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 |
|---|---|---|---|---|
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $22,909.59 | $38,182.65 | not published | 0 |
| Part removal of metatarsal CPT 28110 | $28,587.86 | $47,646.43 | $3,282.70 – $3,348.35 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | $24,786.95 | $41,311.58 | $3,282.70 – $3,348.35 | 3 |
| Passy muir valve metal trach HCPCS L8501 | $2,099.99 | $3,499.99 | not published | 0 |
| Patten bottom HCPCS L2370 | $1,509.31 | $2,515.52 | not published | 0 |
| Pcv21 vaccine im CPT 90684 | $582.60 | $971.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $1,090.20 | $1,817.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $107.85 | $179.75 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $30,421.28 | $50,702.13 | not published | 0 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $18,604.51 | $31,007.51 | not published | 0 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $19,789.50 | $32,982.50 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $9,894.76 | $16,491.26 | not published | 0 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $11,850.01 | $19,750.01 | not published | 0 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $92,228.97 | $153,714.95 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $2,232.48 | $3,720.80 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $1,481.90 | $2,469.84 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $1,091.92 | $1,819.87 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $1,179.01 | $1,965.01 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $2,046.59 | $3,410.98 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,156.60 | $5,261.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,887.80 | $4,813.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,810.20 | $3,017.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $5,007.37 | $8,345.61 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,834.60 | $6,391.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $1,556.40 | $2,594.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $2,658.00 | $4,430.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,611.00 | $2,685.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $759.60 | $1,266.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $652.61 | $1,087.68 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $29,597.15 | $49,328.58 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $19,891.56 | $33,152.60 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3,584.47 | $5,974.11 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $454.87 | $758.12 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $62,035.19 | $103,391.99 | not published | 0 |
| Penis plastic surgery CPT 54360 | $9,460.49 | $15,767.48 | $3,536.51 – $3,607.24 | 3 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $1,492.00 | $2,486.67 | not published | 0 |
| Pentobarbital sodium inj HCPCS J2515 | $664.52 | $1,107.54 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $11,448.60 | $19,081.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $21,685.80 | $36,143.00 | not published | 0 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $13,237.80 | $22,063.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $21,633.60 | $36,056.00 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $34,558.20 | $57,597.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $21,276.00 | $35,460.00 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $21,276.00 | $35,460.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $17,020.80 | $28,368.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $4,137.60 | $6,896.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $1,847.36 | $3,078.94 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,525.20 | $2,542.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,756.40 | $4,594.00 | not published | 0 |
| Peri-implt capslc brst compl CPT 19371 | $35,082.35 | $58,470.58 | $3,928.24 – $4,006.80 | 3 |
| Peripheral vascular rehab CPT 93668 | $144.00 | $240.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $601.51 | $1,002.51 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $80.60 | $134.34 | not published | 0 |
| Perq art m-thrombect &/nfs CPT 61645 | $10,382.40 | $17,304.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $26,827.80 | $44,713.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $1,330.20 | $2,217.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $6,344.40 | $10,574.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $3,720.60 | $6,201.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $11,773.20 | $19,622.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $558.60 | $931.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | $32,624.40 | $54,374.00 | not published | 0 |
| Perq transcath cls aortic CPT 93591 | $33,938.40 | $56,564.00 | not published | 0 |
| Perq transcath cls mitral CPT 93590 | $33,938.40 | $56,564.00 | not published | 0 |
| Perq transcath septal reduxn CPT 93583 | $36,463.20 | $60,772.00 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $33,556.82 | $55,928.04 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $68,469.35 | $114,115.59 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $502.39 | $837.32 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,013.40 | $11,689.00 | not published | 0 |
| Pet CT whole body initial CPT 78816 | $7,013.40 | $11,689.00 | not published | 0 |
| Pet fdg brain metoblic eval sb CPT 78608 | $9,540.00 | $15,900.00 | not published | 0 |
| Pet image w/ct lmtd CPT 78814 | $7,037.40 | $11,729.00 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $164,172.32 | $273,620.53 | not published | 0 |
| Ph body fluid CPT 83986 | $39.60 | $66.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $235.61 | $392.68 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $282.60 | $471.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $4,380.26 | $7,300.44 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $45.00 | $75.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $45.00 | $75.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $208.80 | $348.00 | not published | 0 |
| Phosphorus CPT 84100 | $96.60 | $161.00 | not published | 0 |
| Phosphorus 24 hour urine CPT 84105 | $37.20 | $62.00 | not published | 0 |
| Phys blood bank serv reactj CPT 86078 | $163.80 | $273.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $110.54 | $184.24 | not published | 0 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $11,624.59 | $19,374.32 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $3,423.20 | $5,705.34 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $48,120.60 | $80,201.00 | not published | 0 |
| Pin finger fracture each CPT 26756 | $5,983.01 | $9,971.68 | $3,282.70 – $3,348.35 | 3 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $45.00 | $75.00 | not published | 0 |
| Place cath intracranial art CPT 36228 | $2,112.60 | $3,521.00 | not published | 0 |
| Place cath xtrnl carotid CPT 36227 | $5,013.00 | $8,355.00 | not published | 0 |
| Place duod/jej tube perc CPT 49441 | $3,628.80 | $6,048.00 | not published | 0 |
| Place gastrostomy tube perc CPT 49440 | $3,189.60 | $5,316.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $3,538.20 | $5,897.00 | not published | 0 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,852.40 | $4,754.00 | not published | 0 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,233.80 | $3,723.00 | not published | 0 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,811.00 | $9,685.00 | not published | 0 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $829.20 | $1,382.00 | not published | 0 |
| Placement of seton CPT 46020 | $11,647.42 | $19,412.37 | $2,784.74 – $2,840.43 | 3 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $41,215.96 | $68,693.27 | $11,581.93 – $11,813.57 | 3 |
| Place right device/marker pros CPT 55876 | $5,476.20 | $9,127.00 | 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.