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 |
|---|---|---|---|---|
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $432.96 | $721.60 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $280.31 | $467.18 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $103,621.84 | $345,406.13 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $78,810.00 | $262,700.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $93,187.50 | $310,625.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $4,049.40 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $58,575.00 | $195,250.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $1,541.40 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $1,541.40 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $60.71 | $101.19 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $96.30 | $321.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $346.50 | $1,155.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $27.00 | $90.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $235.50 | $785.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $351.90 | $1,173.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,398.30 | $4,661.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $4,477.82 | $7,463.03 | $243.77 – $248.65 | 3 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $86.40 | $288.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $86.40 | $288.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $597.90 | $1,993.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $597.90 | $1,993.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,724.40 | $5,748.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $597.90 | $1,993.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $597.90 | $1,993.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $86.40 | $288.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $86.40 | $288.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $157.80 | $526.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $48.60 | $162.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $216.90 | $723.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $216.90 | $723.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $87.00 | $290.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $86.40 | $288.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $118.50 | $395.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $155.70 | $519.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $110.70 | $369.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $624.60 | $2,082.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $624.60 | $2,082.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $388.80 | $1,296.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $117.30 | $391.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $177.30 | $591.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $137.10 | $457.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $113.10 | $377.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $17,549.34 | $29,248.90 | $2,039.56 – $2,080.35 | 3 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $451.50 | $1,505.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $177.90 | $593.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $177.90 | $593.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $425.40 | $1,418.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $2,649.60 | $8,832.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $211.50 | $705.00 | not published | 0 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $46,778.16 | $77,963.60 | $3,192.44 – $3,256.29 | 2 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $649.80 | $2,166.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $176.10 | $587.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $554.40 | $1,848.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $11,611.31 | $19,352.18 | $1,611.44 – $1,611.44 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $297.60 | $992.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $3,358.80 | $11,196.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $157.80 | $526.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $10,892.12 | $18,153.53 | $1,611.44 – $1,643.67 | 2 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $554.40 | $1,848.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $554.40 | $1,848.00 | not published | 0 |
| Ghs mbp CPT 83873 | $497.70 | $1,659.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $390.60 | $1,302.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $168.00 | $560.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $168.00 | $560.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $188.10 | $627.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $56.40 | $188.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $986.40 | $3,288.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $662.40 | $2,208.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $242.70 | $809.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $887.70 | $2,959.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $671.70 | $2,239.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $887.70 | $2,959.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,166.40 | $3,888.00 | not published | 0 |
| Ghs nerve block celiac plexus CPT 64530 | $608.10 | $2,027.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $887.70 | $2,959.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,160.40 | $3,868.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $671.70 | $2,239.00 | not published | 0 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $44.10 | $147.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $241.50 | $805.00 | not published | 0 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,550.10 | $5,167.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $10.80 | $36.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $20.40 | $68.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $39.00 | $130.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $1,394.70 | $4,649.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $153.60 | $512.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,251.00 | $4,170.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $569.70 | $1,899.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $9.00 | $30.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $1,514.10 | $5,047.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $86.40 | $288.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $63.30 | $211.00 | 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.