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 |
|---|---|---|---|---|
| Fusion of knuckle CPT 26850 | $27,839.86 | $46,399.77 | $7,279.94 – $7,425.54 | 3 |
| Fusion of knuckle with graft CPT 26852 | $29,191.33 | $48,652.22 | $7,279.94 – $7,425.54 | 3 |
| G6pd full gene sequence CPT 81249 | $1,890.00 | $3,150.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $21,300.00 | $35,500.00 | not published | 0 |
| Gabapentin non-blood CPT 80355 | $124.20 | $207.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1,175.66 | $1,959.43 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $4,145.25 | $6,908.75 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $565.88 | $943.13 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,064.70 | $1,774.50 | not published | 0 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $18,313.08 | $30,521.80 | $6,065.29 – $6,186.60 | 3 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $10,977.12 | $18,295.20 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $10,848.60 | $18,081.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $133.80 | $223.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $164.40 | $274.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $112.80 | $188.00 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $14,100.55 | $23,500.92 | not published | 0 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $611.50 | $1,019.16 | not published | 0 |
| Gastric mucosa imaging CPT 78261 | $236.40 | $394.00 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $90.00 | $150.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $203,565.83 | $339,276.38 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $154,822.80 | $258,038.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $183,067.50 | $305,112.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $8,098.80 | $13,498.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $115,071.00 | $191,785.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $3,082.80 | $5,138.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $3,082.80 | $5,138.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $45.00 | $75.00 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $171.00 | $285.00 | not published | 0 |
| G-esoph reflx tst w/electrod CPT 91035 | $8,671.10 | $14,451.83 | $861.55 – $878.78 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $10,588.26 | $17,647.10 | $2,784.74 – $2,840.43 | 3 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $54.00 | $90.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $855.00 | $1,425.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $80.40 | $134.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $388.80 | $648.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $790.80 | $1,318.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,779.20 | $4,632.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $7,000.20 | $11,667.00 | $250.67 – $255.68 | 3 |
| Ghs chemo IV push, ea addtl CPT 96411 | $336.60 | $561.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $180.60 | $301.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $172.80 | $288.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $172.80 | $288.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,195.80 | $1,993.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,195.80 | $1,993.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $13,093.24 | $21,822.07 | $3,555.31 – $3,626.42 | 3 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $431.40 | $719.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,195.80 | $1,993.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,195.80 | $1,993.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $172.80 | $288.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $172.80 | $288.00 | not published | 0 |
| Ghs community re-entry 15 minutes CPT 97537 | $61.20 | $102.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $315.60 | $526.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $97.20 | $162.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $433.80 | $723.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $97.20 | $162.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $174.00 | $290.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $172.80 | $288.00 | not published | 0 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $237.00 | $395.00 | not published | 0 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $294.60 | $491.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $311.40 | $519.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $221.40 | $369.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $7,045.43 | $11,742.38 | $1,657.00 – $1,690.14 | 3 |
| Ghs fb removal - non-incisional CPT 20520 | $1,249.20 | $2,082.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $164.40 | $274.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $349.80 | $583.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $893.40 | $1,489.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $229.20 | $382.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $359.40 | $599.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $136.80 | $228.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,546.20 | $2,577.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $12,494.47 | $20,824.12 | $1,200.55 – $1,224.56 | 3 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,421.40 | $2,369.00 | $710.45 – $724.66 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $7,653.48 | $12,755.80 | $710.45 – $724.66 | 3 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $850.80 | $1,418.00 | not published | 0 |
| Ghs inf midline insertion CPT 36140 | $2,152.80 | $3,588.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $38.40 | $64.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $150.60 | $251.00 | not published | 0 |
| Ghs inj tendon origin/insertion CPT 20551 | $549.60 | $916.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $352.20 | $587.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $179.40 | $299.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $482.40 | $804.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $315.60 | $526.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $9,032.39 | $15,053.98 | $1,657.00 – $1,690.14 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $7,081.80 | $11,803.00 | $1,657.00 – $1,690.14 | 3 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $11,876.03 | $19,793.38 | $407.84 – $416.00 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $6,691.20 | $11,152.00 | $1,657.00 – $1,690.14 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $10,129.72 | $16,882.87 | $1,657.00 – $1,690.14 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,108.80 | $1,848.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $155.40 | $259.00 | not published | 0 |
| Ghs mbp CPT 83873 | $186.00 | $310.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $462.00 | $770.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $462.00 | $770.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $499.20 | $832.00 | 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.