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 |
|---|---|---|---|---|
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,369.40 | $3,949.00 | not published | 0 |
| Echo transesophageal CPT 93313 | $1,650.00 | $2,750.00 | not published | 0 |
| Echo transesophageal CPT 93315 | $361.80 | $603.00 | not published | 0 |
| Echo transesophageal intraop CPT 93318 | $1,048.80 | $1,748.00 | not published | 0 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $435.60 | $726.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $24,461.21 | $40,768.69 | not published | 0 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $118.20 | $197.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $501.00 | $835.00 | not published | 0 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $718.80 | $1,198.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,248.60 | $2,081.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $380.40 | $634.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $907.80 | $1,513.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $1,059.60 | $1,766.00 | not published | 0 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $1,171.80 | $1,953.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $583.20 | $972.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $130.20 | $217.00 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $23,213.93 | $38,689.88 | not published | 0 |
| Egd control bleeding any CPT 43255 | $5,277.34 | $8,795.57 | $1,872.25 – $1,909.69 | 3 |
| Egd dilate stricture CPT 43245 | $6,206.13 | $10,343.55 | $1,872.25 – $1,909.69 | 3 |
| Egd lesion ablation CPT 43270 | $12,405.80 | $20,676.33 | $1,872.25 – $1,909.69 | 3 |
| Egd remove foreign body CPT 43247 | $4,634.49 | $7,724.15 | $884.93 – $902.63 | 3 |
| Egd remove lesion snare CPT 43251 | $5,120.64 | $8,534.40 | $1,872.25 – $1,909.69 | 3 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $3,685.80 | $6,143.00 | $1,872.25 – $1,909.69 | 3 |
| Egd varices ligation CPT 43244 | $4,007.83 | $6,679.72 | $1,872.25 – $1,909.69 | 3 |
| Egfr gene com variants CPT 81235 | $937.80 | $1,563.00 | not published | 0 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $577.20 | $962.00 | not published | 0 |
| Elect analysis of infusion pump 62367 CPT 62367 | $577.20 | $962.00 | not published | 0 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $577.20 | $962.00 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $23,268.63 | $38,781.05 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | $76,712.44 | $127,854.07 | $12,526.51 – $12,526.51 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $129.60 | $216.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $103.20 | $172.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,093.80 | $1,823.00 | not published | 0 |
| Electrophysiology evaluation CPT 93619 | $14,028.60 | $23,381.00 | not published | 0 |
| Electrophysiology evaluation CPT 93620 | $11,646.60 | $19,411.00 | not published | 0 |
| Electrophysiology evaluation CPT 93621 | $8,824.80 | $14,708.00 | not published | 0 |
| Electrophysiology evaluation CPT 93622 | $3,658.20 | $6,097.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $7,887.60 | $13,146.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $27,027.00 | $45,045.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $101,006.01 | $168,343.35 | $11,263.49 – $17,885.90 | 3 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $27,027.00 | $45,045.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $27,027.00 | $45,045.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $80.40 | $134.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $80.40 | $134.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $136.80 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $136.80 | $228.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,917.40 | $3,195.66 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,318.11 | $2,196.85 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,812.67 | $3,021.11 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $2,042.80 | $3,404.67 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $2,635.53 | $4,392.55 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,161.60 | $6,936.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $2,923.20 | $4,872.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,221.20 | $3,702.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $13,382.70 | $22,304.50 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,804.98 | $3,008.30 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $120.57 | $200.95 | not published | 0 |
| Enterectomy small intestine single 44120 CPT 44120 | $48,673.09 | $81,121.82 | $10,371.37 – $10,578.79 | 2 |
| Enzyme histochemistry CPT 88319 | $1,541.40 | $2,569.00 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,771.61 | $2,952.68 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $505.82 | $843.04 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $24,188.40 | $40,314.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $48,928.20 | $81,547.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,535.40 | $2,559.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $1,776.00 | $2,960.00 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $7,713.00 | $12,855.00 | not published | 0 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,328.00 | $3,880.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $88.21 | $147.02 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $24.00 | $40.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $621.75 | $1,036.25 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,654.50 | $2,757.50 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,243.50 | $2,072.50 | not published | 0 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $285.69 | $476.15 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $88.80 | $148.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $96.60 | $161.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $109.20 | $182.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $371.72 | $619.53 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,275.26 | $12,125.44 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,541.30 | $9,235.50 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $90.50 | $150.83 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $152.40 | $254.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $307.80 | $513.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $487.20 | $812.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $898.80 | $1,498.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $998.40 | $1,664.00 | not published | 0 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $542.72 | $904.53 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $3,235.04 | $5,391.73 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $4,571.81 | $7,619.68 | $1,872.25 – $1,909.69 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | $2,419.80 | $4,033.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $2,418.00 | $4,030.00 | not published | 0 |
| Esophagus motility study CPT 91010 | $1,311.00 | $2,185.00 | not published | 0 |
| Esoph egd dilation <30 mm CPT 43249 | $5,245.66 | $8,742.77 | $1,872.25 – $1,909.69 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $132.60 | $221.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $156.60 | $261.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $172.20 | $287.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $281.40 | $469.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $264.60 | $441.00 | not published | 0 |
| Estradiol total CPT 82670 | $157.80 | $263.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $123.00 | $205.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $90.00 | $150.00 | 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.