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 |
|---|---|---|---|---|
| Lumbar Spinal Fusion (single level) CPT 22612 | $70,375.85 | $117,293.08 | $17,107.48 – $17,107.48 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | $126.60 | $211.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $229.80 | $383.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $640.80 | $1,068.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $32,422.50 | $54,037.50 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $146,411.74 | $244,019.56 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,295.10 | $2,158.50 | not published | 0 |
| Lymphatics/lymph node imaging CPT 78195 | $1,846.80 | $3,078.00 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $30.00 | $50.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $25.20 | $42.00 | not published | 0 |
| Magnesium CPT 83735 | $67.20 | $112.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $80.89 | $134.82 | not published | 0 |
| Mammosite ced HCPCS C1728 | $13,058.93 | $21,764.88 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $126.60 | $211.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $110.40 | $184.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $287.30 | $478.83 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $22,909.60 | $38,182.67 | $6,478.71 – $6,608.28 | 3 |
| Map tachycard site(s) CPT 93609 | $5,295.60 | $8,826.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $24,391.05 | $40,651.75 | not published | 0 |
| Mastectomy partial CPT 19301 | $35,825.41 | $59,709.02 | $3,820.23 – $3,896.63 | 3 |
| Mast mod rad CPT 19307 | $19,988.71 | $33,314.52 | $6,478.71 – $6,608.28 | 3 |
| Mastopexy CPT 19316 | $94,975.72 | $158,292.87 | $13,445.87 – $13,714.78 | 3 |
| Mast simple complete CPT 19303 | $141,700.99 | $236,168.32 | $6,478.71 – $6,608.28 | 3 |
| Matrion 1 sq cm HCPCS Q4201 | $33,392.00 | $55,653.33 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $140,259.33 | $233,765.55 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $135.00 | $225.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $157.80 | $263.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $128.40 | $214.00 | not published | 0 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $318.60 | $531.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $102.00 | $170.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $105.00 | $175.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $208.00 | not published | 0 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $109.20 | $182.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $672.00 | $1,120.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $385.80 | $643.00 | not published | 0 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $831.00 | $1,385.00 | not published | 0 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,654.00 | $6,090.00 | not published | 0 |
| Mayo androstenedione CPT 82157 | $130.80 | $218.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $135.60 | $226.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $152.40 | $254.00 | not published | 0 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $92.40 | $154.00 | not published | 0 |
| Mayo avwpr vw factor activity CPT 85397 | $193.80 | $323.00 | not published | 0 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $405.60 | $676.00 | not published | 0 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $58.20 | $97.00 | not published | 0 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $61.20 | $102.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $328.20 | $547.00 | not published | 0 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $81.00 | $135.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $81.00 | $135.00 | not published | 0 |
| Mayo brcmg brucella antibody igm CPT 86622 | $63.60 | $106.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $77.40 | $129.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $60.00 | $100.00 | not published | 0 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $73.20 | $122.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $156.00 | $260.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $198.00 | $330.00 | not published | 0 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $95.40 | $159.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $70.20 | $117.00 | not published | 0 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $73.20 | $122.00 | not published | 0 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $311.40 | $519.00 | not published | 0 |
| Mayo chromium CPT 82495 | $115.20 | $192.00 | not published | 0 |
| Mayo coccidioides antibody CPT 86635 | $54.00 | $90.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $239.40 | $399.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $122.40 | $204.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $48.00 | $80.00 | not published | 0 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.60 | $101.00 | not published | 0 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $545.40 | $909.00 | not published | 0 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $88.80 | $148.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $135.60 | $226.00 | not published | 0 |
| Mayo efpo chloride stool CPT 82438 | $20.40 | $34.00 | not published | 0 |
| Mayo estriol CPT 82677 | $126.00 | $210.00 | not published | 0 |
| Mayo estrone CPT 82679 | $141.60 | $236.00 | not published | 0 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $70.20 | $117.00 | not published | 0 |
| Mayo everolimus therapeutic drug level CPT 80169 | $72.00 | $120.00 | not published | 0 |
| Mayo factor ii CPT 85210 | $89.40 | $149.00 | not published | 0 |
| Mayo factor v CPT 85220 | $141.00 | $235.00 | not published | 0 |
| Mayo factor vii CPT 85230 | $252.60 | $421.00 | not published | 0 |
| Mayo factor viii vw factor antigen CPT 85246 | $177.00 | $295.00 | not published | 0 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $466.20 | $777.00 | not published | 0 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $187.80 | $313.00 | not published | 0 |
| Mayo factor x CPT 85260 | $419.40 | $699.00 | not published | 0 |
| Mayo factor xi CPT 85270 | $139.80 | $233.00 | not published | 0 |
| Mayo fat/lipids feces quantitative CPT 82710 | $126.00 | $210.00 | not published | 0 |
| Mayo fbl culture fungi blood CPT 87103 | $140.40 | $234.00 | not published | 0 |
| Mayo ffspg allergen clam igg CPT 86001 | $45.60 | $76.00 | not published | 0 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $73.20 | $122.00 | not published | 0 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $3,473.40 | $5,789.00 | not published | 0 |
| Mayo hemosiderin qualitative urine CPT 83070 | $54.60 | $91.00 | not published | 0 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $340.80 | $568.00 | not published | 0 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $71.40 | $119.00 | not published | 0 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $99.60 | $166.00 | not published | 0 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $104.40 | $174.00 | not published | 0 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $143.40 | $239.00 | not published | 0 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $1,167.60 | $1,946.00 | not published | 0 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $86.40 | $144.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $152.40 | $254.00 | not published | 0 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $150.60 | $251.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $64.20 | $107.00 | not published | 0 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $138.00 | $230.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $196.20 | $327.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $135.00 | $225.00 | not published | 0 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $174.60 | $291.00 | 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.