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 |
|---|---|---|---|---|
| Ins cath ren art 1st bi CPT 36252 | $3,794.40 | $12,648.00 | not published | 0 |
| Ins cath ren art 2nd+ bi CPT 36254 | $2,502.90 | $8,343.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $300.30 | $1,001.00 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $1,240.80 | $4,136.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $2,816.10 | $9,387.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $726.00 | $2,420.00 | not published | 0 |
| Insert hepatic shunt (tips) CPT 37182 | $6,177.60 | $20,592.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $13,801.07 | $23,001.78 | $3,158.41 – $3,221.58 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $97.80 | $326.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $66.90 | $223.00 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,225.30 | $10,751.00 | not published | 0 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $9,410.70 | $31,369.00 | not published | 0 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $4,546.50 | $15,155.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $5,604.90 | $18,683.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $4,333.20 | $14,444.00 | not published | 0 |
| Insertion of catheter vein CPT 36481 | $1,809.90 | $6,033.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $12,900.60 | $43,002.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $11,861.10 | $39,537.00 | not published | 0 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $7,819.20 | $26,064.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,186.90 | $10,623.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,967.40 | $6,558.00 | not published | 0 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $46,570.20 | $155,234.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,777.10 | $19,257.00 | not published | 0 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $3,937.20 | $13,124.00 | not published | 0 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $11,651.40 | $38,838.00 | not published | 0 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $25,555.38 | $42,592.30 | $3,080.71 – $3,142.32 | 3 |
| Insert multi-comp penis pros CPT 54405 | $56,031.36 | $93,385.60 | $20,222.16 – $20,626.61 | 3 |
| Insert pm/icd lead dual CPT 33217 | $4,790.40 | $15,968.00 | not published | 0 |
| Insert/repl sq defib w/eltrd CPT 33270 | $32,664.00 | $108,880.00 | not published | 0 |
| Insert swan-ganz cath CPT 93503 | $1,487.10 | $4,957.00 | not published | 0 |
| Insert tunneled cv cath CPT 36560 | $3,103.80 | $10,346.00 | not published | 0 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,311.80 | $17,706.00 | not published | 0 |
| Insitu hybridization manual CPT 88368 | $562.80 | $1,876.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $126.90 | $423.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $285.60 | $952.00 | not published | 0 |
| Ins lv lead exist pm/icd CPT 33224 | $22,433.10 | $74,777.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $177.06 | $590.19 | not published | 0 |
| Ins picad w subq port 5yr> CPT 36571 | $1,398.00 | $4,660.00 | not published | 0 |
| Ins pq tunnld ip cath w/img CPT 49418 | $3,535.80 | $11,786.00 | not published | 0 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $18,973.80 | $63,246.00 | not published | 0 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,680.10 | $32,267.00 | not published | 0 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $6,366.60 | $21,222.00 | not published | 0 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $52,705.98 | $87,843.30 | $18,928.40 – $19,306.96 | 3 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $36,182.40 | $120,608.00 | not published | 0 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $14,322.35 | $23,870.58 | $680.34 – $693.95 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,852.50 | $6,175.00 | not published | 0 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,454.20 | $11,514.00 | not published | 0 |
| Insulin total CPT 83525 | $89.70 | $299.00 | not published | 0 |
| Ins vag brachytx device CPT 57156 | $304.20 | $1,014.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $12,300.40 | $41,001.35 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $40,345.55 | $134,485.18 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $9,278.81 | $30,929.38 | not published | 0 |
| Interdental fixation CPT 21110 | $578.40 | $1,928.00 | not published | 0 |
| Interdiscal perq aspir dx CPT 62267 | $665.40 | $2,218.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $5,325.00 | $17,750.00 | not published | 0 |
| Intra-atrial pacing CPT 93610 | $7,014.30 | $23,381.00 | not published | 0 |
| Intra-atrial recording CPT 93602 | $7,170.60 | $23,902.00 | not published | 0 |
| Intracard echo interv w/s&i CPT 93662 | $1,751.10 | $5,837.00 | not published | 0 |
| Intracranial complete study CPT 93886 | $1,046.10 | $3,487.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $87.90 | $293.00 | not published | 0 |
| Intraventricular pacing CPT 93612 | $7,014.30 | $23,381.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $271.50 | $905.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $1,140.60 | $3,802.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,752.70 | $22,509.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $2,968.20 | $9,894.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $766.80 | $2,556.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,175.60 | $17,252.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,697.00 | $8,990.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $967.20 | $3,224.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $422.62 | $704.36 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $561.62 | $936.04 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $6.00 | $10.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $90.00 | $150.00 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $16,444.08 | $27,406.80 | not published | 0 |
| Iron CPT 83540 | $188.10 | $627.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $54.60 | $182.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $90.00 | $150.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $145.50 | $485.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $1,942.50 | $6,475.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $151.20 | $504.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $104.10 | $347.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $104.10 | $347.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $553.80 | $1,846.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $390.00 | $1,300.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $234.30 | $781.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $2,645.49 | $8,818.29 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $2,600.30 | $8,667.68 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $3,894.15 | $12,980.49 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $2,766.44 | $9,221.48 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $2,749.99 | $9,166.63 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $3,027.48 | $10,091.59 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $4,876.77 | $16,255.89 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $3,981.02 | $13,270.08 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $415.88 | $1,386.28 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $2,685.50 | $8,951.68 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $9,837.03 | $32,790.11 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $2,094.67 | $6,982.23 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $55.50 | $185.00 | 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.