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 |
|---|---|---|---|---|
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $127.80 | $213.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $507.00 | $845.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $280.20 | $467.00 | not published | 0 |
| Event monitor CPT 93270 | $217.20 | $362.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $4,809.96 | $8,016.60 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $2,774.27 | $4,623.79 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $115.20 | $192.00 | not published | 0 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $16,706.45 | $27,844.08 | $2,834.09 – $2,890.77 | 3 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $16,278.79 | $27,131.32 | $2,834.09 – $2,890.77 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $10,388.82 | $17,314.70 | $2,834.09 – $2,890.77 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $901.80 | $1,503.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $901.80 | $1,503.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $15,158.04 | $25,263.40 | $690.91 – $3,192.44 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $10,973.48 | $18,289.13 | $2,834.09 – $2,890.77 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $17,797.66 | $29,662.77 | $396.63 – $404.56 | 2 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $9,855.08 | $16,425.13 | $690.91 – $690.91 | 2 |
| Exc breast duct fistula 19112 CPT 19112 | $11,279.30 | $18,798.83 | $3,820.23 – $3,896.63 | 3 |
| Exc excessive skin thigh CPT 15832 | $14,177.27 | $23,628.78 | $2,834.09 – $2,834.09 | 1 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $16,176.56 | $26,960.93 | $1,611.44 – $1,643.67 | 3 |
| Exc forearm les sc 3 cm/> CPT 25071 | $14,609.14 | $24,348.57 | $1,611.44 – $1,611.44 | 1 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $13,000.77 | $21,667.95 | $2,834.09 – $2,834.09 | 2 |
| Exc hand les sc < 1.5 cm CPT 26115 | $34,953.52 | $58,255.87 | $1,611.44 – $1,643.67 | 3 |
| Exchange biliary drg cath CPT 47536 | $2,469.00 | $4,115.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $3,437.40 | $5,729.00 | not published | 0 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $13,287.01 | $22,145.02 | $2,834.09 – $2,890.77 | 3 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $14,564.27 | $24,273.78 | $2,834.09 – $2,890.77 | 2 |
| Excise inferior turbinate CPT 30130 | $17,415.47 | $29,025.78 | $3,234.84 – $3,299.54 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | $22,625.58 | $37,709.30 | $7,079.78 – $7,221.37 | 3 |
| Excise parotid gland/lesion CPT 42415 | $41,404.25 | $69,007.08 | $5,775.89 – $5,891.41 | 3 |
| Excise submaxillary gland CPT 42440 | $25,719.88 | $42,866.47 | $5,775.89 – $5,891.41 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $10,370.51 | $17,284.18 | $690.91 – $690.91 | 1 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $55,784.91 | $92,974.85 | $1,611.44 – $1,643.67 | 3 |
| Excision breast lesion CPT 19125 | $16,772.02 | $27,953.37 | $3,820.23 – $3,896.63 | 3 |
| Excision of gum lesion 41825 CPT 41825 | $13,565.38 | $22,608.97 | $3,234.84 – $3,299.54 | 3 |
| Excision of umbilicus 49250 CPT 49250 | $12,540.76 | $20,901.27 | $3,493.34 – $3,563.21 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $14,373.40 | $23,955.67 | $1,611.44 – $1,643.67 | 3 |
| Excis partial tal calc CPT 28120 | $99,077.90 | $165,129.83 | $3,192.44 – $7,221.37 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $11,594.71 | $19,324.52 | $2,834.09 – $2,890.77 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | $7,932.59 | $13,220.98 | $2,834.09 – $2,834.09 | 2 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $10,432.51 | $17,387.52 | $2,834.09 – $2,890.77 | 2 |
| Exc rect tum transanal part CPT 45171 | $38,437.92 | $64,063.20 | $2,708.17 – $2,762.33 | 3 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $12,310.73 | $20,517.88 | $2,834.09 – $2,890.77 | 3 |
| Exc skn hdrdnt ing complex CPT 11463 | $31,642.12 | $52,736.87 | $2,834.09 – $2,890.77 | 3 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $14,273.71 | $23,789.52 | not published | 0 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $14,609.14 | $24,348.57 | $1,611.44 – $1,643.67 | 2 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $22,828.75 | $38,047.92 | $1,611.44 – $1,643.67 | 3 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $12,225.84 | $20,376.40 | $1,611.44 – $1,611.44 | 1 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $21,179.12 | $35,298.53 | $2,834.09 – $2,834.09 | 2 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | $12,964.79 | $21,607.98 | $1,611.44 – $1,643.67 | 3 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $13,389.53 | $22,315.88 | $1,568.89 – $1,600.27 | 3 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $60,081.97 | $100,136.62 | $2,834.09 – $2,890.77 | 2 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $25,303.24 | $42,172.07 | $1,611.44 – $1,643.67 | 3 |
| Exercise w/hemodynamic meas CPT 93464 | $583.80 | $973.00 | not published | 0 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $33,789.74 | $56,316.23 | $3,234.84 – $3,299.54 | 3 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $9,411.06 | $15,685.10 | not published | 0 |
| Exploration of toe joint CPT 28024 | $1,507.80 | $2,513.00 | not published | 0 |
| Explore parathyroid glands CPT 60500 | $35,780.80 | $59,634.67 | $5,775.89 – $5,891.41 | 3 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,083.80 | $3,473.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $1,507.80 | $2,513.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $10,187.48 | $16,979.13 | $1,611.44 – $1,643.67 | 2 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $243.60 | $406.00 | not published | 0 |
| Extended steel shank HCPCS L2360 | $200.70 | $334.50 | not published | 0 |
| Extension per extension per HCPCS L2760 | $221.16 | $368.60 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $834.00 | $1,390.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $305.40 | $509.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $889.80 | $1,483.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $126.00 | $210.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $6,152.93 | $10,254.89 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $200.40 | $334.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,857.76 | $11,429.60 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $813.60 | $1,356.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $401.40 | $669.00 | not published | 0 |
| Facility svs dental rehab HCPCS G0330 | $13,826.98 | $23,044.97 | $3,234.84 – $3,299.54 | 3 |
| Factor ix CPT 85250 | $202.80 | $338.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $13,050.00 | $21,750.00 | not published | 0 |
| Factor viii CPT 85240 | $315.00 | $525.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $24.00 | $40.00 | not published | 0 |
| Fancc gene CPT 81242 | $112.80 | $188.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $52.20 | $87.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $600.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,841.63 | $3,069.39 | not published | 0 |
| #fecal-sodium CPT 84302 | $28.20 | $47.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $68.40 | $114.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $210.02 | $350.04 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $63,718.80 | $106,198.00 | $470.28 – $479.69 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $181.69 | $302.81 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,522.23 | $9,203.72 | not published | 0 |
| Ferritin CPT 82728 | $93.00 | $155.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,004.43 | $3,340.72 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $694.80 | $1,158.00 | not published | 0 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $960.00 | $1,600.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $84.00 | $140.00 | not published | 0 |
| #_fet/norfentcnfrmur CPT 80354 | $322.20 | $537.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $149.40 | $249.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $99.60 | $166.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $121.20 | $202.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $180.00 | $300.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $483.00 | $805.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $45.00 | $75.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $2,249.57 | $3,749.28 | 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.