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 |
|---|---|---|---|---|
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,879.99 | $3,133.31 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $64,593.11 | $107,655.19 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $8,940.51 | $14,900.85 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,010.40 | $1,684.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $331.20 | $552.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $9,898.97 | $16,498.28 | not published | 0 |
| Fixation of knee joint CPT 27570 | $52,117.73 | $86,862.88 | $1,568.89 – $1,600.27 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $532.80 | $888.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $3,463.92 | $5,773.20 | $907.35 – $925.49 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $670.43 | $1,117.38 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $136.20 | $227.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $268.80 | $448.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $11,048.50 | $18,414.16 | not published | 0 |
| Flt3 gene CPT 81245 | $402.60 | $671.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $319.20 | $532.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $133.54 | $222.56 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $209.14 | $348.56 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $73.20 | $122.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $901.80 | $1,503.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $421.20 | $702.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $11,076.00 | $18,460.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,578.60 | $2,631.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $874.20 | $1,457.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $63.60 | $106.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $873.00 | $1,455.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $90.00 | $150.00 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $61.66 | $102.76 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,499.60 | $4,166.00 | not published | 0 |
| Folic acid CPT 82746 | $175.20 | $292.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $24.00 | $40.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $6,207.60 | $10,346.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,976.83 | $4,961.38 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $375.56 | $625.94 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $782.59 | $1,304.31 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $183.22 | $305.36 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $134.09 | $223.48 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $793.34 | $1,322.23 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $628.64 | $1,047.74 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $514.85 | $858.08 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $678.16 | $1,130.26 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $476.68 | $794.47 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $197.98 | $329.96 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $1,300.15 | $2,166.92 | not published | 0 |
| Foot X-ray CPT 73630 | $492.00 | $820.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $3,210.47 | $5,350.78 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $2,314.34 | $3,857.24 | not published | 0 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $24,642.48 | $41,070.80 | $3,457.56 – $3,457.56 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $299.40 | $499.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $90.00 | $150.00 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $259.57 | $432.61 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $178.80 | $298.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $84.60 | $141.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,222.75 | $2,037.91 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $212.87 | $354.79 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $18,074.12 | $30,123.53 | $2,013.11 – $2,053.37 | 3 |
| Furnsh initial orthosis only HCPCS L1200 | $6,965.48 | $11,609.13 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $24.00 | $40.00 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $107,305.73 | $178,842.88 | $7,079.78 – $7,221.37 | 3 |
| Fusion of big toe joint CPT 28755 | $29,277.92 | $48,796.53 | $7,079.78 – $7,221.37 | 3 |
| Fusion of finger joint CPT 26860 | $60,712.07 | $101,186.78 | $3,192.44 – $3,256.29 | 2 |
| Fusion of foot bones CPT 28730 | $133,276.01 | $222,126.68 | $12,526.51 – $12,777.04 | 3 |
| Fusion of foot bones CPT 28740 | $78,818.35 | $131,363.92 | $12,526.51 – $12,777.04 | 3 |
| G6pd full gene sequence CPT 81249 | $1,890.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $202.80 | $338.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1,023.39 | $1,705.65 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $210.23 | $350.38 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $493.20 | $822.00 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $88.80 | $148.00 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $15,635.24 | $26,058.73 | $5,898.53 – $6,016.50 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $12,545.28 | $20,908.80 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $28,200.00 | $47,000.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $89.40 | $149.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $164.40 | $274.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $99.60 | $166.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $22,311.00 | $37,185.00 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $462.24 | $770.40 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | $60,086.08 | $100,143.47 | $5,898.53 – $6,016.50 | 3 |
| Gba gene CPT 81251 | $538.80 | $898.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $445.98 | $743.30 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $168,013.33 | $280,022.21 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $127,783.20 | $212,972.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $151,095.00 | $251,825.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,098.80 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $94,974.00 | $158,290.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $3,082.80 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $3,082.80 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $39.61 | $66.02 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $154.80 | $258.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $5,945.13 | $9,908.55 | $837.86 – $854.62 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $1,155.00 | $1,925.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $54.00 | $90.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $362.40 | $604.00 | not published | 0 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $80.40 | $134.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $83.40 | $139.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $374.40 | $624.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,344.00 | $2,240.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,601.20 | $6,002.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $1,030.20 | $1,717.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $1,377.00 | $2,295.00 | 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.