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 |
|---|---|---|---|---|
| Apheresis wbc CPT 36511 | $4,722.60 | $7,871.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,061.40 | $1,769.00 | not published | 0 |
| Appendectomy CPT 44950 | $9,864.00 | $16,440.00 | $6,494.99 – $6,624.89 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | $24,154.34 | $40,257.23 | $6,065.29 – $6,186.60 | 3 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $39,324.84 | $65,541.40 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $39,324.84 | $65,541.40 | $2,070.03 – $2,111.43 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $31,476.07 | $52,460.12 | $127.35 – $127.35 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $250.80 | $418.00 | not published | 0 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $3,811.80 | $6,353.00 | not published | 0 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $7,271.35 | $12,118.92 | $124.85 – $127.35 | 3 |
| Appl hip spica cast1&1/2 CPT 29325 | $11,270.48 | $18,784.13 | $1,613.25 – $1,645.51 | 3 |
| Appl hip spica cast 1 leg CPT 29305 | $237.00 | $395.00 | not published | 0 |
| Application finger splntstatic 29130 CPT 29130 | $477.60 | $796.00 | not published | 0 |
| Application long leg splint 29505 CPT 29505 | $477.60 | $796.00 | not published | 0 |
| Application lower leg splint 29515 CPT 29515 | $477.60 | $796.00 | not published | 0 |
| Application multi layer compression below knee (both sides) CPT 29581 | $579.60 | $966.00 | not published | 0 |
| Application of cylinder cast 29365 CPT 29365 | $237.00 | $395.00 | not published | 0 |
| Application of forearm cast 29075 CPT 29075 | $237.00 | $395.00 | not published | 0 |
| Application of long arm cast 29065 CPT 29065 | $237.00 | $395.00 | not published | 0 |
| Application of long leg cast CPT 29355 | $237.00 | $395.00 | not published | 0 |
| Application of long leg cast 29345 CPT 29345 | $237.00 | $395.00 | not published | 0 |
| Application of paste boot 29580 CPT 29580 | $376.80 | $628.00 | not published | 0 |
| Application short leg cast 29405 CPT 29405 | $237.00 | $395.00 | not published | 0 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $42,780.59 | $71,300.98 | $741.49 – $756.32 | 3 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $6,866.26 | $11,443.77 | $741.49 – $756.32 | 3 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $13,050.10 | $21,750.16 | not published | 0 |
| Appl mltpln uni ext fixj sys CPT 20692 | $314,355.18 | $523,925.30 | $12,880.66 – $13,138.27 | 3 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $89.40 | $149.00 | not published | 0 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $208.80 | $348.00 | not published | 0 |
| Appl modality 1+lllt po pain CPT 97037 | $76.20 | $127.00 | not published | 0 |
| Apply forearm splintdynamic 29126 CPT 29126 | $477.60 | $796.00 | not published | 0 |
| Apply hand/wrist cast 29085 CPT 29085 | $237.00 | $395.00 | not published | 0 |
| Apply interstit radiat compl CPT 77778 | $1,723.80 | $2,873.00 | not published | 0 |
| Apply of finger splint 29131 CPT 29131 | $477.60 | $796.00 | not published | 0 |
| Apply rigid leg cast 29445 CPT 29445 | $591.60 | $986.00 | not published | 0 |
| Apply short leg castambul type 29425 CPT 29425 | $237.00 | $395.00 | not published | 0 |
| App topical fluoride varnish CPT 99188 | $13,544.40 | $22,574.00 | $10.90 – $242.38 | 3 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $3,126.93 | $5,211.55 | not published | 0 |
| #aptt mix-1:1 incubated CPT 87532 | $331.20 | $552.00 | not published | 0 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $212.40 | $354.00 | not published | 0 |
| Aquaporin-4 antibody cba each CPT 86052 | $719.40 | $1,199.00 | not published | 0 |
| Aquaporin-4 antibody elisa CPT 86051 | $213.00 | $355.00 | not published | 0 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $45.00 | $75.00 | not published | 0 |
| Arch supp att to shoe long/m HCPCS L3090 | $191.96 | $319.93 | not published | 0 |
| Arch supp att to shoe metata HCPCS L3080 | $149.96 | $249.93 | not published | 0 |
| Arch suprt att to sho longit HCPCS L3070 | $149.96 | $249.93 | not published | 0 |
| Arformoterol non-comp unit HCPCS J7605 | $45.00 | $75.00 | not published | 0 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $1,076.83 | $1,794.71 | not published | 0 |
| Argatroban nonesrd (accord) HCPCS J0891 | $1,770.12 | $2,950.20 | not published | 0 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $0.01 | $0.01 | not published | 0 |
| Arterial blood draw/perc 36620 CPT 36620 | $1,138.80 | $1,898.00 | not published | 0 |
| Artery-vein nonautograft CPT 36830 | $21,667.96 | $36,113.27 | $5,582.68 – $5,694.33 | 3 |
| Artery xray each vessel 7577426 CPT 75774 | $2,570.40 | $4,284.00 | not published | 0 |
| Artery xray of abdomen 75726-26 CPT 75726 | $4,446.00 | $7,410.00 | not published | 0 |
| Artery x-rays adrenals CPT 75733 | $5,949.00 | $9,915.00 | not published | 0 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,646.00 | $4,410.00 | not published | 0 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $4,914.00 | $8,190.00 | not published | 0 |
| Artery x-rays lung CPT 75741 | $6,207.60 | $10,346.00 | not published | 0 |
| Artery x-rays spine CPT 75705 | $1,456.80 | $2,428.00 | not published | 0 |
| Arthrd ant ntrbdy cervical CPT 22551 | $110,973.56 | $184,955.93 | $12,880.66 – $17,591.15 | 3 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $179,178.13 | $298,630.22 | $27,767.19 – $27,767.19 | 1 |
| Arthrd si jt perq/min nvas CPT 27279 | $72,642.30 | $121,070.50 | $17,591.15 – $17,942.97 | 3 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $35,819.43 | $59,699.05 | $12,880.66 – $13,138.27 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $24,468.32 | $40,780.53 | $1,657.00 – $1,690.14 | 3 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $2,148.60 | $3,581.00 | not published | 0 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $3,748.80 | $6,248.00 | not published | 0 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $42,715.69 | $71,192.82 | $307.96 – $314.11 | 3 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $171,709.93 | $286,183.22 | $307.96 – $314.11 | 3 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $2,148.60 | $3,581.00 | not published | 0 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $66,545.96 | $110,909.93 | $12,880.66 – $13,138.27 | 3 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $266,120.44 | $443,534.07 | $27,222.74 – $27,222.74 | 2 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $260,078.15 | $433,463.58 | $17,591.15 – $17,942.97 | 2 |
| Arthrodesis subtalar CPT 28725 | $143,258.50 | $238,764.17 | $12,880.66 – $13,138.27 | 3 |
| Arthroplasty finger joint 26535 CPT 26535 | $15,535.72 | $25,892.87 | $3,282.70 – $3,348.35 | 3 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $32,720.94 | $54,534.90 | $7,279.94 – $7,425.54 | 3 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $10,731.70 | $17,886.17 | $7,279.94 – $7,425.54 | 3 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $9,784.07 | $16,306.78 | $3,282.70 – $3,348.35 | 3 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $37,652.27 | $62,753.78 | $7,279.94 – $7,425.54 | 3 |
| Artiss fibrin sealant HCPCS C9250 | $4,272.01 | $7,120.02 | not published | 0 |
| Ascenda two piece catheter HCPCS C1772 | $58,581.60 | $97,636.00 | not published | 0 |
| Asp core fat pad CPT 17999 | $41,451.77 | $69,086.28 | $1,657.00 – $1,690.14 | 3 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $4,356.00 | $7,260.00 | not published | 0 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $186.00 | $310.00 | not published | 0 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,250.40 | $2,084.00 | not published | 0 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $3,261.00 | $5,435.00 | not published | 0 |
| Aspiration peritonsillar abscess CPT 42999 | $174.00 | $290.00 | not published | 0 |
| Assay duodenal fluid trypsin CPT 84485 | $33.60 | $56.00 | not published | 0 |
| Assay myeloperoxidase CPT 83876 | $160.20 | $267.00 | not published | 0 |
| Assay of adp & amp CPT 82030 | $91.80 | $153.00 | not published | 0 |
| Assay of digoxin free CPT 80163 | $177.00 | $295.00 | not published | 0 |
| Assay of glucosidase CPT 82963 | $447.00 | $745.00 | not published | 0 |
| Assay of interleukin-6 (il-6) CPT 83529 | $60.60 | $101.00 | not published | 0 |
| Assay of leflunomide CPT 80193 | $103.20 | $172.00 | not published | 0 |
| Assay of osteocalcin CPT 83937 | $120.60 | $201.00 | not published | 0 |
| Assay of salicylate CPT 80179 | $72.00 | $120.00 | not published | 0 |
| Assay toxin or antitoxin CPT 87230 | $168.60 | $281.00 | not published | 0 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $175.20 | $292.00 | not published | 0 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $32,517.14 | $54,195.23 | $7,279.94 – $7,279.94 | 2 |
| Ast/sgot CPT 84450 | $54.00 | $90.00 | not published | 0 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $57,019.66 | $95,032.76 | 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.