St Mary's Hospital
5801 Bremo Rd., Richmond, VA · Bonsecours · · NPI 1962464016
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 | $120.60 | $201.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $151.20 | $252.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,770.60 | $2,951.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,783.20 | $2,972.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $1,686.00 | $2,810.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $449.40 | $749.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $12,023.40 | $20,039.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $608.40 | $1,014.00 | 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 | $175.80 | $293.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $224.40 | $374.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $224.40 | $374.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $224.40 | $374.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,347.00 | $12,245.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $1,916.40 | $3,194.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $2,995.80 | $4,993.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,541.00 | $4,235.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $2,704.20 | $4,507.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $1,668.00 | $2,780.00 | 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 (with contrast) CPT 74182 | $3,663.00 | $6,105.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,527.20 | $4,212.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $390.88 | $651.46 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $3,315.00 | $5,525.00 | 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 |
| Abdominoplasty 15830 CPT 15830 | $45,423.66 | $75,706.10 | $6,661.88 – $6,795.12 | 2 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,530.00 | $2,550.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $996.31 | $1,660.51 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $1,187.27 | $1,978.79 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $419.85 | $699.75 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $383.92 | $639.86 | not published | 0 |
| Abl1 gene CPT 81170 | $992.40 | $1,654.00 | not published | 0 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $3,062.40 | $5,104.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $2,874.00 | $4,790.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,694.40 | $17,824.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $2,367.60 | $3,946.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $9,523.80 | $15,873.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $14,756.25 | $24,593.75 | $909.95 – $928.15 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $34,786.16 | $57,976.93 | $12,880.66 – $13,138.27 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $7,250.24 | $12,083.73 | $307.96 – $314.11 | 3 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,062.40 | $5,104.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,089.00 | $11,815.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $354.92 | $591.53 | 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 | $149.98 | $249.97 | not published | 0 |
| Acne surgery 10040 CPT 10040 | $555.00 | $925.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $318.60 | $531.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $401.40 | $669.00 | not published | 0 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $53.40 | $89.00 | not published | 0 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $53.40 | $89.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $53.40 | $89.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $53.40 | $89.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $327.60 | $546.00 | not published | 0 |
| Acyclovir 400 mg tablet HCPCS J8499 | $63.97 | $106.62 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $256.40 | $427.34 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $95.40 | $159.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $20,000.12 | $33,333.54 | 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 | $900.28 | $1,500.46 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $55.82 | $93.03 | not published | 0 |
| Adh-sendout CPT 84588 | $153.60 | $256.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $900.00 | $1,500.00 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $13,686.25 | $22,810.42 | $7,279.94 – $7,279.94 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $10,416.00 | $17,360.00 | $2,070.03 – $2,111.43 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $1,235.04 | $2,058.40 | 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 | $1,512.60 | $2,521.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $595.20 | $992.00 | 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 | $262.20 | $437.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $57.60 | $96.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $37.20 | $62.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $55.20 | $92.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $25.20 | $42.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $38.40 | $64.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $31,406.33 | $52,343.88 | not published | 0 |
| _afb id by dna probe rflx ast CPT 87149 | $175.20 | $292.00 | 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 | $630.00 | $1,050.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $2,128.66 | $3,547.76 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,859.18 | $8,098.64 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $2,032.47 | $3,387.45 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $4,208.25 | $7,013.75 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,322.59 | $2,204.31 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,904.17 | $3,173.61 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,937.38 | $3,228.96 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $3,626.88 | $6,044.80 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,345.49 | $2,242.49 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,653.75 | $4,422.91 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,717.21 | $6,195.35 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,634.88 | $6,058.14 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $2,379.25 | $3,965.42 | 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.