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 |
|---|---|---|---|---|
| Progesterone CPT 84144 | $186.60 | $311.00 | not published | 0 |
| Prolactin CPT 84146 | $166.80 | $278.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | $6.00 | $10.00 | not published | 0 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $268.20 | $447.00 | not published | 0 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $9.00 | $15.00 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | $19,148.95 | $31,914.92 | $5,379.33 – $5,486.91 | 3 |
| Prostate laser enucleation CPT 52649 | $30,590.97 | $50,984.95 | $5,379.33 – $5,486.91 | 3 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $13,599.30 | $22,665.50 | not published | 0 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $857.80 | $1,429.67 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $164.29 | $273.82 | not published | 0 |
| Prosthetic type socket molde HCPCS L2350 | $4,085.96 | $6,809.94 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $29.24 | $48.73 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $45.00 | $75.00 | not published | 0 |
| Protect body sock ea pre ots HCPCS L0984 | $277.84 | $463.07 | not published | 0 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $9,147.67 | $15,246.12 | not published | 0 |
| Protein c activity CPT 85303 | $185.40 | $309.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $154.80 | $258.00 | not published | 0 |
| Protein s total CPT 85305 | $179.40 | $299.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $97.20 | $162.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $104.40 | $174.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $90.60 | $151.00 | not published | 0 |
| Prothrombin complex kcentra HCPCS J7168 | $14,125.20 | $23,542.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $42.60 | $71.00 | not published | 0 |
| Prp i/hern init block >5 yr CPT 49507 | $31,676.77 | $52,794.62 | $3,592.11 – $3,663.95 | 3 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $88.20 | $147.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $21,574.20 | $35,957.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $26,752.20 | $44,587.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $21,519.00 | $35,865.00 | not published | 0 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $12,723.00 | $21,205.00 | $7,279.94 – $7,425.54 | 3 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $21,378.60 | $35,631.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $21,355.20 | $35,592.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $11,401.80 | $19,003.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $20,959.20 | $34,932.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $21,685.80 | $36,143.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $30,876.04 | $51,460.07 | $7,279.94 – $7,425.54 | 3 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $251.40 | $419.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $15,231.88 | $25,386.47 | $3,247.71 – $3,312.66 | 3 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $30,287.29 | $50,478.82 | $407.84 – $416.00 | 3 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $941.40 | $1,569.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $941.40 | $1,569.00 | not published | 0 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $2,369.40 | $3,949.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $166.80 | $278.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $168.00 | $280.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $381.60 | $636.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $342.00 | $570.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $454.20 | $757.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $197.40 | $329.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $754.20 | $1,257.00 | not published | 0 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $243.60 | $406.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $250.80 | $418.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $130.80 | $218.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $101.40 | $169.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $103.20 | $172.00 | not published | 0 |
| Pt evaluation high complexity patient/family CPT 97163 | $364.80 | $608.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $303.60 | $506.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $366.00 | $610.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $249.60 | $416.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $186.60 | $311.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $100.20 | $167.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $142.80 | $238.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $116.40 | $194.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $393.60 | $656.00 | not published | 0 |
| Pulse ox multiple CPT 94761 | $283.80 | $473.00 | not published | 0 |
| Pulse ox single CPT 94760 | $214.80 | $358.00 | not published | 0 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $2,249.12 | $3,748.53 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,279.20 | $2,132.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $106.20 | $177.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $427.20 | $712.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $2,581.20 | $4,302.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $26,832.47 | $44,720.78 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | $8,891.85 | $14,819.75 | not published | 0 |
| Pvb thoracic single inj site CPT 64461 | $1,418.40 | $2,364.00 | not published | 0 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $97.13 | $161.89 | not published | 0 |
| Pyruvate CPT 84210 | $48.00 | $80.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $27.60 | $46.00 | not published | 0 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $16,127.71 | $26,879.52 | not published | 0 |
| Radiation handling CPT 77790 | $597.00 | $995.00 | not published | 0 |
| Radiation physics consult CPT 77336 | $1,407.00 | $2,345.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $1,114.20 | $1,857.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $822.00 | $1,370.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $289.80 | $483.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $3,002.40 | $5,004.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $6,368.40 | $10,614.00 | not published | 0 |
| Radiology port images(s) CPT 77417 | $947.40 | $1,579.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $5,624.40 | $9,374.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $63,179.68 | $105,299.46 | not published | 0 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $929.40 | $1,549.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,467.20 | $4,112.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,403.60 | $4,006.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $286.80 | $478.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $7,383.89 | $12,306.48 | not published | 0 |
| Rapid Strep Test CPT 87880 | $127.20 | $212.00 | not published | 0 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $26,235.71 | $43,726.19 | not published | 0 |
| Rbc count only automated CPT 85041 | $10.80 | $18.00 | not published | 0 |
| Rebuild eardrum structures CPT 69633 | $23,388.06 | $38,980.10 | $5,939.19 – $6,057.97 | 3 |
| Reconst lwr jaw w/fixation CPT 21196 | $55,343.47 | $92,239.12 | $5,939.19 – $6,057.97 | 3 |
| Reconst lwr jaw without graft CPT 21193 | $54,751.24 | $91,252.07 | $5,939.19 – $6,057.97 | 3 |
| Reconstr lwr jaw segment CPT 21198 | $188,090.78 | $313,484.63 | $5,939.19 – $6,057.97 | 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.