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 |
|---|---|---|---|---|
| Lacer molded to patient mode HCPCS L2330 | $1,429.10 | $2,381.83 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $64.20 | $107.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $71.40 | $119.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $78.00 | $130.00 | not published | 0 |
| Lactic acid CPT 83605 | $71.40 | $119.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $152.40 | $254.00 | not published | 0 |
| Lam facetec & foramot lumbar CPT 63047 | $29,376.43 | $48,960.72 | $7,079.78 – $7,221.37 | 2 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $69.16 | $115.27 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $27,786.91 | $46,311.52 | $5,898.53 – $6,016.50 | 3 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $42,682.78 | $71,137.97 | $5,898.53 – $6,016.50 | 3 |
| Laparoscopye procstom 43659 CPT 43659 | $57,212.69 | $95,354.48 | $5,898.53 – $5,898.53 | 2 |
| Lap gastric bypass/roux-en-y CPT 43644 | $48,705.68 | $81,176.13 | $45.69 – $1,958.86 | 3 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $16,613.93 | $27,689.88 | $207.53 – $1,245.33 | 3 |
| Lap ing hernia repair init CPT 49650 | $32,492.90 | $54,154.83 | $5,898.53 – $6,016.50 | 3 |
| Lap ing hernia repair recur CPT 49651 | $15,033.86 | $25,056.43 | $5,898.53 – $6,016.50 | 3 |
| Lap paraesophag hern repair CPT 43281 | $47,897.85 | $79,829.75 | $10,371.37 – $10,578.79 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $57,772.27 | $96,287.12 | $10,371.37 – $10,578.79 | 3 |
| Lap sleeve gastrectomy CPT 43775 | $49,469.83 | $82,449.72 | $5,898.53 – $6,016.50 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $17,153.33 | $28,588.88 | $3,637.69 – $3,710.44 | 3 |
| Lateral thoracic extension HCPCS L1210 | $952.33 | $1,587.22 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $302.45 | $504.08 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $31,953.41 | $53,255.68 | $2,834.09 – $2,834.09 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $86,340.00 | $143,900.00 | not published | 0 |
| Lead capillary CPT 83655 | $100.20 | $167.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $95,591.33 | $159,318.89 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $23,743.50 | $39,572.50 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $5,741.91 | $9,569.85 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $4,847.47 | $8,079.12 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $6,969.28 | $11,615.46 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $6,055.84 | $10,093.07 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $846.60 | $1,411.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $366.95 | $611.58 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $4,317.00 | $7,195.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $5,158.82 | $8,598.03 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,295.10 | $2,158.50 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $323.21 | $538.69 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $10,650.82 | $17,751.36 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $21,235.25 | $35,392.08 | not published | 0 |
| Leuprolide acetate injeciton HCPCS J9218 | $4,576.18 | $7,626.96 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $31.69 | $52.81 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $73.20 | $122.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $64.52 | $107.54 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $3,053.68 | $5,089.46 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $133,546.40 | $222,577.33 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $93.09 | $155.15 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $38.52 | $64.20 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $75.60 | $126.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $287.08 | $478.47 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $148.42 | $247.36 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $2,202.83 | $3,671.39 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $23,514.11 | $39,190.18 | $1,611.44 – $1,643.67 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,138.20 | $6,897.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $5,023.20 | $8,372.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $31,238.39 | $52,063.98 | $3,080.71 – $3,142.32 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | $161.29 | $268.81 | not published | 0 |
| Limited autopsy CPT 88037 | $135.60 | $226.00 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $450.87 | $751.45 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $121.34 | $202.23 | not published | 0 |
| Lipase CPT 83690 | $93.60 | $156.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $189.00 | $315.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $72.00 | $120.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $87.60 | $146.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $289.20 | $482.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $143.40 | $239.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $83.40 | $139.00 | not published | 0 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $8,790.00 | $14,650.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $111.00 | $185.00 | not published | 0 |
| Liver Function Test CPT 80076 | $74.40 | $124.00 | not published | 0 |
| Liver/spleen imag static only CPT 78215 | $640.80 | $1,068.00 | not published | 0 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $568.20 | $947.00 | not published | 0 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $53,996.25 | $89,993.75 | $7,079.78 – $7,221.37 | 3 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $329.21 | $548.69 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $24.00 | $40.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $671.47 | $1,119.11 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $275.94 | $459.90 | not published | 0 |
| Low back disk surgery CPT 63030 | $23,490.16 | $39,150.27 | $7,079.78 – $7,221.37 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,309.60 | $5,516.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,379.20 | $5,632.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,187.00 | $3,645.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,750.20 | $7,917.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $4,383.60 | $7,306.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,384.00 | $5,640.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $848.40 | $1,414.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $409.69 | $682.81 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $442.67 | $737.78 | not published | 0 |
| Lso full corset HCPCS L0976 | $581.98 | $969.96 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $660.50 | $1,100.84 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $6,531.62 | $10,886.04 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $5,042.60 | $8,404.34 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $630.46 | $1,050.76 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $3,889.36 | $6,482.26 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $5,277.23 | $8,795.38 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $1,015.31 | $1,692.19 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $1,116.16 | $1,860.27 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $3,704.93 | $6,174.89 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $304.78 | $507.97 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $353.99 | $589.99 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,508.00 | $4,180.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $345.10 | $575.17 | not published | 0 |
| Lumbar sling HCPCS L1090 | $391.68 | $652.80 | 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.