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 |
|---|---|---|---|---|
| X-ray hand 2 views (both sides) CPT 73120 | $481.20 | $802.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $543.60 | $906.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,144.80 | $1,908.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,163.40 | $1,939.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $329.40 | $549.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $594.60 | $991.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $445.80 | $743.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $645.00 | $1,075.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $402.60 | $671.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $468.60 | $781.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,033.80 | $1,723.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $758.40 | $1,264.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $612.60 | $1,021.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $166.80 | $278.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $511.80 | $853.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $647.40 | $1,079.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $186.60 | $311.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $603.60 | $1,006.00 | not published | 0 |
| X-ray pelvis complete > 3 views CPT 72190 | $653.40 | $1,089.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $2,035.80 | $3,393.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $466.20 | $777.00 | not published | 0 |
| X-ray ribs 3 views bilateral CPT 71110 | $600.00 | $1,000.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $924.00 | $1,540.00 | not published | 0 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $696.60 | $1,161.00 | not published | 0 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $576.60 | $961.00 | not published | 0 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $776.40 | $1,294.00 | not published | 0 |
| X-ray scapula complete (both sides) CPT 73010 | $803.40 | $1,339.00 | not published | 0 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $508.20 | $847.00 | not published | 0 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $995.40 | $1,659.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $844.80 | $1,408.00 | not published | 0 |
| X-ray skull < 4 views CPT 70250 | $642.00 | $1,070.00 | not published | 0 |
| X-ray skull > 4 views complete CPT 70260 | $847.20 | $1,412.00 | not published | 0 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,458.00 | $2,430.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $2,362.80 | $3,938.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $442.20 | $737.00 | not published | 0 |
| X-ray sternum > 2 views CPT 71120 | $559.80 | $933.00 | not published | 0 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $942.00 | $1,570.00 | not published | 0 |
| X-ray thoracic spine 2 views CPT 72070 | $924.00 | $1,540.00 | not published | 0 |
| X-ray thoracic spine 3 views CPT 72072 | $735.60 | $1,226.00 | not published | 0 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $486.60 | $811.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $697.20 | $1,162.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $277.20 | $462.00 | not published | 0 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $809.40 | $1,349.00 | not published | 0 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $430.80 | $718.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,794.60 | $2,991.00 | not published | 0 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,529.40 | $2,549.00 | not published | 0 |
| X-ray wrist 2 views (both sides) CPT 73100 | $534.60 | $891.00 | not published | 0 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $142,394.09 | $237,323.49 | not published | 0 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $261.05 | $435.08 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $286.80 | $478.00 | not published | 0 |
| Zika virus igm antibody CPT 86794 | $162.60 | $271.00 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $7,872.00 | $13,120.00 | not published | 0 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $155.47 | $259.12 | 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.