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 |
|---|---|---|---|---|
| Blood typing ag donor ea ag CPT 86902 | $675.60 | $1,126.00 | not published | 0 |
| Blood typing patient serum CPT 86904 | $65.40 | $109.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $675.60 | $1,126.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $124.20 | $207.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $54.00 | $90.00 | not published | 0 |
| Body jacket mold to patient HCPCS L1300 | $8,127.94 | $13,546.56 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | $21,289.96 | $35,483.27 | $2,914.21 – $2,972.50 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $898.20 | $1,497.00 | not published | 0 |
| Bone filler cerament 10cc HCPCS C1602 | $38,899.23 | $64,832.05 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,591.20 | $2,652.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $1,590.60 | $2,651.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $105.00 | $175.00 | not published | 0 |
| Bone marrow aspir bone grfg CPT 20939 | $202,257.19 | $337,095.32 | $27,222.74 – $27,767.19 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,148.40 | $1,914.00 | not published | 0 |
| Bone marrow imaging body CPT 78104 | $655.20 | $1,092.00 | not published | 0 |
| Bone/skin graft iliac crest CPT 20970 | $21,836.78 | $36,394.63 | $7,279.94 – $7,425.54 | 3 |
| Bone survey-lead poisoning CPT 77074 | $792.60 | $1,321.00 | not published | 0 |
| Bone tendon board add on HCPCS C9356 | $16,476.08 | $27,460.13 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $23,537.25 | $39,228.75 | not published | 0 |
| Boot j walker l HCPCS L4386 | $2,662.27 | $4,437.12 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $2,980.08 | $4,966.80 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $1,663.30 | $2,772.17 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $1,569.15 | $2,615.25 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $7,029.79 | $11,716.32 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $172.20 | $287.00 | not published | 0 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $7,886.76 | $13,144.60 | not published | 0 |
| Bowel imaging CPT 78290 | $1,206.60 | $2,011.00 | not published | 0 |
| Brace adj motion lerman type HCPCS L2186 | $774.53 | $1,290.89 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $1,831.93 | $3,053.22 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $1,621.46 | $2,702.43 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $2,430.04 | $4,050.06 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $5,397.88 | $8,996.46 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $530.27 | $883.78 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $411.38 | $685.63 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $282.82 | $471.36 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $352.01 | $586.69 | not published | 0 |
| Brace back epic lo 627 HCPCS L0642 | $6,595.66 | $10,992.77 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $6,109.64 | $10,182.74 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $4,690.45 | $7,817.42 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,763.36 | $2,938.93 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $9,556.12 | $15,926.87 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $10,387.98 | $17,313.30 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $5,211.35 | $8,685.59 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $965.71 | $1,609.51 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $2,892.47 | $4,820.78 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $386.12 | $643.53 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $7,901.51 | $13,169.18 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $3,950.49 | $6,584.15 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $4,430.23 | $7,383.72 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $313.57 | $522.61 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $3,248.40 | $5,414.00 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $3,994.33 | $6,657.21 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $2,848.01 | $4,746.68 | not published | 0 |
| Brace m arm board HCPCS L3809 | $18,923.95 | $31,539.92 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $2,809.80 | $4,683.00 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $6,391.67 | $10,652.79 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $1,464.54 | $2,440.90 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $8,326.96 | $13,878.26 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $313.83 | $523.05 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | $32,462.18 | $54,103.63 | $2,914.21 – $2,972.50 | 3 |
| Brach/thor cath 1st CPT 36215 | $3,453.60 | $5,756.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,464.20 | $4,107.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $2,817.60 | $4,696.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $1,483.20 | $2,472.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $392.29 | $653.81 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $141.22 | $235.37 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $601.51 | $1,002.51 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $219.68 | $366.14 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $106,336.07 | $177,226.78 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $732.27 | $1,220.45 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $666.00 | $1,110.00 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $40,100.52 | $66,834.20 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $549.60 | $916.00 | not published | 0 |
| Braf gene CPT 81210 | $328.80 | $548.00 | not published | 0 |
| Brain image w/flow 4 + views CPT 78606 | $345.00 | $575.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,180.80 | $6,968.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,003.80 | $1,673.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,284.80 | $3,808.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $3,297.60 | $5,496.00 | not published | 0 |
| Brain MRI (with contrast) CPT 70552 | $3,377.40 | $5,629.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $2,070.00 | $3,450.00 | not published | 0 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $221.25 | $368.75 | not published | 0 |
| Brcassure comprehensive panel-sendout CPT 81162 | $10,065.00 | $16,775.00 | not published | 0 |
| Breast augmentation 19325 CPT 19325 | $86,514.05 | $144,190.08 | $7,279.94 – $7,425.54 | 3 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $6,431.40 | $10,719.00 | $1,657.00 – $1,690.14 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $487.80 | $813.00 | not published | 0 |
| Breast reconstruction 19357 CPT 19357 | $63,128.27 | $105,213.78 | $13,826.01 – $14,102.53 | 3 |
| Breast reduction CPT 19318 | $36,225.90 | $60,376.50 | $6,661.88 – $6,795.12 | 3 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $62,364.94 | $103,941.56 | not published | 0 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $785.40 | $1,309.00 | not published | 0 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $28,496.11 | $47,493.52 | $7,080.53 – $7,222.14 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $29,962.75 | $49,937.92 | $7,080.53 – $7,222.14 | 3 |
| Bronch ebus samplng 3/> node CPT 31653 | $20,613.26 | $34,355.43 | $3,740.54 – $3,815.35 | 3 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,331.20 | $5,552.00 | not published | 0 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $29,665.34 | $49,442.23 | $7,080.53 – $7,222.14 | 3 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $39,253.42 | $65,422.37 | $7,080.53 – $7,222.14 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $28,405.31 | $47,342.18 | $7,080.53 – $7,222.14 | 3 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $36,051.64 | $60,086.07 | $3,740.54 – $3,815.35 | 3 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,331.20 | $5,552.00 | not published | 0 |
| Br punct aspir ea add, l CPT 19001 | $377.40 | $629.00 | 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.