Maryview Hospital
3636 High St., Portsmouth, VA · Bonsecours · · NPI 1750399192
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $33.60 | $56.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,650.00 | $2,750.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,535.40 | $2,559.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $2,158.80 | $3,598.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $664.80 | $1,108.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $6,159.60 | $10,266.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $78.60 | $131.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $184.20 | $307.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $83.40 | $139.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $83.40 | $139.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $83.40 | $139.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $83.40 | $139.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $83.40 | $139.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,812.50 | $9,687.50 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $65.40 | $109.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $3,386.40 | $5,644.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $3,106.80 | $5,178.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,704.80 | $4,508.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $3,150.00 | $5,250.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $1,409.40 | $2,349.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,406.80 | $5,678.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,822.40 | $4,704.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,628.60 | $4,381.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,756.60 | $11,261.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,506.20 | $4,177.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $4,209.00 | $7,015.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $322.61 | $537.68 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,890.60 | $3,151.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,350.60 | $2,251.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $620.40 | $1,034.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $18,272.03 | $30,453.38 | $884.93 – $902.63 | 3 |
| Abduct control hip semi-flex HCPCS L1630 | $822.30 | $1,370.50 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $979.91 | $1,633.19 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $346.52 | $577.54 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $316.87 | $528.11 | not published | 0 |
| Abl1 gene CPT 81170 | $992.40 | $1,654.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $2,427.00 | $4,045.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $7,856.40 | $13,094.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $11,382.00 | $18,970.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $62,756.84 | $104,594.73 | $10,371.37 – $10,578.79 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $30,764.36 | $51,273.93 | $240.67 – $245.48 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $600.60 | $1,001.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,889.80 | $6,483.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $254.87 | $424.79 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $218.40 | $364.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $61.80 | $103.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $38.52 | $64.20 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $92.00 | $153.34 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $475.20 | $792.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $295.20 | $492.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $134.82 | $224.70 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $162.00 | $270.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $16,507.13 | $27,511.88 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $743.04 | $1,238.40 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $24.00 | $40.00 | not published | 0 |
| Adh-sendout CPT 84588 | $229.20 | $382.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $48,673.09 | $81,121.82 | $10,371.37 – $10,578.79 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $15,461.39 | $25,768.98 | $2,013.11 – $2,053.37 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $2,067.12 | $3,445.20 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $377.40 | $629.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $625.20 | $1,042.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,281.60 | $2,136.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $411.60 | $686.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $364.80 | $608.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $95.40 | $159.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $84.60 | $141.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $63.00 | $105.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $29.40 | $49.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $26.40 | $44.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $40.20 | $67.00 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $112.80 | $188.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $31.80 | $53.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $657.60 | $1,096.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,756.89 | $2,928.15 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,010.54 | $6,684.23 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,677.50 | $2,795.83 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,473.29 | $5,788.81 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,091.60 | $1,819.33 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,571.60 | $2,619.34 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,599.02 | $2,665.03 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $2,993.45 | $4,989.08 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,110.50 | $1,850.84 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,190.28 | $3,650.46 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,068.00 | $5,113.34 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,000.05 | $5,000.09 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,963.72 | $3,272.86 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $6,176.59 | $10,294.32 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $2,486.59 | $4,144.32 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $305.26 | $508.76 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $379.64 | $632.73 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $687.74 | $1,146.24 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $68.40 | $114.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $577.80 | $963.00 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $577.80 | $963.00 | not published | 0 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $577.80 | $963.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.80 | $123.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $64.80 | $108.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $9.00 | $15.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $55.30 | $92.16 | 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.