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 |
|---|---|---|---|---|
| Dilate esophagus 1/mult pass CPT 43450 | $4,413.78 | $7,356.30 | $884.93 – $902.63 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $869.40 | $1,449.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,370.21 | $2,283.69 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $64,722.17 | $107,870.28 | $5,231.42 – $5,336.05 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $73.26 | $122.10 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $4,685.00 | $7,808.33 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $24.00 | $40.00 | not published | 0 |
| Dipyridamole injection HCPCS J1245 | $117.02 | $195.03 | not published | 0 |
| Disaccharidases CPT 82657 | $98.40 | $164.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $3,745.80 | $6,243.00 | not published | 0 |
| Dise eval slp do brth flx dx CPT 42975 | $5,079.35 | $8,465.58 | $1,736.62 – $1,771.35 | 3 |
| Dist revas ligation hemo CPT 36838 | $15,966.75 | $26,611.25 | $5,553.17 – $5,664.24 | 3 |
| Dmpk gene detc abnor allele CPT 81234 | $431.40 | $719.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $127.20 | $212.00 | not published | 0 |
| Dna gardnerella CPT 87510 | $112.80 | $188.00 | not published | 0 |
| Dna trichomonas CPT 87660 | $112.80 | $188.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $250.38 | $417.30 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,179.00 | $1,965.00 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $147.66 | $246.10 | not published | 0 |
| Doppler echo complete CPT 93320 | $663.00 | $1,105.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,467.40 | $5,779.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $571.20 | $952.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $415.80 | $693.00 | not published | 0 |
| Dornase alfa non-comp unit HCPCS J7639 | $858.80 | $1,431.34 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $111,162.75 | $185,271.25 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $1,033.71 | $1,722.85 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,569.16 | $2,615.26 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $107.04 | $178.40 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $901.80 | $1,503.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $901.80 | $1,503.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $1,452.60 | $2,421.00 | not published | 0 |
| Drainage external ear simple 69000 CPT 69000 | $901.80 | $1,503.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $289.20 | $482.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $2,083.80 | $3,473.00 | not published | 0 |
| Drainage of kidney lesion CPT 50390 | $1,602.60 | $2,671.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $962.40 | $1,604.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $4,205.40 | $7,009.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $112.80 | $188.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $3,501.60 | $5,836.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,343.40 | $2,239.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $428.40 | $714.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $441.60 | $736.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $127.80 | $213.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $444.60 | $741.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $137,317.79 | $228,862.98 | $721.10 – $735.52 | 3 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $53,558.30 | $89,263.83 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $368.40 | $614.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,083.80 | $3,473.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $952.20 | $1,587.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,083.80 | $3,473.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $19.79 | $32.98 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $24.00 | $40.00 | not published | 0 |
| Drop lock knee HCPCS L2182 | $337.16 | $561.93 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $115.35 | $192.25 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $11,224.20 | $18,707.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $7,441.43 | $12,402.38 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $30,111.08 | $50,185.13 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $7,037.01 | $11,728.35 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $42,095.07 | $70,158.45 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $59,955.88 | $99,926.46 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $42,263.43 | $70,439.05 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $638.40 | $1,064.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $75.00 | $125.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $184.20 | $307.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $62.40 | $104.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $460.20 | $767.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $90.60 | $151.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $127.80 | $213.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $10.80 | $18.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $600.60 | $1,001.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $235.20 | $392.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $72.00 | $120.00 | not published | 0 |
| Dry needling (97799) CPT 97799 | $35.40 | $59.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $159.60 | $266.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $201.00 | $335.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $464.40 | $774.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $594.60 | $991.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $740.40 | $1,234.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $29,275.82 | $48,793.04 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $4,050.74 | $6,751.23 | not published | 0 |
| Dx bronchoscope/brush 31623 CPT 31623 | $18,585.94 | $30,976.57 | $3,637.69 – $3,710.44 | 3 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $18,585.94 | $30,976.57 | $3,637.69 – $3,710.44 | 3 |
| Dx bronchoscope/wash 31622 CPT 31622 | $842.40 | $1,404.00 | not published | 0 |
| Ear cartilage graft CPT 21235 | $33,249.73 | $55,416.22 | $5,775.89 – $5,775.89 | 1 |
| Ear irrigation 69209 CPT 69209 | $142.80 | $238.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $216.60 | $361.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $231.60 | $386.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $978.00 | $1,630.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $763.20 | $1,272.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $978.00 | $1,630.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,941.60 | $3,236.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $874.80 | $1,458.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,758.80 | $4,598.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $772.20 | $1,287.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,415.40 | $2,359.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $372.60 | $621.00 | not published | 0 |
| Echograp trans r pros study CPT 76873 | $69.00 | $115.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $583.20 | $972.00 | not published | 0 |
| Echo stress CPT 93350 | $1,886.40 | $3,144.00 | not published | 0 |
| Echo tee guidance CPT 93355 | $1,571.40 | $2,619.00 | 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.