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 |
|---|---|---|---|---|
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $15,413.19 | $25,688.65 | not published | 0 |
| Radiation physics consult CPT 77336 | $1,116.00 | $3,720.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $875.70 | $2,919.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $370.80 | $1,236.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $144.90 | $483.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $1,254.90 | $4,183.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $2,273.70 | $7,579.00 | not published | 0 |
| Radiology port images(s) CPT 77417 | $261.60 | $872.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $5,749.80 | $19,166.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $63,179.68 | $105,299.46 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,530.60 | $5,102.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,631.10 | $5,437.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,639.30 | $12,131.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,277.70 | $4,259.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $41,421.80 | $69,036.34 | not published | 0 |
| Rapid Strep Test CPT 87880 | $214.20 | $714.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $5,014.68 | $8,357.80 | not published | 0 |
| Rbc count only automated CPT 85041 | $63.90 | $213.00 | not published | 0 |
| Realignment of knee CPT 27457 | $33,449.24 | $55,748.73 | not published | 0 |
| Reconstruction knee CPT 27427 | $55,463.56 | $92,439.27 | $7,079.78 – $7,221.37 | 3 |
| Reconstruction of nose CPT 30420 | $29,174.60 | $48,624.33 | $5,775.89 – $5,891.41 | 3 |
| Reconstruction of throat CPT 42950 | $18,137.95 | $30,229.92 | $5,775.89 – $5,891.41 | 3 |
| Reconstruct shoulder joint CPT 23472 | $54,666.44 | $91,110.73 | $17,107.48 – $17,449.63 | 3 |
| Reduction of procidentia 45900 CPT 45900 | $346.50 | $1,155.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $196.80 | $328.00 | not published | 0 |
| Reinforced solid stirrup HCPCS L2260 | $449.96 | $1,499.88 | not published | 0 |
| Relocation skin pocket aicd CPT 33223 | $2,040.30 | $6,801.00 | not published | 0 |
| Relocation skin pocket pm CPT 33222 | $937.80 | $3,126.00 | not published | 0 |
| Rem/biv cast full arm/leg CPT 29705 | $118.50 | $395.00 | not published | 0 |
| Rem endovas vena cava filter CPT 37193 | $4,213.20 | $14,044.00 | not published | 0 |
| Rem interrog evl pm/ids CPT 93296 | $43.20 | $144.00 | not published | 0 |
| Removal biliary drg cath CPT 47537 | $654.00 | $2,180.00 | not published | 0 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,702.20 | $5,674.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,934.30 | $7,084.00 | $1,535.88 – $1,566.60 | 3 |
| Removal cerumen impacted (both sides) CPT 69210 | $10,789.66 | $17,982.77 | $5,775.89 – $5,891.41 | 3 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $150.90 | $503.00 | not published | 0 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $344.40 | $1,148.00 | not published | 0 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $5,250.74 | $8,751.23 | $1,611.44 – $1,643.67 | 3 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,420.80 | $4,736.00 | not published | 0 |
| Removal foreign body jawbone CPT 41806 | $578.40 | $1,928.00 | not published | 0 |
| Removal of adenoids CPT 42830 | $11,345.60 | $18,909.33 | $3,234.84 – $3,299.54 | 3 |
| Removal of adenoids CPT 42831 | $19,275.65 | $32,126.08 | $3,234.84 – $3,299.54 | 3 |
| Removal of adenoids <12yrs 42835 CPT 42835 | $13,623.65 | $22,706.08 | $3,234.84 – $3,299.54 | 3 |
| Removal of bone for graft CPT 20900 | $38,530.92 | $64,218.20 | $12,526.51 – $12,777.04 | 3 |
| Removal of breast lesion CPT 19120 | $17,954.99 | $29,924.98 | $3,820.23 – $3,896.63 | 3 |
| Removal of epididymis CPT 54860 | $17,725.18 | $29,541.97 | $3,439.27 – $3,508.06 | 3 |
| Removal of foot lesion CPT 28090 | $10,606.45 | $17,677.42 | $1,568.89 – $1,600.27 | 3 |
| Removal of heel bone CPT 28118 | $28,918.37 | $48,197.28 | $7,079.78 – $7,221.37 | 3 |
| Removal of hydrocele CPT 55040 | $15,011.57 | $25,019.28 | $3,493.34 – $3,563.21 | 3 |
| Removal of hydrocele CPT 55500 | $23,352.17 | $38,920.28 | $3,493.34 – $3,563.21 | 3 |
| Removal of implant deep CPT 20680 | $19,706.24 | $32,843.73 | $2,834.09 – $2,890.77 | 3 |
| Removal of intranasal lesion CPT 30117 | $45,152.44 | $75,254.07 | $3,234.84 – $3,299.54 | 3 |
| Removal of lymph nodes neck CPT 38724 | $38,486.84 | $64,144.73 | $5,898.53 – $6,016.50 | 3 |
| Removal of sperm cord lesion CPT 55520 | $17,017.91 | $28,363.18 | $3,439.27 – $3,508.06 | 3 |
| Removal of testis CPT 54530 | $12,913.56 | $21,522.60 | $3,493.34 – $3,563.21 | 3 |
| Removal of thyroid CPT 60240 | $38,486.84 | $64,144.73 | $5,898.53 – $6,016.50 | 3 |
| Removal of thyroid CPT 60252 | $29,922.39 | $49,870.65 | $5,775.89 – $5,891.41 | 3 |
| Removal of thyroid CPT 60271 | $30,437.68 | $50,729.47 | $5,775.89 – $5,891.41 | 3 |
| Removal of urethra lesion CPT 53230 | $21,853.86 | $36,423.10 | $5,231.42 – $5,336.05 | 3 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $10,202.40 | $34,008.00 | not published | 0 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $75.30 | $251.00 | not published | 0 |
| Removal sutr or stapl no anes CPT 15853 | $65.10 | $217.00 | not published | 0 |
| Removal tunnled intprtnl cath CPT 49422 | $3,103.80 | $10,346.00 | $3,080.71 – $3,142.32 | 3 |
| Remove bladder stone CPT 52317 | $19,144.17 | $31,906.95 | $5,231.42 – $5,336.05 | 3 |
| Remove bladder stone CPT 52318 | $19,704.85 | $32,841.42 | $5,231.42 – $5,336.05 | 3 |
| Remove ear canal lesion(s) CPT 69145 | $9,846.88 | $16,411.47 | $2,834.09 – $2,890.77 | 3 |
| Remove epididymis lesion CPT 54830 | $11,788.47 | $19,647.45 | $3,439.27 – $3,508.06 | 3 |
| Remove foreign body from eye CPT 65235 | $900.30 | $3,001.00 | not published | 0 |
| Remove in/ex hem groups 2+ CPT 46260 | $12,791.89 | $21,319.82 | $2,708.17 – $2,762.33 | 3 |
| Remove pilonidal cyst compl CPT 11772 | $12,299.40 | $20,499.00 | $2,834.09 – $2,890.77 | 3 |
| Remove pilonidal cyst exten CPT 11771 | $14,512.93 | $24,188.22 | $2,834.09 – $2,890.77 | 3 |
| Remove renal tube w/fluoro CPT 50389 | $98,894.79 | $164,824.65 | $680.34 – $693.95 | 3 |
| Remove tonsils and adenoids CPT 42820 | $11,577.52 | $19,295.87 | $5,775.89 – $5,891.41 | 3 |
| Remove tonsils and adenoids CPT 42821 | $11,981.31 | $19,968.85 | $3,234.84 – $3,299.54 | 3 |
| Remove ventilating tube CPT 69424 | $19,706.51 | $32,844.18 | $1,513.86 – $1,544.13 | 3 |
| Remove wrist tendon lesion CPT 25111 | $8,925.60 | $14,876.00 | $1,568.89 – $1,600.27 | 3 |
| Remv/repl penis contain pros CPT 54416 | $62,285.08 | $103,808.47 | $20,222.16 – $20,626.61 | 2 |
| Renal endoscopy 50572 CPT 50572 | $29,338.75 | $48,897.92 | $680.34 – $693.95 | 3 |
| Renal function panel CPT 80069 | $224.70 | $749.00 | not published | 0 |
| Repair achilles tendon CPT 27650 | $21,765.48 | $36,275.80 | $7,079.78 – $7,221.37 | 3 |
| Repair biceps tendon CPT 23430 | $54,877.00 | $91,461.67 | $7,079.78 – $7,221.37 | 3 |
| Repair bladder defect CPT 57288 | $16,515.31 | $27,525.52 | $4,880.81 – $4,978.43 | 3 |
| Repair blood vessel dir lower extr CPT 35226 | $714.60 | $2,382.00 | not published | 0 |
| Repair blood vessel dir upper extr CPT 35206 | $1,241.70 | $4,139.00 | not published | 0 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $242.70 | $809.00 | not published | 0 |
| Repair dental ellis ii fx CPT 41899 | $742.20 | $2,474.00 | not published | 0 |
| Repair eardrum structures CPT 69631 | $8,021.13 | $13,368.55 | $5,775.89 – $5,891.41 | 3 |
| Repair extns tendon finger without grft ea CPT 26418 | $6,047.10 | $10,078.50 | $1,568.89 – $1,600.27 | 3 |
| Repair eyelid wound CPT 67935 | $881.40 | $2,938.00 | not published | 0 |
| Repair finger/hand tendon CPT 26350 | $1,240.80 | $4,136.00 | not published | 0 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $190.50 | $635.00 | not published | 0 |
| Repair nasal stenosis CPT 30465 | $22,869.28 | $38,115.47 | $5,775.89 – $5,891.41 | 3 |
| Repair of achilles tendon CPT 27654 | $26,822.32 | $44,703.87 | $7,079.78 – $7,221.37 | 3 |
| Repair of ankle ligament CPT 27695 | $43,080.65 | $71,801.08 | $7,079.78 – $7,221.37 | 3 |
| Repair of hydrocele 55060 CPT 55060 | $13,875.91 | $23,126.52 | $3,439.27 – $3,508.06 | 3 |
| Repair of nasal septum CPT 30520 | $19,363.34 | $32,272.23 | $5,775.89 – $5,891.41 | 3 |
| Repair of thigh muscle CPT 27385 | $18,864.65 | $31,441.08 | $7,079.78 – $7,221.37 | 3 |
| Repair pm/icd lead dual CPT 33220 | $3,572.70 | $11,909.00 | not published | 0 |
| Repair rotator cuff acute CPT 23410 | $32,738.75 | $54,564.58 | $12,526.51 – $12,777.04 | 3 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $87.00 | $290.00 | 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.