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 |
|---|---|---|---|---|
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $4,968.16 | $8,280.26 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $570.90 | $1,903.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $40.20 | $134.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $94.20 | $314.00 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $245.72 | $819.07 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $351.18 | $1,170.61 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $2,662.50 | $8,875.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $177.12 | $295.20 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,671.60 | $11,119.34 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $96.60 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $6.00 | $10.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $48.00 | $80.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $17,485.89 | $29,143.15 | $3,820.23 – $3,896.63 | 3 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $90,872.19 | $151,453.65 | $30,107.39 – $30,709.54 | 2 |
| Opn tx dprsd zygomatic arch CPT 21356 | $12,827.11 | $21,378.52 | $5,775.89 – $5,891.41 | 2 |
| Optx clavicular fx w/int fix CPT 23515 | $25,810.31 | $43,017.18 | $7,079.78 – $7,221.37 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | $32,738.75 | $54,564.58 | $12,526.51 – $12,777.04 | 3 |
| Oral aprepitant HCPCS J8501 | $2,539.90 | $4,233.17 | not published | 0 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $153.50 | $255.84 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $599.06 | $1,996.88 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $630.88 | $2,102.93 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $1,488.34 | $4,961.13 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $2,801.43 | $9,338.10 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $591.69 | $1,972.29 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $701.78 | $2,339.27 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $230.71 | $769.02 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $591.69 | $1,972.29 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $70.18 | $233.95 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $70.18 | $233.95 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $100.69 | $335.65 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,325.92 | $4,419.75 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $778.25 | $2,594.16 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $2,166.58 | $7,221.94 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $84.30 | $281.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $54.90 | $183.00 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $204.61 | $682.04 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $155.70 | $519.01 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $21.46 | $71.53 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $128.25 | $427.51 | not published | 0 |
| Osmolality blood CPT 83930 | $22.50 | $75.00 | not published | 0 |
| Osmolality urine CPT 83935 | $55.50 | $185.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $253.80 | $846.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $253.80 | $846.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $253.80 | $846.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $26.10 | $87.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $18.00 | $60.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $227.40 | $758.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $192.90 | $643.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $224.40 | $748.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $249.00 | $830.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $77.70 | $259.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $55.80 | $186.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $382.50 | $1,275.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $216.90 | $723.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $192.90 | $643.00 | not published | 0 |
| Outrigger HCPCS L1080 | $125.62 | $418.72 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $420.49 | $1,401.63 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $220.80 | $368.00 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $196.80 | $328.00 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $66,429.37 | $221,431.25 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $552.00 | $920.00 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $8,721.94 | $14,536.56 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $15,469.12 | $51,563.75 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $8,084.02 | $13,473.36 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $317.54 | $529.23 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $40,001.23 | $66,668.72 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $49.94 | $83.23 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $203.74 | $339.57 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $236.40 | $788.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,277.70 | $4,259.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $430.50 | $1,435.00 | not published | 0 |
| Paricalcitol HCPCS J2501 | $98.40 | $164.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $61.20 | $204.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $19,706.24 | $32,843.73 | $3,192.44 – $3,256.29 | 2 |
| Partial removal finger bone CPT 26236 | $597.90 | $1,993.00 | not published | 0 |
| Partial removal of thyroid CPT 60220 | $30,316.76 | $50,527.93 | $5,898.53 – $6,016.50 | 3 |
| Partial removal of thyroid CPT 60225 | $32,654.96 | $54,424.93 | $5,898.53 – $6,016.50 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $11,661.75 | $38,872.50 | not published | 0 |
| Part removal of metatarsal CPT 28113 | $10,258.70 | $17,097.83 | $3,192.44 – $3,256.29 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | $15,382.01 | $25,636.68 | $7,079.78 – $7,221.37 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $1,068.97 | $3,563.22 | not published | 0 |
| Patten bottom HCPCS L2370 | $768.29 | $2,560.97 | not published | 0 |
| Pdgfra gene CPT 81314 | $545.10 | $1,817.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $54.90 | $183.00 | not published | 0 |
| Pegaspargase injection HCPCS J9266 | $80,445.45 | $134,075.75 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $1,136.41 | $3,788.03 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $754.34 | $2,514.47 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $555.82 | $1,852.75 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $600.15 | $2,000.51 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $1,041.78 | $3,472.61 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,764.40 | $12,548.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $3,523.80 | $11,746.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,671.20 | $8,904.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $2,548.92 | $8,496.39 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $6,279.30 | $20,931.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $3,948.30 | $13,161.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,297.50 | $4,325.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $649.50 | $2,165.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $332.20 | $1,107.33 | 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.