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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52240 | $23,054.08 | $38,423.47 | $5,231.42 – $5,336.05 | 3 |
| Cystoscopy and treatment CPT 52283 | $10,961.45 | $18,269.08 | $2,039.56 – $2,080.35 | 3 |
| Cystoscopy and treatment CPT 52310 | $2,577.60 | $4,296.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $2,577.60 | $4,296.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $12,790.15 | $21,316.92 | $680.34 – $693.95 | 3 |
| Cystoscopy chemodenervation CPT 52287 | $24,680.86 | $41,134.77 | $5,231.42 – $5,336.05 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $11,318.32 | $18,863.87 | $2,039.56 – $2,080.35 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | $25,525.45 | $42,542.42 | $3,439.27 – $3,508.06 | 3 |
| Cystouretero w/biopsy CPT 52354 | $18,327.66 | $30,546.10 | $5,231.42 – $5,336.05 | 3 |
| Cystouretero w/excise tumor CPT 52355 | $29,298.85 | $48,831.42 | $5,231.42 – $5,336.05 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | $73,353.86 | $122,256.43 | $5,231.42 – $5,336.05 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | $30,761.63 | $51,269.38 | $5,231.42 – $5,336.05 | 3 |
| Cystouretero w/stone remove CPT 52352 | $59,751.37 | $99,585.62 | $3,439.27 – $3,508.06 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $13,830.89 | $23,051.48 | $2,039.56 – $2,039.56 | 2 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $30,280.58 | $50,467.63 | $2,039.56 – $2,080.35 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | $38,371.60 | $63,952.67 | $68.67 – $68.67 | 1 |
| Cystourethro w/implant CPT 52441 | $38,371.60 | $63,952.67 | $257.01 – $257.01 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | $24,228.55 | $40,380.92 | $3,439.27 – $3,508.06 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $90.00 | $150.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $316.20 | $527.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $1,837.80 | $3,063.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $88.80 | $148.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $118.20 | $197.00 | not published | 0 |
| Cytopath c/v index add-on CPT 88155 | $44.40 | $74.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $594.00 | $990.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $280.20 | $467.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $174.00 | $290.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $181.20 | $302.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $145.20 | $242.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $111.60 | $186.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $200.40 | $334.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $365.40 | $609.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $83.40 | $139.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $85.20 | $142.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $99.60 | $166.00 | not published | 0 |
| Cytopath tbs c/v manual CPT 88164 | $76.80 | $128.00 | not published | 0 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $322.20 | $537.00 | not published | 0 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $79.55 | $132.58 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $6,671.74 | $11,119.57 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $112.50 | $187.50 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $8,707.50 | $14,512.50 | not published | 0 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $43,151.40 | $71,919.00 | not published | 0 |
| Dch validity tests CPT 81002 | $81.00 | $135.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $40.20 | $67.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $807.00 | $1,345.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $710.40 | $1,184.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $23,548.42 | $39,247.37 | $721.10 – $721.10 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $74,860.98 | $124,768.30 | $396.63 – $404.56 | 2 |
| Debride nail1-5 11720 CPT 11720 | $75.00 | $125.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $68.40 | $114.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $3,588.60 | $5,981.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $62,717.57 | $104,529.28 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $46,519.60 | $77,532.67 | $721.10 – $735.52 | 3 |
| Decalcification CPT 88311 | $84.60 | $141.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $182.23 | $303.72 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $869.40 | $1,449.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $94.76 | $157.94 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,995.01 | $4,991.69 | not published | 0 |
| Delayed breast prosthesis 19342 CPT 19342 | $40,327.41 | $67,212.35 | $7,974.65 – $8,134.14 | 2 |
| Delay flap fccnaxghf 15620 CPT 15620 | $33,249.73 | $55,416.22 | $5,775.89 – $5,775.89 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $134.40 | $224.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $12,936.53 | $21,560.88 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $162.00 | $270.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $8,612.42 | $14,354.03 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $1,626.60 | $2,711.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $63.40 | $105.67 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,745.80 | $6,243.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $423.00 | $705.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $42.60 | $71.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $251.40 | $419.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $541.80 | $903.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,745.80 | $6,243.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $20,937.45 | $34,895.75 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $10,792.50 | $17,987.50 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $4,938.65 | $8,231.08 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $3,998.62 | $6,664.37 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $388.20 | $647.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $137.38 | $228.96 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $24.00 | $40.00 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,028.48 | $1,714.13 | not published | 0 |
| Dextran 40 infusion HCPCS J7100 | $426.93 | $711.55 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $78.00 | $130.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.00 | $130.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $78.00 | $130.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $142.20 | $237.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $120.00 | $200.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $68.40 | $114.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $162.00 | $270.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $249.00 | $415.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $584.40 | $974.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $455.40 | $759.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $496.80 | $828.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $266.33 | $443.88 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $27.82 | $46.36 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $77.81 | $129.69 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $24.00 | $40.00 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $18,652.50 | $31,087.50 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $97.20 | $162.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $212.83 | $354.71 | not published | 0 |
| Dilate biliary duct/ampulla CPT 47542 | $2,668.80 | $4,448.00 | 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.