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 |
|---|---|---|---|---|
| MRA w/cont, abd HCPCS C8900 | $1,587.60 | $2,646.00 | not published | 0 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,762.20 | $2,937.00 | not published | 0 |
| MRA without cont, abd HCPCS C8901 | $1,997.40 | $3,329.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,587.60 | $2,646.00 | not published | 0 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,346.00 | $3,910.00 | not published | 0 |
| MRI breast c-+ w/cad uni CPT 77048 | $3,298.20 | $5,497.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $2,940.60 | $4,901.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $4,661.40 | $7,769.00 | not published | 0 |
| MRI chest w IV cont CPT 71551 | $2,707.20 | $4,512.00 | not published | 0 |
| MRI compatible system HCPCS L0859 | $7,343.62 | $12,239.37 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $2,869.80 | $4,783.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,424.00 | $4,040.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,426.20 | $7,377.00 | not published | 0 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,999.40 | $4,999.00 | not published | 0 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $4,426.20 | $7,377.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,869.80 | $4,783.00 | not published | 0 |
| MRI tmj CPT 70336 | $2,728.20 | $4,547.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,928.60 | $4,881.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,292.40 | $7,154.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $2,869.80 | $4,783.00 | not published | 0 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,868.80 | $6,448.00 | not published | 0 |
| Mr safety determination physician/other qhp CPT 76016 | $166.20 | $277.00 | not published | 0 |
| Mr safety implant elec prepj CPT 76018 | $173.40 | $289.00 | not published | 0 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $91.80 | $153.00 | not published | 0 |
| Mr safety implt pos&/immoblj CPT 76019 | $112.20 | $187.00 | not published | 0 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $46.20 | $77.00 | not published | 0 |
| Mr sfty med physics xm cstmz CPT 76017 | $456.60 | $761.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $781.20 | $1,302.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $3,824.40 | $6,374.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $88.80 | $148.00 | not published | 0 |
| Muscle-skin graft trunk CPT 15734 | $26,603.63 | $44,339.38 | $3,592.11 – $3,663.95 | 3 |
| Muscle test cran nerv unilat CPT 95867 | $24,721.74 | $41,202.90 | $5,939.19 – $6,057.97 | 3 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $11,817.60 | $19,696.00 | $3,555.31 – $3,626.42 | 3 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $6.00 | $10.00 | not published | 0 |
| Mycophenolic acid HCPCS J7518 | $91.68 | $152.80 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $238.80 | $398.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $359.40 | $599.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,319.00 | $8,865.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $5,069.40 | $8,449.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $4,807.20 | $8,012.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $151.20 | $252.00 | not published | 0 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $258.28 | $430.47 | not published | 0 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $45.00 | $75.00 | not published | 0 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $59.00 | $98.34 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | $0.01 | $0.01 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $149.40 | $249.00 | not published | 0 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $8,216.55 | $13,694.25 | $1,785.72 – $1,821.43 | 3 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $34,189.90 | $56,983.17 | $7,080.53 – $7,222.14 | 3 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $21,460.10 | $35,766.83 | $7,080.53 – $7,222.14 | 3 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $16,362.33 | $27,270.55 | $7,080.53 – $7,222.14 | 3 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $149.40 | $249.00 | not published | 0 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $42,087.50 | $70,145.84 | not published | 0 |
| Natriuretic peptide CPT 83880 | $263.40 | $439.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $187.80 | $313.00 | not published | 0 |
| Navigational bronchoscopy 31627 CPT 31627 | $28,405.31 | $47,342.18 | $7,080.53 – $7,222.14 | 3 |
| N block inj hypogas plxs CPT 64517 | $1,776.00 | $2,960.00 | not published | 0 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $271.80 | $453.00 | not published | 0 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $26.40 | $44.00 | not published | 0 |
| Ndl insj without njx 3+ musc CPT 20561 | $33.60 | $56.00 | not published | 0 |
| Ndl round specialty proguide HCPCS C1715 | $1,814.98 | $3,024.97 | not published | 0 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,278.00 | $2,130.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,887.80 | $4,813.00 | not published | 0 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,830.60 | $3,051.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,340.20 | $5,567.00 | not published | 0 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,557.00 | $2,595.00 | not published | 0 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,087.40 | $3,479.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,678.80 | $7,798.00 | not published | 0 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,273.60 | $5,456.00 | not published | 0 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,695.80 | $4,493.00 | not published | 0 |
| Neck spine disk surgery CPT 63020 | $32,517.14 | $54,195.23 | $7,279.94 – $7,425.54 | 3 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $45.00 | $75.00 | not published | 0 |
| Neox 100 or clarix 100 HCPCS Q4156 | $12,814.73 | $21,357.88 | not published | 0 |
| Nerve repair w/allograft CPT 64910 | $76,306.49 | $127,177.48 | $8,804.54 – $8,980.63 | 3 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $5,633.25 | $9,388.75 | not published | 0 |
| New Patient Office Visit (level 2) CPT 99202 | $105.60 | $176.00 | not published | 0 |
| New Patient Office Visit (level 3) CPT 99203 | $280.20 | $467.00 | not published | 0 |
| New Patient Office Visit (level 4) CPT 99204 | $294.00 | $490.00 | not published | 0 |
| New Patient Office Visit (level 5) CPT 99205 | $389.40 | $649.00 | not published | 0 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $727.72 | $1,212.86 | not published | 0 |
| Nintedanib 150 mg capsule HCPCS J8999 | $1,222.11 | $2,036.85 | not published | 0 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,646.00 | $4,410.00 | not published | 0 |
| Nipple/areola reconst 19350 CPT 19350 | $179,611.40 | $299,352.33 | $6,795.12 – $6,795.12 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $201.15 | $335.25 | not published | 0 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $39,080.00 | $65,133.33 | not published | 0 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $2,506.20 | $4,177.00 | not published | 0 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $1,816.80 | $3,028.00 | not published | 0 |
| Njx interlaminar crv/thrc CPT 62325 | $16,600.49 | $27,667.48 | $6,494.99 – $6,624.89 | 3 |
| Njx interlaminar lmbr/sac CPT 62327 | $16,600.49 | $27,667.48 | $6,494.99 – $6,624.89 | 3 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $3,498.00 | $5,830.00 | not published | 0 |
| Nm imaging bone/joint whole body CPT 78306 | $2,323.20 | $3,872.00 | not published | 0 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,875.60 | $3,126.00 | not published | 0 |
| Nm imaging gastric emptying study CPT 78264 | $3,115.20 | $5,192.00 | not published | 0 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,120.20 | $1,867.00 | not published | 0 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,641.40 | $6,069.00 | not published | 0 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,209.80 | $3,683.00 | not published | 0 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $588.00 | $980.00 | not published | 0 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $3,208.80 | $5,348.00 | not published | 0 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $928.80 | $1,548.00 | not published | 0 |
| Non-corrosive finish HCPCS L2780 | $298.45 | $497.42 | not published | 0 |
| Novachor 1 sq cm HCPCS Q4194 | $13,076.25 | $21,793.75 | 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.