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 |
|---|---|---|---|---|
| Herpes simplex type 2 antibody igg CPT 86696 | $176.10 | $587.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $249.30 | $831.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $138.00 | $460.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $199.53 | $665.09 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $199.53 | $665.09 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $3,539.21 | $11,797.36 | not published | 0 |
| Hinge ext/flex wrist finger HCPCS L3901 | $4,638.31 | $15,461.05 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,031.48 | $3,438.26 | not published | 0 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $512.00 | $1,706.66 | not published | 0 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $565.78 | $1,885.94 | not published | 0 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $1,069.15 | $3,563.85 | not published | 0 |
| Hip joint adjustable flexion HCPCS L2622 | $763.87 | $2,546.24 | not published | 0 |
| Hip X-ray CPT 73502 | $568.80 | $1,896.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $61.50 | $205.00 | not published | 0 |
| Hkafo torsion ball bearing j HCPCS L2060 | $1,463.26 | $4,877.52 | not published | 0 |
| Hkafo torsion bil rot straps HCPCS L2040 | $485.64 | $1,618.80 | not published | 0 |
| Hkafo torsion unilat rot str HCPCS L2070 | $372.59 | $1,241.97 | not published | 0 |
| Hkafo unilat torsion ball br HCPCS L2090 | $1,193.62 | $3,978.75 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $535.50 | $1,785.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $135.00 | $450.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $858.30 | $2,861.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $382.80 | $1,276.00 | not published | 0 |
| Ho abduction hip adjustable HCPCS L1650 | $592.01 | $1,973.36 | not published | 0 |
| Ho abduction static plastic HCPCS L1660 | $433.83 | $1,446.09 | not published | 0 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $855.75 | $2,852.51 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $26.36 | $43.93 | not published | 0 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $309.33 | $1,031.10 | not published | 0 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $931.87 | $3,106.25 | not published | 0 |
| Ho frejka cov only pre cst HCPCS L1610 | $131.39 | $437.98 | not published | 0 |
| Homocysteine CPT 83090 | $39.60 | $132.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $32.40 | $108.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $4,052.32 | $13,507.75 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $200.40 | $668.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,956.00 | $6,520.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $262.80 | $876.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $14,269.50 | $23,782.50 | not published | 0 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $109.82 | $183.03 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $48.00 | $80.00 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $104.10 | $347.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $283.20 | $944.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $860.41 | $1,434.02 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $160.99 | $268.31 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $1,275.26 | $2,125.44 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $165.86 | $276.43 | not published | 0 |
| Hyperbaric oxygen therapy CPT 99183 | $2,089.80 | $6,966.00 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $18.90 | $63.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $756.60 | $2,522.00 | not published | 0 |
| Hysteroscopy ablation CPT 58563 | $15,816.22 | $26,360.37 | $4,880.81 – $4,978.43 | 3 |
| Hysteroscopy biopsy CPT 58558 | $12,002.71 | $20,004.52 | $3,158.41 – $3,158.41 | 2 |
| Hysteroscopy remove fb CPT 58562 | $12,781.99 | $21,303.32 | $3,158.41 – $3,221.58 | 3 |
| Hysteroscopy remove myoma CPT 58561 | $13,730.71 | $22,884.52 | $4,880.81 – $4,978.43 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $3,919.20 | $6,532.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $7,728.00 | $12,880.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $264.60 | $441.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $137.40 | $229.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,189.76 | $1,982.93 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $78,197.62 | $260,658.75 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $75,881.25 | $252,937.50 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $61,237.50 | $204,125.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $72,356.10 | $241,187.00 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,185.90 | $3,953.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,076.70 | $3,589.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $593.62 | $989.37 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $333.60 | $1,112.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $507.30 | $1,691.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $437.10 | $1,457.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $160.20 | $534.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $4,625.10 | $15,417.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $1,634.96 | $5,449.87 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $665.62 | $2,218.75 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $769.14 | $2,563.81 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $789.67 | $2,632.24 | not published | 0 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $17,599.05 | $29,331.75 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $41.40 | $138.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $207.60 | $692.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $21.60 | $72.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $181.20 | $604.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $59.10 | $197.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $543.00 | $1,810.00 | not published | 0 |
| Immunology procedure CPT 86849 | $53.10 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $6,794.70 | $22,649.00 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,944.90 | $16,483.01 | not published | 0 |
| Implant cochlear osia osi300 HCPCS L8690 | $33,281.25 | $110,937.50 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $13,399.88 | $22,333.13 | $6,218.03 – $6,342.39 | 3 |
| Implant ureth bulk agent HCPCS L8606 | $5,458.12 | $18,193.75 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $9,860.22 | $32,867.41 | not published | 0 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,185.80 | $8,643.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $16,381.80 | $27,303.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $13,094.40 | $21,824.00 | not published | 0 |
| Incise thigh tendon & fascia CPT 27305 | $55,463.56 | $92,439.27 | not published | 0 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $14,899.46 | $24,832.43 | $1,611.44 – $1,643.67 | 3 |
| Incision of breast lesion CPT 19020 | $625.20 | $2,084.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $155.70 | $519.00 | not published | 0 |
| Incision of heel bone CPT 28300 | $43,080.65 | $71,801.08 | $12,526.51 – $12,777.04 | 3 |
| Incision of metatarsal CPT 28308 | $47,837.94 | $79,729.90 | $3,192.44 – $3,256.29 | 3 |
| Incision of thigh CPT 27450 | $50,732.34 | $84,553.90 | $7,079.78 – $7,079.78 | 1 |
| Incision tendon sheath CPT 26055 | $21,581.64 | $35,969.40 | $1,568.89 – $1,600.27 | 3 |
| Incisn of toe tndn CPT 28010 | $1,519.50 | $5,065.00 | not published | 0 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $3,936.00 | $6,560.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $110.70 | $369.00 | 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.