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 |
|---|---|---|---|---|
| Clot factor xiii fibrin stab CPT 85290 | $214.20 | $357.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $172.80 | $288.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $172.80 | $288.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $476.40 | $794.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $172.80 | $288.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $431.40 | $719.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $431.40 | $719.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $5,133.00 | $8,555.00 | $1,613.25 – $1,645.51 | 3 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $6,848.40 | $11,414.00 | $1,613.25 – $1,645.51 | 3 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $172.80 | $288.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $172.80 | $288.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $453.60 | $756.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $172.80 | $288.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $172.80 | $288.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $172.80 | $288.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $172.80 | $288.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $76,306.49 | $127,177.48 | $8,804.54 – $8,980.63 | 2 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $172.80 | $288.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,566.00 | $2,610.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $172.80 | $288.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $172.80 | $288.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $445.80 | $743.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,195.80 | $1,993.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $28,386.56 | $47,310.93 | $7,279.94 – $7,425.54 | 3 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $453.60 | $756.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $476.40 | $794.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $172.80 | $288.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $445.80 | $743.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $172.80 | $288.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,965.00 | $3,275.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,195.80 | $1,993.00 | not published | 0 |
| Cltx palatal/max fx wire fix CPT 21421 | $11,791.80 | $19,653.00 | $3,326.30 – $3,392.83 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,195.80 | $1,993.00 | not published | 0 |
| Cmbn ant pst colprhy CPT 57260 | $23,492.47 | $39,154.12 | $5,018.81 – $5,119.18 | 3 |
| #cmvcul-virus inoculation shell CPT 87254 | $181.80 | $303.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $537.60 | $896.00 | not published | 0 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $66,597.00 | $110,995.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $113.40 | $189.00 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $62,488.78 | $104,147.97 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $1,543.00 | $2,571.66 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $72.00 | $120.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $51.60 | $86.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $250.24 | $417.06 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $444.59 | $740.99 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $298.14 | $496.90 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $718.99 | $1,198.31 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $492.77 | $821.28 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $318.00 | $530.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $145.20 | $242.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $37.80 | $63.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $4,411.68 | $7,352.80 | $933.00 – $951.66 | 3 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $6,781.27 | $11,302.12 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy submucous njx CPT 45381 | $16,204.39 | $27,007.32 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy thru stoma spx CPT 44388 | $5,470.20 | $9,117.00 | $933.00 – $951.66 | 3 |
| Colonoscopy w/ablation CPT 45388 | $18,782.96 | $31,304.93 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/balloon dilat CPT 45386 | $7,385.09 | $12,308.48 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/band ligation CPT 45398 | $8,518.04 | $14,196.73 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/control bleed CPT 45382 | $6,355.12 | $10,591.87 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy (with biopsy) CPT 45380 | $13,177.91 | $21,963.18 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy with biopsy CPT 44389 | $10,342.25 | $17,237.08 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy (with polyp removal) CPT 45385 | $18,782.96 | $31,304.93 | $1,200.55 – $1,224.56 | 3 |
| Colonoscopy w/resection CPT 45390 | $16,204.39 | $27,007.32 | $2,784.74 – $2,840.43 | 3 |
| Colpocentesis 57020 CPT 57020 | $26,400.56 | $44,000.93 | $5,018.81 – $5,119.18 | 3 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $19,110.29 | $31,850.48 | $5,018.81 – $5,119.18 | 3 |
| Colpopexy extraperitoneal CPT 57282 | $39,365.98 | $65,609.97 | $10,664.59 – $10,877.88 | 3 |
| Colpopexy intraperitoneal CPT 57283 | $24,776.26 | $41,293.77 | $7,439.68 – $7,588.47 | 3 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,356.80 | $3,928.00 | not published | 0 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $7,638.68 | $12,731.13 | $924.06 – $942.54 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $132.60 | $221.00 | not published | 0 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $201.60 | $336.00 | not published | 0 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $201.00 | $335.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $9,119.64 | $15,199.40 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $205.80 | $343.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $210.60 | $351.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $204.00 | $340.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $203.40 | $339.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $142.20 | $237.00 | not published | 0 |
| Complete removal of vulva CPT 56625 | $10,563.20 | $17,605.33 | $3,247.71 – $3,312.66 | 2 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,921.80 | $3,203.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $12,009.80 | $20,016.33 | $1,657.00 – $1,690.14 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $7,562.11 | $12,603.52 | $741.49 – $756.32 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $11,286.00 | $18,810.00 | $741.49 – $756.32 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $7,925.40 | $13,209.00 | $407.84 – $416.00 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $15,209.90 | $25,349.83 | $1,657.00 – $6,057.97 | 3 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $19,171.21 | $31,952.02 | $5,939.19 – $6,057.97 | 2 |
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.