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 |
|---|---|---|---|---|
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $226.31 | $754.38 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $151.76 | $505.88 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $365.99 | $1,219.96 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $250.83 | $836.11 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $82.80 | $276.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $72.60 | $242.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $30.00 | $100.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $15,486.60 | $25,811.00 | $907.35 – $925.49 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $11,991.72 | $19,986.20 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy submucous njx CPT 45381 | $20,934.23 | $34,890.38 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy w/band ligation CPT 45398 | $19,539.91 | $32,566.52 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy w/fb removal CPT 45379 | $11,210.82 | $18,684.70 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $19,539.91 | $32,566.52 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $14,124.92 | $23,541.53 | $1,167.54 – $1,190.90 | 3 |
| Colonoscopy w/resection CPT 45390 | $19,175.76 | $31,959.60 | $2,708.17 – $2,762.33 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $1,178.40 | $3,928.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $4,642.20 | $15,474.01 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $246.60 | $822.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $105.30 | $351.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $275.40 | $918.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $136.20 | $454.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $110.70 | $369.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $242.70 | $809.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $92,794.07 | $154,656.78 | $30,107.39 – $30,107.39 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $242.70 | $809.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $605.40 | $2,018.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $605.40 | $2,018.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $960.90 | $3,203.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $242.70 | $809.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $2,215.20 | $7,384.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $46.80 | $156.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $18,624.19 | $62,080.63 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $310.80 | $1,036.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $11,260.55 | $18,767.58 | $3,158.41 – $3,221.58 | 3 |
| Conization of cervix CPT 57520 | $15,134.15 | $25,223.58 | $3,158.41 – $3,221.58 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $3,708.50 | $6,180.84 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $7,785.60 | $25,952.01 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $8,232.45 | $27,441.50 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $674.10 | $2,247.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $19.80 | $66.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $275.40 | $918.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,625.10 | $15,417.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $1,098.30 | $3,661.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $609.90 | $2,033.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $609.90 | $2,033.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $19,036.87 | $63,456.25 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $4,906.99 | $16,356.63 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $126.00 | $420.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $48.60 | $162.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $14,467.91 | $24,113.18 | $129.81 – $132.41 | 3 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $190.50 | $635.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $1,185.90 | $3,953.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $709.80 | $2,366.00 | not published | 0 |
| Coombs direct CPT 86880 | $69.90 | $233.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $164.10 | $547.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $164.10 | $547.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $11,502.00 | $19,170.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $10,225.79 | $17,042.98 | $1,611.44 – $1,643.67 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | $23,963.58 | $39,939.30 | $7,079.78 – $7,221.37 | 3 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $21,082.19 | $35,136.98 | $3,192.44 – $3,256.29 | 3 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $13,312.50 | $44,375.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $19,726.20 | $65,754.00 | not published | 0 |
| Coronary angio/lv gram/lt heart CPT 93458 | $17,905.50 | $59,685.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $22,926.00 | $76,420.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $7,797.00 | $25,990.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $6,917.10 | $23,057.00 | not published | 0 |
| Corrj halux rigdus without implt CPT 28289 | $17,593.32 | $29,322.20 | $3,192.44 – $3,256.29 | 3 |
| Cortisol acth stimulation test - sendout CPT 80400 | $56.70 | $189.00 | not published | 0 |
| Cortisol total am CPT 82533 | $114.60 | $382.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $253.48 | $422.47 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,480.06 | $28,266.88 | not published | 0 |
| Covers for upright each HCPCS L1120 | $91.30 | $304.32 | not published | 0 |
| Cover wrist HCPCS L3984 | $89.46 | $298.20 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $121.80 | $406.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $22.80 | $76.00 | not published | 0 |
| C-peptide CPT 84681 | $138.60 | $462.00 | not published | 0 |
| Cranial cervical orthosis HCPCS L0112 | $16,640.62 | $55,468.75 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,530.60 | $5,102.00 | not published | 0 |
| C-reactive protein CPT 86140 | $129.90 | $433.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $133.50 | $445.00 | not published | 0 |
| Create eardrum opening CPT 69436 | $18,148.53 | $30,247.55 | $3,234.84 – $3,299.54 | 3 |
| Creatine kinase CPT 82550 | $131.40 | $438.00 | not published | 0 |
| Creatinine CPT 82565 | $44.40 | $148.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $27.90 | $93.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $215.70 | $719.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $120.00 | $400.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $180.60 | $602.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $6,468.30 | $21,561.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $136.80 | $456.00 | not published | 0 |
| Crotalidae poly immune fab HCPCS J0840 | $14,486.94 | $24,144.90 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $82.80 | $276.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $122.40 | $408.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $224.70 | $749.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $883.20 | $2,944.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $961.50 | $3,205.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,479.60 | $4,932.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $1,479.60 | $4,932.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,740.20 | $9,134.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,783.40 | $9,278.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $1,479.60 | $4,932.00 | 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.