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 |
|---|---|---|---|---|
| Shoulder X-ray CPT 73030 | $759.60 | $1,266.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $398.25 | $663.75 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $280.15 | $466.91 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $15,168.45 | $25,280.75 | not published | 0 |
| Sickling rbc CPT 85660 | $110.40 | $184.00 | not published | 0 |
| Sigmoidoscopy and biopsy CPT 45331 | $6,053.04 | $10,088.40 | $933.00 – $951.66 | 3 |
| Sigmoidoscopy for bleeding CPT 45334 | $5,800.93 | $9,668.22 | $1,200.55 – $1,224.56 | 3 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $5,291.92 | $8,819.87 | $933.00 – $951.66 | 3 |
| Sigmoidoscopy w/ablation CPT 45346 | $4,689.97 | $7,816.62 | $1,200.55 – $1,224.56 | 3 |
| Sigmoidoscopy w/resection CPT 45349 | $4,084.21 | $6,807.02 | $2,784.74 – $2,840.43 | 3 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $6,053.04 | $10,088.40 | $1,200.55 – $1,224.56 | 3 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $4,172.88 | $6,954.80 | $933.00 – $951.66 | 3 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $4,945.20 | $8,242.00 | $933.00 – $951.66 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,166.34 | $1,943.90 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,777.40 | $4,629.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $2,730.60 | $4,551.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,481.40 | $2,469.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $2,301.00 | $3,835.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $1,260.50 | $2,100.83 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $834.63 | $1,391.05 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $187,807.50 | $313,012.50 | not published | 0 |
| Sirolimus, oral HCPCS J7520 | $88.36 | $147.27 | not published | 0 |
| Skin Biopsy CPT 11102 | $4,230.34 | $7,050.57 | $407.84 – $416.00 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | $5,349.00 | $8,915.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $718.80 | $1,198.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $915.81 | $1,526.35 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $406.62 | $677.70 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $35,563.63 | $59,272.72 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $37.80 | $63.00 | not published | 0 |
| Smear gram stain CPT 87205 | $202.20 | $337.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $31.80 | $53.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $139.80 | $233.00 | not published | 0 |
| Smear wet mount CPT 87210 | $97.20 | $162.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $702.00 | $1,170.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $5,073.27 | $8,455.45 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $3,867.33 | $6,445.55 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $2,563.31 | $4,272.19 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $143.42 | $239.03 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $79.20 | $132.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $235.20 | $392.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $193.20 | $322.00 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $114.00 | $190.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $284.29 | $473.82 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $42.60 | $71.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $45.00 | $75.00 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $356.93 | $594.88 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $3,954.00 | $6,590.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $753.35 | $1,255.58 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $65,759.05 | $109,598.42 | $12,880.66 – $13,138.27 | 3 |
| Special physics consult CPT 77370 | $1,055.40 | $1,759.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $3,684.60 | $6,141.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $747.60 | $1,246.00 | not published | 0 |
| Spinal bone allograftstructural 20931 CPT 20931 | $50,743.25 | $84,572.08 | $12,880.66 – $13,138.27 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | $179,178.13 | $298,630.22 | $27,222.74 – $27,767.19 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $3,427.20 | $5,712.00 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $819.60 | $1,366.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $2,175.05 | $3,625.09 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $281.92 | $469.87 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $414.57 | $690.95 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $421.89 | $703.15 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $414.57 | $690.95 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $29,868.34 | $49,780.57 | $3,555.31 – $3,626.42 | 3 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $44,764.34 | $74,607.23 | $3,555.31 – $3,626.42 | 3 |
| Sputum specimen collection CPT 89220 | $153.60 | $256.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $255.60 | $426.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $1,307.63 | $2,179.38 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $125,264.16 | $208,773.60 | $649.73 – $662.72 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $94,351.42 | $157,252.37 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $75,842.25 | $126,403.75 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $82,380.38 | $137,300.63 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,830.68 | $3,051.13 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $94,932.46 | $158,220.77 | $446.69 – $455.62 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | $114.00 | $190.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $473.20 | $788.67 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $255.60 | $426.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $275.40 | $459.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $558.00 | $930.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $275.40 | $459.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $73.75 | $122.92 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $692.99 | $1,154.98 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $121.80 | $203.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $48.00 | $80.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $48.00 | $80.00 | not published | 0 |
| Strapping of knee CPT 29530 | $97.20 | $162.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $55.20 | $92.00 | not published | 0 |
| Stress test pulmonary CPT 94618 | $272.40 | $454.00 | not published | 0 |
| Stress tte complete CPT 93351 | $5,617.20 | $9,362.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $733.80 | $1,223.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $231.60 | $386.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $259.20 | $432.00 | not published | 0 |
| Subtalar arthro w/deb CPT 29906 | $133,070.05 | $221,783.42 | $12,880.66 – $13,138.27 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $45.00 | $75.00 | not published | 0 |
| Suction lipectomy head&neck CPT 15876 | $62,641.09 | $104,401.82 | $3,555.31 – $3,626.42 | 2 |
| Suction lipectomy lwr extrem CPT 15879 | $53,583.11 | $89,305.18 | $3,555.31 – $3,626.42 | 3 |
| Suction lipectomy trunk CPT 15877 | $64,192.75 | $106,987.92 | $3,555.31 – $3,626.42 | 2 |
| Suction lipectomy upr extrem CPT 15878 | $75,206.06 | $125,343.43 | $2,914.21 – $2,972.50 | 2 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $112.11 | $186.85 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $1,194.07 | $1,990.12 | not published | 0 |
| Surg dx exam anorectal CPT 45990 | $5,724.00 | $9,540.00 | $2,784.74 – $2,840.43 | 3 |
| Surgery to stop leg growth CPT 27485 | $25,989.14 | $43,315.23 | $7,279.94 – $7,425.54 | 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.