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 |
|---|---|---|---|---|
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $9,411.94 | $31,373.13 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,718.00 | $4,530.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $199.50 | $665.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $90.90 | $303.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $1,666.35 | $2,777.25 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $86,595.55 | $144,325.91 | not published | 0 |
| Alt/sgpt CPT 84460 | $45.90 | $153.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $1,742.70 | $5,809.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $73.80 | $123.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $71.64 | $119.40 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $48.00 | $80.00 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $48.00 | $80.00 | not published | 0 |
| Ammonia CPT 82140 | $120.60 | $402.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,240.80 | $4,136.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $472.32 | $787.20 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,204.03 | $2,006.71 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $67.90 | $113.16 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $143.29 | $238.82 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $10,490.16 | $17,483.60 | $3,192.44 – $3,256.29 | 3 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $12,706.98 | $21,178.30 | $3,192.44 – $3,256.29 | 3 |
| Amylase CPT 82150 | $145.80 | $486.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $28.50 | $95.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $789.60 | $2,632.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $850.20 | $2,834.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $57.90 | $193.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $4,182.60 | $13,942.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $849.60 | $2,832.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,495.70 | $18,319.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,845.20 | $3,075.33 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,902.60 | $16,342.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $7,036.50 | $23,455.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,776.40 | $22,588.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29897 | $41,887.39 | $69,812.32 | $3,192.44 – $3,256.29 | 3 |
| Ankle arthroscopy/surgery CPT 29898 | $24,109.39 | $40,182.32 | $3,192.44 – $3,256.29 | 3 |
| Ankle X-ray CPT 73610 | $484.20 | $1,614.00 | not published | 0 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $24,900.36 | $41,500.60 | $10,371.37 – $10,578.79 | 3 |
| Anterior asis pad HCPCS L1250 | $189.86 | $632.88 | not published | 0 |
| Anterior swing band HCPCS L2335 | $674.84 | $2,249.46 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $226.42 | $754.73 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $522.89 | $1,742.96 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $261.60 | $872.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $449.10 | $1,497.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $321.60 | $1,072.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $205.80 | $686.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $247.50 | $825.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $21.00 | $70.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $249.30 | $831.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $25.20 | $84.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $42.60 | $142.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $132.00 | $440.00 | not published | 0 |
| Apheresis platelets CPT 36513 | $456.90 | $1,523.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $21,784.68 | $36,307.80 | $5,898.53 – $6,016.50 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $24,761.29 | $41,268.82 | $1,611.44 – $1,643.67 | 3 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $63,102.38 | $105,170.63 | $2,013.11 – $2,053.37 | 2 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $63,102.38 | $105,170.63 | $121.42 – $123.85 | 3 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $27,579.19 | $45,965.32 | $121.42 – $123.85 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $243.60 | $812.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $243.60 | $812.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $243.60 | $812.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $714.00 | $2,380.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $99.90 | $333.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $99.90 | $333.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $99.90 | $333.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $717.30 | $2,391.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $99.90 | $333.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $5,100.90 | $8,501.50 | $721.10 – $735.52 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $27,579.19 | $45,965.32 | $721.10 – $721.10 | 2 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $6,642.94 | $22,143.13 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $38.10 | $127.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $243.60 | $812.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $243.60 | $812.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $172.50 | $575.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $99.90 | $333.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $428.40 | $1,428.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $359.70 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $106.50 | $355.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $122.40 | $408.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $97.71 | $325.71 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $76.33 | $254.45 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $76.33 | $254.45 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $63.14 | $105.23 | not published | 0 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $663.71 | $1,106.18 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $569.40 | $1,898.00 | not published | 0 |
| Artery xray each vessel 7577426 CPT 75774 | $2,572.80 | $8,576.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $8,103.00 | $27,010.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $4,625.10 | $15,417.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,625.10 | $15,417.00 | not published | 0 |
| Artery x-rays lung CPT 75741 | $3,103.80 | $10,346.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $3,103.80 | $10,346.00 | not published | 0 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,413.80 | $8,046.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $624.30 | $2,081.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,074.30 | $3,581.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $131.10 | $437.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $1,515.60 | $5,052.00 | not published | 0 |
| Arthrodesis triple CPT 28715 | $113,945.75 | $189,909.58 | $12,526.51 – $12,777.04 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $37,678.43 | $62,797.38 | $7,079.78 – $7,221.37 | 3 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $18,673.66 | $31,122.77 | $3,192.44 – $3,256.29 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $35,204.11 | $58,673.52 | $7,079.78 – $7,221.37 | 3 |
| Artiss fibrin sealant HCPCS C9250 | $2,174.60 | $7,248.66 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $29,820.00 | $99,400.00 | 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.