Southside Regional Medical Center
200 Medical Park Blvd., Petersburg, VA · Bonsecours · · NPI 1720623853
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 |
|---|---|---|---|---|
| Dronabinol 2.5mg oral HCPCS Q0167 | $78.50 | $130.84 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $48.00 | $80.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $207.94 | $693.14 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $71.14 | $237.14 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $6,922.50 | $23,075.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $4,589.48 | $15,298.28 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $18,570.94 | $61,903.13 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $4,340.06 | $14,466.87 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $25,962.04 | $86,540.13 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $36,977.65 | $123,258.84 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $26,065.87 | $86,886.25 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $52.50 | $175.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $45.30 | $151.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $63.90 | $213.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $180.30 | $601.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $779.70 | $2,599.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $81.90 | $273.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $228.30 | $761.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $100.50 | $335.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,089.00 | $3,630.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $625.80 | $2,086.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,242.30 | $4,141.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $18,055.80 | $60,185.99 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $23,706.53 | $39,510.88 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $22,665.28 | $37,775.47 | $3,637.69 – $3,710.44 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $22,665.28 | $37,775.47 | $3,637.69 – $3,710.44 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $12,347.56 | $20,579.27 | $1,736.62 – $1,771.35 | 3 |
| Ear cartilage graft CPT 21235 | $20,052.81 | $33,421.35 | $5,775.89 – $5,775.89 | 1 |
| Ear irrigation 69209 CPT 69209 | $74.70 | $249.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $73,760.92 | $122,934.87 | $45.69 – $46.60 | 3 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $96.30 | $321.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $1,179.00 | $3,930.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $120.60 | $402.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $39.30 | $131.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $64.20 | $214.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $3,250.50 | $10,835.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $811.80 | $2,706.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,641.70 | $12,139.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,468.50 | $4,895.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $348.60 | $1,162.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $320.40 | $1,068.00 | not published | 0 |
| Echo stress CPT 93350 | $1,472.10 | $4,907.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,686.60 | $5,622.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $1,686.60 | $5,622.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $523.80 | $1,746.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $865.20 | $2,884.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $523.80 | $1,746.00 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $52.80 | $176.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $291.60 | $972.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,138.50 | $3,795.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $60.30 | $201.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,227.60 | $4,092.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $291.90 | $973.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $65.10 | $217.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $16,648.04 | $27,746.73 | $1,872.25 – $1,909.69 | 3 |
| Egd endoscopic stent place CPT 43266 | $23,246.68 | $38,744.47 | $5,923.28 – $6,041.75 | 3 |
| Egd remove foreign body CPT 43247 | $11,776.32 | $19,627.20 | $3,761.73 – $3,836.96 | 3 |
| Egd remove lesion snare CPT 43251 | $12,330.78 | $20,551.30 | $1,872.25 – $1,909.69 | 3 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $13,155.34 | $21,925.57 | $1,872.25 – $1,909.69 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $19,247.25 | $32,078.75 | $1,872.25 – $1,909.69 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $23,609.80 | $39,349.67 | $1,872.25 – $1,909.69 | 3 |
| Egd w/transmural drain cyst CPT 43240 | $39,186.60 | $65,311.00 | $5,923.28 – $6,041.75 | 3 |
| Egfr gene com variants CPT 81235 | $548.40 | $1,828.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $14,350.87 | $47,836.25 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $216.90 | $723.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $132.00 | $440.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $384.00 | $1,280.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $4,834.80 | $16,116.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $3,541.80 | $11,806.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $3,591.00 | $11,970.00 | not published | 0 |
| Electrophysiology evaluation CPT 93641 | $346.80 | $1,156.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $1,287.90 | $4,293.00 | not published | 0 |
| Electrophysiology evaluation CPT 93644 | $1,568.10 | $5,227.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $11,772.30 | $39,241.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,968.30 | $26,561.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $7,968.30 | $26,561.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $12,775.80 | $42,586.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $122.40 | $408.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $107.10 | $357.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $68.40 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $68.40 | $228.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,182.55 | $3,941.83 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $812.94 | $2,709.80 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,117.96 | $3,726.52 | not published | 0 |
| Endo cholangiopancreatograph CPT 43262 | $20,323.63 | $33,872.72 | $3,761.73 – $3,836.96 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,259.89 | $4,199.65 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $1,625.46 | $5,418.19 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $5,382.60 | $17,942.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $11,634.38 | $19,390.63 | $3,439.27 – $3,508.06 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | $20,323.63 | $33,872.72 | $3,761.73 – $3,836.96 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $9,271.19 | $15,451.98 | $1,872.25 – $1,909.69 | 3 |
| Endoscopy maxillary sinus CPT 31267 | $27,858.82 | $46,431.37 | $6,885.86 – $7,023.57 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $220.20 | $734.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $13,259.91 | $22,099.85 | $3,234.84 – $3,299.54 | 3 |
| Endo, single, pulmonary HCPCS C1601 | $8,253.75 | $27,512.50 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,113.22 | $3,710.73 | not published | 0 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $9,470.10 | $31,567.00 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $732.31 | $1,220.51 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,092.64 | $3,642.12 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $311.96 | $1,039.88 | 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.