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 |
|---|---|---|---|---|
| X-ray exam of jaw joint CPT 70328 | $90.60 | $302.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $264.60 | $882.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $276.90 | $923.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $52.20 | $174.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $529.50 | $1,765.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $649.50 | $2,165.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $582.90 | $1,943.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $425.40 | $1,418.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $429.90 | $1,433.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $453.90 | $1,513.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $379.80 | $1,266.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $387.90 | $1,293.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $266.10 | $887.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $645.90 | $2,153.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $603.60 | $2,012.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $372.00 | $1,240.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $506.40 | $1,688.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $519.30 | $1,731.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $321.60 | $1,072.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $707.10 | $2,357.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $402.00 | $1,340.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $359.40 | $1,198.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $499.80 | $1,666.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $864.30 | $2,881.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $353.10 | $1,177.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $738.60 | $2,462.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $83.40 | $278.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $606.90 | $2,023.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $429.90 | $1,433.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $453.90 | $1,513.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $453.90 | $1,513.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,178.10 | $3,927.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $788.40 | $2,628.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $468.00 | $1,560.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $239.10 | $797.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $556.80 | $1,856.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $851.40 | $2,838.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $696.90 | $2,323.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $453.90 | $1,513.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $453.90 | $1,513.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $453.90 | $1,513.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $669.00 | $2,230.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $570.90 | $1,903.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $488.40 | $1,628.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $738.60 | $2,462.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $868.50 | $2,895.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $770.10 | $2,567.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $367.20 | $1,224.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $382.50 | $1,275.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $686.10 | $2,287.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $255.60 | $852.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $771.30 | $2,571.00 | not published | 0 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $801.00 | $2,670.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $481.50 | $1,605.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $603.90 | $2,013.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $47.70 | $159.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $198.60 | $662.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $138.60 | $462.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $464.10 | $1,547.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $338.40 | $1,128.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,186.80 | $3,956.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,098.90 | $3,663.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $516.30 | $1,721.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $142,394.09 | $237,323.49 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $287.33 | $478.88 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $143.40 | $478.00 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $322.66 | $537.76 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $498.30 | $830.50 | 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.