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 |
|---|---|---|---|---|
| Albuterol non-comp unit HCPCS J7613 | $9.00 | $15.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $67.20 | $112.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $60.60 | $101.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $60.60 | $101.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $41.40 | $69.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $10,875.82 | $18,126.36 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $21,446.86 | $35,744.76 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $26,911.88 | $44,853.13 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $16,737.01 | $27,895.02 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $75,977.82 | $126,629.70 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $51,007.51 | $85,012.52 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $43,165.69 | $71,942.81 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $40,756.80 | $67,928.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $13,361.12 | $22,268.53 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $15,260.60 | $25,434.33 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,250.00 | $3,750.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $330.60 | $551.00 | not published | 0 |
| Alpha-fetoprotein amniotic CPT 82106 | $104.40 | $174.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $134.40 | $224.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $1,087.16 | $1,811.94 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $56,498.32 | $94,163.86 | not published | 0 |
| Alt/sgpt CPT 84460 | $70.80 | $118.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $130.80 | $218.00 | not published | 0 |
| Alveoloplasty each quadrant CPT 41874 | $13,872.26 | $23,120.43 | $3,234.84 – $3,299.54 | 3 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $60.60 | $101.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $49.76 | $82.93 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $97.20 | $162.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $46.74 | $77.90 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $127.20 | $212.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $25.67 | $42.78 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $24.00 | $40.00 | not published | 0 |
| Ammonia CPT 82140 | $130.20 | $217.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,135.80 | $6,893.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $152.40 | $254.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $308.16 | $513.60 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $661.52 | $1,102.53 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $178.47 | $297.45 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $102.40 | $170.67 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $13,442.96 | $22,404.93 | $3,192.44 – $3,192.44 | 2 |
| Amylase CPT 82150 | $103.20 | $172.00 | not published | 0 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $60.60 | $101.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $352.20 | $587.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $637.20 | $1,062.00 | not published | 0 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $90.60 | $151.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $60.60 | $101.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $135.60 | $226.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $6,114.00 | $10,190.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $750.00 | $1,250.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $17,579.23 | $29,298.72 | $11,263.49 – $11,488.76 | 3 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $34,458.52 | $57,430.87 | $402.93 – $410.99 | 3 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $1,953.64 | $3,256.07 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $11,460.00 | $19,100.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $14,608.20 | $24,347.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $8,971.20 | $14,952.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $25,456.72 | $42,427.87 | $5,553.17 – $5,664.24 | 3 |
| Anidulafungin injection HCPCS J0348 | $1,225.52 | $2,042.53 | not published | 0 |
| Ankle X-ray CPT 73610 | $520.80 | $868.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $224.40 | $374.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $224.40 | $374.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $83.40 | $139.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $83.40 | $139.00 | not published | 0 |
| Anoscopy and biopsy CPT 46606 | $15,392.41 | $25,654.02 | $1,167.54 – $1,190.90 | 3 |
| Anterior asis pad HCPCS L1250 | $307.85 | $513.08 | not published | 0 |
| Anterior swing band HCPCS L2335 | $1,094.18 | $1,823.64 | not published | 0 |
| Anterior thoracic derotation HCPCS L1260 | $367.12 | $611.86 | not published | 0 |
| Anterior thoracic extension HCPCS L1220 | $847.82 | $1,413.03 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $150.60 | $251.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $102.00 | $170.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $83.40 | $139.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $190.20 | $317.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $675.60 | $1,126.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $79.80 | $133.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $105.00 | $175.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $14,850.00 | $24,750.00 | not published | 0 |
| Anti-inhibitor HCPCS J7198 | $10,125.00 | $16,875.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $519.60 | $866.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $42.00 | $70.00 | not published | 0 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $45,177.74 | $75,296.23 | not published | 0 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $41,991.86 | $69,986.43 | $12,526.51 – $12,526.51 | 1 |
| Antinuclear antibodies CPT 86038 | $126.00 | $210.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $82.80 | $138.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $96.00 | $160.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $75.60 | $126.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $167.40 | $279.00 | not published | 0 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $18,979.91 | $31,633.19 | not published | 0 |
| Apheresis plasma CPT 36514 | $1,285.80 | $2,143.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $454.80 | $758.00 | not published | 0 |
| Appendix Removal (Laparoscopic) CPT 44970 | $20,973.79 | $34,956.32 | $5,898.53 – $6,016.50 | 3 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $26,122.27 | $43,537.12 | $121.42 – $121.42 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $56,911.09 | $94,851.82 | $2,013.11 – $2,013.11 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $74,860.98 | $124,768.30 | $721.10 – $735.52 | 3 |
| Application finger splntstatic 29130 CPT 29130 | $334.20 | $557.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $334.20 | $557.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $334.20 | $557.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $343.20 | $572.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $761.40 | $1,269.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $573.60 | $956.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $761.40 | $1,269.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $313.20 | $522.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $761.40 | $1,269.00 | 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.