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 |
|---|---|---|---|---|
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $1,003.20 | $1,672.00 | not published | 0 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $13.20 | $22.00 | not published | 0 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $14,459.40 | $24,099.00 | not published | 0 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $271,625.83 | $452,709.72 | $8,804.54 – $8,980.63 | 3 |
| Nsl/sins ndsc total CPT 31253 | $33,472.90 | $55,788.17 | $7,080.53 – $7,222.14 | 3 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $34,189.90 | $56,983.17 | $7,080.53 – $7,222.14 | 3 |
| Ntrk translocation analysis CPT 81194 | $1,714.20 | $2,857.00 | not published | 0 |
| Nuclear Stress Test (Heart) CPT 78452 | $5,660.40 | $9,434.00 | not published | 0 |
| Nushield 1 square cm HCPCS Q4160 | $7,782.98 | $12,971.64 | not published | 0 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $4,428.14 | $7,380.23 | not published | 0 |
| Observation per hour HCPCS G0378 | $14.40 | $24.00 | not published | 0 |
| Obstetrics panel CPT 80055 | $188.40 | $314.00 | not published | 0 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $597.00 | $995.00 | not published | 0 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $391.80 | $653.00 | not published | 0 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $61,922.88 | $103,204.80 | not published | 0 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $90.00 | $150.00 | not published | 0 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $34,009.80 | $56,683.00 | not published | 0 |
| Offset knee joint each HCPCS L2390 | $482.72 | $804.54 | not published | 0 |
| Offset knee joint heavy duty HCPCS L2395 | $689.90 | $1,149.84 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $5,230.50 | $8,717.50 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $250.95 | $418.25 | not published | 0 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,980.89 | $11,634.81 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $193.20 | $322.00 | not published | 0 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $20.66 | $34.43 | not published | 0 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $45.00 | $75.00 | not published | 0 |
| Open bx/exc inguinofem nodes CPT 38531 | $15,619.39 | $26,032.32 | $3,928.24 – $4,006.80 | 2 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $45,363.09 | $75,605.15 | $3,928.24 – $4,006.80 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $18,385.37 | $30,642.28 | $5,582.68 – $5,694.33 | 3 |
| Opn impltj nea sacral nerve CPT 64581 | $89,277.64 | $148,796.07 | $19,463.54 – $19,852.82 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | $42,710.96 | $71,184.93 | $7,279.94 – $7,425.54 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | $36,566.26 | $60,943.77 | $7,279.94 – $7,425.54 | 3 |
| Optx lunate dislocation CPT 25695 | $11,439.19 | $19,065.32 | $7,279.94 – $7,425.54 | 3 |
| Optx medial ankle fx CPT 27766 | $17,572.68 | $29,287.80 | $7,279.94 – $7,425.54 | 3 |
| Optx palatal/max fracture CPT 21422 | $119,943.07 | $199,905.12 | $5,939.19 – $6,057.97 | 2 |
| Optx prox humrl fx w/int fix CPT 23615 | $40,470.88 | $67,451.47 | $12,880.66 – $13,138.27 | 3 |
| Optx radial shaft fracture CPT 25515 | $28,386.56 | $47,310.93 | $7,279.94 – $7,425.54 | 3 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $23,440.82 | $39,068.03 | $7,279.94 – $7,425.54 | 3 |
| Optx ulnar shft fx int fixj CPT 25545 | $19,277.98 | $32,129.97 | $7,279.94 – $7,425.54 | 3 |
| Oral everolimus HCPCS J7527 | $412.60 | $687.67 | not published | 0 |
| Oral methotrexate (xatmep) HCPCS J8612 | $11,742.87 | $19,571.45 | not published | 0 |
| Orchiopexy ingun/scrot appr CPT 54640 | $14,314.19 | $23,856.98 | $3,592.11 – $3,663.95 | 3 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,502.24 | $9,170.40 | not published | 0 |
| Ortho dvc repair per 15 min HCPCS L4205 | $1,176.86 | $1,961.44 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $1,239.37 | $2,065.61 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $2,923.85 | $4,873.08 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $5,503.43 | $9,172.38 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $1,162.37 | $1,937.29 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $1,378.66 | $2,297.76 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $453.22 | $755.37 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $1,162.37 | $1,937.29 | not published | 0 |
| Orthopedic shoe add rub insl HCPCS L3510 | $137.87 | $229.79 | not published | 0 |
| Ortho shoe add leather insol HCPCS L3500 | $137.87 | $229.79 | not published | 0 |
| Ortho shoe add march bar HCPCS L3595 | $197.82 | $329.70 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $2,604.79 | $4,341.32 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $1,528.88 | $2,548.13 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $4,256.27 | $7,093.78 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $133.80 | $223.00 | not published | 0 |
| O shoe add horseshoe toe tap HCPCS L3560 | $107.85 | $179.75 | not published | 0 |
| O shoe add instep extension HCPCS L3570 | $401.96 | $669.94 | not published | 0 |
| O shoe add instep velcro clo HCPCS L3580 | $305.88 | $509.80 | not published | 0 |
| O shoe add standard toe tap HCPCS L3550 | $42.16 | $70.26 | not published | 0 |
| O shoe convert to sof counte HCPCS L3590 | $251.95 | $419.92 | not published | 0 |
| Osmolality blood CPT 83930 | $63.00 | $105.00 | not published | 0 |
| Osmolality urine CPT 83935 | $111.00 | $185.00 | not published | 0 |
| Osteochondral knee allograft CPT 27415 | $62,767.26 | $104,612.10 | $12,880.66 – $13,138.27 | 3 |
| Ot evaluation high complexity patient/family CPT 97167 | $351.00 | $585.00 | not published | 0 |
| Ot evaluation low complexity patient/family CPT 97165 | $356.40 | $594.00 | not published | 0 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $349.80 | $583.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $96.00 | $160.00 | not published | 0 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $140.40 | $234.00 | not published | 0 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $141.00 | $235.00 | not published | 0 |
| Otoplasty 69300 CPT 69300 | $20,585.11 | $34,308.52 | $3,326.30 – $3,392.83 | 3 |
| Ot re-evaluation patient/family CPT 97168 | $160.80 | $268.00 | not published | 0 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $168.60 | $281.00 | not published | 0 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $210.00 | $350.00 | not published | 0 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $285.00 | $475.00 | not published | 0 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $235.80 | $393.00 | not published | 0 |
| Outrigger HCPCS L1080 | $246.77 | $411.29 | not published | 0 |
| Outrigger bil with vert extens HCPCS L1085 | $826.05 | $1,376.75 | not published | 0 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $236.16 | $393.60 | not published | 0 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $241.38 | $402.30 | not published | 0 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $130,500.98 | $217,501.63 | not published | 0 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $138.70 | $231.16 | not published | 0 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $7,773.90 | $12,956.50 | not published | 0 |
| Palingen or palingen xplus HCPCS Q4173 | $30,389.21 | $50,648.68 | not published | 0 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $0.01 | $0.01 | not published | 0 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $335.08 | $558.46 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $8,913.32 | $14,855.53 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $45.37 | $75.62 | not published | 0 |
| Papaverin hcl injection HCPCS J2440 | $185.11 | $308.51 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $232.20 | $387.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,651.80 | $2,753.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $1,595.40 | $2,659.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,809.60 | $3,016.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $190.80 | $318.00 | not published | 0 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $103,232.41 | $172,054.02 | $3,282.70 – $3,348.35 | 3 |
| Partial removal finger bone CPT 26236 | $1,195.80 | $1,993.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $14,136.35 | $23,560.58 | $3,282.70 – $3,348.35 | 3 |
| Partial removal of foot bone CPT 28288 | $144,641.45 | $241,069.08 | $3,282.70 – $3,348.35 | 3 |
| Partial removal of thyroid CPT 60220 | $46,312.73 | $77,187.88 | $6,065.29 – $6,186.60 | 3 |
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.