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 |
|---|---|---|---|---|
| Tlh w/t/o uterus over 250 g CPT 58573 | $22,954.51 | $38,257.52 | $10,664.59 – $10,877.88 | 3 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $4,206.00 | $7,010.00 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $3,621.86 | $6,036.43 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $4,306.16 | $7,176.94 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $5,356.34 | $8,927.24 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $2,358.49 | $3,930.81 | not published | 0 |
| Tlso corset front HCPCS L0970 | $503.96 | $839.93 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $1,635.58 | $2,725.96 | not published | 0 |
| Tlso full corset HCPCS L0974 | $824.12 | $1,373.53 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $1,789.30 | $2,982.17 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $1,789.30 | $2,982.17 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $2,242.37 | $3,737.28 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $2,242.37 | $3,737.28 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $3,102.94 | $5,171.57 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $6,797.30 | $11,328.83 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $4,734.13 | $7,890.21 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $7,123.31 | $11,872.19 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,334.04 | $2,223.40 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $2,228.20 | $3,713.66 | not published | 0 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $715.20 | $1,192.00 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $120.60 | $201.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,588.59 | $20,980.98 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $268.80 | $448.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $107.40 | $179.00 | not published | 0 |
| Tonsillectomy (age 12+) CPT 42826 | $12,895.33 | $21,492.22 | $3,326.30 – $3,392.83 | 3 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $681.72 | $1,136.20 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $580.27 | $967.12 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $505.94 | $843.24 | not published | 0 |
| Total hip arthroplasty CPT 27132 | $65,810.44 | $109,684.07 | $12,880.66 – $13,138.27 | 3 |
| Total Hip Replacement CPT 27130 | $54,861.35 | $91,435.58 | $12,880.66 – $13,138.27 | 3 |
| Total Knee Replacement CPT 27447 | $54,385.64 | $90,642.73 | $12,880.66 – $13,138.27 | 3 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $78,903.95 | $131,506.58 | $17,591.15 – $17,942.97 | 3 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $87,727.27 | $146,212.12 | $17,591.15 – $17,942.97 | 3 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $83,632.96 | $139,388.27 | $17,591.15 – $17,942.97 | 2 |
| Toxoplasma antibody igg CPT 86777 | $150.60 | $251.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $148.20 | $247.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $833.40 | $1,389.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $18,151.55 | $30,252.59 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $381.00 | $635.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $53.64 | $89.40 | not published | 0 |
| Transcath biopsy CPT 37200 | $3,627.00 | $6,045.00 | not published | 0 |
| Transcath closure of asd CPT 93580 | $19,265.40 | $32,109.00 | not published | 0 |
| Transcatheter bx s&i CPT 75970 | $2,940.60 | $4,901.00 | not published | 0 |
| Transcath mv repair addl prosthesis CPT 33419 | $4,336.80 | $7,228.00 | not published | 0 |
| Transcath mv repair init prosthesis CPT 33418 | $8,673.60 | $14,456.00 | not published | 0 |
| Transcath occlusion cns CPT 61624 | $9,804.60 | $16,341.00 | not published | 0 |
| Transcath occlusion non-cns CPT 61626 | $9,573.00 | $15,955.00 | not published | 0 |
| Transferrin CPT 84466 | $94.80 | $158.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $1,989.00 | $3,315.00 | not published | 0 |
| Transplant forearm tendon CPT 25310 | $3,872.81 | $6,454.68 | $3,282.70 – $3,348.35 | 3 |
| Trans shoe caliper plate new HCPCS L3610 | $473.83 | $789.72 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $359.86 | $599.76 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $359.86 | $599.76 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $473.83 | $789.72 | not published | 0 |
| Trapezius sling HCPCS L1070 | $529.07 | $881.78 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $7,721.05 | $12,868.41 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $18,736.25 | $31,227.08 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $16,684.12 | $27,806.86 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $18,045.23 | $30,075.38 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $148.80 | $248.00 | not published | 0 |
| Treat ectopic pregnancy CPT 59151 | $22,903.04 | $38,171.73 | $6,065.29 – $6,186.60 | 3 |
| Treat elbow dislocation CPT 24605 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat elbow fracture CPT 24586 | $53,420.33 | $89,033.88 | $12,880.66 – $13,138.27 | 3 |
| Treat elbow fracture CPT 24620 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat finger fracture each CPT 26727 | $6,147.15 | $10,245.25 | $3,282.70 – $3,348.35 | 3 |
| Treat finger fracture each CPT 26742 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat foot dislocation CPT 28540 | $445.80 | $743.00 | not published | 0 |
| Treat foot dislocation CPT 28545 | $19,989.29 | $33,315.48 | $3,282.70 – $3,348.35 | 3 |
| Treat foot dislocation CPT 28570 | $172.80 | $288.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $172.80 | $288.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $6,814.26 | $11,357.10 | $3,282.70 – $3,348.35 | 3 |
| Treat fracture of ulna CPT 25535 | $17,490.89 | $29,151.48 | $7,279.94 – $7,425.54 | 3 |
| Treat heel fracture CPT 28415 | $44,888.71 | $74,814.52 | $7,279.94 – $7,425.54 | 3 |
| Treat hip dislocation CPT 27257 | $8,604.60 | $14,341.00 | $1,613.25 – $1,645.51 | 3 |
| Treat humerus fracture CPT 24515 | $37,817.06 | $63,028.43 | $12,880.66 – $13,138.27 | 3 |
| Treat humerus fracture CPT 24535 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat humerus fracture CPT 24545 | $36,713.86 | $61,189.77 | $12,880.66 – $13,138.27 | 3 |
| Treat humerus fracture CPT 24565 | $1,195.80 | $1,993.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $172.80 | $288.00 | not published | 0 |
| Treat kneecap dislocation CPT 27566 | $38,807.86 | $64,679.77 | $7,279.94 – $7,425.54 | 3 |
| Treat kneecap fracture CPT 27524 | $45,162.14 | $75,270.23 | $7,279.94 – $7,425.54 | 3 |
| Treat knee fracture CPT 27535 | $11,424.00 | $19,040.00 | $7,279.94 – $7,425.54 | 3 |
| Treat lower jaw fracture 21462 CPT 21462 | $48,996.19 | $81,660.32 | $5,939.19 – $6,057.97 | 3 |
| Treat lower leg joint CPT 27829 | $34,690.25 | $57,817.08 | $7,279.94 – $7,425.54 | 3 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $25,322.17 | $42,203.62 | $7,279.94 – $7,425.54 | 3 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $24,096.91 | $40,161.52 | $7,279.94 – $7,425.54 | 3 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $22,416.13 | $37,360.22 | $7,279.94 – $7,425.54 | 3 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $9,558.22 | $15,930.37 | $3,247.71 – $3,312.66 | 3 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $456.60 | $761.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $238.20 | $397.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $172.20 | $287.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $8,926.28 | $14,877.13 | $3,247.71 – $3,312.66 | 3 |
| Treatment of ankle fracture CPT 27792 | $35,694.90 | $59,491.50 | $7,279.94 – $7,425.54 | 3 |
| Treatment of ankle fracture CPT 27814 | $28,940.69 | $48,234.48 | $7,279.94 – $7,425.54 | 3 |
| Treatment of ankle fracture CPT 27822 | $26,655.68 | $44,426.13 | $7,279.94 – $7,425.54 | 3 |
| Treatment of ankle fracture CPT 27823 | $35,415.95 | $59,026.58 | $7,279.94 – $7,279.94 | 2 |
| Treatment of miscarriage CPT 59821 | $12,063.60 | $20,106.00 | $3,247.71 – $3,312.66 | 3 |
| Treatment of rectal prolapse CPT 45520 | $9,059.39 | $15,098.98 | $933.00 – $951.66 | 3 |
| Treatment of thigh fracture CPT 27503 | $1,195.80 | $1,993.00 | not published | 0 |
| Treatment of thigh fracture CPT 27510 | $1,965.00 | $3,275.00 | 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.