Bon Secours Maryview Medical Center

Portsmouth, VA

Posts prices for 50 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $12,493.38 $20,822.29 3.3×
Shoulder arthroscopy with decompression (29826) $30,851.30 $51,418.83
Knee arthroscopy with meniscectomy (29881) $14,835.17 $24,725.28 4.6×
Upper GI endoscopy (EGD), diagnostic (43235) $3,660.68 $6,101.13 4.1×
Upper GI endoscopy (EGD) with biopsy (43239) $4,819.56 $8,032.60 5.4×
Diagnostic colonoscopy (45378) $3,586.28 $5,977.14 4.0×
Colonoscopy with biopsy (45380) $4,602.84 $7,671.40 3.9×
Colonoscopy with lesion removal (45385) $4,692.90 $7,821.49 4.0×
Laparoscopic gallbladder removal (47562) $15,635.24 $26,058.73 2.7×
Inguinal hernia repair (age 5+) (49505) $16,669.78 $27,782.97 4.8×
Transforaminal epidural injection, lumbar/sacral (64483) $2,523 $4,205 2.9×
CT head/brain without contrast (70450) $1,420.20 $2,367 13.9×
MRI brain without contrast (70551) $1,760.40 $2,934 7.6×
MRI brain with contrast (70552) $3,067.20 $5,112 9.0×
MRI brain without and with contrast (70553) $4,011 $6,685 11.8×
X-ray lower spine, 4+ views (72110) $1,325.40 $2,209 13.0×
MRI lumbar spine without contrast (72148) $2,826 $4,710 12.1×
CT pelvis with contrast (72193) $2,584.80 $4,308 15.1×
MRI lower-extremity joint without contrast (73721) $4,861.20 $8,102 20.9×
CT abdomen and pelvis with contrast (74177) $5,589.60 $9,316 16.4×
Ultrasound, abdomen complete (76700) $1,350.60 $2,251 13.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $518.40 $864 5.1×
Ultrasound, transvaginal (76830) $714.60 $1,191 7.0×
Mammography, one breast (diagnostic) (77065) $455.40 $759 5.3×
Mammography, both breasts (diagnostic) (77066) $584.40 $974 5.3×
Mammography, screening (bilateral) (77067) $667.80 $1,113 7.3×
Basic metabolic panel (80048) $54.60 $91 6.5×
Comprehensive metabolic panel (80053) $78 $130 7.4×
Obstetric panel (80055) $231.60 $386 4.8×
Lipid panel (80061) $226.20 $377 16.9×
Renal function panel (80069) $55.20 $92 6.4×
Hepatic function panel (80076) $28.80 $48 3.5×
Urinalysis, non-automated, without microscopy (81002) $37.80 $63 10.9×
PSA, total (84153) $110.40 $184 6.0×
Thyroid stimulating hormone (TSH) (84443) $186.30 $310.50 11.1×
CBC with automated differential (85025) $50.40 $84 6.5×
CBC, automated (85027) $84.60 $141 13.1×
Prothrombin time (PT) (85610) $43.50 $72.50 10.1×
Partial thromboplastin time (PTT) (85730) $46.50 $77.50 7.7×
Psychotherapy, 30 minutes (90832) $201.60 $336 1.2×
Psychotherapy, 45 minutes (90834) $266.40 $444 1.5×
Psychotherapy, 60 minutes (90837) $266.40 $444 1.5×
Left heart catheterization (93452) $11,025.60 $18,376 3.5×
Sleep study (attended polysomnography) (95810) $3,261.60 $5,436 3.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $160.80 $268 5.5×
Office visit, new patient (low complexity, ~30 min) (99203) $278.10 $463.50 2.1×
Office visit, new patient (moderate complexity, ~45 min) (99204) $333 $555 2.6×
Office visit, new patient (high complexity, ~60 min) (99205) $717 $1,195 5.5×
Preventive visit, new patient (age 18–39) (99385) $83.40 $139
Preventive visit, new patient (age 40–64) (99386) $83.40 $139

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