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 |
|---|---|---|---|---|
| Factor viii recombinant nos HCPCS J7192 | $11,520.10 | $19,200.16 | not published | 0 |
| Fallopian tube recnl CPT 58345 | $5,911.20 | $9,852.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $271.80 | $453.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $353.40 | $589.00 | not published | 0 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $45.00 | $75.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $33.60 | $56.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $600.00 | $1,000.00 | not published | 0 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $2,231.33 | $3,718.89 | not published | 0 |
| #fecal-sodium CPT 84302 | $32.40 | $54.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $68.40 | $114.00 | not published | 0 |
| Femoral lgth sock fx or equa HCPCS L2850 | $254.47 | $424.11 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $125,264.16 | $208,773.60 | $470.28 – $18,391.57 | 3 |
| Feno poc CPT 95012 | $150.00 | $250.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $279.38 | $465.63 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $6,980.11 | $11,633.51 | not published | 0 |
| Ferritin CPT 82728 | $178.80 | $298.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,566.00 | $2,610.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $694.80 | $1,158.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $759.60 | $1,266.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | $156.60 | $261.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $559.20 | $932.00 | not published | 0 |
| Fetal fluid drainage w/us CPT 59074 | $172.20 | $287.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $133.80 | $223.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $42.00 | $70.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $767.40 | $1,279.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $199.20 | $332.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $49.20 | $82.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $183.00 | $305.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $51.00 | $85.00 | not published | 0 |
| Fibrinolytic antiplasmin CPT 85410 | $203.40 | $339.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $483.00 | $805.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85421 | $196.80 | $328.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $178.80 | $298.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $3,132.58 | $5,220.96 | not published | 0 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,300.47 | $2,167.45 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $78,261.35 | $130,435.59 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $10,832.36 | $18,053.94 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,887.00 | $3,145.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $818.40 | $1,364.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $141.00 | $235.00 | not published | 0 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $11,993.64 | $19,989.40 | not published | 0 |
| Fixation of knee joint CPT 27570 | $6,667.73 | $11,112.88 | $1,613.25 – $1,645.51 | 3 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $18,312.68 | $30,521.13 | $3,282.70 – $3,348.35 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $68.40 | $114.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $651.60 | $1,086.00 | not published | 0 |
| Flexible Sigmoidoscopy CPT 45330 | $3,649.20 | $6,082.00 | $933.00 – $951.66 | 3 |
| Flex thermoplastic collar mo HCPCS L0130 | $812.30 | $1,353.83 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $7,140.00 | $11,900.00 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $10,638.18 | $17,730.30 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $113.40 | $189.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $1,344.00 | $2,240.00 | not published | 0 |
| Floweramniopatch, per sq cm HCPCS Q4178 | $13,386.42 | $22,310.70 | not published | 0 |
| Flt3 gene CPT 81245 | $235.80 | $393.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $341.40 | $569.00 | not published | 0 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $185.95 | $309.92 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $541.20 | $902.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $421.20 | $702.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $9,691.50 | $16,152.50 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $995.40 | $1,659.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $954.00 | $1,590.00 | not published | 0 |
| Fluoroscopy up to 1 hour CPT 76000 | $1,035.00 | $1,725.00 | not published | 0 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $144.16 | $240.26 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $85.86 | $143.10 | not published | 0 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $166,320.00 | $277,200.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $3,196.80 | $5,328.00 | not published | 0 |
| Folic acid CPT 82746 | $84.60 | $141.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $45.00 | $75.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $6,207.60 | $10,346.00 | not published | 0 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $15,480.60 | $25,801.00 | not published | 0 |
| Fondaparinux sodium HCPCS J1652 | $519.41 | $865.69 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $948.19 | $1,580.31 | not published | 0 |
| Foot arch supp premold metat HCPCS L3050 | $221.98 | $369.97 | not published | 0 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $162.46 | $270.77 | not published | 0 |
| Foot external keel sach foot HCPCS L5970 | $961.21 | $1,602.01 | not published | 0 |
| Foot insert plastazote or eq HCPCS L3002 | $761.66 | $1,269.44 | not published | 0 |
| Foot insert remov molded spe HCPCS L3001 | $623.79 | $1,039.65 | not published | 0 |
| Foot insert silicone gel eac HCPCS L3003 | $821.66 | $1,369.43 | not published | 0 |
| Foot lamin/prepreg composite HCPCS L3031 | $577.55 | $962.59 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $239.87 | $399.78 | not published | 0 |
| Foot plate molded stirrup at HCPCS L2250 | $1,575.27 | $2,625.45 | not published | 0 |
| Foot X-ray CPT 73630 | $890.40 | $1,484.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $3,889.82 | $6,483.03 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $2,804.07 | $4,673.45 | not published | 0 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $15,152.59 | $25,254.32 | $1,657.00 – $1,690.14 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $179.40 | $299.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $308.10 | $513.50 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $45.86 | $76.44 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $11,907.93 | $19,846.55 | $3,536.51 – $3,607.24 | 3 |
| Fructosamine glycated protein CPT 82985 | $87.00 | $145.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,481.48 | $2,469.14 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $257.92 | $429.86 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $18,003.23 | $30,005.38 | $2,070.03 – $2,111.43 | 3 |
| Furnsh initial orthosis only HCPCS L1200 | $8,439.41 | $14,065.69 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $45.00 | $75.00 | not published | 0 |
| Fusion of ankle joint open CPT 27870 | $51,219.61 | $85,366.02 | $12,880.66 – $13,138.27 | 3 |
| Fusion of big toe joint CPT 28750 | $48,507.05 | $80,845.08 | $7,279.94 – $7,425.54 | 3 |
| Fusion of finger joint CPT 26860 | $30,689.18 | $51,148.63 | $3,282.70 – $3,348.35 | 3 |
| Fusion of foot bones CPT 28730 | $173,922.28 | $289,870.47 | $12,880.66 – $13,138.27 | 3 |
| Fusion of foot bones CPT 28735 | $144,641.45 | $241,069.08 | $12,880.66 – $13,138.27 | 3 |
| Fusion of foot bones CPT 28740 | $100,283.18 | $167,138.63 | $12,880.66 – $13,138.27 | 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.