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 |
|---|---|---|---|---|
| CT neck soft tissue w/contrast CPT 70491 | $2,194.80 | $3,658.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $1,852.20 | $3,087.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,436.80 | $5,728.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $4,032.00 | $6,720.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,647.80 | $4,413.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $3,354.00 | $5,590.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $174.00 | $290.00 | not published | 0 |
| CT scan for localization CPT 77011 | $2,222.40 | $3,704.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,493.80 | $5,823.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,449.60 | $7,416.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,295.00 | $3,825.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $2,857.20 | $4,762.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $1,689.00 | $2,815.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $313.20 | $522.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $1,191.00 | $1,985.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $3,019.80 | $5,033.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,824.60 | $3,041.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $991.80 | $1,653.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $4,611.68 | $7,686.13 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $133.80 | $223.00 | not published | 0 |
| Culture afb any source CPT 87116 | $197.40 | $329.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $148.80 | $248.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $420.60 | $701.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $22.80 | $38.00 | not published | 0 |
| Culture body fluid CPT 87070 | $240.60 | $401.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $246.00 | $410.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $112.80 | $188.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $216.60 | $361.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $74.40 | $124.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $300.00 | $500.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $172.20 | $287.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $136.20 | $227.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $73.20 | $122.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $832.80 | $1,388.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $135.00 | $225.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $94.80 | $158.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $18,672.89 | $31,121.48 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,462.20 | $2,437.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $45.00 | $75.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $121.20 | $202.00 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $129.07 | $215.11 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $226.80 | $378.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $33.23 | $55.39 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $171.65 | $286.09 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $23,537.25 | $39,228.75 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $76,213.88 | $127,023.13 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $550.80 | $918.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $524.40 | $874.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $524.40 | $874.00 | not published | 0 |
| Cystatin c CPT 82610 | $130.80 | $218.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $74.40 | $124.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $843.00 | $1,405.00 | not published | 0 |
| Cysto rx balo cath urtl strx CPT 52284 | $29,676.53 | $49,460.88 | $5,379.33 – $5,486.91 | 3 |
| Cystoscopy and treatment CPT 52214 | $9,343.13 | $15,571.88 | $3,536.51 – $3,536.51 | 2 |
| Cystoscopy and treatment CPT 52234 | $21,365.17 | $35,608.62 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy and treatment CPT 52235 | $14,407.52 | $24,012.53 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy and treatment CPT 52240 | $18,839.16 | $31,398.60 | $5,379.33 – $5,486.91 | 3 |
| Cystoscopy and treatment CPT 52260 | $7,893.78 | $13,156.30 | $2,097.22 – $2,139.16 | 3 |
| Cystoscopy and treatment CPT 52276 | $9,909.60 | $16,516.00 | $2,097.22 – $2,139.16 | 3 |
| Cystoscopy and treatment CPT 52283 | $9,459.11 | $15,765.18 | $2,097.22 – $2,139.16 | 3 |
| Cystoscopy and treatment CPT 52310 | $11,190.59 | $18,650.98 | $2,097.22 – $2,139.16 | 3 |
| Cystoscopy and treatment CPT 52315 | $1,546.20 | $2,577.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $11,400.05 | $19,000.08 | $699.58 – $699.58 | 2 |
| Cystoscopy chemodenervation CPT 52287 | $14,889.10 | $24,815.17 | $3,536.51 – $3,607.24 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | $13,693.43 | $22,822.38 | $2,097.22 – $2,139.16 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | $15,974.59 | $26,624.32 | $3,536.51 – $3,607.24 | 3 |
| Cystouretero w/biopsy CPT 52354 | $23,700.70 | $39,501.17 | $5,379.33 – $5,486.91 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | $33,116.50 | $55,194.17 | $5,379.33 – $5,486.91 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | $25,383.26 | $42,305.43 | $5,379.33 – $5,486.91 | 3 |
| Cystouretero w/stone remove CPT 52352 | $18,160.51 | $30,267.52 | $3,536.51 – $3,607.24 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $15,372.97 | $25,621.62 | $2,097.22 – $2,139.16 | 3 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $17,188.23 | $28,647.05 | $3,536.51 – $3,607.24 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | $42,955.24 | $71,592.07 | $3.28 – $68.67 | 3 |
| Cystourethro w/implant CPT 52441 | $42,955.24 | $71,592.07 | $3.28 – $257.01 | 3 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $99.98 | $166.63 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $1,837.80 | $3,063.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $158.40 | $264.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $162.00 | $270.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $544.20 | $907.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $67.80 | $113.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $152.40 | $254.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $80.40 | $134.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $105.60 | $176.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $187.80 | $313.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $423.00 | $705.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $93.60 | $156.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $113.40 | $189.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $8,433.08 | $14,055.13 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $142.20 | $237.00 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $52,013.58 | $86,689.30 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,343.80 | $30,573.00 | not published | 0 |
| D&c after delivery 59160 CPT 59160 | $7,499.25 | $12,498.75 | $3,247.71 – $3,312.66 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $11,830.10 | $19,716.83 | $6,065.29 – $6,186.60 | 3 |
| Dch pulmonary stress test CPT 94621 | $942.00 | $1,570.00 | not published | 0 |
| Dch validity tests CPT 81002 | $51.00 | $85.00 | not published | 0 |
| Dcmprn plantar digital nerve CPT 64726 | $40,168.73 | $66,947.88 | $3,282.70 – $3,348.35 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $40.20 | $67.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $1,210.80 | $2,018.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $307.80 | $513.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $32,245.31 | $53,742.18 | $1,657.00 – $1,690.14 | 3 |
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.