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 |
|---|---|---|---|---|
| Stocking sup grips 4 pre ots HCPCS L0982 | $60.87 | $101.45 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $571.96 | $953.27 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $202.80 | $338.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $79.80 | $133.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $79.80 | $133.00 | not published | 0 |
| Strapping of knee CPT 29530 | $162.00 | $270.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $287.40 | $479.00 | not published | 0 |
| Stress tte complete CPT 93351 | $1,467.00 | $2,445.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $733.80 | $1,223.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $129.00 | $215.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $217.20 | $362.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $24.00 | $40.00 | not published | 0 |
| Suction lipectomy trunk CPT 15877 | $67,218.10 | $112,030.17 | $3,457.56 – $3,526.71 | 3 |
| Sugars single quant CPT 84378 | $32.40 | $54.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $7,487.55 | $12,479.25 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $241.52 | $402.54 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $985.53 | $1,642.55 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $10,061.32 | $16,768.87 | $2,708.17 – $2,762.33 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $111.00 | $185.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $168.00 | $280.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $269.40 | $449.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $252.60 | $421.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $480.60 | $801.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $599.40 | $999.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $28.20 | $47.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $47.40 | $79.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $118.20 | $197.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $39.00 | $65.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $413.53 | $689.21 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,948.40 | $4,914.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $50.40 | $84.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $82,023.00 | $136,705.00 | not published | 0 |
| System pacing micra av HCPCS C1786 | $72,093.90 | $120,156.50 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $34,833.88 | $58,056.46 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $29,679.38 | $49,465.63 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $181.20 | $302.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $121.80 | $203.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $104.40 | $174.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $102.00 | $170.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $9.00 | $15.00 | not published | 0 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $1,637.28 | $2,728.80 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $163.20 | $272.00 | not published | 0 |
| Talymed HCPCS Q4127 | $5,612.10 | $9,353.50 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $2,217.60 | $3,696.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $1,110.00 | $1,850.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,054.60 | $5,091.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $9,196.80 | $15,328.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $2,306.40 | $3,844.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $22,311.60 | $37,186.00 | not published | 0 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $1,499.59 | $2,499.32 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $95.40 | $159.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $378.60 | $631.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $819.00 | $1,365.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,046.00 | $8,410.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $666.00 | $1,110.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $222.00 | $370.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $78.00 | $130.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $28.80 | $48.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $150.01 | $250.01 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $294.48 | $490.80 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $36.00 | $60.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $10.20 | $17.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $193.20 | $322.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $465.00 | $775.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $94.20 | $157.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $127.20 | $212.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $774.60 | $1,291.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $279.00 | $465.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $158.40 | $264.00 | not published | 0 |
| T cells total count CPT 86359 | $224.40 | $374.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $928.80 | $1,548.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $7,861.26 | $13,102.10 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $31,114.73 | $51,857.88 | not published | 0 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $86,030.90 | $143,384.83 | $12,526.51 – $12,777.04 | 3 |
| Tension based scoliosis orth HCPCS L1005 | $12,458.08 | $20,763.47 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $24.00 | $40.00 | not published | 0 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $66.00 | $110.00 | not published | 0 |
| Test socket below knee HCPCS L5620 | $1,004.65 | $1,674.42 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $732.00 | $1,220.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $2,434.39 | $4,057.32 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $17,531.89 | $29,219.82 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,929.80 | $4,883.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $115.80 | $193.00 | not published | 0 |
| Therapeutic procd strg endur HCPCS G0237 | $102.00 | $170.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $22.20 | $37.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $20.40 | $34.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $24.00 | $40.00 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $1,324.37 | $2,207.28 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,766.39 | $2,943.98 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $933.46 | $1,555.77 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $1,218.04 | $2,030.07 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $569.54 | $949.24 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $620.83 | $1,034.71 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,891.20 | $3,152.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $697.41 | $1,162.35 | not published | 0 |
| Thoracic pad HCPCS L1060 | $421.55 | $702.59 | not published | 0 |
| Thoracotomy with cardiac massage CPT 32160 | $1,969.20 | $3,282.00 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $4,474.83 | $7,458.05 | not published | 0 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,171.20 | $6,952.00 | not published | 0 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $9,057.00 | $15,095.00 | 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.