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 |
|---|---|---|---|---|
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $51,807.35 | $86,345.58 | $11,263.49 – $11,488.76 | 3 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $25,189.80 | $41,983.00 | not published | 0 |
| Thrombin time CPT 85670 | $58.20 | $97.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $55.20 | $92.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $79.20 | $132.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $2,492.89 | $4,154.82 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $4,436.50 | $7,394.16 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $2,092.15 | $3,486.91 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $3,139.24 | $5,232.06 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $176.40 | $294.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $759.00 | $1,265.00 | not published | 0 |
| Thyroid mets imag whole body CPT 78018 | $2,529.60 | $4,216.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $231.00 | $385.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $722.40 | $1,204.00 | not published | 0 |
| Thyroid uptake measurement CPT 78012 | $289.80 | $483.00 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $108.00 | $180.00 | not published | 0 |
| Tilt table study CPT 93660 | $2,061.00 | $3,435.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $12,521.46 | $20,869.10 | not published | 0 |
| Tissue culture placenta CPT 88235 | $474.60 | $791.00 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $499.20 | $832.00 | not published | 0 |
| Tissue culture tumor CPT 88239 | $513.00 | $855.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $45.00 | $75.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $54,905.59 | $91,509.32 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $40.20 | $67.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $3,471.43 | $5,785.72 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $2,989.31 | $4,982.18 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $3,554.10 | $5,923.50 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $4,420.87 | $7,368.11 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,946.58 | $3,244.30 | not published | 0 |
| Tlso corset front HCPCS L0970 | $415.94 | $693.24 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $1,349.93 | $2,249.88 | not published | 0 |
| Tlso full corset HCPCS L0974 | $680.18 | $1,133.64 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $1,476.80 | $2,461.34 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $1,476.80 | $2,461.34 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,850.74 | $3,084.57 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,850.74 | $3,084.57 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $2,561.02 | $4,268.36 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $5,610.16 | $9,350.26 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $3,907.31 | $6,512.19 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $5,879.24 | $9,798.73 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,101.05 | $1,835.08 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,839.04 | $3,065.07 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $494.34 | $823.90 | not published | 0 |
| Tobramycin non-comp unit HCPCS J7682 | $67.68 | $112.80 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $128.40 | $214.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $9,959.33 | $16,598.88 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $279.00 | $465.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $108.60 | $181.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $544.54 | $907.57 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $478.93 | $798.21 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $417.58 | $695.97 | not published | 0 |
| Total hip arthroplasty CPT 27132 | $98,581.15 | $164,301.92 | $12,526.51 – $12,777.04 | 3 |
| Total Hip Replacement CPT 27130 | $54,119.15 | $90,198.58 | $12,526.51 – $12,526.51 | 1 |
| Total Knee Replacement CPT 27447 | $51,577.94 | $85,963.23 | $12,526.51 – $12,777.04 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $40,958.48 | $68,264.13 | $17,107.48 – $17,449.63 | 2 |
| Toxoplasma antibody igg CPT 86777 | $75.60 | $126.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $85.20 | $142.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,037.40 | $1,729.00 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $634.80 | $1,058.00 | not published | 0 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $42.00 | $70.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $37.24 | $62.06 | not published | 0 |
| Transcath biopsy CPT 37200 | $3,685.80 | $6,143.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $19,165.20 | $31,942.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $3,070.80 | $5,118.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $25,292.40 | $42,154.00 | not published | 0 |
| Transferrin CPT 84466 | $87.60 | $146.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,327.20 | $2,212.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $391.08 | $651.80 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $297.01 | $495.02 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $297.01 | $495.02 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $391.08 | $651.80 | not published | 0 |
| Trapezius sling HCPCS L1070 | $436.66 | $727.77 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $6,167.42 | $10,279.04 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $14,966.15 | $24,943.58 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $13,326.95 | $22,211.58 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $14,893.65 | $24,822.75 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $148.80 | $248.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $445.80 | $743.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $445.80 | $743.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $445.80 | $743.00 | not published | 0 |
| Treat hip dislocation CPT 27252 | $3,039.00 | $5,065.00 | not published | 0 |
| Treat humerus fracture CPT 24516 | $38,143.49 | $63,572.48 | $12,526.51 – $12,777.04 | 3 |
| Treat humerus fracture CPT 24535 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $1,507.80 | $2,513.00 | not published | 0 |
| Treat humerus fracture CPT 24579 | $34,035.08 | $56,725.13 | $12,526.51 – $12,526.51 | 1 |
| Treat kneecap dislocation CPT 27562 | $445.80 | $743.00 | not published | 0 |
| Treat lower leg joint CPT 27829 | $51,959.82 | $86,599.70 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $94,821.80 | $158,036.33 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $61,877.43 | $103,129.05 | $7,079.78 – $7,221.37 | 3 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $45,456.91 | $75,761.52 | $7,079.78 – $7,221.37 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $3,928.20 | $6,547.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $175.80 | $293.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $142.80 | $238.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $159.00 | $265.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $3,928.20 | $6,547.00 | not published | 0 |
| Treatment of ankle fracture CPT 27792 | $43,718.44 | $72,864.07 | $7,079.78 – $7,221.37 | 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.