Harbour View Medical Center
1020 BON SECOURS DR, Suffolk, VA · Bonsecours · · NPI 1104658434
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 |
|---|---|---|---|---|
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,535.40 | $2,559.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $6,159.60 | $10,266.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $597.00 | $995.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $67.80 | $113.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $5,812.50 | $9,687.50 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,406.80 | $5,678.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,822.40 | $4,704.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,628.60 | $4,381.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $6,756.60 | $11,261.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,506.20 | $4,177.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $4,209.00 | $7,015.00 | not published | 0 |
| Abdominal pad HCPCS L1270 | $322.61 | $537.68 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,811.40 | $3,019.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,350.60 | $2,251.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $620.40 | $1,034.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,447.20 | $2,412.00 | not published | 0 |
| Abduct control hip semi-flex HCPCS L1630 | $822.30 | $1,370.50 | not published | 0 |
| Abduction bar jointed adjust HCPCS L2300 | $979.91 | $1,633.19 | not published | 0 |
| Abduction rotation bar shoe HCPCS L3140 | $346.52 | $577.54 | not published | 0 |
| Abduct rotation bar without shoe HCPCS L3150 | $316.87 | $528.11 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $7,856.40 | $13,094.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $600.60 | $1,001.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,889.80 | $6,483.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $72.00 | $120.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $254.87 | $424.79 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $218.40 | $364.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $61.80 | $103.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $38.52 | $64.20 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $92.00 | $153.34 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $295.20 | $492.00 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $134.82 | $224.70 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $16,507.13 | $27,511.88 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $743.04 | $1,238.40 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $35.15 | $58.59 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $3,233.40 | $5,389.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $2,067.12 | $3,445.20 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $201.60 | $336.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $502.20 | $837.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $95.40 | $159.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $60.00 | $100.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $63.00 | $105.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $657.60 | $1,096.00 | not published | 0 |
| Afo molded ankle gauntlet HCPCS L1904 | $1,756.89 | $2,928.15 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $4,010.54 | $6,684.23 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $1,677.50 | $2,795.83 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,473.29 | $5,788.81 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $1,091.60 | $1,819.33 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $1,571.60 | $2,619.34 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $1,599.02 | $2,665.03 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $2,993.45 | $4,989.08 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $1,110.50 | $1,850.84 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $2,190.28 | $3,650.46 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $3,068.00 | $5,113.34 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $3,000.05 | $5,000.09 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $1,963.72 | $3,272.86 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $6,176.59 | $10,294.32 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $2,486.59 | $4,144.32 | not published | 0 |
| Ak/knee disartic pelvic band HCPCS L5697 | $305.26 | $508.76 | not published | 0 |
| Ak/knee disartic silesian ba HCPCS L5698 | $379.64 | $632.73 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $687.74 | $1,146.24 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $57.00 | $95.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $577.80 | $963.00 | not published | 0 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $577.80 | $963.00 | not published | 0 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $577.80 | $963.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $73.80 | $123.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $64.80 | $108.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $9.00 | $15.00 | not published | 0 |
| Albuterol non-comp con HCPCS J7611 | $55.30 | $92.16 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $9.00 | $15.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $67.20 | $112.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $60.60 | $101.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $41.40 | $69.00 | not published | 0 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $10,875.82 | $18,126.36 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $21,446.86 | $35,744.76 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $26,911.88 | $44,853.13 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $16,737.01 | $27,895.02 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $75,977.82 | $126,629.70 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $51,007.51 | $85,012.52 | not published | 0 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $43,165.69 | $71,942.81 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $40,756.80 | $67,928.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $13,361.12 | $22,268.53 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $15,260.60 | $25,434.33 | not published | 0 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,250.00 | $3,750.00 | not published | 0 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $330.60 | $551.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $134.40 | $224.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $1,087.16 | $1,811.94 | not published | 0 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $56,498.32 | $94,163.86 | not published | 0 |
| Alt/sgpt CPT 84460 | $70.80 | $118.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $208.80 | $348.00 | not published | 0 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $49.76 | $82.93 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $46.74 | $77.90 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $25.67 | $42.78 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $24.00 | $40.00 | not published | 0 |
| Ammonia CPT 82140 | $130.20 | $217.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $4,135.80 | $6,893.00 | not published | 0 |
| Amphetamine confirm urine -sendout CPT 80324 | $152.40 | $254.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $308.16 | $513.60 | not published | 0 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,047.82 | $1,746.37 | not published | 0 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $178.47 | $297.45 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $102.40 | $170.67 | 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.