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 |
|---|---|---|---|---|
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $28,661.65 | $47,769.42 | $721.10 – $721.10 | 1 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $22,192.27 | $36,987.12 | $3,192.44 – $3,256.29 | 2 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $10,770.92 | $17,951.53 | not published | 0 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $109.20 | $182.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $109.20 | $182.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $76.20 | $127.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $334.20 | $557.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $1,369.80 | $2,283.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $334.20 | $557.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $761.40 | $1,269.00 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $235.80 | $393.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $719.40 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $213.00 | $355.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $114.00 | $190.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $138.00 | $230.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $158.44 | $264.06 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $123.77 | $206.28 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $123.77 | $206.28 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $24.00 | $40.00 | not published | 0 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $435.60 | $726.00 | not published | 0 |
| Argatroban nonesrd (accord) HCPCS J0891 | $1,271.16 | $2,118.60 | not published | 0 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $1,219.80 | $2,033.00 | not published | 0 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $14,394.79 | $23,991.32 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $490.20 | $817.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $39,301.23 | $65,502.05 | $5,429.18 – $5,537.77 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $2,265.60 | $3,776.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,252.80 | $7,088.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $3,016.20 | $5,027.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,466.20 | $5,777.00 | not published | 0 |
| Artery x-rays lung CPT 75741 | $1,740.00 | $2,900.00 | not published | 0 |
| Artery x-rays lung CPT 75746 | $3,934.80 | $6,558.00 | not published | 0 |
| Artery x-rays lungs CPT 75743 | $2,028.60 | $3,381.00 | not published | 0 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $39,181.64 | $65,302.73 | $12,526.51 – $12,777.04 | 2 |
| Arthrd ant ntrbdy cervical CPT 22551 | $37,829.60 | $63,049.33 | $12,526.51 – $12,526.51 | 1 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $105,790.70 | $176,317.83 | $26,474.25 – $26,474.25 | 1 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $105,853.39 | $176,422.32 | $26,474.25 – $27,003.74 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,912.20 | $3,187.00 | not published | 0 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,308.00 | $2,180.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,664.40 | $2,774.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $652.80 | $1,088.00 | not published | 0 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $933.00 | $1,555.00 | not published | 0 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $40,897.22 | $68,162.03 | $12,526.51 – $12,777.04 | 2 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $39,181.64 | $65,302.73 | $12,526.51 – $12,777.04 | 2 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $105,853.39 | $176,422.32 | not published | 0 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $85,522.25 | $142,537.08 | $17,107.48 – $17,449.63 | 2 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $38,074.01 | $63,456.68 | $7,079.78 – $7,221.37 | 3 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $30,837.74 | $51,396.23 | $7,079.78 – $7,221.37 | 2 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $27,321.20 | $45,535.33 | $3,192.44 – $3,256.29 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $35,339.02 | $58,898.37 | $7,079.78 – $7,221.37 | 3 |
| Artiss fibrin sealant HCPCS C9250 | $3,525.91 | $5,876.52 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $48,350.40 | $80,584.00 | not published | 0 |
| Aspa gene CPT 81200 | $432.60 | $721.00 | not published | 0 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,871.80 | $6,453.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $992.40 | $1,654.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,890.00 | $3,150.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $289.20 | $482.00 | not published | 0 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $1,683.00 | $2,805.00 | not published | 0 |
| Assay acid phosphatase CPT 84060 | $52.80 | $88.00 | not published | 0 |
| Assay dir meas fr estradiol CPT 82681 | $102.00 | $170.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $33.60 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $160.20 | $267.00 | not published | 0 |
| Assay of adp & amp CPT 82030 | $217.20 | $362.00 | not published | 0 |
| Assay of feces porphyrins CPT 84126 | $130.80 | $218.00 | not published | 0 |
| Assay of fluoride CPT 82735 | $91.20 | $152.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $447.00 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $60.60 | $101.00 | not published | 0 |
| Assay of lrh hormone CPT 83727 | $220.80 | $368.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $126.00 | $210.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $72.00 | $120.00 | not published | 0 |
| Assay phosphatidylglycerol CPT 84081 | $135.60 | $226.00 | not published | 0 |
| Assay toxin or antitoxin CPT 87230 | $28.80 | $48.00 | not published | 0 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $311.40 | $519.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $71.40 | $119.00 | not published | 0 |
| Ast/sgot CPT 84450 | $70.80 | $118.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $45,546.19 | $75,910.31 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $186.60 | $311.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $14,332.44 | $23,887.40 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $12,063.00 | $20,105.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $18,933.60 | $31,556.00 | not published | 0 |
| Autopsy (necropsy) complete CPT 88020 | $229.20 | $382.00 | not published | 0 |
| Autopsy (necropsy) complete CPT 88027 | $413.40 | $689.00 | not published | 0 |
| Av fistula revision CPT 36833 | $90,382.91 | $150,638.18 | $5,429.18 – $5,537.77 | 3 |
| Av fuse uppr arm basilic CPT 36819 | $20,379.46 | $33,965.77 | $5,429.18 – $5,537.77 | 3 |
| Av fusion direct any site CPT 36821 | $26,027.87 | $43,379.78 | $3,080.71 – $3,142.32 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $366.00 | $610.00 | not published | 0 |
| Azathioprine 50 mg tablet HCPCS J7500 | $9.00 | $15.00 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $330.31 | $550.52 | not published | 0 |
| Baclofen eval charges CPT 97750 | $75.00 | $125.00 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $375.60 | $626.00 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $181.80 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $672.75 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $216.00 | $360.00 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $8,092.54 | $13,487.57 | not published | 0 |
| Below knee total contact HCPCS L5637 | $1,229.92 | $2,049.86 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $2,391.34 | $3,985.56 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $9,196.20 | $15,327.00 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $9,722.03 | $16,203.39 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $12,865.77 | $21,442.95 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $90.60 | $151.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $96.30 | $160.50 | 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.