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 |
|---|---|---|---|---|
| Shoe clubfoot wedge HCPCS L3380 | $193.06 | $321.76 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $168.41 | $280.68 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $158.44 | $264.06 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $133.74 | $222.90 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $242.53 | $404.22 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $410.76 | $684.60 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $242.53 | $404.22 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $227.85 | $379.75 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $288.20 | $480.34 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $361.33 | $602.22 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $158.44 | $264.06 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $193.06 | $321.76 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $474.87 | $791.45 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $193.06 | $321.76 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $138.58 | $230.96 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $331.76 | $552.94 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $623.77 | $1,039.61 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $2,014.18 | $3,356.97 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $202.99 | $338.31 | not published | 0 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $36,235.79 | $60,392.98 | $7,079.78 – $7,221.37 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,875.20 | $4,792.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $4,015.80 | $6,693.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $5,052.60 | $8,421.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $380.40 | $634.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $328.70 | $547.83 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $231.22 | $385.36 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $12,519.30 | $20,865.50 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $286.20 | $477.00 | not published | 0 |
| Sialidase enzyme assay CPT 87905 | $142.80 | $238.00 | not published | 0 |
| Sickling rbc CPT 85660 | $58.20 | $97.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $6,372.24 | $10,620.40 | $907.35 – $925.49 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $4,198.92 | $6,998.20 | $907.35 – $925.49 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $6,372.24 | $10,620.40 | $1,167.54 – $1,190.90 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $796.92 | $1,328.20 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,278.00 | $2,130.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,024.40 | $3,374.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,437.00 | $2,395.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,345.40 | $3,909.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $1,040.35 | $1,733.92 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $688.87 | $1,148.11 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $50.18 | $83.63 | not published | 0 |
| Skin Biopsy CPT 11102 | $251.40 | $419.00 | not published | 0 |
| Sleep study attended CPT 95807 | $1,003.20 | $1,672.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,261.60 | $5,436.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $262.20 | $437.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $755.86 | $1,259.77 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $335.60 | $559.34 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $29,352.49 | $48,920.82 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $63.00 | $105.00 | not published | 0 |
| Smear gram stain CPT 87205 | $71.40 | $119.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $40.80 | $68.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $172.20 | $287.00 | not published | 0 |
| Smear wet mount CPT 87210 | $61.20 | $102.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $286.20 | $477.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $4,187.23 | $6,978.72 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $3,191.90 | $5,319.84 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $2,115.63 | $3,526.05 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $141.12 | $235.20 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $51.60 | $86.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $78.00 | $130.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $78.00 | $130.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $78.00 | $130.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $78.00 | $130.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $204.16 | $340.26 | not published | 0 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $889.54 | $1,482.57 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $52.20 | $87.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $24.00 | $40.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $294.59 | $490.99 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $8,968.80 | $14,948.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $621.78 | $1,036.30 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $70,375.85 | $117,293.08 | $17,107.48 – $17,449.63 | 2 |
| Special physics consult CPT 77370 | $846.60 | $1,411.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $237.00 | $395.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $2,596.80 | $4,328.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $732.60 | $1,221.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $10.20 | $17.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $37,753.79 | $62,922.98 | $12,777.04 – $12,777.04 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | $70,375.85 | $117,293.08 | $17,107.48 – $17,449.63 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,011.40 | $5,019.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $594.00 | $990.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,795.18 | $2,991.97 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $232.69 | $387.81 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $342.17 | $570.28 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $348.21 | $580.35 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $342.17 | $570.28 | not published | 0 |
| Sputum specimen collection CPT 89220 | $152.40 | $254.00 | not published | 0 |
| Srs linear based CPT 77372 | $22,424.40 | $37,374.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $429.00 | $715.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $1,079.25 | $1,798.75 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $427.20 | $712.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $77,873.07 | $129,788.45 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $62,596.50 | $104,327.50 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $67,992.75 | $113,321.25 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,510.95 | $2,518.25 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $78.00 | $130.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $390.56 | $650.93 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $287.40 | $479.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $855.60 | $1,426.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $217.20 | $362.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $287.40 | $479.00 | 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.