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 |
|---|---|---|---|---|
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $403.80 | $673.00 | not published | 0 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $2,000.40 | $3,334.00 | not published | 0 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $475.80 | $793.00 | not published | 0 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $501.00 | $835.00 | not published | 0 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $480.00 | $800.00 | not published | 0 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $5,535.47 | $9,225.78 | not published | 0 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $2,370.00 | $3,950.00 | not published | 0 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $4,485.37 | $7,475.62 | not published | 0 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,385.40 | $2,309.00 | not published | 0 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $224.40 | $374.00 | not published | 0 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $0.01 | $0.01 | not published | 0 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $0.01 | $0.01 | not published | 0 |
| Inj. acthar gel to 40 units HCPCS J0801 | $42,540.46 | $70,900.76 | not published | 0 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $22.80 | $38.00 | not published | 0 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $0.01 | $0.01 | not published | 0 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $27,715.02 | $46,191.70 | not published | 0 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | $45.00 | $75.00 | not published | 0 |
| Inj, bupivacaine liposome HCPCS J0666 | $769.29 | $1,282.15 | not published | 0 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $46.94 | $78.23 | not published | 0 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $78.45 | $130.75 | not published | 0 |
| Inj, clindamycin (baxter) HCPCS J0737 | $116.67 | $194.45 | not published | 0 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | $2,309.84 | $3,849.74 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $4,753.20 | $7,922.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,068.60 | $1,781.00 | not published | 0 |
| Injection, cangrelor HCPCS C9460 | $8,950.73 | $14,917.88 | not published | 0 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $40,629.77 | $67,716.28 | not published | 0 |
| Injection, doxercalciferol HCPCS J1270 | $45.00 | $75.00 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $1,968.00 | $3,280.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | $6,151.57 | $10,252.62 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $2,190.00 | $3,650.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $688.20 | $1,147.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $2,662.20 | $4,437.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $772.20 | $1,287.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,279.20 | $2,132.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | $4,770.07 | $7,950.11 | not published | 0 |
| Injection glatiramer acetate HCPCS J1595 | $1,124.02 | $1,873.36 | not published | 0 |
| Injection of sinus tract CPT 20500 | $990.60 | $1,651.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,085.74 | $5,142.90 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $34,096.81 | $56,828.02 | $6,661.88 – $6,795.12 | 3 |
| Injection, renflexis HCPCS Q5104 | $113.40 | $189.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,692.00 | $2,820.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,428.60 | $2,381.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,544.60 | $4,241.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $307.20 | $512.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $967.20 | $1,612.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $555.00 | $925.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,481.60 | $4,136.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,284.40 | $5,474.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,530.40 | $5,884.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $36,890.71 | $61,484.52 | $307.96 – $314.11 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $226.80 | $378.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $226.80 | $378.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $259.20 | $432.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $168.00 | $280.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $396.00 | $660.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $148.20 | $247.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,723.20 | $2,872.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $3,445.20 | $5,742.00 | not published | 0 |
| Inj herzuma 10 mg HCPCS Q5113 | $15,026.17 | $25,043.62 | not published | 0 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $171.00 | $285.00 | not published | 0 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $45.00 | $75.00 | not published | 0 |
| Inj ivig privigen 500 mg HCPCS J1459 | $18,188.33 | $30,313.88 | not published | 0 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $379.06 | $631.76 | not published | 0 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $1,076.02 | $1,793.37 | not published | 0 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $210.09 | $350.15 | not published | 0 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $1,407.60 | $2,346.00 | not published | 0 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $45.00 | $75.00 | not published | 0 |
| Inj multihance HCPCS A9577 | $337.95 | $563.25 | not published | 0 |
| Inj. mycophenolate mofetil HCPCS J7519 | $965.33 | $1,608.88 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $5,178.00 | $8,630.00 | not published | 0 |
| Inj ogivri 10 mg HCPCS Q5114 | $12,915.25 | $21,525.41 | not published | 0 |
| Inj ontruzant 10 mg HCPCS Q5112 | $18,248.48 | $30,414.13 | not published | 0 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $2,238.60 | $3,731.00 | not published | 0 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | $4,875.43 | $8,125.71 | not published | 0 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $0.01 | $0.01 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $775.80 | $1,293.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $2,300.40 | $3,834.00 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,205.86 | $2,009.76 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $1,065.75 | $1,776.25 | not published | 0 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $54,056.85 | $90,094.75 | not published | 0 |
| Inj testosterone cypionate HCPCS J1071 | $53.17 | $88.62 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,407.60 | $2,346.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $756.00 | $1,260.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $174.60 | $291.00 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $9,282.82 | $15,471.36 | not published | 0 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $3,332.81 | $5,554.68 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $3,844.42 | $6,407.36 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $296.40 | $494.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $6,693.00 | $11,155.00 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $64,801.14 | $108,001.90 | $3,167.80 – $3,231.16 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,228.20 | $12,047.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $600.60 | $1,001.00 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $2,481.60 | $4,136.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $1,557.00 | $2,595.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $1,452.00 | $2,420.00 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $6,738.74 | $11,231.23 | $133.48 – $136.15 | 3 |
| Insert hepatic shunt (tips) CPT 37182 | $12,355.20 | $20,592.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $20,777.42 | $34,629.03 | $3,247.71 – $3,312.66 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $118.20 | $197.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $133.80 | $223.00 | 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.