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 |
|---|---|---|---|---|
| Vital capacity test CPT 94150 | $103.20 | $344.00 | not published | 0 |
| Vitamin b-12 CPT 82607 | $114.90 | $383.00 | not published | 0 |
| Volume measurement urine timed CPT 81050 | $45.90 | $153.00 | not published | 0 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $198.93 | $331.55 | not published | 0 |
| Vulvectomy simple partial CPT 56620 | $10,861.50 | $18,102.50 | $3,158.41 – $3,221.58 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $250.80 | $836.00 | not published | 0 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $101.70 | $339.00 | not published | 0 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $67.20 | $224.00 | not published | 0 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $48.30 | $161.00 | not published | 0 |
| Warde 1015200 kappa light chain free CPT 83521 | $30.30 | $101.00 | not published | 0 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $31.50 | $105.00 | not published | 0 |
| Warde 3008005 oligoclonal bands CPT 83916 | $555.30 | $1,851.00 | not published | 0 |
| Warde 3016000 west nile virus antibody CPT 86788 | $61.50 | $205.00 | not published | 0 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $61.50 | $205.00 | not published | 0 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $55.20 | $184.00 | not published | 0 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $30.60 | $102.00 | not published | 0 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $42.00 | $140.00 | not published | 0 |
| Warde 3400852 arsenic CPT 82175 | $133.80 | $446.00 | not published | 0 |
| Warde 3708165 mercury urine CPT 83825 | $153.90 | $513.00 | not published | 0 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $109.20 | $364.00 | not published | 0 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $20.10 | $67.00 | not published | 0 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $38.40 | $128.00 | not published | 0 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $993.90 | $3,313.00 | not published | 0 |
| Warde aldolase CPT 82085 | $65.40 | $218.00 | not published | 0 |
| Warde amiodarone therapeutic drug level CPT 80151 | $34.20 | $114.00 | not published | 0 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $382.80 | $1,276.00 | not published | 0 |
| Warde anti-mullerian hormone CPT 82166 | $19.50 | $65.00 | not published | 0 |
| Warde apolipoprotein b CPT 82172 | $39.00 | $130.00 | not published | 0 |
| Warde bile acids CPT 82239 | $71.70 | $239.00 | not published | 0 |
| Warde cadmium blood CPT 82300 | $37.20 | $124.00 | not published | 0 |
| Warde clozapine therapeutic drug level CPT 80159 | $54.60 | $182.00 | not published | 0 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $67.20 | $224.00 | not published | 0 |
| Warde complement total hemolytic CPT 86162 | $103.50 | $345.00 | not published | 0 |
| Warde copper CPT 82525 | $42.00 | $140.00 | not published | 0 |
| Warde cryoglobulin CPT 82595 | $46.20 | $154.00 | not published | 0 |
| Warde erythropoietin CPT 82668 | $43.80 | $146.00 | not published | 0 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $21.00 | $70.00 | not published | 0 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $122.40 | $408.00 | not published | 0 |
| Warde gastrin CPT 82941 | $108.30 | $361.00 | not published | 0 |
| Warde growth hormone (hgh) CPT 83003 | $38.70 | $129.00 | not published | 0 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $24.00 | $80.00 | not published | 0 |
| Warde hepatitis a antibody CPT 86708 | $117.00 | $390.00 | not published | 0 |
| Warde immunofixation electrophoresis urine CPT 86335 | $98.10 | $327.00 | not published | 0 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $136.50 | $455.00 | not published | 0 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $462.00 | $1,540.00 | not published | 0 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $130.20 | $434.00 | not published | 0 |
| Warde lipoprotein (a) CPT 83695 | $76.20 | $254.00 | not published | 0 |
| Warde mitochondrial antibody each CPT 86381 | $38.40 | $128.00 | not published | 0 |
| Warde neutralization rabies CPT 86382 | $26.70 | $89.00 | not published | 0 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $312.60 | $1,042.00 | not published | 0 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $39.90 | $133.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $74.70 | $249.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $36.00 | $120.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $49.80 | $166.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.70 | $239.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $61.20 | $204.00 | not published | 0 |
| Warde viscosity CPT 85810 | $59.10 | $197.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $182.10 | $607.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $177.30 | $591.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $319.80 | $1,066.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $143.70 | $479.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $72.60 | $242.00 | not published | 0 |
| Warde zinc CPT 84630 | $87.00 | $290.00 | not published | 0 |
| Wbc automated CPT 85048 | $25.20 | $84.00 | not published | 0 |
| Whfo electric custom fitted HCPCS L3904 | $7,374.43 | $24,581.44 | not published | 0 |
| Whfo nontorsion joint prefab HCPCS L3931 | $455.53 | $1,518.42 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $992.39 | $3,307.98 | not published | 0 |
| Who nontorsion jnts pre cst HCPCS L3915 | $1,161.36 | $3,871.19 | not published | 0 |
| Who nontorsion jnts pre ots HCPCS L3916 | $1,161.36 | $3,871.19 | not published | 0 |
| Woman's shoe oxford brace HCPCS L3224 | $162.20 | $540.67 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $729.30 | $2,431.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $1,206.00 | $4,020.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $249.30 | $831.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $609.90 | $2,033.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $562.50 | $1,875.00 | not published | 0 |
| Xcellistem, 1 mg HCPCS A2004 | $5,362.27 | $17,874.25 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | $720.09 | $1,200.15 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $28,401.87 | $47,336.45 | $2,013.11 – $2,053.37 | 3 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,408.80 | $4,696.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $453.90 | $1,513.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $641.40 | $2,138.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $582.90 | $1,943.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $823.20 | $2,744.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $313.20 | $1,044.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $429.90 | $1,433.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,808.40 | $6,028.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $238.50 | $795.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $706.80 | $2,356.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $495.60 | $1,652.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $795.60 | $2,652.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $800.70 | $2,669.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $453.90 | $1,513.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,299.30 | $4,331.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,893.30 | $6,311.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $408.30 | $1,361.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $453.90 | $1,513.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $970.20 | $3,234.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $402.00 | $1,340.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $741.90 | $2,473.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $320.10 | $1,067.00 | 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.