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 |
|---|---|---|---|---|
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $33,206.56 | $55,344.26 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $22,317.36 | $37,195.60 | not published | 0 |
| Peng benzathine/procaine inj HCPCS J0558 | $1,101.34 | $1,835.56 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3,425.68 | $5,709.47 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $491.90 | $819.84 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $31,578.00 | $105,259.99 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $961.37 | $1,602.28 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,897.10 | $59,657.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,897.10 | $59,657.00 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,707.30 | $55,691.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,610.90 | $2,684.84 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $762.60 | $2,542.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $620.10 | $2,067.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $72.00 | $240.00 | not published | 0 |
| Peri-proc device eval icd CPT 93287 | $93.00 | $310.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $93.00 | $310.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $212.70 | $709.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $306.19 | $1,020.63 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $41.03 | $136.76 | not published | 0 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $34,213.66 | $57,022.77 | $9,236.28 – $9,421.01 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $43,682.95 | $72,804.92 | $9,236.28 – $9,236.28 | 1 |
| Perq plmt bile duct stent CPT 47540 | $4,371.60 | $14,572.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $37,649.12 | $62,748.53 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $76,819.28 | $128,032.13 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $255.73 | $852.44 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,293.90 | $14,313.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $2,390.10 | $7,967.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $2,073.30 | $6,911.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $83,569.22 | $278,564.06 | not published | 0 |
| Ph body fluid CPT 83986 | $33.00 | $110.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $206.09 | $343.49 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $311.10 | $1,037.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $4,821.21 | $8,035.35 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $48.00 | $80.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $48.00 | $80.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $24.90 | $83.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $275.40 | $918.00 | not published | 0 |
| Phosphorus CPT 84100 | $46.50 | $155.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $16.20 | $54.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $111.00 | $370.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $121.67 | $202.79 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $1,742.53 | $5,808.42 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $24,495.00 | $81,650.00 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $63.96 | $106.60 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $957.90 | $3,193.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,769.10 | $5,897.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,426.20 | $4,754.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $3,319.13 | $5,531.88 | $690.91 – $704.73 | 3 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,362.20 | $7,874.00 | not published | 0 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,086.60 | $23,622.00 | not published | 0 |
| Place right device/marker pros CPT 55876 | $20,963.50 | $34,939.17 | $1,350.48 – $1,377.48 | 3 |
| Plas shoe insert w ank joint HCPCS L2180 | $250.97 | $836.56 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $356.77 | $1,189.25 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $5,130.69 | $17,102.30 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $63.90 | $213.00 | not published | 0 |
| Platelet automated CPT 85049 | $109.50 | $365.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $187.63 | $625.42 | not published | 0 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,270.60 | $10,902.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,195.60 | $10,652.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,578.60 | $15,262.00 | not published | 0 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $1,562.70 | $5,209.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $860.70 | $2,869.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $682.20 | $2,274.00 | not published | 0 |
| Plmt access bil tree sm bwl CPT 47541 | $3,690.30 | $12,301.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $3,166.20 | $10,554.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $2,559.60 | $8,532.00 | not published | 0 |
| Plmt ureteral stent prq CPT 50694 | $2,559.60 | $8,532.00 | not published | 0 |
| Pm phone r-strip device eval CPT 93293 | $88.50 | $295.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $314.02 | $1,046.72 | not published | 0 |
| #pnh-flow cytometry interp CPT 88187 | $96.60 | $322.00 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $327.00 | $1,090.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $606.84 | $2,022.79 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $1,409.98 | $4,699.93 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $3,387.71 | $11,292.37 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $4,309.42 | $14,364.72 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $56.70 | $189.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $393.60 | $656.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $52.50 | $175.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $582.90 | $1,943.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,950.50 | $29,835.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $342.60 | $1,142.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,496.20 | $11,654.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $853.13 | $1,421.88 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,240.80 | $4,136.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $243.60 | $812.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $243.60 | $812.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $226.20 | $754.00 | not published | 0 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $113,945.75 | $189,909.58 | $12,526.51 – $12,777.04 | 3 |
| Pr correction hammertoe CPT 28285 | $19,070.79 | $31,784.65 | $3,192.44 – $3,256.29 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $824.10 | $2,747.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $18,822.42 | $31,370.70 | $3,439.27 – $3,508.06 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $305.10 | $1,017.00 | not published | 0 |
| Prealbumin CPT 84134 | $148.20 | $494.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $6.00 | $10.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $80.08 | $133.46 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $15,628.50 | $26,047.50 | $1,872.25 – $1,909.69 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,216.50 | $4,055.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $460.80 | $1,536.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $4,652.83 | $15,509.42 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $4,056.93 | $13,523.10 | 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.