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 |
|---|---|---|---|---|
| Extension per extension per HCPCS L2760 | $136.40 | $454.67 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $290.10 | $967.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $20.70 | $69.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $420.90 | $1,403.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $130.50 | $435.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $3,794.81 | $12,649.36 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $1,328.40 | $2,214.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,000.54 | $10,000.90 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $10,849.61 | $18,082.68 | not published | 0 |
| Facial bones <3 CPT 70140 | $723.00 | $2,410.00 | not published | 0 |
| Factor ix CPT 85250 | $66.90 | $223.00 | not published | 0 |
| Factor viii CPT 85240 | $158.10 | $527.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $151.80 | $506.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $48.00 | $80.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $65.10 | $217.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $300.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,135.82 | $3,786.08 | not published | 0 |
| #fecal-sodium CPT 84302 | $16.20 | $54.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $129.53 | $431.77 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $412.10 | $686.84 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,670.86 | $11,118.10 | not published | 0 |
| Ferritin CPT 82728 | $154.80 | $516.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $999.44 | $1,665.73 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $111.60 | $372.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $347.40 | $1,158.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $419.40 | $1,398.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $52.80 | $176.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $57.00 | $190.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $1,353.90 | $4,513.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $346.80 | $1,156.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $24.60 | $82.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $79.20 | $264.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $25.50 | $85.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $241.50 | $805.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $3,447.94 | $5,746.56 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $39,837.66 | $132,792.19 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,514.04 | $18,380.13 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $874.50 | $2,915.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $460.20 | $1,534.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $487.50 | $1,625.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $211.20 | $704.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $6,105.16 | $20,350.55 | not published | 0 |
| Fixation of knee joint CPT 27570 | $9,071.25 | $15,118.75 | $1,568.89 – $1,600.27 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | $14,992.54 | $24,987.57 | $907.35 – $925.49 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $413.49 | $1,378.29 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $7,140.00 | $11,900.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $57.60 | $192.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $269.70 | $899.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $6,814.14 | $22,713.79 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $137.76 | $229.60 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $293.74 | $489.57 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $270.60 | $902.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $50.10 | $167.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $9,691.50 | $16,152.50 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $554.10 | $1,847.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $387.90 | $1,293.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $799.20 | $2,664.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $126.74 | $211.24 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $119.06 | $198.44 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $166,320.00 | $277,200.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,083.30 | $3,611.00 | not published | 0 |
| Folic acid CPT 82746 | $114.90 | $383.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $48.00 | $80.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $17,039.05 | $28,398.42 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $544.15 | $906.92 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $482.66 | $1,608.86 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $113.00 | $376.66 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $82.70 | $275.66 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $489.29 | $1,630.96 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $387.71 | $1,292.38 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $317.53 | $1,058.43 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $418.25 | $1,394.17 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $293.99 | $979.98 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $122.10 | $407.01 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $801.86 | $2,672.88 | not published | 0 |
| Foot X-ray CPT 73630 | $484.20 | $1,614.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,980.05 | $6,600.16 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $1,427.37 | $4,757.89 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $89.70 | $299.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $372.28 | $620.46 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $53.83 | $89.71 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $12,305.97 | $20,509.95 | $3,439.27 – $3,508.06 | 3 |
| Free fascial flap microvasc CPT 15758 | $30,177.32 | $50,295.53 | $2,834.09 – $2,890.77 | 3 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $148.20 | $494.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $35.40 | $118.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $754.13 | $2,513.76 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $131.29 | $437.63 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $4,295.94 | $14,319.81 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $48.00 | $80.00 | not published | 0 |
| Fusion of foot bones CPT 28740 | $43,080.65 | $71,801.08 | $12,526.51 – $12,777.04 | 2 |
| G6pd full gene sequence CPT 81249 | $945.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $6,552.00 | $10,920.00 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $223.01 | $371.69 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $18,572.11 | $30,953.52 | $5,898.53 – $6,016.50 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $10,977.12 | $18,295.20 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $61.50 | $205.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $121.50 | $405.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $63.00 | $210.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $13,475.84 | $22,459.74 | 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.