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 |
|---|---|---|---|---|
| Repair rpr lip full thickness vermilion only CPT 40650 | $190.50 | $635.00 | not published | 0 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,240.80 | $4,136.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $1,240.80 | $4,136.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $87.00 | $290.00 | not published | 0 |
| Repair upper arm/elbow tendon/muscle ea CPT 24341 | $20,046.12 | $33,410.20 | $7,079.78 – $7,079.78 | 2 |
| Replace duod/jej tube perc CPT 49451 | $686.10 | $2,287.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $1,167.60 | $3,892.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $701.40 | $2,338.00 | not published | 0 |
| Repl trach puncture dilator HCPCS L8514 | $247.61 | $825.38 | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $2,361.00 | $7,870.00 | not published | 0 |
| Rerepair ing hernia blocked CPT 49521 | $24,963.69 | $41,606.15 | $6,316.41 – $6,442.74 | 3 |
| Resect inferior turbinate CPT 30140 | $24,649.33 | $41,082.22 | $3,234.84 – $3,299.54 | 3 |
| Respirator motion mgmt simul CPT 77293 | $476.40 | $1,588.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $6,390.00 | $21,300.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $1,464.00 | $4,880.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $515.10 | $1,717.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $37.80 | $126.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $5,975.10 | $19,917.00 | not published | 0 |
| Revise lower leg tendon CPT 27691 | $37,146.28 | $61,910.47 | $7,079.78 – $7,221.37 | 3 |
| Revise spermatic cord veins CPT 55530 | $14,293.47 | $23,822.45 | $3,439.27 – $3,508.06 | 3 |
| Revision of bladder neck CPT 52500 | $13,384.87 | $22,308.12 | $3,439.27 – $3,508.06 | 3 |
| Revision of calf tendon CPT 27687 | $43,080.65 | $71,801.08 | $7,079.78 – $7,221.37 | 3 |
| Revision of cervix CPT 57720 | $1,178.40 | $3,928.00 | not published | 0 |
| Revision of eyelid CPT 67961 | $881.40 | $2,938.00 | not published | 0 |
| Revision of penis CPT 54435 | $1,335.90 | $4,453.00 | not published | 0 |
| Revision tips CPT 37183 | $1,968.00 | $6,560.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $138.00 | $460.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $770.78 | $1,284.64 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $770.78 | $1,284.64 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $209.75 | $699.17 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,505.52 | $2,509.20 | not published | 0 |
| Right ventric recording CPT 93603 | $1,164.00 | $3,880.00 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $764.38 | $2,547.92 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $455.90 | $1,519.67 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,345.66 | $7,818.88 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $58,688.75 | $97,814.59 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $5,846.74 | $9,744.56 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $25,930.75 | $43,217.92 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $3,956.74 | $6,594.56 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $19,783.68 | $32,972.80 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $2,463.30 | $8,211.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $22,971.00 | $76,570.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $23,458.20 | $78,194.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $22,532.40 | $75,108.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $2,076.90 | $6,923.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $603.00 | $2,010.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $2,098.20 | $6,994.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $9,928.20 | $33,094.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,069.00 | $10,230.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $3,491.40 | $11,638.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $2,455.80 | $8,186.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $233.21 | $777.36 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $12,471.19 | $20,785.31 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $11,909.01 | $19,848.35 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $111.14 | $185.24 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,398.00 | $4,660.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $250.50 | $835.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,232.40 | $4,108.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $3,103.80 | $10,346.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $1,735.20 | $5,784.00 | not published | 0 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $20,831.83 | $34,719.72 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $20,217.22 | $33,695.37 | $6,316.41 – $6,442.74 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $13,448.16 | $22,413.60 | $3,493.34 – $3,563.21 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $18,482.21 | $30,803.68 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $26,238.60 | $43,731.00 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $18,895.92 | $31,493.20 | $3,493.34 – $3,563.21 | 2 |
| Rsv assay w/optic CPT 87807 | $333.00 | $1,110.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $279.30 | $931.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $138.60 | $462.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $60.30 | $201.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $19.80 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $2,092.50 | $6,975.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $2,092.50 | $6,975.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $169.80 | $566.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $924.60 | $3,082.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,130.10 | $3,767.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,168.20 | $3,894.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $903.00 | $3,010.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $823.20 | $2,744.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,274.10 | $4,247.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $15,575.62 | $51,918.75 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $19,113.56 | $31,855.93 | $907.35 – $925.49 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $12,765.24 | $21,275.40 | $907.35 – $925.49 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $46.50 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $461.40 | $1,538.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $33.60 | $112.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $287,334.34 | $957,781.13 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $250.80 | $836.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $119.10 | $397.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $526.20 | $1,754.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $345.90 | $1,153.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $2,436.30 | $8,121.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $17.56 | $29.26 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $87.38 | $145.63 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $3,670.71 | $12,235.70 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $319.50 | $1,065.00 | not published | 0 |
| Sgmdsc w/band ligation CPT 45350 | $12,113.01 | $20,188.35 | $1,167.54 – $1,190.90 | 3 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $155.70 | $519.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $38.71 | $129.04 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $8,852.81 | $29,509.38 | 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.