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 |
|---|---|---|---|---|
| Warde mitochondrial antibody each CPT 86381 | $88.80 | $148.00 | not published | 0 |
| Warde neutralization rabies CPT 86382 | $53.40 | $89.00 | not published | 0 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $73.20 | $122.00 | not published | 0 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $79.80 | $133.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $156.00 | $260.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $123.00 | $205.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $142.20 | $237.00 | not published | 0 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $115.80 | $193.00 | not published | 0 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $211.20 | $352.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $123.00 | $205.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $200.40 | $334.00 | not published | 0 |
| Warde viscosity CPT 85810 | $70.20 | $117.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $82.80 | $138.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $216.60 | $361.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $171.00 | $285.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $83.40 | $139.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $218.40 | $364.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $114.60 | $191.00 | not published | 0 |
| Warde zinc CPT 84630 | $96.60 | $161.00 | not published | 0 |
| Wbc automated CPT 85048 | $30.00 | $50.00 | not published | 0 |
| Western blot test CPT 84181 | $174.00 | $290.00 | not published | 0 |
| Whfo electric custom fitted HCPCS L3904 | $11,956.97 | $19,928.28 | not published | 0 |
| Whfo nontorsion joint prefab HCPCS L3931 | $738.59 | $1,230.99 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $1,609.07 | $2,681.79 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $442.20 | $737.00 | not published | 0 |
| Who nontorsion jnts pre cst HCPCS L3915 | $1,883.03 | $3,138.39 | not published | 0 |
| Who nontorsion jnts pre ots HCPCS L3916 | $1,883.03 | $3,138.39 | not published | 0 |
| Wilate injection HCPCS J7183 | $6,562.50 | $10,937.50 | not published | 0 |
| Woman's shoe oxford brace HCPCS L3224 | $262.99 | $438.32 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $372.60 | $621.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $384.60 | $641.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $1,095.60 | $1,826.00 | not published | 0 |
| Wrist arthroscopy/surgery CPT 29846 | $20,607.44 | $34,345.73 | $3,192.44 – $3,256.29 | 3 |
| Wrist X-ray CPT 73110 | $447.60 | $746.00 | not published | 0 |
| Xcellistem, 1 mg HCPCS A2004 | $8,694.44 | $14,490.73 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | $69.60 | $116.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $22,509.06 | $37,515.10 | $2,013.11 – $2,053.37 | 2 |
| Xm archive tissue molec anal CPT 88363 | $60.60 | $101.00 | not published | 0 |
| X-ray abdomen 1 view CPT 74018 | $388.20 | $647.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $327.60 | $546.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $708.60 | $1,181.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $181.20 | $302.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $422.40 | $704.00 | not published | 0 |
| X-ray bone age studies CPT 77072 | $250.20 | $417.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $584.40 | $974.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $1,675.20 | $2,792.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $405.60 | $676.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $803.40 | $1,339.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,170.00 | $1,950.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,330.20 | $2,217.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $558.00 | $930.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,151.40 | $1,919.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $411.00 | $685.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $633.60 | $1,056.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $820.20 | $1,367.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $246.00 | $410.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $517.80 | $863.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $519.00 | $865.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $186.60 | $311.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $500.40 | $834.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $583.80 | $973.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $814.20 | $1,357.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $546.60 | $911.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $790.20 | $1,317.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $519.00 | $865.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $410.40 | $684.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $384.60 | $641.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $509.40 | $849.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $414.60 | $691.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $480.00 | $800.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $267.60 | $446.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $615.60 | $1,026.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $206.40 | $344.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $476.40 | $794.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $461.40 | $769.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $467.40 | $779.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $413.40 | $689.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $304.20 | $507.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $436.20 | $727.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,325.40 | $2,209.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,333.80 | $2,223.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $553.20 | $922.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $267.00 | $445.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $369.60 | $616.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $440.40 | $734.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $181.20 | $302.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $462.60 | $771.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $428.40 | $714.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $743.40 | $1,239.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $330.00 | $550.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $624.60 | $1,041.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $523.80 | $873.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $784.80 | $1,308.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $841.80 | $1,403.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $519.00 | $865.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $519.60 | $866.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $388.20 | $647.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $599.40 | $999.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $977.40 | $1,629.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $405.60 | $676.00 | 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.