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 |
|---|---|---|---|---|
| Place slctv cath carotd art uni CPT 36224 | $11,438.40 | $19,064.00 | not published | 0 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,678.40 | $14,464.00 | not published | 0 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,713.40 | $16,189.00 | not published | 0 |
| Place slctv cath subclavian art CPT 36225 | $8,979.60 | $14,966.00 | not published | 0 |
| Place slctv cath vertebral art uni CPT 36226 | $15,827.40 | $26,379.00 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $493.03 | $821.71 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $700.89 | $1,168.15 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $10,079.28 | $16,798.80 | not published | 0 |
| Platelet aggregation each agent teg CPT 85576 | $136.80 | $228.00 | not published | 0 |
| Platelet automated CPT 85049 | $86.40 | $144.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $368.59 | $614.32 | not published | 0 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $31,381.18 | $52,301.97 | $5,582.68 – $5,694.33 | 3 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $6,391.20 | $10,652.00 | not published | 0 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $9,157.20 | $15,262.00 | not published | 0 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,227.60 | $2,046.00 | not published | 0 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $6,501.60 | $10,836.00 | not published | 0 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,721.40 | $2,869.00 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $405.00 | $675.00 | not published | 0 |
| Plmt biliary drainage cath CPT 47534 | $6,332.40 | $10,554.00 | not published | 0 |
| Plmt nephroureteral catheter CPT 50433 | $5,119.20 | $8,532.00 | not published | 0 |
| Pm device progr eval dual CPT 93280 | $82.20 | $137.00 | not published | 0 |
| Pm device progr eval multi CPT 93281 | $84.00 | $140.00 | not published | 0 |
| Pm phone r-strip device eval CPT 93293 | $94.80 | $158.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $616.88 | $1,028.14 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $327.60 | $546.00 | not published | 0 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $55,834.23 | $93,057.05 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,884.80 | $9,808.00 | not published | 0 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $161,788.47 | $269,647.45 | $27,222.74 – $27,222.74 | 2 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,192.13 | $1,986.89 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $2,769.92 | $4,616.53 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $6,655.18 | $11,091.97 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $8,465.88 | $14,109.80 | not published | 0 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $236,940.40 | $394,900.67 | $27,222.74 – $27,767.19 | 2 |
| Potassium 24 hour urine CPT 84133 | $91.20 | $152.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $98.34 | $163.90 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $41.40 | $69.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $1,944.00 | $3,240.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,147.20 | $1,912.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $17,901.00 | $29,835.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $566.40 | $944.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,992.40 | $11,654.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $775.10 | $1,291.83 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,481.60 | $4,136.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $477.60 | $796.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $477.60 | $796.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,647.60 | $2,746.00 | $407.84 – $416.00 | 3 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $67,724.97 | $112,874.95 | $12,880.66 – $13,138.27 | 3 |
| Pr correction hammertoe CPT 28285 | $105,255.83 | $175,426.38 | $3,282.70 – $3,348.35 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $58.80 | $98.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,648.20 | $2,747.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $21,365.17 | $35,608.62 | $3,536.51 – $3,607.24 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $537.60 | $896.00 | not published | 0 |
| Prealbumin CPT 84134 | $147.00 | $245.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $11.08 | $18.47 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $6.00 | $10.00 | not published | 0 |
| Pregabalin - sendout CPT 80366 | $124.20 | $207.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,200.60 | $7,001.00 | $1,925.18 – $1,963.69 | 3 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,944.60 | $3,241.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $918.60 | $1,531.00 | not published | 0 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $224.40 | $374.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $9,140.51 | $15,234.18 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $7,969.87 | $13,283.12 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $30,155.29 | $50,258.82 | $407.84 – $416.00 | 3 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $31,845.73 | $53,076.22 | $2,914.21 – $2,972.50 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $294.60 | $491.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $2,367.60 | $3,946.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $333.00 | $555.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $124.20 | $207.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $498.00 | $830.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $285.60 | $476.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $668.40 | $1,114.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $197.40 | $329.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $30,689.18 | $51,148.63 | $1,657.00 – $1,690.14 | 3 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $8,971.02 | $14,951.70 | $1,657.00 – $1,690.14 | 3 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $97,974.65 | $163,291.08 | $407.84 – $416.00 | 3 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $60,546.14 | $100,910.23 | $3,868.08 – $3,868.08 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | $24.00 | $40.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $186.60 | $311.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $69.60 | $116.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $244.80 | $408.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $300.60 | $501.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $357.00 | $595.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,464.00 | $7,440.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $8,209.80 | $13,683.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,652.40 | $2,754.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $342.00 | $570.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $9,097.54 | $15,162.57 | $201.29 – $205.32 | 3 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $460.20 | $767.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $4,323.17 | $7,205.28 | $407.84 – $416.00 | 3 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $240.00 | $400.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $240.00 | $400.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $399.60 | $666.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $9,985.93 | $16,643.22 | $1,959.11 – $1,998.29 | 3 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $31,147.63 | $51,912.71 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $18,404.17 | $30,673.62 | $3,944.25 – $4,023.14 | 3 |
| Procalcitonin CPT 84145 | $171.60 | $286.00 | not published | 0 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $45.00 | $75.00 | not published | 0 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $6.00 | $10.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $13,831.24 | $23,052.07 | $2,784.74 – $2,840.43 | 3 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $2,142.00 | $3,570.00 | 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.