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 |
|---|---|---|---|---|
| Revise stomach bowel fusion 43860 CPT 43860 | $47,081.54 | $78,469.23 | $2,528.11 – $2,578.67 | 3 |
| Revise ulnar nerve at wrist CPT 64719 | $27,875.26 | $46,458.77 | $3,333.08 – $3,399.75 | 3 |
| Revision of calf tendon CPT 27687 | $17,374.79 | $28,957.98 | $3,192.44 – $3,256.29 | 3 |
| Revision of cervix CPT 57720 | $3,928.20 | $6,547.00 | not published | 0 |
| Revision of eyelid CPT 67961 | $2,937.00 | $4,895.00 | not published | 0 |
| Revision of knee joint CPT 27446 | $47,865.51 | $79,775.85 | $12,526.51 – $12,526.51 | 1 |
| Revision of penis CPT 54435 | $4,453.20 | $7,422.00 | not published | 0 |
| Revision open av fistula without thromb CPT 36832 | $29,345.99 | $48,909.98 | $5,553.17 – $5,664.24 | 3 |
| Revision tips CPT 37183 | $19,801.20 | $33,002.00 | not published | 0 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $22,747.98 | $37,913.30 | $3,411.10 – $3,479.32 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $73.20 | $122.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $726.93 | $1,211.55 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | $6,078.60 | $10,131.00 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $340.09 | $566.82 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,146.36 | $1,910.60 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,239.37 | $2,065.61 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $739.20 | $1,232.00 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $3,803.28 | $6,338.80 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $41,783.84 | $69,639.74 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $4,840.01 | $8,066.69 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $18,461.57 | $30,769.28 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $29,538.22 | $49,230.37 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $16,615.06 | $27,691.77 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $14,085.12 | $23,475.20 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $14,085.12 | $23,475.20 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $4,772.40 | $7,954.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $42,269.40 | $70,449.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $42,410.40 | $70,684.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $6,982.80 | $11,638.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $250.80 | $418.00 | not published | 0 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $37,126.60 | $61,877.67 | $6,316.41 – $6,442.74 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $16,063.80 | $26,773.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $6,109.80 | $10,183.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,570.40 | $9,284.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $1,571.40 | $2,619.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $3,298.80 | $5,498.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $6,982.80 | $11,638.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,071.40 | $5,119.00 | not published | 0 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $10,954.75 | $18,257.92 | $195.76 – $199.67 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $5,423.40 | $9,039.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $7,222.20 | $12,037.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $378.13 | $630.21 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $20,647.58 | $34,412.63 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $9,858.45 | $16,430.75 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $109.30 | $182.17 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $14,101.19 | $23,501.98 | $1,535.88 – $1,566.60 | 3 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $233.40 | $389.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $746.40 | $1,244.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,481.80 | $5,803.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,241.00 | $3,735.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $5,696.40 | $9,494.00 | not published | 0 |
| Rpl tun-cvad w subq pump CPT 36583 | $3,405.60 | $5,676.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $10,618.38 | $17,697.30 | $3,080.71 – $3,142.32 | 3 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $35,517.59 | $59,195.98 | $1.44 – $1.47 | 2 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $21,325.96 | $35,543.27 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $16,214.77 | $27,024.62 | $6,316.41 – $6,442.74 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $17,944.59 | $29,907.65 | $3,493.34 – $3,563.21 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $18,257.95 | $30,429.92 | $5,898.53 – $6,016.50 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $29,165.04 | $48,608.40 | $927.78 – $3,526.71 | 3 |
| Rsv assay w/optic CPT 87807 | $208.80 | $348.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $100.80 | $168.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $105.00 | $175.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $700.20 | $1,167.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $586.80 | $978.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $718.20 | $1,197.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $354.60 | $591.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $218.40 | $364.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $669.60 | $1,116.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $697.20 | $1,162.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $464.40 | $774.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $493.20 | $822.00 | not published | 0 |
| Scope plantar fasciotomy CPT 29893 | $18,404.25 | $30,673.75 | $3,192.44 – $3,256.29 | 3 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $25,254.45 | $42,090.75 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $3,766.68 | $6,277.80 | $907.35 – $925.49 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $3,606.65 | $6,011.08 | $907.35 – $925.49 | 3 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $93.00 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $667.80 | $1,113.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $115.20 | $192.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $60.60 | $101.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $1.80 | $3.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $465,886.33 | $776,477.21 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,521.80 | $4,203.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $54.00 | $90.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $213.60 | $356.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $996.60 | $1,661.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,434.00 | $2,390.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $10.94 | $18.24 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $54.47 | $90.78 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $5,951.72 | $9,919.53 | not published | 0 |
| Sex chromatin identification CPT 88130 | $58.80 | $98.00 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $639.00 | $1,065.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $518.40 | $864.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $62.77 | $104.62 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $14,354.03 | $23,923.38 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $21,563.42 | $35,939.03 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $38,770.40 | $64,617.33 | $7,079.78 – $7,221.37 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | $46,811.66 | $78,019.43 | $7,079.78 – $7,221.37 | 3 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $33,289.45 | $55,482.42 | $3,192.44 – $3,256.29 | 3 |
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.