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 |
|---|---|---|---|---|
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,344.00 | $2,240.00 | not published | 0 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,344.00 | $2,240.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,296.60 | $2,161.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $362.40 | $604.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $279.60 | $466.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,013.80 | $5,023.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,746.00 | $2,910.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,256.40 | $2,094.00 | not published | 0 |
| Chest X-ray CPT 71046 | $252.00 | $420.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $179.40 | $299.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $375.60 | $626.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $821.40 | $1,369.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $110.40 | $184.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $312.34 | $520.56 | not published | 0 |
| Chloride CPT 82435 | $49.20 | $82.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $55.80 | $93.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $205.31 | $342.19 | not published | 0 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,027.20 | $1,712.00 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $74.19 | $123.65 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $5,515.20 | $9,192.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $961.80 | $1,603.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,379.20 | $5,632.00 | not published | 0 |
| Cholesterol CPT 82465 | $70.80 | $118.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $98.40 | $164.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $226.20 | $377.00 | not published | 0 |
| Cholinesterase CPT 82480 | $24.60 | $41.00 | not published | 0 |
| Chromatography CPT 83021 | $112.80 | $188.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $843.00 | $1,405.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $805.20 | $1,342.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,086.60 | $1,811.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $867.00 | $1,445.00 | not published | 0 |
| Chromosome analys placenta CPT 88267 | $975.00 | $1,625.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $51.60 | $86.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $205.80 | $343.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $410.40 | $684.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $61.80 | $103.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $192.60 | $321.00 | not published | 0 |
| Cilastatin sodium injection HCPCS J0743 | $38.42 | $64.03 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $24.00 | $40.00 | not published | 0 |
| Circum 28 days or older CPT 54161 | $17,726.50 | $29,544.17 | $2,039.56 – $2,080.35 | 3 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $323.83 | $539.72 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,262.40 | $2,104.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $546.62 | $911.04 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $47,487.00 | $79,145.00 | not published | 0 |
| Clearance of airways CPT 31720 | $264.00 | $440.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $68.69 | $114.49 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $8,331.81 | $13,886.35 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $1,477.45 | $2,462.42 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $445.80 | $743.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,507.80 | $2,513.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,507.80 | $2,513.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,507.80 | $2,513.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $445.80 | $743.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $634.80 | $1,058.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,989.20 | $4,982.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $16,312.96 | $27,188.27 | $3,234.84 – $3,299.54 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $289.20 | $482.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,929.00 | $3,215.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,206.00 | $2,010.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $211.80 | $353.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $97.20 | $162.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $445.80 | $743.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $445.80 | $743.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $445.80 | $743.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $445.80 | $743.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $445.80 | $743.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $445.80 | $743.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $445.80 | $743.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $445.80 | $743.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $445.80 | $743.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $445.80 | $743.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $23,989.96 | $39,983.27 | $1,568.89 – $1,568.89 | 2 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $445.80 | $743.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $445.80 | $743.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $445.80 | $743.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $453.60 | $756.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $445.80 | $743.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $445.80 | $743.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $445.80 | $743.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $9,768.79 | $16,281.32 | $3,234.84 – $3,299.54 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $445.80 | $743.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $445.80 | $743.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $445.80 | $743.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $445.80 | $743.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,507.80 | $2,513.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $445.80 | $743.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $453.60 | $756.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $445.80 | $743.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,507.80 | $2,513.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,507.80 | $2,513.00 | 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.