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 |
|---|---|---|---|---|
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $73.31 | $122.18 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,967.40 | $3,279.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,352.60 | $3,921.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $21,785.03 | $36,308.39 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $24,583.35 | $40,972.25 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $138,085.20 | $230,142.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $135,993.00 | $226,655.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $57,535.50 | $95,892.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $3,844.42 | $6,407.36 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $71,014.45 | $118,357.41 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $62,488.78 | $104,147.97 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $4,098.98 | $6,831.64 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $38,807.86 | $64,679.77 | $3,282.70 – $3,348.35 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $40,052.29 | $66,753.82 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29873 | $15,664.03 | $26,106.72 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29875 | $15,664.03 | $26,106.72 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29876 | $28,717.98 | $47,863.30 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29879 | $28,717.98 | $47,863.30 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29880 | $17,907.43 | $29,845.72 | $3,282.70 – $3,348.35 | 3 |
| Knee arthroscopy/surgery CPT 29882 | $40,052.29 | $66,753.82 | $7,279.94 – $7,425.54 | 3 |
| Knee arthroscopy/surgery CPT 29888 | $43,547.75 | $72,579.58 | $7,279.94 – $7,425.54 | 3 |
| Knee control condylar pad HCPCS L2810 | $385.18 | $641.96 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $386.74 | $644.57 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $676.04 | $1,126.74 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $676.04 | $1,126.74 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $572.95 | $954.91 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $374.03 | $623.39 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $553.13 | $921.88 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $4,688.40 | $7,814.00 | not published | 0 |
| Knee MRI (with contrast) CPT 73722 | $3,628.80 | $6,048.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $2,225.40 | $3,709.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,387.97 | $2,313.28 | not published | 0 |
| Knee X-ray CPT 73564 | $1,069.80 | $1,783.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,712.54 | $4,520.90 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,712.54 | $4,520.90 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $4,435.00 | $7,391.66 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $380.31 | $633.85 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $629.18 | $1,048.63 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $4,231.52 | $7,052.54 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $5,880.76 | $9,801.26 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,343.56 | $2,239.26 | not published | 0 |
| Ko w/0 joint rigid molded to HCPCS L1834 | $3,771.19 | $6,285.32 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $5,517.92 | $9,196.53 | not published | 0 |
| Kras gene addl variants CPT 81276 | $640.20 | $1,067.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $2,574.60 | $4,291.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $508.19 | $846.99 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $733.21 | $1,222.02 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $45.00 | $75.00 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,731.50 | $2,885.84 | not published | 0 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $89.40 | $149.00 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $219.60 | $366.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $168.00 | $280.00 | not published | 0 |
| Lactic acid CPT 83605 | $161.40 | $269.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $200.40 | $334.00 | not published | 0 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $179,178.13 | $298,630.22 | $27,222.74 – $27,767.19 | 3 |
| Lam facetec & foramot lumbar CPT 63047 | $189,751.58 | $316,252.63 | $7,279.94 – $7,425.54 | 3 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $179,178.13 | $298,630.22 | $27,222.74 – $27,767.19 | 3 |
| Laminotomy single lumbar CPT 63042 | $53,521.01 | $89,201.68 | $7,279.94 – $7,425.54 | 2 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $45,323.88 | $75,539.80 | not published | 0 |
| Laparo cholecystectomy/graph CPT 47563 | $21,156.70 | $35,261.17 | $6,065.29 – $6,186.60 | 3 |
| Laparo-myomectomy complex CPT 58546 | $24,419.12 | $40,698.53 | $10,664.59 – $10,877.88 | 3 |
| Laparo partial nephrectomy CPT 50543 | $29,493.64 | $49,156.07 | $10,664.59 – $10,877.88 | 3 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $25,570.82 | $42,618.03 | $6,494.99 – $6,624.89 | 3 |
| Laparoscope proc rectum CPT 45499 | $14,087.15 | $23,478.58 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopic myomectomy CPT 58545 | $27,940.49 | $46,567.48 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy adrenalectomy CPT 60650 | $33,139.41 | $55,232.35 | $359.62 – $1,347.85 | 2 |
| Laparoscopy aspiration CPT 49322 | $17,642.78 | $29,404.63 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy biopsy CPT 49321 | $33,402.60 | $55,671.00 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopye procstom 43659 CPT 43659 | $21,998.00 | $36,663.33 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy excise lesions CPT 58662 | $27,466.37 | $45,777.28 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy fundoplasty CPT 43280 | $48,967.22 | $81,612.03 | $10,664.59 – $10,877.88 | 3 |
| Laparoscopy gastrostomy CPT 43653 | $12,520.11 | $20,866.85 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy lymphadenectomy CPT 38571 | $24,340.91 | $40,568.18 | $10,664.59 – $10,877.88 | 3 |
| Laparoscopy lymphadenectomy CPT 38572 | $23,556.92 | $39,261.53 | $10,664.59 – $10,877.88 | 3 |
| Laparoscopy lymph node biop CPT 38570 | $24,610.99 | $41,018.32 | $10,664.59 – $10,877.88 | 3 |
| Laparoscopy remove adnexa CPT 58661 | $27,679.12 | $46,131.87 | $6,065.29 – $6,186.60 | 3 |
| Laparoscopy surg colpopexy CPT 57425 | $31,606.44 | $52,677.40 | $10,664.59 – $10,877.88 | 3 |
| Laparo-vag hyst incl t/o CPT 58552 | $26,651.90 | $44,419.83 | $10,664.59 – $10,877.88 | 3 |
| Lap enterolysis CPT 44180 | $19,846.24 | $33,077.07 | $6,065.29 – $6,186.60 | 3 |
| Lap fimbrioplasty 58672 CPT 58672 | $28,066.78 | $46,777.97 | $6,065.29 – $6,186.60 | 3 |
| Lap gastric bypass/roux-en-y CPT 43644 | $47,690.63 | $79,484.38 | $47.92 – $1,958.86 | 2 |
| Lap ing hernia repair init CPT 49650 | $18,462.38 | $30,770.63 | $6,065.29 – $6,186.60 | 3 |
| Lap ing hernia repair recur CPT 49651 | $21,421.72 | $35,702.87 | $6,065.29 – $6,186.60 | 3 |
| Lap insert tunnel ip cath CPT 49324 | $14,725.25 | $24,542.08 | $6,065.29 – $6,186.60 | 3 |
| Lap paraesophag hern repair CPT 43281 | $32,137.78 | $53,562.97 | $10,664.59 – $10,877.88 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $29,643.93 | $49,406.55 | $10,664.59 – $10,877.88 | 3 |
| Lap rmvl gastr adj all parts CPT 43774 | $18,533.54 | $30,889.23 | $3,868.08 – $3,945.44 | 3 |
| Laps abltj uterine fibroids CPT 58674 | $38,996.41 | $64,994.02 | $10,664.59 – $10,877.88 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | $20,985.09 | $34,975.15 | $10,664.59 – $10,877.88 | 3 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $15,764.75 | $26,274.58 | $6,065.29 – $6,186.60 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $12,652.45 | $21,087.42 | $3,740.54 – $3,815.35 | 3 |
| Larynscop w/tumr exc + scope CPT 31541 | $13,709.39 | $22,848.98 | $3,740.54 – $3,815.35 | 3 |
| Lateral thoracic extension HCPCS L1210 | $1,153.85 | $1,923.08 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $366.45 | $610.75 | not published | 0 |
| Lat retinacular release open CPT 27425 | $12,731.56 | $21,219.27 | $3,282.70 – $3,348.35 | 3 |
| Lb with mastopexy 15839 CPT 15839 | $22,844.89 | $38,074.82 | $2,914.21 – $2,972.50 | 3 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $104,610.00 | $174,350.00 | not published | 0 |
| Lead capillary CPT 83655 | $115.80 | $193.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $115,818.96 | $193,031.60 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $28,767.75 | $47,946.25 | 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.