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 |
|---|---|---|---|---|
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $12,144.67 | $20,241.12 | $1,657.00 – $1,690.14 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $1,921.80 | $3,203.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $56,456.90 | $94,094.83 | $3,928.24 – $4,006.80 | 3 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $4,351.78 | $7,252.96 | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | $19,415.75 | $32,359.58 | $2,111.43 – $2,111.43 | 1 |
| Concentration infection agents any type CPT 87015 | $69.60 | $116.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $36,587.35 | $60,978.91 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $600.00 | $1,000.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $9,409.06 | $15,681.77 | $3,247.71 – $3,312.66 | 3 |
| Conization of cervix CPT 57520 | $10,811.76 | $18,019.60 | $3,247.71 – $3,312.66 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $3,369.31 | $5,615.52 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $15,294.87 | $25,491.45 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $16,172.71 | $26,954.51 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $312.00 | $520.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $150.60 | $251.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $300.00 | $500.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,043.80 | $5,073.00 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $336.60 | $561.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $1,489.20 | $2,482.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $558.60 | $931.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $37,398.08 | $62,330.13 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $9,639.81 | $16,066.35 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $96.60 | $161.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $96.60 | $161.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $199.20 | $332.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $381.00 | $635.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $2,371.80 | $3,953.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $1,419.60 | $2,366.00 | not published | 0 |
| Coombs direct CPT 86880 | $176.40 | $294.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $53.40 | $89.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $84.60 | $141.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $11,502.00 | $19,170.00 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $4,096.80 | $6,828.00 | not published | 0 |
| Cor hlx vlgs double osteot CPT 28299 | $66,517.91 | $110,863.18 | $7,279.94 – $7,425.54 | 3 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $52,052.51 | $86,754.18 | $3,282.70 – $3,348.35 | 3 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $97,974.65 | $163,291.08 | $7,279.94 – $7,425.54 | 3 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $26,152.50 | $43,587.50 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $19,832.40 | $33,054.00 | not published | 0 |
| Coronary angio/lv gram/lt heart CPT 93458 | $18,770.40 | $31,284.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $17,530.80 | $29,218.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $11,905.20 | $19,842.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $7,593.00 | $12,655.00 | not published | 0 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $12,918.85 | $21,531.42 | $3,282.70 – $3,348.35 | 3 |
| Corrj halux rigdus w/implt CPT 28291 | $52,607.02 | $87,678.37 | $7,279.94 – $7,425.54 | 3 |
| Corrj halux rigdus without implt CPT 28289 | $14,860.59 | $24,767.65 | $3,282.70 – $3,348.35 | 3 |
| Cortisol total am CPT 82533 | $198.60 | $331.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $482.50 | $804.17 | not published | 0 |
| Counseling smoke cess interm >10mins CPT 99407 | $58.80 | $98.00 | not published | 0 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $58.20 | $97.00 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $16,659.14 | $27,765.24 | not published | 0 |
| Covers for upright each HCPCS L1120 | $179.35 | $298.92 | not published | 0 |
| Cover wrist HCPCS L3984 | $175.75 | $292.91 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $27.60 | $46.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $48.00 | $80.00 | not published | 0 |
| C-peptide CPT 84681 | $111.00 | $185.00 | not published | 0 |
| Cptr-asst dir ms px CPT 20985 | $57,041.30 | $95,068.83 | $12,880.66 – $13,138.27 | 3 |
| Cranial cervical orthosis HCPCS L0112 | $32,690.63 | $54,484.38 | not published | 0 |
| C-reactive protein CPT 86140 | $300.60 | $501.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $140.40 | $234.00 | not published | 0 |
| Create eardrum opening CPT 69436 | $25,586.08 | $42,643.47 | $1,556.66 – $1,587.79 | 3 |
| Creatine kinase CPT 82550 | $121.20 | $202.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $73.20 | $122.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $27.00 | $45.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $43.20 | $72.00 | not published | 0 |
| Creatinine CPT 82565 | $78.00 | $130.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $38.40 | $64.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $58.80 | $98.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $240.00 | $400.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $301.80 | $503.00 | not published | 0 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $150.60 | $251.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $5,729.40 | $9,549.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $480.60 | $801.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $11,626.94 | $19,378.23 | not published | 0 |
| Crnec exc tum/bone les skull CPT 61500 | $14,365.15 | $23,941.92 | $1,485.86 – $3,626.42 | 3 |
| Crotalidae poly immune fab HCPCS J0840 | $15,158.52 | $25,264.20 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $75.60 | $126.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $899.40 | $1,499.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,182.80 | $3,638.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,298.20 | $5,497.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,511.40 | $2,519.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $4,071.00 | $6,785.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,399.00 | $5,665.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,503.80 | $4,173.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $2,505.60 | $4,176.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $2,494.80 | $4,158.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $3,031.80 | $5,053.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,233.60 | $2,056.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $2,223.00 | $3,705.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,813.20 | $3,022.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $94,002.77 | $156,671.28 | $7,279.94 – $7,425.54 | 3 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $129.00 | $129.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,512.00 | $2,520.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $2,335.20 | $3,892.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,887.80 | $4,813.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,528.20 | $2,547.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $9,388.43 | $15,647.39 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $10,320.46 | $17,200.76 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $394.59 | $657.65 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $9,563.03 | $15,938.38 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,674.80 | $4,458.00 | 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.