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 |
|---|---|---|---|---|
| Mayo oxalate 24 hour urine CPT 83945 | $69.60 | $116.00 | not published | 0 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $131.40 | $219.00 | not published | 0 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $494.40 | $824.00 | not published | 0 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $694.20 | $1,157.00 | not published | 0 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $116.40 | $194.00 | not published | 0 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $79.20 | $132.00 | not published | 0 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $114.00 | $190.00 | not published | 0 |
| Mayo pregnenolone CPT 84140 | $64.80 | $108.00 | not published | 0 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $100.20 | $167.00 | not published | 0 |
| Mayo proinsulin CPT 84206 | $97.80 | $163.00 | not published | 0 |
| Mayo psaft prostate specific antigen free CPT 84154 | $116.40 | $194.00 | not published | 0 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $893.40 | $1,489.00 | not published | 0 |
| Mayo receptor assay transferrin soluble CPT 84238 | $98.40 | $164.00 | not published | 0 |
| Mayo renin CPT 84244 | $111.00 | $185.00 | not published | 0 |
| Mayo repu protein electrophoresis urine CPT 84166 | $152.40 | $254.00 | not published | 0 |
| Mayo selenium CPT 84255 | $127.80 | $213.00 | not published | 0 |
| Mayo serotonin CPT 84260 | $124.20 | $207.00 | not published | 0 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $137.40 | $229.00 | not published | 0 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $175.20 | $292.00 | not published | 0 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $56.40 | $94.00 | not published | 0 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $83.40 | $139.00 | not published | 0 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $2,889.60 | $4,816.00 | not published | 0 |
| Mayo tgrp testosterone free CPT 84402 | $152.40 | $254.00 | not published | 0 |
| Mayo tgrp testosterone total CPT 84403 | $147.60 | $246.00 | not published | 0 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $162.60 | $271.00 | not published | 0 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $75.60 | $126.00 | not published | 0 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $22.20 | $37.00 | not published | 0 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $279.00 | $465.00 | not published | 0 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $42.60 | $71.00 | not published | 0 |
| Mayo vasoactive intestinal peptide CPT 84586 | $153.00 | $255.00 | not published | 0 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $309.60 | $516.00 | not published | 0 |
| Mayo vitamin b3 (niacin) CPT 84591 | $189.60 | $316.00 | not published | 0 |
| Mayo vitamin k CPT 84597 | $496.20 | $827.00 | not published | 0 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $77.40 | $129.00 | not published | 0 |
| Measurement post void urine by ultrasound CPT 51798 | $180.60 | $301.00 | not published | 0 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $6,668.89 | $11,114.81 | not published | 0 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $37,679.69 | $62,799.48 | not published | 0 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $9,807.19 | $16,345.31 | not published | 0 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $12,421.45 | $20,702.41 | not published | 0 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $35,356.56 | $58,927.60 | not published | 0 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $83,688.00 | $139,480.00 | not published | 0 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | $559.80 | $933.00 | not published | 0 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $45.00 | $75.00 | not published | 0 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $17,077.37 | $28,462.28 | not published | 0 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $53.64 | $89.40 | not published | 0 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $141,160.00 | $235,266.67 | not published | 0 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $90.00 | $150.00 | not published | 0 |
| Metabolic Blood Panel (Basic) CPT 80048 | $171.00 | $285.00 | not published | 0 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $397.80 | $663.00 | not published | 0 |
| Metabolic panel ionized ca CPT 80047 | $261.00 | $435.00 | not published | 0 |
| Metal frame recipro hip & ca HCPCS L2628 | $7,387.87 | $12,313.12 | not published | 0 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $813.54 | $1,355.90 | not published | 0 |
| Methadone injection HCPCS J1230 | $45.00 | $75.00 | not published | 0 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $73.76 | $122.93 | not published | 0 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.00 | $10.00 | not published | 0 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $312.91 | $521.52 | not published | 0 |
| Methotrexate therapeutic drug level CPT 80204 | $439.20 | $732.00 | not published | 0 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,095.45 | $3,492.42 | not published | 0 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $176.66 | $294.43 | not published | 0 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,012.79 | $1,687.98 | not published | 0 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $17.42 | $29.04 | not published | 0 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $176.30 | $293.83 | not published | 0 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $226.63 | $377.72 | not published | 0 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $45.00 | $75.00 | not published | 0 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $45.00 | $75.00 | not published | 0 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $45.00 | $75.00 | not published | 0 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $214.56 | $357.60 | not published | 0 |
| Microalbumin urine screen CPT 82044 | $4.20 | $7.00 | not published | 0 |
| Microdissection manual CPT 88381 | $391.80 | $653.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $1,150.80 | $1,918.00 | not published | 0 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $894.00 | $1,490.00 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $487.80 | $813.00 | not published | 0 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $135.89 | $226.48 | not published | 0 |
| Milwaukee type superstructur HCPCS L1230 | $3,146.15 | $5,243.58 | not published | 0 |
| Miroderm HCPCS Q4175 | $43,936.20 | $73,227.00 | not published | 0 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $33,369.22 | $55,615.36 | not published | 0 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,952.00 | $4,920.00 | not published | 0 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $1,061.24 | $1,768.74 | not published | 0 |
| Mlh1 gene CPT 81288 | $891.00 | $1,485.00 | not published | 0 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $21,289.96 | $35,483.27 | $2,914.21 – $2,972.50 | 3 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $25,890.98 | $43,151.63 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $130.20 | $217.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $865.80 | $1,443.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $1,155.00 | $1,925.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $935.40 | $1,559.00 | not published | 0 |
| Mopath procedure level 8 CPT 81407 | $3,315.60 | $5,526.00 | not published | 0 |
| Mopath procedure level 9 CPT 81408 | $2,045.40 | $3,409.00 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $88.51 | $147.51 | not published | 0 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $45.00 | $75.00 | not published | 0 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $258.91 | $431.51 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $652.80 | $1,088.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $631.20 | $1,052.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $387.00 | $645.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $638.40 | $1,064.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $616.80 | $1,028.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $549.60 | $916.00 | not published | 0 |
| MRA abdomen post contrast CPT 74185 | $1,587.60 | $2,646.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | $3,246.60 | $5,411.00 | not published | 0 |
| MRA chest wo IV cont HCPCS C8910 | $1,098.60 | $1,831.00 | not published | 0 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,233.00 | $2,055.00 | 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.