Richmond Community Hospital
1500 N. 28th St., Richmond, VA · Bonsecours · · NPI 1366404428
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $156.00 | $260.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $151.20 | $252.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $70.20 | $117.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $93.00 | $155.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,458.60 | $12,431.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,323.20 | $3,872.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,604.00 | $4,340.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,969.20 | $3,282.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,324.80 | $7,208.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,527.20 | $4,212.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $360.28 | $600.46 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $688.80 | $1,148.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,041.20 | $3,402.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,583.40 | $2,639.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $688.80 | $1,148.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $918.31 | $1,530.51 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $1,094.32 | $1,823.86 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $386.98 | $644.97 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $353.86 | $589.77 | not published | 0 |
| Abl1 gene CPT 81170 | $1,149.00 | $1,915.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,188.00 | $1,980.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $217.35 | $362.25 | not published | 0 |
| Acetone qualitative CPT 82009 | $37.20 | $62.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $218.40 | $364.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $45.00 | $75.00 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $234.75 | $391.25 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $555.00 | $925.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $327.60 | $546.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $144.90 | $241.50 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $60.00 | $100.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $18,434.30 | $30,723.83 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $237.00 | $395.00 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $829.79 | $1,382.98 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $45.00 | $75.00 | not published | 0 |
| Adh-sendout CPT 84588 | $153.60 | $256.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $539.78 | $899.64 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $376.80 | $628.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $476.40 | $794.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $36,477.90 | $60,796.50 | $322.27 – $328.72 | 3 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $977.40 | $1,629.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $454.20 | $757.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $360.60 | $601.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $57.60 | $96.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $34.20 | $57.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $28,074.20 | $46,790.33 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $118.80 | $198.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.60 | $41.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $559.80 | $933.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,962.00 | $3,270.00 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,478.76 | $7,464.60 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,873.34 | $3,122.24 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,878.78 | $6,464.64 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,219.04 | $2,031.73 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,755.08 | $2,925.14 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,785.70 | $2,976.16 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $3,342.93 | $5,571.55 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,240.15 | $2,066.92 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,445.98 | $4,076.64 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,426.19 | $5,710.31 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,350.30 | $5,583.84 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $2,192.98 | $3,654.96 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $6,897.70 | $11,496.16 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $2,776.90 | $4,628.16 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $340.89 | $568.15 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $423.96 | $706.60 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $768.04 | $1,280.06 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $42.60 | $71.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $321.20 | $535.33 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $320.85 | $534.75 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $118.20 | $197.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $110.40 | $184.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $6.00 | $10.00 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $6.00 | $10.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $67.20 | $112.00 | not published | 0 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.73 | $148,721.21 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $36.00 | $60.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $45.60 | $76.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $60.60 | $101.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $12,145.55 | $20,242.58 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $23,950.73 | $39,917.88 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $30,053.78 | $50,089.63 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $18,691.02 | $31,151.70 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $84,848.06 | $141,413.43 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $56,962.52 | $94,937.54 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $48,205.18 | $80,341.97 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $45,515.06 | $75,858.44 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $14,921.00 | $24,868.33 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $17,042.24 | $28,403.73 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $3,127.80 | $5,213.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $373.80 | $623.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $181.80 | $303.00 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $60,722.48 | $101,204.14 | not published | 0 |
| Alt/sgpt CPT 84460 | $54.00 | $90.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $95.40 | $159.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | $105.60 | $176.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $55.20 | $92.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $70.93 | $118.22 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $95.40 | $159.00 | 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.