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 |
|---|---|---|---|---|
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $71,731.80 | $119,553.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $93,251.40 | $155,419.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $71,731.80 | $119,553.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $4,153.80 | $6,923.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $202.80 | $338.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $5,923.20 | $9,872.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $21,780.00 | $36,300.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $17,020.80 | $28,368.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $1,571.40 | $2,619.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,571.40 | $2,619.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,655.60 | $4,426.00 | $710.45 – $724.66 | 3 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $16,881.02 | $28,135.03 | $2,914.21 – $2,972.50 | 2 |
| Rmvl tv pm lead dual CPT 33235 | $5,448.60 | $9,081.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $4,523.40 | $7,539.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $458.14 | $763.57 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $6,524.75 | $10,874.59 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $12,461.08 | $20,768.47 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $98.70 | $164.50 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,796.00 | $4,660.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $501.00 | $835.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,467.20 | $4,112.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,757.00 | $4,595.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,587.80 | $4,313.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $2,587.80 | $4,313.00 | not published | 0 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $37,981.55 | $63,302.58 | $1,105.55 – $1,105.55 | 1 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $27,609.02 | $46,015.03 | $6,494.99 – $6,624.89 | 3 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $19,608.14 | $32,680.23 | $10,664.59 – $10,877.88 | 3 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $20,031.73 | $33,386.22 | $6,494.99 – $6,624.89 | 3 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $29,782.42 | $49,637.37 | $3,592.11 – $3,663.95 | 3 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $14,697.28 | $24,495.47 | $6,065.29 – $6,186.60 | 3 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $22,641.33 | $37,735.55 | $8.61 – $956.37 | 3 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $22,420.16 | $37,366.93 | $927.78 – $3,626.42 | 3 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $18,192.38 | $30,320.63 | $6,494.99 – $6,624.89 | 3 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $16,399.48 | $27,332.47 | $3,592.11 – $3,663.95 | 3 |
| Rpr ing hernia init reduce CPT 49500 | $13,638.23 | $22,730.38 | $6,494.99 – $6,624.89 | 3 |
| Rsv assay w/optic CPT 87807 | $41.40 | $69.00 | not published | 0 |
| Rsv vacc mrna lipid nano im CPT 90683 | $704.40 | $1,174.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $134.40 | $224.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $156.00 | $260.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $130.80 | $218.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,000.20 | $1,667.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $595.20 | $992.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $742.20 | $1,237.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $325.80 | $543.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,344.60 | $2,241.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,420.20 | $2,367.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $444.00 | $740.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $556.80 | $928.00 | not published | 0 |
| Scan proc cranial intra 61781 CPT 61781 | $34,189.90 | $56,983.17 | $7,080.53 – $7,222.14 | 3 |
| Scan proc spinal CPT 61783 | $175,726.91 | $292,878.18 | $7,279.94 – $7,425.54 | 3 |
| Scope plantar fasciotomy CPT 29893 | $23,238.29 | $38,730.48 | $3,282.70 – $3,348.35 | 3 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $30,598.43 | $50,997.38 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $3,782.92 | $6,304.87 | $933.00 – $951.66 | 3 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $4,737.60 | $7,896.00 | $933.00 – $951.66 | 3 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $60.00 | $100.00 | not published | 0 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $93.00 | $155.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $471.00 | $785.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $166.80 | $278.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $564,470.33 | $940,783.88 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $5,099.40 | $8,499.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.60 | $36.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $255.00 | $425.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $1,928.40 | $3,214.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $2,682.60 | $4,471.00 | not published | 0 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $88.79 | $147.99 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $7,211.14 | $12,018.56 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $639.00 | $1,065.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $311.40 | $519.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $76.05 | $126.75 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $17,391.41 | $28,985.69 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $26,126.35 | $43,543.91 | not published | 0 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $36,837.75 | $61,396.25 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg capsulorraphy CPT 29806 | $40,371.98 | $67,286.63 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $31,998.78 | $53,331.30 | $7,279.94 – $7,425.54 | 3 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $36,858.53 | $61,430.88 | $3,282.70 – $3,348.35 | 3 |
| Shoe clubfoot wedge HCPCS L3380 | $233.91 | $389.85 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $204.04 | $340.07 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $191.96 | $319.93 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $162.04 | $270.07 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $293.85 | $489.75 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $497.68 | $829.47 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $293.85 | $489.75 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $276.07 | $460.11 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $349.19 | $581.98 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $437.79 | $729.65 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $191.96 | $319.93 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $233.91 | $389.85 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $575.36 | $958.93 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $233.91 | $389.85 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $167.90 | $279.83 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $401.96 | $669.94 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $755.75 | $1,259.59 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $2,440.39 | $4,067.32 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $245.94 | $409.90 | not published | 0 |
| Shorten radius or ulna CPT 25390 | $35,392.34 | $58,987.23 | $7,279.94 – $7,425.54 | 3 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $36,837.75 | $61,396.25 | $7,279.94 – $7,425.54 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,426.20 | $7,377.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $3,543.60 | $5,906.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,204.40 | $3,674.00 | 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.