 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $194.54 | $324.24 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $94,168.56 | $156,947.60 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $648.48 | $1,080.80 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $35,512.01 | $59,186.69 | not published | 0 |
| Braf gene CPT 81210 | $275.40 | $459.00 | not published | 0 |
| Brain image 4+ views CPT 78605 | $307.80 | $513.00 | not published | 0 |
| Brain image w/flow 4 + views CPT 78606 | $1,052.40 | $1,754.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,847.40 | $8,079.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,268.80 | $5,448.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $4,011.00 | $6,685.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $1,760.40 | $2,934.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $195.94 | $326.56 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $10,065.00 | $16,775.00 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $5,410.80 | $9,018.00 | not published | 0 |
| Breast reconstruction 19357 CPT 19357 | $46,318.36 | $77,197.27 | $13,445.87 – $13,714.78 | 3 |
| Breast reduction CPT 19318 | $34,949.63 | $58,249.38 | $6,478.71 – $6,608.28 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $12,151.92 | $20,253.20 | $3,637.69 – $3,710.44 | 3 |
| Bronchoscopy clear airways 31645 CPT 31645 | $6,562.80 | $10,938.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $11,591.65 | $19,319.42 | $3,637.69 – $3,710.44 | 3 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $10,488.02 | $17,480.03 | $3,637.69 – $3,710.44 | 3 |
| Budesonide non-comp unit HCPCS J7626 | $61.41 | $102.35 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $21.00 | $35.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $264.60 | $441.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $249.60 | $416.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $60.44 | $100.74 | not published | 0 |
| Buprenorphine and metabolite - sendout CPT 80348 | $145.20 | $242.00 | 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.