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 |
|---|---|---|---|---|
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $45.00 | $75.00 | not published | 0 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $186.60 | $311.00 | not published | 0 |
| Augment injectable kit 3.0cc HCPCS C1734 | $17,365.26 | $28,942.10 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $11,125.80 | $18,543.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $17,901.00 | $29,835.00 | not published | 0 |
| Automated diff wbc count CPT 85004 | $29.40 | $49.00 | not published | 0 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $10,302.58 | $17,170.97 | not published | 0 |
| Av fistula revision CPT 36833 | $18,562.21 | $30,937.02 | $5,582.68 – $5,694.33 | 3 |
| Av fuse uppr arm basilic CPT 36819 | $21,094.48 | $35,157.47 | $5,582.68 – $5,694.33 | 3 |
| Av fuse uppr arm cephalic CPT 36818 | $19,442.18 | $32,403.63 | $5,582.68 – $5,694.33 | 3 |
| Av fusion direct any site CPT 36821 | $19,511.84 | $32,519.73 | $3,167.80 – $3,231.16 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $7,315.00 | $12,191.67 | $201.29 – $205.32 | 3 |
| Azacitidine injection HCPCS J9025 | $2,879.38 | $4,798.97 | not published | 0 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $66.43 | $110.71 | not published | 0 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $459.97 | $766.61 | not published | 0 |
| Bacterial vaginosis pcr CPT 87801 | $288.00 | $480.00 | not published | 0 |
| #bac vag cand-c. albicans naa CPT 87481 | $172.20 | $287.00 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $9,977.06 | $16,628.43 | $3,247.71 – $3,312.66 | 3 |
| Bartonella dna pcr-sendout CPT 87471 | $181.80 | $303.00 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $672.75 | $1,121.25 | not published | 0 |
| B cells total count CPT 86355 | $187.80 | $313.00 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $61.80 | $103.00 | not published | 0 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $10,228.97 | $17,048.28 | not published | 0 |
| Below knee total contact HCPCS L5637 | $1,490.17 | $2,483.62 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,512.80 | $19,188.00 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $12,171.10 | $20,285.16 | not published | 0 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $16,106.77 | $26,844.61 | not published | 0 |
| Benign lesion paring 2-4 CPT 11056 | $122.40 | $204.00 | not published | 0 |
| Benign lesion paring 4+ CPT 11057 | $174.60 | $291.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $87.60 | $146.00 | not published | 0 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $134.10 | $223.50 | not published | 0 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $228.60 | $381.00 | not published | 0 |
| Beta-2 microglobulin CPT 82232 | $168.00 | $280.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $762.00 | $1,270.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $98.39 | $163.99 | not published | 0 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $15,683.78 | $26,139.64 | not published | 0 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $3,432.85 | $5,721.41 | not published | 0 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $12,071.71 | $20,119.52 | not published | 0 |
| Bevacizumab injection HCPCS C9257 | $90.00 | $150.00 | not published | 0 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $1,444.80 | $2,408.00 | not published | 0 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,188.00 | $1,980.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,188.00 | $1,980.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47553 | $4,067.40 | $6,779.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47554 | $11,626.20 | $19,377.00 | not published | 0 |
| Biliary endoscopy thru skin CPT 47555 | $2,674.20 | $4,457.00 | not published | 0 |
| Bilicheck CPT 88720 | $33.00 | $55.00 | not published | 0 |
| Bilirubin direct CPT 82248 | $168.00 | $280.00 | not published | 0 |
| Bilirubin total CPT 82247 | $183.60 | $306.00 | not published | 0 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $1,579.61 | $2,632.69 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $2,952.00 | $4,920.00 | not published | 0 |
| Biopsy bone trocar/needle superficial CPT 20220 | $42,780.59 | $71,300.98 | $1,657.00 – $1,690.14 | 3 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $8,637.05 | $14,395.08 | $924.06 – $942.54 | 3 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,600.60 | $6,001.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,364.40 | $2,274.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $6,778.20 | $11,297.00 | $1,657.00 – $1,690.14 | 3 |
| Biopsy needle lymph node superficial CPT 38505 | $9,728.23 | $16,213.72 | $1,657.00 – $1,690.14 | 3 |
| Biopsy of heart lining CPT 93505 | $1,784.40 | $2,974.00 | not published | 0 |
| Biopsy of nail unit 11755 CPT 11755 | $1,351.80 | $2,253.00 | not published | 0 |
| Biopsy of prostate CPT 55700 | $6,547.43 | $10,912.38 | $122.17 – $124.61 | 3 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $10,707.20 | $17,845.33 | $2,784.74 – $2,840.43 | 3 |
| Biopsy of toe joint lining CPT 28054 | $14,662.50 | $24,437.50 | $3,282.70 – $3,348.35 | 3 |
| Biopsy/removal lymph nodes CPT 38525 | $26,295.38 | $43,825.63 | $6,661.88 – $6,795.12 | 3 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $2,237.40 | $3,729.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $1,396.20 | $2,327.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $105.00 | $175.00 | not published | 0 |
| Biovance 1 square cm HCPCS Q4154 | $18,568.28 | $30,947.13 | not published | 0 |
| Bivalirudin HCPCS J0583 | $625.80 | $1,043.00 | not published | 0 |
| Bk flex inner socket ext fra HCPCS L5645 | $3,493.51 | $5,822.51 | not published | 0 |
| Bk fork strap HCPCS L5684 | $210.68 | $351.14 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $444.80 | $741.34 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $267.44 | $445.73 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $438.60 | $731.00 | not published | 0 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $162.95 | $271.59 | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $47,541.43 | $79,235.72 | $2,070.03 – $2,111.43 | 3 |
| Blepharp lwr eyelid fat pad CPT 15821 | $47,541.43 | $79,235.72 | $2,070.03 – $2,111.43 | 3 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $172,606.50 | $287,677.50 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $24,583.35 | $40,972.25 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $5,492.03 | $9,153.38 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $29,552.33 | $49,253.88 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $39,856.72 | $66,427.87 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $42,890.10 | $71,483.50 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,299.60 | $2,166.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $2,506.20 | $4,177.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $583.80 | $973.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,407.60 | $2,346.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $756.00 | $1,260.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $58.20 | $97.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $213.00 | $355.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $32,398.02 | $53,996.70 | $59.19 – $60.37 | 3 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $108.60 | $181.00 | not published | 0 |
| Blood count spun microhematocrit CPT 85013 | $29.40 | $49.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $280.20 | $467.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $52.20 | $87.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $111.00 | $185.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $52.80 | $88.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $30.60 | $51.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $60.60 | $101.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $49.20 | $82.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $126.60 | $211.00 | not published | 0 |
| Blood typing abo CPT 86900 | $133.20 | $222.00 | 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.