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 |
|---|---|---|---|---|
| Repair fibula nonunion CPT 27726 | $65,080.00 | $108,466.67 | $7,279.94 – $7,425.54 | 3 |
| Repair finger/hand tendon CPT 26350 | $76,306.49 | $127,177.48 | $3,282.70 – $3,348.35 | 3 |
| Repair finger/hand tendon CPT 26356 | $26,748.13 | $44,580.22 | $3,282.70 – $3,348.35 | 3 |
| Repair/graft of foot tendon CPT 28202 | $100,283.18 | $167,138.63 | $7,279.94 – $7,425.54 | 3 |
| Repair/graft radius or ulna CPT 25405 | $35,508.56 | $59,180.93 | $7,279.94 – $7,425.54 | 3 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $381.00 | $635.00 | not published | 0 |
| Repair lower leg tendons CPT 27675 | $57,512.88 | $95,854.80 | $12,880.66 – $13,138.27 | 3 |
| Repair nasal stenosis CPT 30465 | $15,209.90 | $25,349.83 | $5,939.19 – $6,057.97 | 3 |
| Repair of achilles tendon CPT 27654 | $76,610.85 | $127,684.75 | $7,279.94 – $7,425.54 | 3 |
| Repair of ankle ligament CPT 27695 | $72,167.62 | $120,279.37 | $7,279.94 – $7,425.54 | 3 |
| Repair of ankle ligament CPT 27698 | $21,816.92 | $36,361.53 | $7,279.94 – $7,425.54 | 3 |
| Repair of circumcision CPT 54163 | $9,460.49 | $15,767.48 | $3,536.51 – $3,607.24 | 3 |
| Repair of foot tendon CPT 28200 | $39,889.21 | $66,482.02 | $3,282.70 – $3,348.35 | 3 |
| Repair of knee ligament CPT 27407 | $23,978.66 | $39,964.43 | $7,279.94 – $7,425.54 | 3 |
| Repair of leg tendon each CPT 27659 | $25,251.42 | $42,085.70 | $7,279.94 – $7,425.54 | 3 |
| Repair of metatarsals CPT 28322 | $82,939.76 | $138,232.93 | $7,279.94 – $7,425.54 | 3 |
| Repair of nasal septum CPT 30520 | $14,320.00 | $23,866.67 | $3,326.30 – $3,392.83 | 3 |
| Repair of ruptured tendon CPT 24342 | $16,098.05 | $26,830.08 | $7,279.94 – $7,425.54 | 3 |
| Repair of thigh muscle CPT 27385 | $16,719.02 | $27,865.03 | $7,279.94 – $7,425.54 | 3 |
| Repair of urethra defect CPT 53275 | $10,221.11 | $17,035.18 | $3,536.51 – $3,607.24 | 3 |
| Repair pm/icd lead dual CPT 33220 | $7,145.40 | $11,909.00 | not published | 0 |
| Repair pm/icd lead sgl CPT 33218 | $11,554.20 | $19,257.00 | not published | 0 |
| Repair rectum & vagina CPT 57250 | $19,110.29 | $31,850.48 | $5,018.81 – $5,119.18 | 3 |
| Repair rectum-vagina fistula CPT 57300 | $17,812.12 | $29,686.87 | $3,247.71 – $3,312.66 | 3 |
| Repair/revise wrist joint CPT 25320 | $26,884.00 | $44,806.67 | $7,279.94 – $7,425.54 | 3 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $174.00 | $290.00 | not published | 0 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $381.00 | $635.00 | not published | 0 |
| Repair stomach opening CPT 43870 | $10,918.20 | $18,197.00 | $3,868.08 – $3,945.44 | 3 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $2,481.60 | $4,136.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $2,481.60 | $4,136.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $174.00 | $290.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $1,372.20 | $2,287.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $1,300.20 | $2,167.00 | not published | 0 |
| Replace g-j tube perc CPT 49452 | $1,402.80 | $2,338.00 | not published | 0 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | $40,643.66 | $67,739.43 | $7,279.94 – $7,425.54 | 3 |
| Repl trach puncture dilator HCPCS L8514 | $486.44 | $810.73 | not published | 0 |
| Reposition pm/icd lead CPT 33215 | $4,722.00 | $7,870.00 | not published | 0 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $3,687.60 | $6,146.00 | not published | 0 |
| Repos lv lead pm/icd CPT 33226 | $4,860.60 | $8,101.00 | not published | 0 |
| Reptilase test CPT 85635 | $77.40 | $129.00 | not published | 0 |
| Rerepair ing hernia reduce CPT 49520 | $21,977.05 | $36,628.42 | $3,592.11 – $3,663.95 | 3 |
| Resect condyle distal phalanx ea toe 28153 CPT 28153 | $66,517.91 | $110,863.18 | $7,279.94 – $7,425.54 | 3 |
| Resect inferior turbinate CPT 30140 | $15,167.45 | $25,279.08 | $3,326.30 – $3,392.83 | 3 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | $11,431.12 | $19,051.87 | $3,282.70 – $3,348.35 | 3 |
| Respirator motion mgmt simul CPT 77293 | $182.40 | $304.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $12,553.20 | $20,922.00 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $876.60 | $1,461.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $447.60 | $746.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $109.20 | $182.00 | not published | 0 |
| Revasc intra lithotrip-ather HCPCS C9766 | $35,886.60 | $59,811.00 | not published | 0 |
| Revasc intra lithotrip-stent HCPCS C9765 | $35,886.60 | $59,811.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $11,950.20 | $19,917.00 | not published | 0 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $35,886.60 | $59,811.00 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $35,886.60 | $59,811.00 | not published | 0 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $35,886.60 | $59,811.00 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $35,886.60 | $59,811.00 | not published | 0 |
| Revise additional leg tendon CPT 27692 | $133,070.05 | $221,783.42 | $12,880.66 – $13,138.27 | 3 |
| Revise breast reconst 19380 CPT 19380 | $31,389.51 | $52,315.85 | $6,661.88 – $6,795.12 | 3 |
| Revise eye muscle CPT 67311 | $10,446.56 | $17,410.93 | $2,385.26 – $2,432.96 | 3 |
| Revise eye muscle CPT 67314 | $9,778.16 | $16,296.93 | $2,385.26 – $2,432.96 | 3 |
| Revise knuckle joint CPT 26530 | $16,228.74 | $27,047.90 | $7,279.94 – $7,425.54 | 3 |
| Revise lower leg tendon CPT 27690 | $39,889.21 | $66,482.02 | $7,279.94 – $7,425.54 | 3 |
| Revise lower leg tendon CPT 27691 | $133,070.05 | $221,783.42 | $7,279.94 – $7,425.54 | 3 |
| Revise middle ear bone CPT 69660 | $21,053.63 | $35,089.38 | $5,939.19 – $6,057.97 | 3 |
| Revise middle ear & mastoid CPT 69641 | $22,235.47 | $37,059.12 | $5,939.19 – $6,057.97 | 3 |
| Revise middle ear & mastoid CPT 69642 | $25,083.13 | $41,805.22 | $5,939.19 – $6,057.97 | 3 |
| Revise middle ear & mastoid CPT 69646 | $25,103.21 | $41,838.68 | $5,939.19 – $6,057.97 | 3 |
| Revise/replace knee joint CPT 27486 | $94,106.19 | $156,843.65 | $12,880.66 – $13,138.27 | 3 |
| Revise/replace knee joint CPT 27487 | $171,709.93 | $286,183.22 | $17,591.15 – $17,942.97 | 3 |
| Revise two eye muscles CPT 67312 | $8,377.78 | $13,962.97 | $3,944.25 – $4,023.14 | 3 |
| Revision of calf tendon CPT 27687 | $53,135.46 | $88,559.10 | $7,279.94 – $7,425.54 | 3 |
| Revision of cervix CPT 57720 | $2,356.80 | $3,928.00 | not published | 0 |
| Revision of cervix CPT 59320 | $12,363.00 | $20,605.00 | $3,247.71 – $3,312.66 | 3 |
| Revision of eyelid CPT 67961 | $1,762.80 | $2,938.00 | not published | 0 |
| Revision of foot bones CPT 28737 | $293,107.33 | $488,512.22 | $12,880.66 – $13,138.27 | 3 |
| Revision of knee joint CPT 27446 | $51,178.14 | $85,296.90 | $12,880.66 – $13,138.27 | 3 |
| Revision of penis CPT 54300 | $10,917.83 | $18,196.38 | $3,536.51 – $3,607.24 | 3 |
| Revision of penis CPT 54435 | $2,671.80 | $4,453.00 | not published | 0 |
| Revision of radius CPT 25350 | $35,508.56 | $59,180.93 | $7,279.94 – $7,425.54 | 3 |
| Revision of unstable kneecap CPT 27420 | $46,905.00 | $78,175.00 | $7,279.94 – $7,425.54 | 3 |
| Revision of unstable kneecap CPT 27422 | $42,318.14 | $70,530.23 | $7,279.94 – $7,425.54 | 3 |
| Revision open av fistula without thromb CPT 36832 | $14,885.92 | $24,809.87 | $5,582.68 – $5,694.33 | 3 |
| Revision tips CPT 37183 | $3,936.00 | $6,560.00 | not published | 0 |
| Revis reconst shoulder joint CPT 23473 | $95,234.17 | $158,723.62 | $12,880.66 – $13,138.27 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $88.20 | $147.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $726.93 | $1,211.55 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $412.06 | $686.76 | not published | 0 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,367.82 | $2,279.70 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,501.63 | $2,502.71 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $895.62 | $1,492.70 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $4,608.07 | $7,680.12 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6,117.78 | $10,196.30 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $23,112.19 | $38,520.32 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $36,979.15 | $61,631.92 | not published | 0 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $20,800.53 | $34,667.55 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $17,633.28 | $29,388.80 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $17,633.28 | $29,388.80 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $8,780.21 | $14,633.68 | $710.45 – $724.66 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | $11,890.24 | $19,817.07 | $407.84 – $416.00 | 3 |
| Rmvl icd by tv extr CPT 33244 | $9,262.20 | $15,437.00 | 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.