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 |
|---|---|---|---|---|
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,936.60 | $26,561.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $25,551.60 | $42,586.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $25,643.40 | $42,739.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $12,281.62 | $20,469.37 | $202.83 – $206.89 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $136.80 | $228.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $136.80 | $228.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $62.40 | $104.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,822.60 | $6,371.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $2,323.13 | $3,871.88 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,597.03 | $2,661.71 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $2,196.23 | $3,660.39 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $201.00 | $335.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43261 | $28,596.45 | $47,660.75 | $3,868.08 – $3,945.44 | 3 |
| Endo cholangiopancreatograph CPT 43262 | $11,188.49 | $18,647.48 | $3,868.08 – $3,945.44 | 3 |
| Endo knee-shin frct swg & st HCPCS L5812 | $2,475.07 | $4,125.12 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $3,193.22 | $5,322.03 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $3,306.60 | $5,511.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $1,986.60 | $3,311.00 | not published | 0 |
| Endoscopic injection/implant CPT 51715 | $18,451.35 | $30,752.25 | $3,536.51 – $3,607.24 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | $18,463.71 | $30,772.85 | $6,090.75 – $6,212.56 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $4,065.60 | $6,776.00 | $1,925.18 – $1,963.69 | 3 |
| Endoscopy bowel pouch/biop CPT 44386 | $3,766.80 | $6,278.00 | $933.00 – $951.66 | 3 |
| Endoscopy maxillary sinus CPT 31267 | $24,651.86 | $41,086.43 | $5,939.19 – $6,057.97 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $440.40 | $734.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,333.20 | $2,222.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $16,214.55 | $27,024.25 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $2,186.92 | $3,644.87 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $20,730.42 | $34,550.70 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $888.43 | $1,480.72 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $2,146.49 | $3,577.49 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $612.86 | $1,021.43 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $25,783.20 | $42,972.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $34,473.00 | $57,455.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,403.40 | $2,339.00 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $7,713.00 | $12,855.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $122.84 | $204.73 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $45.00 | $75.00 | not published | 0 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,266.77 | $2,111.28 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,091.29 | $3,485.48 | not published | 0 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $5,067.06 | $8,445.10 | not published | 0 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $494.03 | $823.38 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $135.60 | $226.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $127.20 | $212.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $153.00 | $255.00 | not published | 0 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $23,046.02 | $38,410.03 | $6,090.75 – $6,212.56 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | $23,729.87 | $39,549.78 | $3,868.08 – $3,945.44 | 3 |
| Ercp lithotripsy calculi CPT 43265 | $17,449.69 | $29,082.82 | $6,090.75 – $6,212.56 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | $11,188.49 | $18,647.48 | $6,090.75 – $6,212.56 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | $18,463.71 | $30,772.85 | $3,868.08 – $3,945.44 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | $12,953.76 | $21,589.60 | $6,090.75 – $6,212.56 | 3 |
| Ercp w/specimen collection CPT 43260 | $12,552.11 | $20,920.18 | $3,868.08 – $3,945.44 | 3 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $6,937.20 | $11,562.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $126.02 | $210.04 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $387.00 | $645.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $1,398.00 | $2,330.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $2,173.80 | $3,623.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $2,848.20 | $4,747.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $4,865.07 | $8,108.45 | $597.48 – $609.43 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $755.75 | $1,259.58 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $831.42 | $1,385.70 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $45.00 | $75.00 | not published | 0 |
| Esophagosc flex trnsn biopsy CPT 43198 | $4,605.38 | $7,675.63 | $909.95 – $928.15 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | $2,605.80 | $4,343.00 | $1,925.18 – $1,963.69 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | $1,452.00 | $2,420.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $3,798.60 | $6,331.00 | $909.95 – $928.15 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | $1,452.00 | $2,420.00 | not published | 0 |
| Esophagoscopy lesion ablate CPT 43229 | $18,815.27 | $31,358.78 | $3,868.08 – $3,945.44 | 3 |
| Esophagus motility study CPT 91010 | $7,827.44 | $13,045.73 | $374.38 – $381.87 | 3 |
| Esoph balloon distension tst CPT 91040 | $12,540.23 | $20,900.38 | $374.38 – $381.87 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | $6,080.41 | $10,134.02 | $1,925.18 – $1,963.69 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $200.40 | $334.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $229.80 | $383.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $268.20 | $447.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $294.00 | $490.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $408.60 | $681.00 | not published | 0 |
| Estradiol total CPT 82670 | $240.00 | $400.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $123.00 | $205.00 | not published | 0 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $90.00 | $150.00 | not published | 0 |
| Etoposide 50 mg cap HCPCS J8560 | $812.74 | $1,354.56 | not published | 0 |
| Euglobulin lysis CPT 85360 | $49.80 | $83.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $321.60 | $536.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $247.20 | $412.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $855.60 | $1,426.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $4,968.00 | $8,280.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $5,161.20 | $8,602.00 | not published | 0 |
| Event monitor CPT 93270 | $893.40 | $1,489.00 | not published | 0 |
| Evoked potential visual not glaucoma CPT 95930 | $197.40 | $329.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $5,827.77 | $9,712.95 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $3,361.33 | $5,602.21 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $201.60 | $336.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $10,097.30 | $16,828.83 | $3,247.71 – $3,312.66 | 3 |
| Exc abd les sc 3 cm/> CPT 22903 | $11,065.22 | $18,442.03 | $2,914.21 – $2,972.50 | 3 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $10,892.87 | $18,154.78 | $2,914.21 – $2,972.50 | 3 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $18,253.22 | $30,422.03 | $1,657.00 – $1,690.14 | 3 |
| Exc back tum deep 5 cm/> CPT 21933 | $12,789.76 | $21,316.27 | $2,914.21 – $2,972.50 | 3 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $12,497.05 | $20,828.42 | $2,914.21 – $2,914.21 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $7,471.98 | $12,453.30 | $1,657.00 – $1,690.14 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $8,560.54 | $14,267.57 | $710.45 – $724.66 | 3 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $11,876.03 | $19,793.38 | $710.45 – $724.66 | 3 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $11,359.52 | $18,932.53 | $710.45 – $710.45 | 1 |
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.