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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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+ areas lllt po pain reduction (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× |
| Behavral qualit analys voice (92524) | $429 | $715 | 3.9× |
| Canalith repositioning proc (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) range across 2 matching MRF lines |
$1,535.40–$1,617 | $2,559–$2,695 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,024.60 | $25,041 | 4.7× |
| 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× |
| Chemo Anti-Neopl Sq/Im (96401) | $95.40 | $159 | 1.4× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $502.20 | $837 | 1.6× |
| Chest Wall Manipulation (94668) | $126.60 | $211 | 1.0× |
| Color/duplex Doppler, complete (93975) | $700.20 | $1,167 | 3.0× |
| Color/duplex Doppler, limited (93976) | $586.80 | $978 | 5.8× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $111.60 | $186 | 3.5× |
| Continuous Pulse Ox (94762) | $141 | $235 | 1.1× |
| 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 Ventilation Cpap Initiation&Mgmt (94660) | $298.20 | $497 | 1.4× |
| Cpt initial (94667) | $110.40 | $184 | 0.9× |
| Critical care first hour (99291) | $1,337.40 | $2,229 | 1.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $389.40 | $649 | 2.0× |
| Dialysis One Evaluation (90945) | $390 | $650 | 1.0× |
| 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 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 Hemodialysis Access (93990) | $249.60 | $416 | 2.4× |
| Duplex up extrem art bilat (93930) | $613.80 | $1,023 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $493.20 | $822 | 4.8× |
| ECG/monitoring and analysis (93271) | $231.60 | $386 | 2.5× |
| Echo Congenital Complete (93303) | $2,668.20 | $4,447 | 5.0× |
| 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 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 extended monitoring 61-119 minutes (95813) | $380.40 | $634 | 1.8× |
| Eeg Sleep Only (95822) | $781.20 | $1,302 | 3.7× |
| Electrical Stimulation Ea 15 Min (97032) | $145.20 | $242 | 9.9× |
| Electrocardiogram Tracing (93005) | $216.60 | $361 | 3.8× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$307.80–$748.20 | $513–$1,247 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$487.20–$1,115.40 | $812–$1,859 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$898.80–$2,041.80 | $1,498–$3,403 | varies |
| 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 v (99285) range across 2 matching MRF lines |
$998.40–$2,585.40 | $1,664–$4,309 | varies |
| Evaluate pt use of inhaler (94664) | $107.40 | $179 | 0.5× |
| Evaluate Speech Production (92522) | $233.40 | $389 | 2.1× |
| Evaluate Swallowing Function (92610) | $237.60 | $396 | 2.8× |
| Evaluation of speech fluency (92521) | $200.40 | $334 | 1.5× |
| Evoked Auditory Test,Limited (92587) | $253.80 | $423 | 1.2× |
| External ECG rec>7d<15d recording (93246) | $76.20 | $127 | 2.1× |
| External Ecg Scanning Analysis Report (93226) | $374.40 | $624 | 6.5× |
| Extracranial Bilat Study (93880) | $785.40 | $1,309 | 3.4× |
| Extracranial Uni/Ltd Study (93882) | $218.40 | $364 | 2.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $873.60 | $1,456 | 1.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $15,544.80 | $25,908 | 4.9× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $505.20 | $842 | 0.8× |
| Holter monitor recording (93225) | $978 | $1,630 | 7.5× |
| Immunization administration (90471) | $60 | $100 | 0.9× |
| Insert/Place Heart Catheter (93503) | $178.80 | $298 | 0.1× |
| 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 therapy prophylaxis/dx ea hour (96366) | $208.80 | $348 | 4.6× |
| IV push initial (96374) | $294.60 | $491 | 1.4× |
| L Hrt Art/Grft Angio (93459) | $14,302.80 | $23,838 | 4.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $594.60 | $991 | 2.8× |
| Mechanical chest wall oscillation per session (94669) | $107.40 | $179 | 0.5× |
| 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 Fluoroscopy/Swallow (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× |
| Neuromuscular Reeducation (97112) range across 24 matching MRF lines |
$110.40–$121.80 | $184–$203 | varies |
| Newborn resuscitation (99465) | $518.40 | $864 | 0.8× |
| Oral Function Therapy (92526) | $217.20 | $362 | 2.6× |
| Oral Speech Device Eval (92597) | $111 | $185 | 1.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $109.20 | $182 | 2.2× |
| 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 eval high complexity (97167) | $280.80 | $468 | 2.8× |
| Ot Eval Low Complex (97165) | $364.80 | $608 | 3.6× |
| Ot Eval Moderate Complexity (97166) | $364.80 | $608 | 3.6× |
| Ot manual therapy 15 min (97140) range across 31 matching MRF lines |
$134.40–$41,608.30 | $224–$69,347.17 | varies |
| Ot paraffin bath (97018) | $109.20 | $182 | 18.2× |
| Ot Re-Eval Est Plan Care (97168) | $136.20 | $227 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $297.60 | $496 | 2.4× |
| 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× |
| Physical Performance Test (97750) | $45.60 | $76 | 1.4× |
| Plethysmography (94726) | $241.80 | $403 | 0.7× |
| Prq Card Angio/Athrect 1 Art (92924) | $19,430.40 | $32,384 | 1.7× |
| 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× |
| Pt Eval High Complex (97163) | $377.40 | $629 | 3.9× |
| Pt eval low complex 20 min (97161) | $301.80 | $503 | 3.1× |
| Pt Eval Mod Complex (97162) | $301.80 | $503 | 3.1× |
| Pt gait training 15 min (97116) | $76.80 | $128 | 2.6× |
| Pt mechanical traction (97012) | $136.80 | $228 | 9.5× |
| Pt Re-Eval Est Plan Care (97164) | $255.60 | $426 | 3.8× |
| Pulmonary Stress Testing (94618) | $287.40 | $479 | 2.2× |
| 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/Ventriclgrphy (93453) | $12,472.80 | $20,788 | 3.9× |
| Remote 30 Day Ecg Rev/Report (93270) | $186.60 | $311 | 5.1× |
| Remote 30 Day Ecg Tech Supp (93229) | $588.60 | $981 | 1.6× |
| 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× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $304.80 | $508 | 2.5× |
| Self Care Mngment Training (97535) range across 12 matching MRF lines |
$74.40–$92.40 | $124–$154 | varies |
| 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 Tte Only (93350) | $1,886.40 | $3,144 | 3.5× |
| Surfactant Admin Thru Tube (94610) | $96 | $160 | 0.4× |
| 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 Ea Addl 15 Min (97130) | $148.20 | $247 | 7.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $118.80 | $198 | 4.0× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $172.20 | $287 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $228.60 | $381 | 3.3× |
| Ther/Proph/Diag Iv Inf Init (96365) | $458.40 | $764 | 2.2× |
| Therapeutic Activities (97530) range across 22 matching MRF lines |
$159.60–$175.20 | $266–$292 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,061 | $3,435 | 5.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $17.40 | $29 | 0.5× |
| Transcath Closure of Asd (93580) | $19,165.20 | $31,942 | 1.1× |
| 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/Pro/Dx Inj New Drug Addon (96375) | $208.20 | $347 | 4.6× |
| Unlisted cardiovascular service/procedure (93799) | $400.20 | $667 | 3.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $415.80 | $693 | 3.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $571.20 | $952 | 2.7× |
| Valvuloplasty mitral valve (92987) | $9,120 | $15,200 | 0.8× |
| 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× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.