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 |
|---|---|---|---|---|
| Insulin total CPT 83525 | $87.00 | $145.00 | not published | 0 |
| Ins vag brachytx device CPT 57156 | $608.40 | $1,014.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $19,943.98 | $33,239.96 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $65,416.63 | $109,027.71 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $15,044.75 | $25,074.58 | not published | 0 |
| Intens behave ther cardio dx HCPCS G0446 | $32.40 | $54.00 | not published | 0 |
| Interdental fixation CPT 21110 | $1,929.00 | $3,215.00 | not published | 0 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $33,946.55 | $56,577.59 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $8,634.00 | $14,390.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $13,863.77 | $23,106.28 | $2,708.17 – $2,762.33 | 3 |
| Intracard echo interv w/s&i CPT 93662 | $4,738.20 | $7,897.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $952.20 | $1,587.00 | not published | 0 |
| Intraventricular pacing CPT 93612 | $3,244.80 | $5,408.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $118.80 | $198.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $3,448.20 | $5,747.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $22,294.31 | $37,157.18 | $5,553.17 – $5,664.24 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $29,797.20 | $49,662.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $5,443.72 | $9,072.87 | $3,080.71 – $3,142.32 | 3 |
| Intro cath svc/ivc CPT 36010 | $1,374.00 | $2,290.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $657.00 | $1,095.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $449.40 | $749.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $72,758.96 | $121,264.93 | $11,263.49 – $11,488.76 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,325.80 | $5,543.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $546.60 | $911.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $531.18 | $885.30 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $803.92 | $1,339.86 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $108,656.64 | $181,094.40 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $9.00 | $15.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $90.00 | $150.00 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $11,707.47 | $19,512.45 | not published | 0 |
| Iron CPT 83540 | $78.60 | $131.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $55.20 | $92.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $90.00 | $150.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $156.60 | $261.00 | not published | 0 |
| Ivc venogram s&i CPT 75825 | $3,961.20 | $6,602.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $279.00 | $465.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $247.20 | $412.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $208.80 | $348.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $458.40 | $764.00 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $612.60 | $1,021.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $1,485.60 | $2,476.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $4,289.41 | $7,149.02 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $4,216.15 | $7,026.92 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $6,314.00 | $10,523.34 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $4,485.53 | $7,475.89 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $4,458.86 | $7,431.43 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $4,908.77 | $8,181.29 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $7,907.23 | $13,178.72 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $6,454.87 | $10,758.11 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $674.32 | $1,123.86 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $4,354.30 | $7,257.16 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $15,949.85 | $26,583.08 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $3,396.31 | $5,660.52 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $49.20 | $82.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $52.64 | $87.74 | not published | 0 |
| Kidney imaging morphology CPT 78700 | $814.20 | $1,357.00 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $848.40 | $1,414.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $637.80 | $1,063.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $17,980.31 | $29,967.18 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $20,289.90 | $33,816.50 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $113,968.80 | $189,948.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $112,242.00 | $187,070.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $47,487.00 | $79,145.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $3,173.00 | $5,288.33 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $58,611.86 | $97,686.44 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $51,575.20 | $85,958.67 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,383.11 | $5,638.51 | not published | 0 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $15,634.99 | $26,058.32 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29874 | $14,672.86 | $24,454.77 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $16,923.49 | $28,205.82 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29882 | $45,475.72 | $75,792.87 | $3,192.44 – $3,256.29 | 3 |
| Knee arthroscopy/surgery CPT 29888 | $42,890.28 | $71,483.80 | $7,079.78 – $7,221.37 | 3 |
| Knee control condylar pad HCPCS L2810 | $317.90 | $529.84 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $319.20 | $532.00 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $557.97 | $929.95 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $557.97 | $929.95 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $472.88 | $788.14 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $308.71 | $514.51 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $456.52 | $760.87 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,818.00 | $8,030.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,853.20 | $6,422.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $4,861.20 | $8,102.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,145.56 | $1,909.27 | not published | 0 |
| Knee X-ray CPT 73564 | $723.00 | $1,205.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,238.80 | $3,731.33 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,238.80 | $3,731.33 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $3,660.43 | $6,100.71 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $313.89 | $523.15 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $519.29 | $865.49 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $3,492.50 | $5,820.83 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $4,853.69 | $8,089.48 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,108.91 | $1,848.18 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $3,112.56 | $5,187.60 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $4,554.22 | $7,590.37 | not published | 0 |
| Kras gene addl variants CPT 81276 | $755.40 | $1,259.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $788.40 | $1,314.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $419.44 | $699.07 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $605.16 | $1,008.60 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $24.00 | $40.00 | 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.