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 |
|---|---|---|---|---|
| C-1 esterase, berinert HCPCS J0597 | $19,350.40 | $32,250.66 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $28.50 | $95.00 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $36,580.09 | $121,933.63 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $934.54 | $3,115.13 | not published | 0 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $306.33 | $510.55 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,132.50 | $1,887.50 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $31.20 | $104.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $6.00 | $10.00 | not published | 0 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $48.00 | $80.00 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $49.30 | $82.17 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $388.68 | $647.80 | not published | 0 |
| Calcium ionized CPT 82330 | $68.10 | $227.00 | not published | 0 |
| Calcium total CPT 82310 | $53.10 | $177.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $275.10 | $917.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $170.40 | $568.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $133,125.00 | $443,750.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $881.40 | $2,938.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $115.50 | $192.50 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $122,927.62 | $409,758.75 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $2,217.86 | $7,392.88 | not published | 0 |
| Carbamazepine free CPT 80157 | $48.30 | $161.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $296.40 | $988.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $56.70 | $189.00 | not published | 0 |
| Carbon graphite lamination HCPCS L2755 | $285.29 | $950.96 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $364.66 | $607.76 | not published | 0 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $3,138.86 | $5,231.44 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $174.30 | $581.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $154.80 | $516.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,200.30 | $4,001.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $254.10 | $847.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $59.40 | $198.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $182.40 | $608.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,247.90 | $7,493.00 | not published | 0 |
| Cardioversion/elective/internal 92961 CPT 92961 | $612.90 | $2,043.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $49.80 | $166.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $22.80 | $76.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $19,525.29 | $32,542.15 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $2,185.50 | $7,285.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $28,743.17 | $47,905.28 | $1,905.24 – $1,943.35 | 3 |
| Car seat/bed test 60 minutes CPT 94780 | $119.40 | $398.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $69.90 | $233.00 | not published | 0 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $3,993.75 | $13,312.50 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $10,516.87 | $35,056.25 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $7,849.05 | $26,163.50 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $9,357.36 | $31,191.19 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $37,261.69 | $124,205.63 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $79,875.00 | $266,250.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $9,097.76 | $30,325.88 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $66,562.50 | $221,875.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $17,306.25 | $57,687.50 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $22,498.12 | $74,993.75 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $8,871.45 | $29,571.50 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $18,792.00 | $62,640.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,856.18 | $36,187.28 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $5,844.19 | $19,480.63 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,396.25 | $7,987.50 | not published | 0 |
| Catheter stripping venous CPT 36595 | $574.50 | $1,915.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $10,039.36 | $33,464.52 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $8,639.81 | $28,799.38 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,843.06 | $6,143.54 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $9,305.44 | $31,018.13 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $217.18 | $723.93 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $1,209.60 | $4,032.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | $14,713.80 | $49,046.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $18,494.15 | $61,647.17 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $31,950.00 | $106,500.00 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $2,782.80 | $9,276.00 | not published | 0 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $23,804.70 | $79,349.00 | not published | 0 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $11,904.30 | $39,681.00 | not published | 0 |
| Cath plc art/grft/angio right hrt CPT 93457 | $12,782.40 | $42,608.00 | not published | 0 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $15,043.12 | $50,143.75 | not published | 0 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,987.20 | $16,624.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $3,401.40 | $11,338.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $577.50 | $1,925.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $4,566.19 | $15,220.63 | not published | 0 |
| Cath symplicity spyral HCPCS C1735 | $42,600.00 | $142,000.00 | not published | 0 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $17,905.31 | $59,684.38 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $931.87 | $3,106.25 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $861.60 | $2,872.00 | not published | 0 |
| #cbg+cort-cbg CPT 84449 | $28.50 | $95.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $262.50 | $875.00 | not published | 0 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $129.10 | $215.17 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $96.43 | $160.72 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $78.72 | $131.20 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $2,533.41 | $4,222.35 | not published | 0 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $51.17 | $85.28 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $4,087.19 | $6,811.99 | not published | 0 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $258.20 | $430.34 | not published | 0 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $57.53 | $95.88 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $239.70 | $799.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $94.80 | $316.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $9.60 | $32.00 | not published | 0 |
| Cellesta or duo per sq cm HCPCS Q4184 | $17,892.00 | $59,640.00 | not published | 0 |
| Cell function assay w/stim CPT 86352 | $213.90 | $713.00 | not published | 0 |
| Cer post col occ/man sup adj HCPCS L0180 | $796.89 | $2,656.29 | not published | 0 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $2,018.17 | $6,727.25 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $9,234.96 | $15,391.60 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $10,991.99 | $18,319.98 | $2,039.56 – $2,080.35 | 3 |
| Change g-tube to g-j perc CPT 49446 | $1,152.90 | $3,843.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $87.00 | $290.00 | 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.