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 |
|---|---|---|---|---|
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $445.80 | $743.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $453.60 | $756.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $445.80 | $743.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,989.20 | $4,982.00 | not published | 0 |
| Cltx thigh fx w/mnpj CPT 27268 | $5,419.20 | $9,032.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $103.20 | $172.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $204.00 | $340.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $65,332.50 | $108,887.50 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $57.60 | $96.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | $532.95 | $888.25 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $55,338.50 | $92,230.84 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $1,366.44 | $2,277.40 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $85.20 | $142.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $78.60 | $131.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $200.76 | $334.60 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $393.72 | $656.20 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $264.02 | $440.04 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $636.71 | $1,061.19 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $436.38 | $727.30 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $113.40 | $189.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $127.20 | $212.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $21.60 | $36.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $4,227.00 | $7,045.00 | $907.35 – $925.49 | 3 |
| Colonoscopy submucous njx CPT 45381 | $5,632.20 | $9,387.00 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy w/ablation CPT 45388 | $4,503.60 | $7,506.00 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $5,008.43 | $8,347.38 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $6,304.81 | $10,508.02 | $1,167.54 – $1,190.90 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,928.20 | $6,547.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $8,076.13 | $13,460.21 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $229.20 | $382.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $329.40 | $549.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $243.60 | $406.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $219.60 | $366.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $136.20 | $227.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,470.60 | $2,451.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $8,889.02 | $14,815.03 | $1,611.44 – $1,643.67 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,210.80 | $2,018.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,470.60 | $2,451.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $1,470.60 | $2,451.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $3,853.82 | $6,423.04 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $54.60 | $91.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $32,400.84 | $54,001.40 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $469.80 | $783.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $10,553.09 | $17,588.48 | $3,158.41 – $3,221.58 | 3 |
| Conization of cervix CPT 57520 | $10,385.84 | $17,309.73 | $3,158.41 – $3,221.58 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $2,702.23 | $4,503.72 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $13,544.75 | $22,574.59 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $14,322.14 | $23,870.24 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $312.00 | $520.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $89.40 | $149.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $314.40 | $524.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $201.60 | $336.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $778.80 | $1,298.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,266.40 | $5,444.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $2,265.60 | $3,776.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,651.40 | $4,419.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $33,118.80 | $55,198.00 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $8,536.78 | $14,227.96 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $252.60 | $421.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $162.00 | $270.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $162.00 | $270.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $634.80 | $1,058.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $3,953.40 | $6,589.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $1,330.20 | $2,217.00 | not published | 0 |
| Coombs direct CPT 86880 | $92.40 | $154.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $67.80 | $113.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $96.60 | $161.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $36,960.00 | $61,600.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $4,122.00 | $6,870.00 | not published | 0 |
| Cor hlx vlgs double osteot CPT 28299 | $96,064.09 | $160,106.82 | $7,079.78 – $7,221.37 | 3 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $64,270.21 | $107,117.02 | $3,192.44 – $3,256.29 | 3 |
| Corneal transplant CPT 65730 | $57,285.79 | $95,476.32 | $4,032.92 – $4,113.58 | 3 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $23,160.00 | $38,600.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $14,302.80 | $23,838.00 | not published | 0 |
| Coronary angio/lv gram/lt heart CPT 93458 | $15,299.40 | $25,499.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $15,024.60 | $25,041.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $10,465.80 | $17,443.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $9,499.20 | $15,832.00 | not published | 0 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $96,064.09 | $160,106.82 | $3,192.44 – $7,079.78 | 3 |
| Corrj halux rigdus without implt CPT 28289 | $46,843.31 | $78,072.18 | $3,192.44 – $3,256.29 | 3 |
| Cortisol total am CPT 82533 | $130.80 | $218.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $184.70 | $307.84 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $14,752.92 | $24,588.20 | not published | 0 |
| Covers for upright each HCPCS L1120 | $158.83 | $264.72 | not published | 0 |
| Cover wrist HCPCS L3984 | $155.63 | $259.39 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $75.00 | $125.00 | not published | 0 |
| C-peptide CPT 84681 | $181.80 | $303.00 | not published | 0 |
| Cptr-asst dir ms px CPT 20985 | $52,447.39 | $87,412.32 | $12,526.51 – $12,777.04 | 3 |
| Cranial cervical orthosis HCPCS L0112 | $28,950.00 | $48,250.00 | not published | 0 |
| C-reactive protein CPT 86140 | $91.20 | $152.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $128.40 | $214.00 | 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.