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 |
|---|---|---|---|---|
| Buprenorphine oral 1mg HCPCS J0571 | $11.99 | $19.99 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $29,876.40 | $49,794.00 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $40.66 | $67.77 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $2,629.20 | $4,382.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $37,273.12 | $62,121.87 | $3,820.23 – $3,896.63 | 3 |
| Bx muscle CPT 20200 | $2,766.00 | $4,610.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $97.20 | $162.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $97.20 | $162.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $97.20 | $162.00 | not published | 0 |
| Bypass temp external fem-fem CPT 37799 | $2,680.80 | $4,468.00 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $115.20 | $192.00 | not published | 0 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $40,224.55 | $67,040.91 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $63,639.05 | $106,065.08 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $1,625.83 | $2,709.72 | not published | 0 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $143.41 | $239.02 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,162.50 | $1,937.50 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $58.20 | $97.00 | not published | 0 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $45.25 | $75.41 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $51.62 | $86.04 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $283.22 | $472.03 | not published | 0 |
| Calcium ionized CPT 82330 | $111.00 | $185.00 | not published | 0 |
| Calcium total CPT 82310 | $63.60 | $106.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $96.00 | $160.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $181.20 | $302.00 | not published | 0 |
| Candida dna CPT 87480 | $112.80 | $188.00 | not published | 0 |
| Cannabinoid synthetic 7/more CPT 80352 | $306.00 | $510.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $231,600.00 | $386,000.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $2,937.00 | $4,895.00 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $213,859.44 | $356,432.40 | not published | 0 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $33,354.61 | $55,591.02 | $7,079.78 – $7,221.37 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $55,106.71 | $91,844.52 | $3,192.44 – $3,256.29 | 3 |
| Cap trach decann 15mm HCPCS C1750 | $3,858.46 | $6,430.76 | not published | 0 |
| Carbamazepine free CPT 80157 | $76.80 | $128.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $68.40 | $114.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $90.60 | $151.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $42.60 | $71.00 | not published | 0 |
| Carbon graphite lamination HCPCS L2755 | $496.32 | $827.20 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $244.93 | $408.21 | not published | 0 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,003.80 | $1,673.00 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $96.60 | $161.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $145.20 | $242.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,374.00 | $2,290.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $297.60 | $496.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $259.80 | $433.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,617.00 | $2,695.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $99.60 | $166.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $14,643.97 | $24,406.62 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $785.40 | $1,309.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $9,738.80 | $16,231.33 | $1,905.24 – $1,943.35 | 3 |
| Car seat/bed test 60 minutes CPT 94780 | $556.20 | $927.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $164.40 | $274.00 | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $2,461.01 | $4,101.68 | $907.35 – $925.49 | 3 |
| Cataract Surgery CPT 66984 | $13,348.98 | $22,248.30 | $2,251.71 – $2,296.74 | 3 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $6,948.00 | $11,580.00 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $18,296.40 | $30,494.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $13,655.14 | $22,758.56 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $16,279.16 | $27,131.94 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $64,824.84 | $108,041.40 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $138,960.00 | $231,600.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $15,827.54 | $26,379.24 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $115,800.00 | $193,000.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $30,108.00 | $50,180.00 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $39,140.40 | $65,234.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $15,433.82 | $25,723.04 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $12,472.80 | $20,788.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $18,886.70 | $31,477.84 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $10,167.24 | $16,945.40 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $4,168.80 | $6,948.00 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $44.40 | $74.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $17,465.65 | $29,109.42 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $15,030.84 | $25,051.40 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $3,206.41 | $5,344.02 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $16,188.84 | $26,981.40 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $377.83 | $629.72 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $3,990.60 | $6,651.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | $11,025.60 | $18,376.00 | not published | 0 |
| Cath left heart transseptal punc CPT 93462 | $8,901.00 | $14,835.00 | not published | 0 |
| Cath lt/rt pulm art CPT 36014 | $652.80 | $1,088.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $32,174.62 | $53,624.36 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $55,584.00 | $92,640.00 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $2,307.60 | $3,846.00 | not published | 0 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $15,544.80 | $25,908.00 | not published | 0 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $13,827.60 | $23,046.00 | not published | 0 |
| Cath plc art/grft/angio right hrt CPT 93457 | $10,944.60 | $18,241.00 | not published | 0 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $26,170.80 | $43,618.00 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $7,068.00 | $11,780.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $1,201.80 | $2,003.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $652.80 | $1,088.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $7,943.88 | $13,239.80 | not published | 0 |
| Cath symplicity spyral HCPCS C1735 | $74,112.00 | $123,520.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $31,150.20 | $51,917.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,621.20 | $2,702.00 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $389.40 | $649.00 | not published | 0 |
| #cbg+cort-cbg CPT 84449 | $123.00 | $205.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $618.60 | $1,031.00 | not published | 0 |
| Cebpa gene full sequence CPT 81218 | $1,262.40 | $2,104.00 | not published | 0 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $86.04 | $143.40 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $36.17 | $60.29 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $100.10 | $166.83 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,674.34 | $2,790.57 | 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.