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 |
|---|---|---|---|---|
| Legg perthes orthosis trilat HCPCS L1720 | $5,741.91 | $9,569.85 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $4,847.47 | $8,079.12 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $6,969.28 | $11,615.46 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $6,055.84 | $10,093.07 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $846.60 | $1,411.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $366.95 | $611.58 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $4,317.00 | $7,195.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $5,158.82 | $8,598.03 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,295.10 | $2,158.50 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $323.21 | $538.69 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $10,650.82 | $17,751.36 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $21,235.25 | $35,392.08 | not published | 0 |
| Leuprolide acetate injeciton HCPCS J9218 | $4,576.18 | $7,626.96 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $31.69 | $52.81 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $73.20 | $122.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $64.52 | $107.54 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,222.05 | $2,036.75 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $133,546.40 | $222,577.33 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $93.09 | $155.15 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $38.52 | $64.20 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $287.08 | $478.47 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $148.42 | $247.36 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $2,202.83 | $3,671.39 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $4,138.20 | $6,897.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $5,023.20 | $8,372.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $17,855.20 | $29,758.67 | $3,080.71 – $3,080.71 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $161.29 | $268.81 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $450.87 | $751.45 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $121.34 | $202.23 | not published | 0 |
| Lipase CPT 83690 | $68.40 | $114.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $86.40 | $144.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $289.20 | $482.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $42.00 | $70.00 | not published | 0 |
| Liver Function Test CPT 80076 | $74.40 | $124.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $329.21 | $548.69 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $24.00 | $40.00 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $671.47 | $1,119.11 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $275.94 | $459.90 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,379.20 | $5,632.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,187.00 | $3,645.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,750.20 | $7,917.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,384.00 | $5,640.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $848.40 | $1,414.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $409.69 | $682.81 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $442.67 | $737.78 | not published | 0 |
| Lso full corset HCPCS L0976 | $581.98 | $969.96 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $660.50 | $1,100.84 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $6,531.62 | $10,886.04 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $5,042.60 | $8,404.34 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $630.46 | $1,050.76 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $3,889.36 | $6,482.26 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $5,277.23 | $8,795.38 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $1,015.31 | $1,692.19 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $1,116.16 | $1,860.27 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $3,704.93 | $6,174.89 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $304.78 | $507.97 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $353.99 | $589.99 | not published | 0 |
| Lumbar diskogram s&i CPT 72295 | $2,508.00 | $4,180.00 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $345.10 | $575.17 | not published | 0 |
| Lumbar sling HCPCS L1090 | $391.68 | $652.80 | not published | 0 |
| Lung function test (mbc/mvv) CPT 94200 | $126.60 | $211.00 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $149.40 | $249.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $32,422.50 | $54,037.50 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $146,411.74 | $244,019.56 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,295.10 | $2,158.50 | not published | 0 |
| Magnesium CPT 83735 | $67.20 | $112.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $104.00 | $173.34 | not published | 0 |
| Mammosite ced HCPCS C1728 | $13,058.93 | $21,764.88 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $126.60 | $211.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $110.40 | $184.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $287.30 | $478.83 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | $22,020.10 | $36,700.17 | $6,478.71 – $6,478.71 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $24,391.05 | $40,651.75 | not published | 0 |
| Mastectomy partial CPT 19301 | $14,858.07 | $24,763.45 | $3,820.23 – $3,820.23 | 2 |
| Mast simple complete CPT 19303 | $22,883.11 | $38,138.52 | $6,478.71 – $6,478.71 | 2 |
| Matrion 1 sq cm HCPCS Q4201 | $33,392.00 | $55,653.33 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $140,259.33 | $233,765.55 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $135.00 | $225.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $157.80 | $263.00 | not published | 0 |
| Mayo activated protein c resistance assay CPT 85307 | $128.40 | $214.00 | not published | 0 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $96.00 | $160.00 | not published | 0 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $105.00 | $175.00 | not published | 0 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.80 | $208.00 | not published | 0 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $672.00 | $1,120.00 | not published | 0 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $385.80 | $643.00 | not published | 0 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $135.60 | $226.00 | not published | 0 |
| Mayo antithrombin iii antigen CPT 85301 | $96.60 | $161.00 | not published | 0 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $328.20 | $547.00 | not published | 0 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $22.20 | $37.00 | not published | 0 |
| Mayo c1 esterase inhibitor CPT 83883 | $77.40 | $129.00 | not published | 0 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $60.00 | $100.00 | not published | 0 |
| Mayo ceruloplasmin CPT 82390 | $156.00 | $260.00 | not published | 0 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $196.20 | $327.00 | not published | 0 |
| Mayo cocou cortisone urine CPT 82542 | $239.40 | $399.00 | not published | 0 |
| Mayo cortisol free CPT 82530 | $122.40 | $204.00 | not published | 0 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $40.80 | $68.00 | not published | 0 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $135.60 | $226.00 | not published | 0 |
| Mayo efpo chloride stool CPT 82438 | $20.40 | $34.00 | not published | 0 |
| Mayo estrone CPT 82679 | $141.60 | $236.00 | not published | 0 |
| Mayo factor vii CPT 85230 | $252.60 | $421.00 | 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.