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 |
|---|---|---|---|---|
| Microsatellite instability CPT 81301 | $231.00 | $770.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $286.34 | $477.24 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $149.57 | $249.28 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | $1,601.49 | $5,338.31 | not published | 0 |
| Miroderm HCPCS Q4175 | $22,365.00 | $74,550.00 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,815.20 | $4,692.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $318.30 | $1,061.00 | not published | 0 |
| Mnl prep&insj imed rx dev CPT 20702 | $43,124.88 | $71,874.80 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $13,179.37 | $43,931.25 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $432.90 | $1,443.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $467.70 | $1,559.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $782.28 | $1,303.80 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $48.00 | $80.00 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $2,232.70 | $3,721.16 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $272.70 | $909.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $285.60 | $952.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $275.40 | $918.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $217.50 | $725.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $274.80 | $916.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $5,652.60 | $18,842.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $1,183.50 | $3,945.00 | not published | 0 |
| MRI compatible system HCPCS L0859 | $3,738.15 | $12,460.50 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,976.10 | $16,587.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $8,023.80 | $26,746.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $5,007.60 | $16,692.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $5,007.60 | $16,692.00 | not published | 0 |
| MRI tmj CPT 70336 | $1,470.30 | $4,901.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,241.70 | $14,139.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,723.20 | $15,744.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $83.10 | $277.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $86.70 | $289.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $45.90 | $153.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $56.10 | $187.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $23.10 | $77.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $228.30 | $761.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $89.70 | $299.00 | not published | 0 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $34,229.71 | $57,049.52 | not published | 0 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.03 | $10.05 | not published | 0 |
| Mycophenolic acid HCPCS J7518 | $90.22 | $150.36 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $74.40 | $248.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,987.40 | $9,958.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,072.50 | $3,575.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,080.50 | $6,935.00 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | $746.70 | $2,489.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $114.00 | $380.00 | not published | 0 |
| Myringoplasty CPT 69620 | $11,734.63 | $19,557.72 | $3,234.84 – $3,299.54 | 3 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $146.50 | $244.17 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $75.44 | $125.73 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $61.70 | $102.83 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $74.70 | $249.00 | not published | 0 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $37,763.28 | $62,938.80 | $3,637.69 – $3,710.44 | 3 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $37,763.28 | $62,938.80 | $6,885.86 – $7,023.57 | 3 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $29,470.18 | $49,116.97 | $6,885.86 – $7,023.57 | 3 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $74.70 | $249.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $151.50 | $505.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $93.90 | $313.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $13.20 | $44.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $16.80 | $56.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $923.89 | $3,079.63 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,352.80 | $11,176.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $3,352.80 | $11,176.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,617.80 | $8,726.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $7,422.60 | $24,742.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $778.50 | $2,595.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $6,642.90 | $22,143.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $451.20 | $1,504.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $376.50 | $1,255.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,452.50 | $8,175.00 | not published | 0 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $48.00 | $80.00 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | $6,523.12 | $21,743.75 | not published | 0 |
| Nerve conduction studies 3-4 CPT 95908 | $389.10 | $1,297.00 | not published | 0 |
| Nerve conduction studies 5-6 CPT 95909 | $389.10 | $1,297.00 | not published | 0 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $2,867.51 | $9,558.38 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $211.50 | $705.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $257.70 | $859.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $288.90 | $963.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $363.30 | $1,211.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $302.48 | $504.14 | not published | 0 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $221.40 | $369.00 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $887.70 | $2,959.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $887.70 | $2,959.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $901.50 | $3,005.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,129.80 | $3,766.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,028.70 | $3,429.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,872.60 | $6,242.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,561.50 | $5,205.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,277.70 | $4,259.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,277.70 | $4,259.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,734.30 | $5,781.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,530.60 | $5,102.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,417.50 | $4,725.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,277.70 | $4,259.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $151.92 | $506.41 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $6,656.25 | $22,187.50 | not published | 0 |
| Nps surg dilat eust tube bi CPT 69706 | $19,706.51 | $32,844.18 | $5,775.89 – $5,891.41 | 3 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,886.30 | $9,621.00 | not published | 0 |
| Nsl/sins ndsc total CPT 31253 | $37,763.28 | $62,938.80 | $6,885.86 – $7,023.57 | 3 |
| Ntrk translocation analysis CPT 81194 | $857.10 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,667.00 | $18,890.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $3,961.80 | $13,206.00 | 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.