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 |
|---|---|---|---|---|
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $9,329.35 | $15,548.92 | $1,657.00 – $1,690.14 | 2 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $7,082.93 | $11,804.88 | $710.45 – $724.66 | 3 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $10,821.23 | $18,035.38 | $1,657.00 – $1,690.14 | 3 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $10,205.26 | $17,008.77 | $2,914.21 – $2,972.50 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $13,607.21 | $22,678.68 | $1,657.00 – $1,690.14 | 3 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $30,287.29 | $50,478.82 | $710.45 – $724.66 | 3 |
| Exc excessive skin buttock CPT 15835 | $58,034.35 | $96,723.92 | $6,661.88 – $6,795.12 | 3 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $11,627.01 | $19,378.35 | $2,914.21 – $2,972.50 | 3 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $13,639.76 | $22,732.93 | $710.45 – $724.66 | 3 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $14,136.35 | $23,560.58 | $3,282.70 – $3,348.35 | 3 |
| Exc forearm les sc 3 cm/> CPT 25071 | $12,232.88 | $20,388.13 | $1,657.00 – $1,690.14 | 3 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $13,234.63 | $22,057.72 | $2,914.21 – $2,972.50 | 3 |
| Exc hand les sc < 1.5 cm CPT 26115 | $8,775.20 | $14,625.33 | $1,657.00 – $1,690.14 | 3 |
| Exchange biliary drg cath CPT 47536 | $6,201.60 | $10,336.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $2,684.40 | $4,474.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $31,342.71 | $52,237.85 | $2,097.22 – $2,139.16 | 3 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $16,506.73 | $27,511.22 | $4,006.80 – $4,006.80 | 1 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $15,298.89 | $25,498.15 | $2,914.21 – $2,972.50 | 3 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $10,901.98 | $18,169.97 | $2,914.21 – $2,972.50 | 3 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $10,784.77 | $17,974.62 | $2,914.21 – $2,972.50 | 3 |
| Excise anal ext tag/papilla CPT 46220 | $13,955.56 | $23,259.27 | $1,200.55 – $1,224.56 | 3 |
| Excise intrspinl lesion lmbr CPT 63267 | $50,882.72 | $84,804.53 | $7,279.94 – $7,425.54 | 2 |
| Excise parotid gland/lesion CPT 42415 | $33,681.93 | $56,136.55 | $5,939.19 – $6,057.97 | 3 |
| Excision addl breast lesion 19126 CPT 19126 | $8,443.35 | $14,072.25 | $3,928.24 – $4,006.80 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $19,338.60 | $32,231.00 | $710.45 – $724.66 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $9,365.92 | $15,609.87 | $1,657.00 – $1,690.14 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $8,292.81 | $13,821.35 | $710.45 – $724.66 | 3 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $30,710.87 | $51,184.78 | $1,657.00 – $1,690.14 | 3 |
| Excision breast lesion CPT 19125 | $43,954.51 | $73,257.52 | $3,928.24 – $4,006.80 | 3 |
| Excision hand/finger tendon CPT 26415 | $103,931.30 | $173,218.83 | $12,880.66 – $13,138.27 | 3 |
| Excision lesion mouth roof CPT 42106 | $10,627.79 | $17,712.98 | $3,326.30 – $3,392.83 | 3 |
| Excision of anal lesion(s) CPT 46922 | $13,288.21 | $22,147.02 | $2,784.74 – $2,784.74 | 2 |
| Excision of gum lesion 41825 CPT 41825 | $19,338.60 | $32,231.00 | $3,326.30 – $3,392.83 | 3 |
| Excision of umbilicus 49250 CPT 49250 | $6,648.32 | $11,080.53 | $3,592.11 – $3,663.95 | 3 |
| Excision olecranon bursa CPT 24105 | $9,121.40 | $15,202.33 | $3,282.70 – $3,348.35 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $14,913.91 | $24,856.52 | $1,657.00 – $1,690.14 | 3 |
| Excis partial tal calc CPT 28120 | $239,653.20 | $399,422.00 | $3,282.70 – $3,348.35 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $10,319.81 | $17,199.68 | $2,914.21 – $2,972.50 | 3 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $18,351.64 | $30,586.07 | $710.45 – $724.66 | 3 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $13,570.05 | $22,616.75 | $1,657.00 – $1,690.14 | 2 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $7,862.98 | $13,104.97 | $710.45 – $724.66 | 3 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $7,491.11 | $12,485.18 | $407.84 – $416.00 | 3 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $20,596.64 | $34,327.73 | $710.45 – $724.66 | 2 |
| Exc mandible 21025 CPT 21025 | $18,991.43 | $31,652.38 | $5,939.19 – $6,057.97 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | $10,723.28 | $17,872.13 | $2,914.21 – $2,972.50 | 3 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | $22,535.83 | $37,559.72 | $6,065.29 – $6,186.60 | 3 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $19,886.02 | $33,143.37 | not published | 0 |
| Exc prtl bn phlnx toe CPT 28124 | $40,168.73 | $66,947.88 | $3,282.70 – $3,348.35 | 3 |
| Exc rect tum transanal full CPT 45172 | $19,223.53 | $32,039.22 | $2,784.74 – $2,840.43 | 3 |
| Exc rect tum transanal part CPT 45171 | $17,149.21 | $28,582.02 | $2,784.74 – $2,840.43 | 3 |
| Exc skn hdrdnt ax complex CPT 11451 | $43,209.24 | $72,015.40 | $2,914.21 – $2,972.50 | 3 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $14,057.33 | $23,428.88 | $2,914.21 – $2,914.21 | 1 |
| Exc skn hdrdnt ing complex CPT 11463 | $98,214.01 | $163,690.02 | $2,914.21 – $2,914.21 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $9,454.48 | $15,757.47 | $710.45 – $710.45 | 2 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $6,988.06 | $11,646.77 | $1,657.00 – $1,690.14 | 3 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $13,893.84 | $23,156.40 | $2,914.21 – $2,972.50 | 3 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $13,893.84 | $23,156.40 | $1,657.00 – $1,690.14 | 3 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | $25,136.51 | $41,894.18 | $3,282.70 – $3,348.35 | 3 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $3,971.25 | $6,618.75 | $2,914.21 – $2,972.50 | 3 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $72,620.63 | $121,034.38 | $1,657.00 – $1,690.14 | 3 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $16,848.71 | $28,081.18 | $2,914.21 – $2,972.50 | 3 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $14,077.37 | $23,462.28 | $2,914.21 – $2,972.50 | 3 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $3,647.74 | $6,079.57 | $1,613.25 – $1,645.51 | 3 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $18,253.22 | $30,422.03 | $1,657.00 – $1,690.14 | 3 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | $18,341.41 | $30,569.02 | $2,914.21 – $2,914.21 | 2 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $12,362.26 | $20,603.77 | $1,200.55 – $1,224.56 | 3 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $12,397.91 | $20,663.18 | $1,657.00 – $1,690.14 | 3 |
| Exome sequence analysis CPT 81415 | $16,600.80 | $27,668.00 | not published | 0 |
| Exome sequence analysis CPT 81416 | $41,674.80 | $69,458.00 | not published | 0 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $7,798.80 | $12,998.00 | $3,326.30 – $3,392.83 | 3 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $11,402.49 | $19,004.15 | not published | 0 |
| Exploration maxillary sinus CPT 31256 | $34,189.90 | $56,983.17 | $7,080.53 – $7,222.14 | 3 |
| Exploration of ankle joint CPT 27612 | $52,922.68 | $88,204.47 | $7,279.94 – $7,425.54 | 3 |
| Exploration of toe joint CPT 28024 | $1,195.80 | $1,993.00 | not published | 0 |
| Explore inner ear CPT 69806 | $22,430.23 | $37,383.72 | $5,939.19 – $6,057.97 | 3 |
| Explore parathyroid glands CPT 60500 | $28,940.17 | $48,233.62 | $5,939.19 – $6,057.97 | 3 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $1,250.40 | $2,084.00 | not published | 0 |
| Explore/treat finger joint CPT 26080 | $1,195.80 | $1,993.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $10,443.31 | $17,405.52 | $1,657.00 – $1,690.14 | 3 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $241.80 | $403.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $241.80 | $403.00 | not published | 0 |
| Extended steel shank HCPCS L2360 | $243.17 | $405.28 | not published | 0 |
| Extension per extension per HCPCS L2760 | $267.96 | $446.60 | not published | 0 |
| Extensive ear canal surgery 69150 CPT 69150 | $21,151.99 | $35,253.32 | $5,939.19 – $6,057.97 | 3 |
| External chromosome analysis 20-25 cells CPT 88264 | $652.80 | $1,088.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $41.40 | $69.00 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $841.80 | $1,403.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $130.80 | $218.00 | not published | 0 |
| Extraction erupted tooth/exr HCPCS D7140 | $15,023.40 | $25,039.00 | $648.60 – $661.57 | 3 |
| Extraction of lens 66920 CPT 66920 | $30,390.19 | $50,650.32 | $2,315.37 – $2,361.68 | 3 |
| Eye implant band 40 HCPCS C1784 | $7,454.93 | $12,424.88 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $748.20 | $1,247.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $6,312.60 | $10,521.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $863.40 | $1,439.00 | not published | 0 |
| Facial bones <3 CPT 70140 | $140.40 | $234.00 | not published | 0 |
| Facility svs dental rehab HCPCS G0330 | $14,738.78 | $24,564.63 | $3,326.30 – $3,392.83 | 3 |
| Factor ix CPT 85250 | $123.00 | $205.00 | not published | 0 |
| Factor ix recombinan rixubis HCPCS J7200 | $8,769.00 | $14,615.00 | not published | 0 |
| Factor ix recombinant nos HCPCS J7195 | $8,247.60 | $13,746.00 | not published | 0 |
| Factor viii CPT 85240 | $316.20 | $527.00 | 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.