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 |
|---|---|---|---|---|
| Prep skin to 100cm2 other CPT 15004 | $21,009.32 | $35,015.53 | $396.63 – $404.56 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $64,988.41 | $108,314.02 | $721.10 – $721.10 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $64,988.41 | $108,314.02 | $121.42 – $123.85 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $147.30 | $491.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $3,100.80 | $10,336.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $166.50 | $555.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $62.10 | $207.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $249.00 | $830.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $142.80 | $476.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $326.10 | $1,087.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $150.00 | $500.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $8,335.95 | $13,893.25 | $1,611.44 – $1,611.44 | 2 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $13,516.44 | $22,527.40 | $1,611.44 – $1,643.67 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $9,208.41 | $15,347.35 | $396.63 – $404.56 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $98.10 | $327.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $75.60 | $252.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $11,772.30 | $39,241.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $11,059.80 | $36,866.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $14,023.64 | $23,372.73 | $396.63 – $1,611.44 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $6,701.73 | $11,169.55 | $195.76 – $195.76 | 2 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $323.70 | $1,079.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $624.60 | $2,082.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $390.60 | $1,302.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $34,229.71 | $57,049.52 | $1,905.24 – $1,943.35 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $15,855.19 | $52,850.63 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $5,904.00 | $9,840.00 | not published | 0 |
| Procalcitonin CPT 84145 | $71.70 | $239.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.00 | $80.00 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $10.26 | $17.10 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,081.80 | $3,606.00 | not published | 0 |
| Progesterone CPT 84144 | $92.70 | $309.00 | not published | 0 |
| Prolactin CPT 84146 | $75.00 | $250.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $6.00 | $10.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $295.20 | $492.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $112.97 | $188.28 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $22,390.74 | $37,317.90 | $5,231.42 – $5,336.05 | 2 |
| Prostate laser enucleation CPT 52649 | $22,513.36 | $37,522.27 | $5,231.42 – $5,336.05 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $6,922.50 | $23,075.00 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $436.65 | $1,455.50 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $83.63 | $278.76 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $2,079.89 | $6,932.97 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $14.88 | $49.61 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $48.00 | $80.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $141.43 | $471.44 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $4,656.47 | $15,521.58 | not published | 0 |
| Protein c activity CPT 85303 | $67.80 | $226.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $324.90 | $1,083.00 | not published | 0 |
| Protein s total CPT 85305 | $74.70 | $249.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $57.60 | $192.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $57.60 | $192.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $52.80 | $176.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $13,499.40 | $22,499.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $15.00 | $50.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $24,226.97 | $40,378.28 | $3,493.34 – $3,563.21 | 3 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $17,897.10 | $59,657.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $16,707.30 | $55,691.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $16,707.30 | $55,691.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,707.30 | $55,691.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $21,700.80 | $72,336.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,917.60 | $26,392.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $10,479.60 | $34,932.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $10,787.10 | $35,957.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $125.70 | $419.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $10,462.80 | $17,438.00 | $3,158.41 – $3,221.58 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $11,252.07 | $18,753.45 | $396.63 – $404.56 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $470.70 | $1,569.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $470.70 | $1,569.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $620.10 | $2,067.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $115.20 | $384.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $95.10 | $317.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $180.60 | $602.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $361.20 | $1,204.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $180.60 | $602.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $243.90 | $813.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $52.80 | $176.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $227.40 | $758.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $139.80 | $466.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $256.20 | $854.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $256.20 | $854.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $256.20 | $854.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $224.40 | $748.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $216.90 | $723.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $153.00 | $510.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $285.60 | $952.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $169.20 | $564.00 | not published | 0 |
| Pulse ox single CPT 94760 | $65.40 | $218.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,144.87 | $3,816.25 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $176.70 | $589.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $240.90 | $803.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $936.60 | $3,122.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $13,658.62 | $45,528.75 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $4,526.25 | $15,087.50 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $671.70 | $2,239.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $106.91 | $178.19 | not published | 0 |
| Pyruvate CPT 84210 | $22.80 | $76.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $379.50 | $1,265.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $13.80 | $46.00 | not published | 0 |
| Rabies ig ht&sol human im/sc CPT 90377 | $18,785.89 | $31,309.81 | 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.