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 |
|---|---|---|---|---|
| Budesonide non-comp unit HCPCS J7626 | $83.24 | $138.73 | not published | 0 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $45.00 | $75.00 | not published | 0 |
| Bundled special stain group 1 microorganisms CPT 88312 | $243.60 | $406.00 | not published | 0 |
| Bundled special stain group 2 CPT 88313 | $233.40 | $389.00 | not published | 0 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $422.42 | $704.03 | not published | 0 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $8.70 | $14.50 | not published | 0 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $12.68 | $21.13 | not published | 0 |
| Buprenorphine oral 1mg HCPCS J0571 | $2,517.93 | $4,196.55 | not published | 0 |
| Bur rotalink 2.15mm HCPCS C1724 | $33,736.73 | $56,227.88 | not published | 0 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $50.70 | $84.50 | not published | 0 |
| Bx bone trocar/ndl deep CPT 20225 | $5,790.60 | $9,651.00 | $1,657.00 – $1,690.14 | 3 |
| Bx breast 1st lesion mr imag CPT 19085 | $4,155.00 | $6,925.00 | not published | 0 |
| Bx breast 1st lesion strtctc CPT 19081 | $5,809.20 | $9,682.00 | not published | 0 |
| Bx breast add lesion mr imag CPT 19086 | $2,789.40 | $4,649.00 | not published | 0 |
| Bx breast add lesion strtctc CPT 19082 | $6,175.80 | $10,293.00 | not published | 0 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,766.60 | $4,611.00 | not published | 0 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $20,257.31 | $33,762.18 | $3,247.71 – $3,312.66 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $18,981.47 | $31,635.78 | $3,928.24 – $4,006.80 | 3 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $13,546.52 | $22,577.53 | $3,928.24 – $4,006.80 | 3 |
| Bx liver with other CPT 47001 | $528.60 | $881.00 | not published | 0 |
| Bx of breast open 19101 CPT 19101 | $22,275.04 | $37,125.07 | $3,928.24 – $4,006.80 | 3 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $8,921.42 | $14,869.03 | $3,247.71 – $3,312.66 | 3 |
| Bx perianal mass CPT 46999 | $17,524.37 | $29,207.28 | $2,784.74 – $2,840.43 | 3 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $130.80 | $218.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $291.60 | $486.00 | $407.84 – $416.00 | 3 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $122.40 | $204.00 | not published | 0 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $3,065.40 | $5,109.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $3,675.60 | $6,126.00 | not published | 0 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $11,400.05 | $19,000.08 | $699.58 – $713.57 | 3 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $10,486.05 | $17,476.75 | $924.06 – $942.54 | 3 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $10,486.05 | $17,476.75 | $924.06 – $942.54 | 3 |
| Bypass temp external fem-fem CPT 37799 | $13,221.67 | $22,036.12 | $629.35 – $641.94 | 3 |
| C-1 esterase, berinert HCPCS J0597 | $20,247.43 | $33,745.72 | not published | 0 |
| C1 esterase inhibitor func - sendout CPT 86161 | $91.80 | $153.00 | not published | 0 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $47,803.08 | $79,671.80 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $71,861.84 | $119,769.73 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $1,835.90 | $3,059.84 | not published | 0 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $89.39 | $148.99 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,185.00 | $1,975.00 | not published | 0 |
| Calcium 24 hour urine CPT 82340 | $62.40 | $104.00 | not published | 0 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $6.00 | $10.00 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $353.13 | $588.55 | not published | 0 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $176.57 | $294.28 | not published | 0 |
| Calcium ionized CPT 82330 | $81.00 | $135.00 | not published | 0 |
| Calcium total CPT 82310 | $50.40 | $84.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $66.00 | $110.00 | not published | 0 |
| Calprotectin fecal CPT 83993 | $340.80 | $568.00 | not published | 0 |
| Candida dna CPT 87480 | $66.60 | $111.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $261,525.00 | $435,875.00 | not published | 0 |
| Canthotomy 67715 CPT 67715 | $1,762.80 | $2,938.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $9.39 | $15.65 | not published | 0 |
| Cap nerve 2x15mm HCPCS C1763 | $241,492.19 | $402,486.98 | not published | 0 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $3,039.00 | $5,065.00 | not published | 0 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $37,599.03 | $62,665.05 | $3,282.70 – $3,348.35 | 3 |
| Cap trach decann 15mm HCPCS C1750 | $4,357.01 | $7,261.68 | not published | 0 |
| Carbamazepine free CPT 80157 | $84.60 | $141.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $68.40 | $114.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $148.20 | $247.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $42.60 | $71.00 | not published | 0 |
| Carbon graphite lamination HCPCS L2755 | $560.45 | $934.08 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $291.07 | $485.12 | not published | 0 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $1,251.60 | $2,086.00 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $223.80 | $373.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $156.00 | $260.00 | not published | 0 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $4,153.20 | $6,922.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $311.40 | $519.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $262.20 | $437.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $343.80 | $573.00 | not published | 0 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,616.40 | $2,694.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $99.60 | $166.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $45.60 | $76.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $17,402.98 | $29,004.96 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $970.80 | $1,618.00 | not published | 0 |
| Carpal Tunnel Release Surgery CPT 64721 | $37,354.43 | $62,257.38 | $1,959.11 – $1,998.29 | 3 |
| Car seat/bed test 60 minutes CPT 94780 | $405.60 | $676.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $247.80 | $413.00 | not published | 0 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $4,294.65 | $7,157.75 | $933.00 – $951.66 | 3 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $7,845.75 | $13,076.25 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $20,660.48 | $34,434.13 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $15,419.51 | $25,699.19 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $18,382.59 | $30,637.65 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $73,200.85 | $122,001.41 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $156,915.00 | $261,525.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $17,872.62 | $29,787.70 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $130,762.50 | $217,937.50 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $33,998.25 | $56,663.75 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $44,197.73 | $73,662.88 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $17,428.03 | $29,046.71 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $10,198.80 | $16,998.00 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $21,327.05 | $35,545.08 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $11,480.95 | $19,134.91 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $4,707.45 | $7,845.75 | not published | 0 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $17.40 | $29.00 | not published | 0 |
| Catheter stripping venous CPT 36595 | $1,149.00 | $1,915.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $19,722.38 | $32,870.64 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $16,972.97 | $28,288.29 | not published | 0 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $3,620.71 | $6,034.52 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $18,280.60 | $30,467.66 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $426.65 | $711.09 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $1,725.00 | $2,875.00 | 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.