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 |
|---|---|---|---|---|
| Bone filler cerament 10cc HCPCS C1602 | $19,801.01 | $66,003.38 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $1,561.50 | $5,205.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $585.60 | $1,952.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,152.50 | $7,175.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $396.30 | $1,321.00 | not published | 0 |
| Bone tendon board add on HCPCS C9356 | $8,386.87 | $27,956.25 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $11,981.25 | $39,937.50 | not published | 0 |
| Boot j walker l HCPCS L4386 | $1,355.19 | $4,517.29 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $1,516.96 | $5,056.53 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $846.67 | $2,822.25 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $798.75 | $2,662.50 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $3,578.40 | $11,928.00 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $86.10 | $287.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $8,848.56 | $14,747.60 | not published | 0 |
| Bowel imaging CPT 78290 | $603.30 | $2,011.00 | not published | 0 |
| Brace adj motion lerman type HCPCS L2186 | $394.26 | $1,314.21 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $932.51 | $3,108.38 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $825.37 | $2,751.25 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,236.97 | $4,123.24 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $2,747.70 | $9,159.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $269.92 | $899.75 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $209.41 | $698.02 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $143.96 | $479.87 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $179.19 | $597.29 | not published | 0 |
| Brace back epic lo 627 HCPCS L0642 | $3,357.41 | $11,191.38 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $3,110.01 | $10,366.71 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $2,387.60 | $7,958.66 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $897.61 | $2,992.03 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,864.39 | $16,214.63 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $5,287.83 | $17,626.11 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $2,652.76 | $8,842.52 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $491.58 | $1,638.59 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,472.36 | $4,907.88 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $196.54 | $655.15 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $4,022.13 | $13,407.11 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $2,010.93 | $6,703.11 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $2,255.14 | $7,517.13 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $159.62 | $532.06 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,653.55 | $5,511.82 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $2,033.24 | $6,777.48 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $1,449.73 | $4,832.44 | not published | 0 |
| Brace m arm board HCPCS L3809 | $9,632.92 | $32,109.75 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $575.85 | $1,919.49 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,253.57 | $10,845.25 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $745.50 | $2,485.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $4,238.70 | $14,129.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $159.75 | $532.50 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $3,116.10 | $10,387.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,782.80 | $9,276.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $888.00 | $2,960.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $199.69 | $665.63 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $71.89 | $239.63 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $306.19 | $1,020.63 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $111.82 | $372.75 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $72,793.80 | $180,428.75 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $372.75 | $1,242.50 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $333.00 | $1,110.00 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $20,412.51 | $68,041.70 | not published | 0 |
| Brachytx isodose plan simple CPT 77316 | $408.30 | $1,361.00 | not published | 0 |
| Braf gene CPT 81210 | $164.40 | $548.00 | not published | 0 |
| Brain image w/flow 4 + views CPT 78606 | $172.50 | $575.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,452.50 | $8,175.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $8,307.00 | $27,690.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $4,489.20 | $14,964.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $4,790.10 | $15,967.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $112.62 | $375.41 | not published | 0 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,933.30 | $8,222.17 | $1,611.44 – $1,643.67 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $498.30 | $1,661.00 | not published | 0 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $392.70 | $1,309.00 | not published | 0 |
| Bronch ebus samplng 1/2 node CPT 31652 | $16,710.28 | $27,850.47 | $3,637.69 – $3,710.44 | 3 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,665.60 | $5,552.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $22,454.10 | $37,423.50 | $3,637.69 – $3,710.44 | 3 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $22,665.28 | $37,775.47 | $3,637.69 – $3,710.44 | 3 |
| Br punct aspir ea add, l CPT 19001 | $673.50 | $2,245.00 | not published | 0 |
| Budesonide non-comp unit HCPCS J7626 | $17.87 | $29.79 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $48.00 | $80.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $123.00 | $410.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $188.70 | $629.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $80.59 | $134.32 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $8.56 | $14.27 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $36.82 | $61.37 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $32.34 | $53.90 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $17,173.12 | $57,243.75 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $55.79 | $92.99 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $1,562.40 | $5,208.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $2,904.60 | $9,682.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $3,087.90 | $10,293.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,394.70 | $4,649.00 | not published | 0 |
| Bx breast perq without image 19100 CPT 19100 | $1,655.70 | $5,519.00 | not published | 0 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $19,556.78 | $32,594.63 | $3,820.23 – $3,896.63 | 3 |
| Bx pancreas pq ndl CPT 48102 | $1,532.70 | $5,109.00 | not published | 0 |
| Bx perianal mass CPT 46999 | $12,749.80 | $21,249.67 | $907.35 – $925.49 | 3 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $65.40 | $218.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $108.00 | $360.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $61.20 | $204.00 | not published | 0 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $1,562.40 | $5,208.00 | not published | 0 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,388.70 | $4,629.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,837.80 | $6,126.00 | not published | 0 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $8,956.89 | $14,928.15 | $898.66 – $916.63 | 3 |
| Bypass temp external fem-fem CPT 37799 | $241.80 | $806.00 | 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.