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 |
|---|---|---|---|---|
| New Patient Office Visit (level 2) CPT 99202 | $240.60 | $401.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $365.40 | $609.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $514.80 | $858.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $717.00 | $1,195.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $522.59 | $870.98 | not published | 0 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $157.29 | $262.15 | not published | 0 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $31,216.34 | $52,027.23 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $1,776.00 | $2,960.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,776.00 | $2,960.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $1,776.00 | $2,960.00 | not published | 0 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,776.00 | $2,960.00 | not published | 0 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,986.00 | $3,310.00 | not published | 0 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,340.00 | $3,900.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $1,484.40 | $2,474.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,074.60 | $1,791.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $1,840.80 | $3,068.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $466.20 | $777.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,406.60 | $4,011.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,929.00 | $3,215.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,855.20 | $3,092.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,300.20 | $2,167.00 | not published | 0 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,290.00 | $2,150.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $246.33 | $410.55 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $10,792.50 | $17,987.50 | not published | 0 |
| Npm1 gene CPT 81310 | $327.60 | $546.00 | not published | 0 |
| Nras gene variants exon 2&3 CPT 81311 | $1,199.40 | $1,999.00 | not published | 0 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $12,814.80 | $21,358.00 | not published | 0 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $51,246.71 | $85,411.18 | $8,562.46 – $8,733.71 | 3 |
| Ntrk translocation analysis CPT 81194 | $1,714.20 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,801.60 | $6,336.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $6,423.70 | $10,706.16 | not published | 0 |
| Observation direct referral from physician office for admission HCPCS G0379 | $424.80 | $708.00 | not published | 0 |
| Observation per hour HCPCS G0378 | $15.00 | $25.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $231.60 | $386.00 | not published | 0 |
| Obtaining screen pap smear HCPCS Q0091 | $18.60 | $31.00 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $61,922.88 | $103,204.80 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $27,166.36 | $45,277.27 | not published | 0 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $2,371.17 | $3,951.95 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $398.42 | $664.03 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $569.41 | $949.02 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $4,317.00 | $7,195.00 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $115.56 | $192.60 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $11,045.74 | $18,409.57 | not published | 0 |
| Onco (ovar) two proteins CPT 81500 | $525.60 | $876.00 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $193.20 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $9.00 | $15.00 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $24.00 | $40.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $24,647.88 | $41,079.80 | $3,820.23 – $3,896.63 | 3 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $32,881.07 | $54,801.78 | $7,079.78 – $7,079.78 | 2 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $26,385.24 | $43,975.40 | $5,429.18 – $5,537.77 | 3 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | $133,257.47 | $222,095.78 | $30,107.39 – $30,709.54 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | $31,161.88 | $51,936.47 | $7,079.78 – $7,079.78 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | $31,120.96 | $51,868.27 | $7,079.78 – $7,221.37 | 3 |
| Optx medial ankle fx CPT 27766 | $45,884.38 | $76,473.97 | $7,079.78 – $7,221.37 | 3 |
| Optx radial shaft fracture CPT 25515 | $18,551.02 | $30,918.37 | $7,079.78 – $7,221.37 | 3 |
| Optx ulnar styloid fracture CPT 25652 | $63,657.22 | $106,095.37 | $7,079.78 – $7,221.37 | 2 |
| Oral aprepitant HCPCS J8501 | $1,467.12 | $2,445.20 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $136.20 | $227.00 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $971.33 | $1,618.88 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $1,022.92 | $1,704.86 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $2,413.21 | $4,022.01 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $4,542.26 | $7,570.44 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $577.20 | $962.00 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $959.36 | $1,598.94 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $1,137.88 | $1,896.46 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $374.07 | $623.45 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $959.36 | $1,598.94 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $113.80 | $189.66 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $113.80 | $189.66 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $163.27 | $272.11 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $2,149.87 | $3,583.11 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $1,261.86 | $2,103.10 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $3,512.92 | $5,854.86 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $107.40 | $179.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $89.02 | $148.36 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $331.76 | $552.94 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $252.46 | $420.76 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $34.79 | $57.99 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $207.95 | $346.58 | not published | 0 |
| Osmolality blood CPT 83930 | $74.40 | $124.00 | not published | 0 |
| Osmolality urine CPT 83935 | $76.80 | $128.00 | not published | 0 |
| Ot evaluation high complexity patient/family CPT 97167 | $364.80 | $608.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $364.80 | $608.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $364.80 | $608.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $104.40 | $174.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $97.20 | $162.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $213.60 | $356.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $153.00 | $255.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $147.60 | $246.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $241.20 | $402.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $175.20 | $292.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $148.20 | $247.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $91.20 | $152.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $172.20 | $287.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $121.80 | $203.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $118.80 | $198.00 | not published | 0 |
| Outrigger HCPCS L1080 | $203.68 | $339.46 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $681.79 | $1,136.31 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $102.72 | $171.20 | 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.