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 |
|---|---|---|---|---|
| Hysteroscopy biopsy CPT 58558 | $17,202.52 | $28,670.87 | $3,247.71 – $3,312.66 | 3 |
| Hysteroscopy remove fb CPT 58562 | $11,857.21 | $19,762.02 | $3,247.71 – $3,312.66 | 3 |
| Hysteroscopy remove myoma CPT 58561 | $21,315.67 | $35,526.12 | $5,018.81 – $5,119.18 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $4,309.80 | $7,183.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $4,309.80 | $7,183.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $256.20 | $427.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $137.40 | $229.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $64.80 | $108.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $334.80 | $558.00 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,080.94 | $1,801.56 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $153,619.79 | $256,032.98 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $149,069.25 | $248,448.75 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $120,301.50 | $200,502.50 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $142,144.07 | $236,906.78 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,371.80 | $3,953.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,153.40 | $3,589.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $285.61 | $476.01 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $1,030.20 | $1,717.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $667.20 | $1,112.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $202.80 | $338.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $874.20 | $1,457.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $320.40 | $534.00 | not published | 0 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,593.80 | $4,323.00 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $3,211.90 | $5,353.16 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $1,307.63 | $2,179.38 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,510.99 | $2,518.31 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $1,551.31 | $2,585.52 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | $183,268.76 | $305,447.93 | $8,200.11 – $8,200.11 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $235.20 | $392.00 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $193.80 | $323.00 | not published | 0 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $83.40 | $139.00 | not published | 0 |
| Immunofixation electrophoresis serum CPT 86334 | $235.80 | $393.00 | not published | 0 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $208.80 | $348.00 | not published | 0 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $310.20 | $517.00 | not published | 0 |
| Immunology procedure CPT 86849 | $106.20 | $177.00 | not published | 0 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $13,348.24 | $22,247.06 | not published | 0 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $9,714.29 | $16,190.49 | not published | 0 |
| Implant cochlear device CPT 69930 | $109,059.11 | $181,765.18 | $33,079.93 – $33,741.53 | 3 |
| Implant cochlear osia osi300 HCPCS L8690 | $65,381.25 | $108,968.75 | not published | 0 |
| Implant neuroelectrodes CPT 63655 | $157,635.12 | $262,725.20 | $30,958.59 – $31,577.76 | 3 |
| Implant neuroelectrodes CPT 64561 | $90,915.98 | $151,526.63 | $19,463.54 – $19,852.82 | 3 |
| Implant/replace hearing aid CPT 69710 | $45,985.43 | $76,642.38 | $8.61 – $8.78 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $10,722.53 | $17,870.88 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $19,370.48 | $32,284.13 | not published | 0 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $183,268.76 | $305,447.93 | $6,661.88 – $6,795.12 | 3 |
| Impl oi implt skull perq esp CPT 69714 | $44,825.63 | $74,709.38 | $12,880.66 – $13,138.27 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $994.20 | $1,657.00 | not published | 0 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,707.20 | $4,512.00 | not published | 0 |
| In-111 pentetreotide HCPCS A9572 | $1,057.80 | $1,763.00 | not published | 0 |
| Incise perq finger tendon 26060 CPT 26060 | $3,449.55 | $5,749.25 | $1,613.25 – $1,645.51 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $10,095.31 | $16,825.52 | $1,657.00 – $1,690.14 | 2 |
| Incision of achilles tendon CPT 27606 | $239,653.20 | $399,422.00 | $7,279.94 – $7,425.54 | 3 |
| Incision of anal sphincter CPT 46080 | $15,316.15 | $25,526.92 | $2,784.74 – $2,840.43 | 3 |
| Incision of breast lesion CPT 19020 | $1,250.40 | $2,084.00 | not published | 0 |
| Incision of burn scab initi CPT 16035 | $311.40 | $519.00 | not published | 0 |
| Incision of foot fascia CPT 28008 | $20,242.60 | $33,737.67 | $3,282.70 – $3,348.35 | 3 |
| Incision of foot tendon 28234 CPT 28234 | $3,039.00 | $5,065.00 | not published | 0 |
| Incision of heel bone CPT 28300 | $133,070.05 | $221,783.42 | $7,279.94 – $7,425.54 | 3 |
| Incision of metatarsal CPT 28306 | $36,850.49 | $61,417.48 | $7,279.94 – $7,425.54 | 3 |
| Incision of metatarsal CPT 28308 | $52,607.02 | $87,678.37 | $7,279.94 – $7,425.54 | 3 |
| Incision of midfoot bones CPT 28304 | $47,062.09 | $78,436.82 | $7,279.94 – $7,425.54 | 3 |
| Incision of toe tendons 28011 CPT 28011 | $3,039.00 | $5,065.00 | not published | 0 |
| Incision tendon sheath CPT 26055 | $8,355.50 | $13,925.83 | $1,613.25 – $1,645.51 | 3 |
| Incisn of toe tndn CPT 28010 | $3,039.00 | $5,065.00 | not published | 0 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $221.40 | $369.00 | not published | 0 |
| Infect ag drug suscept pheno predict CPT 87900 | $393.60 | $656.00 | not published | 0 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $810.60 | $1,351.00 | not published | 0 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $810.60 | $1,351.00 | not published | 0 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,484.40 | $2,474.00 | not published | 0 |
| Infect ag ia optc obs influenza CPT 87804 | $142.80 | $238.00 | not published | 0 |
| Infect ag if legionella pneumophila CPT 87278 | $162.00 | $270.00 | not published | 0 |
| Infect ag if pneumocystis carinii CPT 87281 | $72.00 | $120.00 | not published | 0 |
| Infect ag if varicella zoster CPT 87290 | $69.60 | $116.00 | not published | 0 |
| Infect ag na hpv high-risk types CPT 87624 | $121.80 | $203.00 | not published | 0 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $430.80 | $718.00 | not published | 0 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $80.40 | $134.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $331.20 | $552.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $134.40 | $224.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $116.40 | $194.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $104.40 | $174.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $170.40 | $284.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $148.20 | $247.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $156.60 | $261.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $306.60 | $511.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $190.80 | $318.00 | not published | 0 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $114.00 | $190.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $490.20 | $817.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $187.80 | $313.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $224.40 | $374.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,375.80 | $2,293.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $568.20 | $947.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $115.80 | $193.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $360.60 | $601.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $190.20 | $317.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.20 | $217.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $300.60 | $501.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $122.40 | $204.00 | not published | 0 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $183.00 | $305.00 | not published | 0 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $230.40 | $384.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $280.80 | $468.00 | 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.