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 |
|---|---|---|---|---|
| Create eardrum opening CPT 69436 | $22,745.62 | $37,909.37 | $1,513.86 – $1,544.13 | 3 |
| Creatine kinase CPT 82550 | $67.20 | $112.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $120.60 | $201.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $73.20 | $122.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $128.40 | $214.00 | not published | 0 |
| Creatinine CPT 82565 | $60.00 | $100.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $61.20 | $102.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $120.60 | $201.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $408.00 | $680.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $1,337.40 | $2,229.00 | not published | 0 |
| Crotalidae poly immune fab HCPCS J0840 | $14,870.70 | $24,784.50 | not published | 0 |
| Cryoablate prostate CPT 55873 | $48,587.04 | $80,978.40 | $9,236.28 – $9,421.01 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $57.60 | $96.00 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $141.00 | $235.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $61.20 | $102.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $583.20 | $972.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,967.60 | $4,946.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,710.60 | $2,851.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,931.40 | $3,219.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,444.80 | $7,408.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,789.80 | $2,983.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,808.40 | $3,014.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $1,811.40 | $3,019.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $2,958.60 | $4,931.00 | not published | 0 |
| CT colonography dx CPT 74261 | $1,445.40 | $2,409.00 | not published | 0 |
| CT colonography screening CPT 74263 | $899.40 | $1,499.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $2,029.20 | $3,382.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,595.00 | $4,325.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $92,125.19 | $153,541.98 | $12,526.51 – $12,526.51 | 1 |
| CT limited or localized follow-up study CPT 76380 | $1,010.40 | $1,684.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,558.80 | $2,598.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,849.80 | $3,083.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $8,314.16 | $13,856.94 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $9,139.54 | $15,232.56 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $349.44 | $582.40 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $8,468.78 | $14,114.63 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,998.60 | $3,331.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $2,440.20 | $4,067.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,773.00 | $2,955.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,104.80 | $3,508.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,852.80 | $3,088.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,834.20 | $3,057.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $289.20 | $482.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,374.00 | $7,290.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,589.60 | $9,316.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,530.00 | $7,550.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $3,346.80 | $5,578.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,530.00 | $2,550.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $265.20 | $442.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,314.80 | $3,858.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,998.00 | $3,330.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $4,083.99 | $6,806.65 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $97.80 | $163.00 | not published | 0 |
| Culture afb any source CPT 87116 | $178.80 | $298.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $109.80 | $183.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $151.20 | $252.00 | not published | 0 |
| Culture bacteria anaerobic CPT 87073 | $153.60 | $256.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $10.20 | $17.00 | not published | 0 |
| Culture body fluid CPT 87070 | $129.60 | $216.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $106.20 | $177.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $96.00 | $160.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $142.80 | $238.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $166.20 | $277.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $133.80 | $223.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $95.40 | $159.00 | not published | 0 |
| Culture typing added method CPT 87158 | $288.00 | $480.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $54.00 | $90.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $757.20 | $1,262.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $179.40 | $299.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $94.80 | $158.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $16,536.24 | $27,560.40 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $21.00 | $35.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $77.40 | $129.00 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $49.43 | $82.38 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $144.00 | $240.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $30.56 | $50.93 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $20,844.00 | $34,740.00 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $67,493.11 | $112,488.51 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $677.40 | $1,129.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $175.80 | $293.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $524.40 | $874.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $524.40 | $874.00 | not published | 0 |
| Cystatin c CPT 82610 | $115.20 | $192.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $135.00 | $225.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $839.40 | $1,399.00 | not published | 0 |
| Cysto, litho, vacuum kidney HCPCS C9761 | $32,384.37 | $53,973.95 | $9,236.28 – $9,421.01 | 3 |
| Cysto rx balo cath urtl strx CPT 52284 | $25,946.23 | $43,243.72 | $5,231.42 – $5,336.05 | 3 |
| Cystoscopy and treatment CPT 52224 | $13,566.59 | $22,610.98 | $3,439.27 – $3,508.06 | 3 |
| Cystoscopy and treatment CPT 52234 | $23,341.12 | $38,901.87 | $3,439.27 – $3,508.06 | 3 |
| Cystoscopy and treatment CPT 52235 | $15,561.92 | $25,936.53 | $3,439.27 – $3,508.06 | 3 |
| Cystoscopy and treatment CPT 52240 | $19,983.40 | $33,305.67 | $5,231.42 – $5,336.05 | 3 |
| Cystoscopy and treatment CPT 52260 | $9,763.06 | $16,271.77 | $2,039.56 – $2,080.35 | 3 |
| Cystoscopy and treatment CPT 52276 | $22,385.24 | $37,308.73 | $3,439.27 – $3,508.06 | 3 |
| Cystoscopy and treatment CPT 52310 | $10,780.91 | $17,968.18 | $2,039.56 – $2,080.35 | 3 |
| Cystoscopy and treatment CPT 52315 | $2,577.60 | $4,296.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $11,344.91 | $18,908.18 | $680.34 – $693.95 | 3 |
| Cystoscopy chemodenervation CPT 52287 | $10,520.95 | $17,534.92 | $2,039.56 – $2,080.35 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $43,367.33 | $72,278.88 | $10,371.37 – $10,578.79 | 3 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $13,125.10 | $21,875.17 | $2,039.56 – $2,080.35 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | $27,278.16 | $45,463.60 | $3,439.27 – $3,508.06 | 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.