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 |
|---|---|---|---|---|
| Trim nondyst nails CPT 11719 | $48.00 | $160.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,318.30 | $21,061.00 | not published | 0 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,223.10 | $44,077.00 | not published | 0 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,368.40 | $11,228.00 | not published | 0 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $5,355.00 | $17,850.00 | not published | 0 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,866.50 | $9,555.00 | not published | 0 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,657.40 | $8,858.00 | not published | 0 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,241.70 | $4,139.00 | not published | 0 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $12,299.40 | $20,499.00 | $2,834.09 – $2,890.77 | 3 |
| Troponin quantitative CPT 84484 | $242.10 | $807.00 | not published | 0 |
| Tte w or without fol w/cont, com HCPCS C8921 | $264.90 | $883.00 | not published | 0 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $452.49 | $1,508.31 | not published | 0 |
| Tx atrial fib pulm vein isol CPT 93656 | $15,197.40 | $50,658.00 | not published | 0 |
| Tx closed hip disl traumatic without anes CPT 27250 | $86.40 | $288.00 | not published | 0 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $2,439.00 | $8,130.00 | not published | 0 |
| Tx l/r atrial fib addl CPT 93657 | $4,359.30 | $14,531.00 | not published | 0 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $30,774.45 | $51,290.75 | $3,192.44 – $3,256.29 | 3 |
| Tympanic membrane repair CPT 69610 | $8,352.66 | $13,921.10 | $1,513.86 – $1,544.13 | 3 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $377.70 | $1,259.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $1,089.60 | $3,632.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,089.60 | $3,632.00 | not published | 0 |
| Ultrasound chest CPT 76604 | $387.90 | $1,293.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $268.20 | $894.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $275.40 | $918.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $1,135.80 | $3,786.00 | not published | 0 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $1,200.30 | $4,001.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $348.60 | $1,162.00 | not published | 0 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $174.30 | $581.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $608.70 | $2,029.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $230.70 | $769.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $958.20 | $3,194.00 | not published | 0 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $963.00 | $3,210.00 | not published | 0 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,838.10 | $6,127.00 | not published | 0 |
| Ultrasound retroperitoneal limited CPT 76775 | $425.40 | $1,418.00 | not published | 0 |
| Ultrasound scrotum and contents CPT 76870 | $920.70 | $3,069.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $488.40 | $1,628.00 | not published | 0 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,297.50 | $4,325.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $1,539.00 | $5,130.00 | not published | 0 |
| Unlisted fluoroscopic px CPT 76496 | $392.40 | $1,308.00 | not published | 0 |
| Unlisted hystsc px uterus CPT 58579 | $13,801.07 | $23,001.78 | $3,158.41 – $3,221.58 | 3 |
| Unlisted laps px appendix CPT 44979 | $18,346.89 | $30,578.15 | $5,898.53 – $6,016.50 | 3 |
| Unlisted maaa CPT 81599 | $70.80 | $236.00 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $389.70 | $1,299.00 | not published | 0 |
| Unlisted orl service/px CPT 92700 | $5,250.74 | $8,751.23 | $1,611.44 – $1,643.67 | 3 |
| Unlisted px arthroscopy CPT 29999 | $28,394.74 | $47,324.57 | $3,192.44 – $3,256.29 | 3 |
| Unlisted px hands/fingers CPT 26989 | $226.80 | $756.00 | not published | 0 |
| Unlisted px male genital sys CPT 55899 | $224.10 | $747.00 | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | $19,943.28 | $33,238.80 | $231.09 – $235.71 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | $87.00 | $290.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $230.70 | $769.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $206.10 | $687.00 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $9,357.30 | $31,191.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $880.20 | $2,934.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $926.10 | $3,087.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,998.00 | $16,660.00 | not published | 0 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $12,776.58 | $21,294.30 | $884.93 – $902.63 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $16,699.27 | $27,832.12 | $884.93 – $902.63 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | $18,984.56 | $31,640.93 | $1,872.25 – $1,909.69 | 3 |
| Urea nitrogen CPT 84520 | $56.70 | $189.00 | not published | 0 |
| Ureter endoscopy & treatment CPT 50961 | $30,099.50 | $50,165.83 | $5,231.42 – $5,336.05 | 3 |
| Uric acid blood CPT 84550 | $56.70 | $189.00 | not published | 0 |
| Uric acid urine CPT 84560 | $20.70 | $69.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $39.30 | $131.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $139.80 | $466.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $25.20 | $84.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $261.60 | $872.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $113.70 | $379.00 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $113.98 | $189.96 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $50.27 | $83.79 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $584.06 | $973.44 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $98.76 | $164.60 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $30.28 | $50.47 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $58.78 | $97.97 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $367.46 | $612.44 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $439.05 | $731.75 | not published | 0 |
| Vaccine rabies im CPT 90675 | $1,629.79 | $2,716.32 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $182.80 | $304.67 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $158.42 | $264.04 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $16,241.25 | $54,137.50 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $20,837.58 | $34,729.30 | $4,880.81 – $4,978.43 | 2 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $65.93 | $109.88 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $266.70 | $889.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $2,091.00 | $3,485.00 | not published | 0 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $237.34 | $395.57 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $89.40 | $298.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $228.30 | $761.00 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $115.53 | $385.09 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $48.00 | $80.00 | not published | 0 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,288.50 | $4,295.00 | not published | 0 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $79.50 | $265.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $1,326.60 | $4,422.00 | not published | 0 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,485.30 | $4,951.00 | not published | 0 |
| Venous mech thrombectomy CPT 37187 | $4,325.40 | $14,418.00 | not published | 0 |
| Ventilator each subsequent day CPT 94003 | $627.30 | $2,091.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $627.30 | $2,091.00 | not published | 0 |
| Version cephalic external CPT 59412 | $2,469.30 | $8,231.00 | not published | 0 |
| Vest large holster HCPCS Q0498 | $1,198.12 | $3,993.75 | not published | 0 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $296.76 | $494.60 | not published | 0 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $90.00 | $150.00 | not published | 0 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $496.80 | $828.00 | 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.