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 |
|---|---|---|---|---|
| Asp & inj w/heparin pleurx cath CPT 32999 | $183.00 | $610.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $9,197.66 | $15,329.43 | $2,039.56 – $2,080.35 | 3 |
| Aspirate pleura without imaging 32554 CPT 32554 | $564.00 | $1,880.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $994.20 | $3,314.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $87.00 | $290.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $16.80 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $80.10 | $267.00 | not published | 0 |
| Assay of digoxin free CPT 80163 | $92.70 | $309.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $223.50 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $30.30 | $101.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $36.00 | $120.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $3,028.50 | $10,095.00 | not published | 0 |
| Ast/sgot CPT 84450 | $45.90 | $153.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $63,973.27 | $106,622.12 | not published | 0 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $88,454.43 | $147,424.05 | $3,080.71 – $3,142.32 | 3 |
| Augment injectable kit 3.0cc HCPCS C1734 | $8,839.50 | $29,465.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,562.90 | $18,543.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,950.50 | $29,835.00 | not published | 0 |
| Av fuse uppr arm basilic CPT 36819 | $30,564.53 | $50,940.88 | $5,429.18 – $5,537.77 | 3 |
| Av fusion direct any site CPT 36821 | $27,907.19 | $46,511.98 | $3,080.71 – $3,142.32 | 3 |
| Avul nail plate addl CPT 11732 | $54.90 | $183.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $218.10 | $727.00 | not published | 0 |
| Azacitidine injection HCPCS J9025 | $3,230.53 | $5,384.21 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $6.00 | $10.00 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $48.00 | $80.00 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $562.85 | $938.08 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $17,649.91 | $29,416.52 | $5,898.53 – $6,016.50 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $90.90 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $336.37 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $93.90 | $313.00 | not published | 0 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $975.22 | $1,625.37 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $2,932.95 | $4,888.25 | not published | 0 |
| Below knee total contact HCPCS L5637 | $758.55 | $2,528.49 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $61.20 | $204.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $43.80 | $146.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $135.30 | $225.50 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $82.80 | $276.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $38.40 | $128.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $381.00 | $1,270.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $79.21 | $132.02 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $4,399.11 | $7,331.85 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $722.40 | $2,408.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $594.00 | $1,980.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $594.00 | $1,980.00 | not published | 0 |
| Bilicheck CPT 88720 | $8.40 | $28.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $44.10 | $147.00 | not published | 0 |
| Bilirubin total CPT 82247 | $102.60 | $342.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $804.07 | $2,680.25 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $848.40 | $2,828.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $771.90 | $2,573.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,800.30 | $6,001.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $682.20 | $2,274.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $2,185.80 | $7,286.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $721.50 | $2,405.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $675.90 | $2,253.00 | not published | 0 |
| Biopsy of penis CPT 54105 | $32,399.72 | $53,999.53 | $2,834.09 – $2,890.77 | 2 |
| Biopsy of prostate CPT 55700 | $6,179.21 | $10,298.68 | $122.17 – $124.61 | 3 |
| Biopsy/removal lymph nodes CPT 38525 | $23,686.23 | $39,477.05 | $6,478.71 – $6,608.28 | 3 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $11,351.69 | $18,919.48 | $1,611.44 – $1,643.67 | 3 |
| Biopsy skin incisional single lesion CPT 11106 | $788.70 | $1,314.50 | $721.10 – $735.52 | 3 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,776.60 | $5,922.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $9,451.87 | $31,506.25 | not published | 0 |
| Bivalirudin HCPCS J0583 | $688.80 | $1,148.00 | not published | 0 |
| Bk flex inner socket ext fra HCPCS L5645 | $1,778.31 | $5,927.70 | not published | 0 |
| Bk fork strap HCPCS L5684 | $107.25 | $357.49 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $226.42 | $754.73 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $136.13 | $453.78 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $219.30 | $731.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $585.67 | $976.12 | not published | 0 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $87,862.50 | $292,875.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $12,513.75 | $41,712.50 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,795.62 | $9,318.75 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $15,043.12 | $50,143.75 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $20,288.41 | $67,628.03 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $21,832.50 | $72,775.00 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $887.70 | $2,959.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $887.70 | $2,959.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $284.40 | $948.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $703.80 | $2,346.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $378.00 | $1,260.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $97.20 | $324.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $132.90 | $443.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $207.30 | $691.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $161.40 | $538.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $318.60 | $1,062.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $70.80 | $236.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $57.90 | $193.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $67.20 | $224.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $35.70 | $119.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $37.80 | $126.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $37.80 | $126.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $48.60 | $162.00 | not published | 0 |
| Blood typing abo CPT 86900 | $42.30 | $141.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $321.60 | $1,072.00 | not published | 0 |
| Blood typing patient serum CPT 86904 | $64.50 | $215.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $132.00 | $440.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $40.50 | $135.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $35.10 | $117.00 | not published | 0 |
| Body jacket mold to patient HCPCS L1300 | $4,137.39 | $13,791.31 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $177.60 | $592.00 | 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.