Supplies, drugs & other prices at Bon Secours Mary Immaculate Hospital

Newport News, VA · every code in this section with a posted price and a Medicare benchmark.

28 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $1,535.40 $2,559 2.0×
2d tte w or w/o fol w/con,fu (C8924) $1,415.40 $2,359 4.2×
Alveolus clsd reduc stblz te (D7771) $6,087.60 $10,146 1.9×
Ca screen;flexi sigmoidscope (G0104) $2,461.01 $4,101.68 2.7×
Catheterize for urine spec (P9612) $44.40 $74 4.8×
Colon ca scrn not hi rsk ind (G0121) $3,287.40 $5,479 3.6×
Colorectal scrn; hi risk ind (G0105) $3,063.83 $5,106.38 3.4×
Cysto, litho, vacuum kidney (C9761) $30,913.89 $51,523.15 3.3×
Drug test def 1-7 classes (G0480) $96 $160 0.8×
Elec stim other than wound (G0283) $129.60 $216 10.2×
Hbot, full body chamber, 30m (G0277) $261 $435 1.9×
Hepb screen high risk indiv (G0499) $93 $155 3.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $14,688.18 $24,480.30 33.7×
Oth resp proc, group (G0239) $104.40 $174 2.9×
Pathogen test for platelets (P9100) $66 $110 1.1×
Perc d-e cor revasc t cabg s (C9604) $22,216.80 $37,028 2.0×
Perc drug-el cor stent sing (C9600) $21,630 $36,050 1.9×
Prostate biopsy, any mthd (G0416) $2,499.60 $4,166 7.1×
Psa screening (G0103) $115.20 $192 6.0×
Revasc lithotrip tibi/perone (C9772) $21,433.80 $35,723 1.9×
Screen pap by tech w md supv (P3000) $60.60 $101 3.3×
Therapeutic procd strg endur (G0237) $102 $170 3.6×
Tooth reimplantation (D7270) $1,665 $2,775 2.6×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $11,576.40 $19,294 3.3×
Tte w or w/o contr, cont ecg (C8930) $1,617 $2,695 2.1×
Tte w or w/o fol w/con,stres (C8928) $1,886.40 $3,144 2.5×
Tte w or wo fol wcon,doppler (C8929) $2,758.80 $4,598 3.6×
Unsched dialysis esrd pt hos (G0257) $840 $1,400 1.3×