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 |
|---|---|---|---|---|
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $14,067.67 | $23,446.11 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $13,247.54 | $22,079.23 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $12,650.36 | $21,083.94 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $130.41 | $217.35 | not published | 0 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $44,767.48 | $74,612.47 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,499.00 | $4,165.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,305.20 | $3,842.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $117.00 | $195.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $130.80 | $218.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $11,274.28 | $18,790.46 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $797.40 | $1,329.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,344.60 | $2,241.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,420.20 | $2,367.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $444.00 | $740.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $28,202.85 | $47,004.75 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $5,028.00 | $8,380.00 | $907.35 – $925.49 | 2 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $93.00 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $471.00 | $785.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $520,277.50 | $867,129.17 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.60 | $36.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $255.00 | $425.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $14.62 | $24.37 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $141.37 | $235.62 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $6,646.57 | $11,077.61 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $639.00 | $1,065.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $311.40 | $519.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $70.10 | $116.83 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $16,029.83 | $26,716.38 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $24,080.90 | $40,134.83 | not published | 0 |
| Shoe clubfoot wedge HCPCS L3380 | $215.60 | $359.33 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $188.07 | $313.45 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $176.93 | $294.88 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $149.35 | $248.92 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $270.85 | $451.41 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $458.72 | $764.53 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $270.85 | $451.41 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $254.45 | $424.09 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $321.85 | $536.42 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $403.52 | $672.53 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $176.93 | $294.88 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $215.60 | $359.33 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $530.31 | $883.85 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $215.60 | $359.33 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $154.75 | $257.92 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $370.49 | $617.49 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $696.59 | $1,160.98 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $2,249.33 | $3,748.89 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $226.69 | $377.81 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,204.40 | $3,674.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $759.60 | $1,266.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $367.07 | $611.78 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $258.21 | $430.35 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $13,980.90 | $23,301.50 | not published | 0 |
| Sickling rbc CPT 85660 | $106.20 | $177.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $900.20 | $1,500.33 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,730.60 | $4,551.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,481.40 | $2,469.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $1,161.81 | $1,936.35 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $769.28 | $1,282.14 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $187,807.50 | $313,012.50 | not published | 0 |
| Skin Biopsy CPT 11102 | $150.60 | $251.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $844.11 | $1,406.85 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $374.78 | $624.64 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $32,779.33 | $54,632.21 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $37.80 | $63.00 | not published | 0 |
| Smear gram stain CPT 87205 | $202.20 | $337.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $31.80 | $53.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $44.40 | $74.00 | not published | 0 |
| Smear wet mount CPT 87210 | $97.20 | $162.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $702.00 | $1,170.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $4,676.08 | $7,793.47 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $3,564.55 | $5,940.92 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $2,362.63 | $3,937.71 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $132.19 | $220.32 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $79.20 | $132.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $153.00 | $255.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $175.95 | $293.25 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $121.44 | $202.40 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $219.42 | $365.70 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.60 | $71.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $45.00 | $75.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $328.99 | $548.31 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $3,954.00 | $6,590.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $694.37 | $1,157.28 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $819.60 | $1,366.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,004.76 | $3,341.27 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $259.85 | $433.09 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $382.11 | $636.85 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $388.86 | $648.10 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $382.11 | $636.85 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $255.60 | $426.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $1,205.25 | $2,008.75 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $86,964.57 | $144,940.95 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $69,904.50 | $116,507.50 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $75,930.75 | $126,551.25 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,687.35 | $2,812.25 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $75.00 | $125.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $436.16 | $726.93 | 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.