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 |
|---|---|---|---|---|
| Tilt table study CPT 93660 | $2,251.80 | $7,506.00 | not published | 0 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $2,351.76 | $3,919.60 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $7,722.58 | $25,741.94 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $35.10 | $117.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $33,862.90 | $112,876.33 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $20.10 | $67.00 | not published | 0 |
| Tlh w/t/o 250 g or less CPT 58571 | $23,680.61 | $39,467.68 | $10,371.37 – $10,578.79 | 3 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $26,646.47 | $44,410.78 | $10,371.37 – $10,578.79 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $2,140.99 | $7,136.65 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $1,843.65 | $6,145.49 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $2,191.98 | $7,306.61 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $2,726.56 | $9,088.53 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,200.55 | $4,001.83 | not published | 0 |
| Tlso corset front HCPCS L0970 | $256.53 | $855.11 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $832.56 | $2,775.21 | not published | 0 |
| Tlso full corset HCPCS L0974 | $419.50 | $1,398.35 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $910.81 | $3,036.05 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $910.81 | $3,036.05 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,141.44 | $3,804.80 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,141.44 | $3,804.80 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $1,579.50 | $5,265.01 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $3,460.05 | $11,533.51 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $2,409.83 | $8,032.76 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $3,626.01 | $12,086.69 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $679.07 | $2,263.57 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,134.22 | $3,780.75 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $757.68 | $1,262.80 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $387.75 | $646.25 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $131.40 | $438.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,030.87 | $20,051.45 | not published | 0 |
| Tocilizumab for covid-19 HCPCS Q0249 | $10,976.21 | $18,293.69 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $83.10 | $277.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $96.30 | $321.00 | not published | 0 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $13,105.83 | $21,843.05 | $3,234.84 – $3,299.54 | 3 |
| Tonsillectomy (age 12+) CPT 42826 | $17,974.77 | $29,957.95 | $3,234.84 – $3,299.54 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $7,021.94 | $11,703.23 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $295.38 | $984.59 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $257.54 | $858.48 | not published | 0 |
| Total hysterectomy CPT 58150 | $24,992.92 | $41,654.87 | $3,439.27 – $3,508.06 | 3 |
| Total Knee Replacement CPT 27447 | $48,023.11 | $80,038.52 | $12,526.51 – $12,526.51 | 1 |
| Toxoplasma antibody igg CPT 86777 | $99.00 | $330.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $203.40 | $678.00 | not published | 0 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $22,480.29 | $37,467.15 | $5,231.42 – $5,336.05 | 3 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $190.50 | $635.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $48.00 | $80.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $16,577.70 | $55,259.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $1,470.30 | $4,901.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $4,692.90 | $15,643.00 | not published | 0 |
| Transferrin CPT 84466 | $47.40 | $158.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $864.30 | $2,881.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $241.20 | $803.99 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $183.18 | $610.60 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $183.18 | $610.60 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $241.20 | $803.99 | not published | 0 |
| Trapezius sling HCPCS L1070 | $269.31 | $897.71 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $8,662.64 | $14,437.73 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $9,185.62 | $30,618.75 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $74.40 | $248.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $25,482.15 | $42,470.25 | $5,898.53 – $6,016.50 | 3 |
| Treat elbow dislocation CPT 24605 | $597.90 | $1,993.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $597.90 | $1,993.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $597.90 | $1,993.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $86.40 | $288.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $86.40 | $288.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $597.90 | $1,993.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $343.50 | $1,145.00 | not published | 0 |
| Treat heel fracture CPT 28415 | $36,421.04 | $60,701.73 | $7,079.78 – $7,221.37 | 3 |
| Treat hip dislocation CPT 27252 | $1,494.60 | $4,982.00 | not published | 0 |
| Treat humerus fracture CPT 24515 | $42,237.70 | $70,396.17 | $12,526.51 – $12,777.04 | 3 |
| Treat humerus fracture CPT 24535 | $597.90 | $1,993.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $597.90 | $1,993.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $86.40 | $288.00 | not published | 0 |
| Treat kneecap fracture CPT 27524 | $18,939.10 | $31,565.17 | $7,079.78 – $7,221.37 | 3 |
| Treat lower leg dislocation CPT 27830 | $205.50 | $685.00 | not published | 0 |
| Treat lower leg joint CPT 27829 | $33,294.46 | $55,490.77 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $29,257.46 | $48,762.43 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $23,958.44 | $39,930.73 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $23,434.38 | $39,057.30 | $7,079.78 – $7,221.37 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $8,791.66 | $14,652.77 | $3,158.41 – $3,221.58 | 3 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $140.70 | $469.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $9,959.84 | $16,599.73 | $3,158.41 – $3,221.58 | 3 |
| Treatment of ankle fracture CPT 27792 | $33,294.46 | $55,490.77 | $7,079.78 – $7,221.37 | 3 |
| Treatment of ankle fracture CPT 27814 | $35,945.53 | $59,909.22 | $7,079.78 – $7,221.37 | 3 |
| Treatment of ankle fracture CPT 27822 | $31,895.77 | $53,159.62 | $7,079.78 – $7,221.37 | 3 |
| Treatment of ankle fracture CPT 27823 | $34,025.69 | $56,709.48 | $7,079.78 – $7,221.37 | 3 |
| Treatment of thigh fracture CPT 27503 | $597.90 | $1,993.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,023.90 | $3,413.00 | not published | 0 |
| Treatment of toe fracture 28510 CPT 28510 | $226.80 | $756.00 | not published | 0 |
| Treatment radiation delivery level 2 CPT 77407 | $2,273.70 | $7,579.00 | not published | 0 |
| Treat metacarpal fracture CPT 26615 | $17,744.42 | $29,574.03 | $3,192.44 – $3,256.29 | 3 |
| Treat metatarsal fracture CPT 28485 | $22,914.19 | $38,190.32 | $7,079.78 – $7,079.78 | 2 |
| Treat thigh fracture CPT 27246 | $343.50 | $1,145.00 | not published | 0 |
| Treat ulnar fracture CPT 24675 | $597.90 | $1,993.00 | not published | 0 |
| Treat ulnar fracture CPT 24685 | $18,083.27 | $30,138.78 | $7,079.78 – $7,221.37 | 2 |
| Treat wrist dislocation CPT 25675 | $86.40 | $288.00 | not published | 0 |
| Treponema pallidum antibody CPT 86780 | $117.00 | $390.00 | not published | 0 |
| Trg gene rearrangement anal CPT 81342 | $129.30 | $431.00 | not published | 0 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $83.64 | $139.40 | not published | 0 |
| Trichomonas assay w/optic CPT 87808 | $21.00 | $70.00 | not published | 0 |
| Triglycerides CPT 84478 | $11.10 | $37.00 | 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.