Visits & medical services prices at Bon Secours Mary Immaculate Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $303 $505 1.4×
Airway inhalation treatment (94640) $159 $265 0.7×
Appl modality 1+lllt po pain (97037) $76.20 $127 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $148.80 $248 10.4×
Assessment of aphasia per hr (96105) $311.40 $519 3.2×
Bedside Swallowing Eval (92610) $237.60 $396 2.8×
Behavioral and qualitative analysis of voice and resonance (92524) $429 $715 3.9×
Canalith Repositioning Procedure (95992) $196.80 $328 4.8×
Car seat/bed test 60 min (94780) $556.20 $927 15.3×
Cardiac Stress Tst,Tracing Only (93017) $732 $1,220 3.5×
Cardiopulmonary resuscitation (92950) $642 $1,070 3.0×
Cardioversion (92960) $1,576.20 $2,627 2.4×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $19,165.20 $31,942 1.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $15,299.40 $25,499 4.8×
Cbt 1st hour (94644) $175.80 $293 1.4×
Chemother, IV infusion, 1 hr (96413) $502.20 $837 1.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $95.40 $159 1.4×
Color/duplex Doppler, complete (93975) $700.20 $1,167 3.0×
Color/duplex Doppler, limited (93976) $586.80 $978 5.8×
Coronary art/grft angio s&i (93455) $10,465.80 $17,443 3.3×
Coronary artery angio s&i (93454) $9,499.20 $15,832 3.0×
Cpap/bipap (94660) $298.20 $497 1.4×
Cpt initial (94667) $110.40 $184 0.9×
Critical care (99291) $1,337.40 $2,229 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $389.40 $649 2.0×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $253.80 $423 1.2×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $499.20 $832 2.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $354.60 $591 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $697.20 $1,162 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $464.40 $774 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $613.80 $1,023 2.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $493.20 $822 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $846.60 $1,411 3.6×
Dup-scan xtr veins unilateral/limited study (93971) $669.60 $1,116 6.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $456.60 $761 2.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $201 $335 2.0×
Duplex scan extracranial art compl bi study (93880) $785.40 $1,309 3.4×
Duplex Scan Hemodialysis Access (93990) $249.60 $416 2.4×
Echo Heart Xthoracic,Limited (93308) $772.20 $1,287 3.3×
Echo r-t 2d w/probe placement only (93313) $1,650 $2,750 3.1×
Echo transesophag montr cardiac pump functj (93318) $1,048.80 $1,748 2.0×
Echo transesophageal (93312) $2,369.40 $3,949 4.4×
Echo Transesophageal - Congenital Tee Complete (93315) $1,047.60 $1,746 2.0×
Echo Transthoracic - Congenital Tte Complete (93303) $2,668.20 $4,447 5.0×
Echo Transthoracic - Congenital Tte Limited (93304) $873.60 $1,456 1.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,467 $2,445 2.8×
EEG awake and asleep (95819) $750.60 $1,251 3.6×
EEG awake drowsy (95816) $754.20 $1,257 3.6×
EEG coma or sleep only (95822) $781.20 $1,302 3.7×
EEG greater than 1 hour (95813) $380.40 $634 1.8×
Electrocardiogram Tracing (93005) $216.60 $361 3.8×
Ep & ablate supravent arrhyt (93653) $24,188.40 $40,314 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $11,646.60 $19,411 1.5×
Er level 1 (99281) $432 $720 5.3×
Er level ii (99282) $528 $880 3.5×
Er level iii (99283) $801.30 $1,335.50 3.0×
Er level IV (99284) $1,470.30 $2,450.50 3.6×
Er level v (99285) $1,791.90 $2,986.50 3.1×
Eval speech sound production (92522) $233.40 $389 2.1×
Eval to use/fit voice prosth (92597) $111 $185 1.6×
Evaluate Pt Use Of Inhaler (94664) $107.40 $179 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $304.80 $508 2.5×
Evaluation of speech fluency (92521) $200.40 $334 1.5×
External ECG rec>7d<15d recording (93246) $76.20 $127 2.1×
External Ecg Scanning Analysis Report (93226) $374.40 $624 6.5×
Hemodialysis (90935) $505.20 $842 0.8×
Holter Monitor (93225) $978 $1,630 7.5×
Immunization Admin (90471) $60 $100 0.9×
Ins swan ganz bedside (93503) $178.80 $298 0.1×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $96 $160 0.4×
Iontophoresis 15 min (97033) $127.80 $213 6.7×
Irrig drug delivery device (96523) $115.20 $192 2.0×
IV infusion hydration each additional hour (96361) $147.60 $246 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $377.40 $629 1.8×
IV infusion ther proph addl sequential to 1 hr (96367) $279 $465 4.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $458.40 $764 2.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $208.80 $348 4.6×
IV push ea addl new drug (96375) $208.20 $347 4.6×
IV push initial (96374) $294.60 $491 1.4×
L hrt art/grft angio (93459) $14,302.80 $23,838 4.5×
Manual therapy 15 min (97140) $147.60 $246 5.3×
Massage 15 min (97124) $118.80 $198 4.0×
Mechanical chest wall oscillation (94669) $107.40 $179 0.5×
Mechanical traction (97012) $136.80 $228 9.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $20.40 $34 0.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $19.20 $32 0.5×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $217.20 $362 2.4×
Nasopharyngoscopy (92511) $249 $415 1.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $775.20 $1,292 2.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $513 $855 2.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,095.60 $1,826 2.8×
Newborn resuscitation (99465) $518.40 $864 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $415.80 $693 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $141 $235 1.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $153 $255 3.3×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $35.40 $59 1.7×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $111.60 $186 3.5×
Ot eval high complex 60 min (97167) $280.80 $468 2.8×
Ot eval low complex 30 min (97165) $364.80 $608 3.6×
Ot eval mod complex 45 min (97166) $364.80 $608 3.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $109.20 $182 2.2×
Ot re-evaluation (97168) $136.20 $227 2.0×
Ot therapeutic activity 15 min (97530) $167.40 $279 4.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $297.60 $496 2.4×
Paraffin bath pt (97018) $109.20 $182 18.2×
Peritoneal Dialysis (90945) $390 $650 1.0×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,694 $19,490 2.1×
Phlebotomy therapeutic (99195) $323.40 $539 2.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $112.20 $187 1.9×
Plethysmography (94726) $241.80 $403 0.7×
Prq Balloon Valvuloplasty Mitral Valve (92987) $9,120 $15,200 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $21,630 $36,050 1.9×
Prq Card Stent/Ath/Angio (92933)
likely a partial charge, not the full procedure
$2,098.80 $3,498 0.1×
Prq Revasc Byp Graft 1 Vsl (92937) $22,216.80 $37,028 2.0×
Prq trluml coronary angio/atherect one art/brnch (92924) $19,430.40 $32,384 1.7×
Pt Electrical Stimulation (97032) $145.20 $242 9.9×
Pt eval high complex 45 min (97163) $377.40 $629 3.9×
Pt eval low complex 20 min (97161) $301.80 $503 3.1×
Pt eval mod complex 30 min (97162) $301.80 $503 3.1×
Pt gait training 15 min (97116) $76.80 $128 2.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $116.10 $193.50 3.5×
Pt Physical Performance Test (97750) $45.60 $76 1.4×
Pt re-evaluation (97164) $255.60 $426 3.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $83.40 $139 2.6×
Pulmonary stress test simple (94618) $287.40 $479 2.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $12,472.80 $20,788 3.9×
R hrt art/grft angio (93457) $10,944.60 $18,241 3.5×
R hrt coronary artery angio (93456) $13,827.60 $23,046 4.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $15,544.80 $25,908 4.9×
R&l hrt art/ventricle angio (93460) $15,024.60 $25,041 4.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $186.60 $311 5.1×
Right heart cath (93451) $7,068 $11,780 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $443.40 $739 2.3×
Rt Chest Wall Manipulation,Subsequent (94668) $126.60 $211 1.0×
Slp caregiver training 1st 30 min (97550) $99.60 $166 1.9×
Speech sound lang comprehen (92523) $855.60 $1,426 3.8×
Spirometry (94010) $149.40 $249 0.7×
Standardized Cognitive Performance Testing (96125) $427.20 $712 4.2×
Stress echo (93350) $1,886.40 $3,144 3.5×
Temp transcutaneous pacing (92953) $817.80 $1,363 1.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $91.20 $152 4.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $148.20 $247 7.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $172.20 $287 1.7×
Therapeutic prophylactic/dx injection subq/im (96372) $228.60 $381 3.3×
Tilt table evaluation (93660) $2,061 $3,435 5.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $17.40 $29 0.5×
Tte w/doppler, complete (93306) $1,941.60 $3,236 3.6×
Tx atrial fib pulm vein isol (93656) $25,746 $42,910 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $70.80 $118 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $217.20 $362 2.6×
Unlisted Cardiovascular Service/Procedure (93799) $400.20 $667 3.2×
Upr/lxtr art stdy 3+ lvls (93923) $571.20 $952 2.7×
Vasc Duplex Scan Extracranial,Limited (93882) $218.40 $364 2.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $594.60 $991 2.8×
Vasopneumatic device (97016) $109.20 $182 9.1×
Vent mgmt inpat init day (94002) $664.20 $1,107 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $507 $845 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $75.60 $126 2.4×
Xtrnl mobile cv telemetry w/technical support (93229) $588.60 $981 1.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $231.60 $386 2.5×