Supplies, drugs & other prices at Bon Secours Maryview Medical Center
Portsmouth, VA · every code in this section with a posted price and a Medicare benchmark.
53 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,650 | $2,750 | 2.2× |
| 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× |
| Admin hepatitis b vaccine (G0010) | $29.40 | $49 | 0.6× |
| Admin influenza virus vac (G0008) | $26.40 | $44 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $40.20 | $67 | 0.9× |
| Alveolus clsd reduc stblz te (D7771) | $6,087.60 | $10,146 | 1.9× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$2,820.60–$2,835.60 | $4,701–$4,726 | varies |
| Catheterize for urine spec (P9612) | $44.40 | $74 | 4.8× |
| Chemo extend iv infus w/pump (G0498) | $1,296.60 | $2,161 | 4.0× |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$2,830.76–$3,766.68 | $4,717.93–$6,277.80 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 2 matching MRF lines |
$2,787–$3,606.65 | $4,645–$6,011.08 | varies |
| Cysto impl 4 or more (C9740) | $41,300.20 | $68,833.67 | 4.5× |
| Cysto, litho, vacuum kidney (C9761) range across 4 matching MRF lines |
$25,785.71–$56,031.68 | $42,976.18–$93,386.13 | varies |
| Diab manage trn per indiv (G0108) | $42 | $70 | 0.8× |
| Diab manage trn ind/group (G0109) | $68.40 | $114 | 4.3× |
| Direct refer hospital observ (G0379) | $424.80 | $708 | 0.7× |
| Drug test def 1-7 classes (G0480) range across 9 matching MRF lines |
$49.20–$360.60 | $82–$601 | varies |
| Elec stim other than wound (G0283) | $129.60 | $216 | 10.2× |
| Facility svs dental rehab (G0330) | $13,826.98 | $23,044.97 | 4.3× |
| Hepb screen high risk indiv (G0499) | $93 | $155 | 3.3× |
| Inj for sacroiliac jt anesth (G0260) | $1,344 | $2,240 | 2.0× |
| Intens behave ther cardio dx (G0446) | $32.40 | $54 | 0.9× |
| Mra w/cont, lwr ext (C8912) | $1,762.20 | $2,937 | 5.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,650 | $2,750 | 4.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,018.40 | $3,364 | 5.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,762.20 | $2,937 | 5.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,230.20 | $3,717 | 6.6× |
| Mri w/o fol w/cont, breast, (C8908) | $4,941.60 | $8,236 | 14.5× |
| Njx platelet plasma (0232T) | $28,618.36 | $47,697.27 | 65.7× |
| Obtaining screen pap smear (Q0091) | $18.60 | $31 | 0.7× |
| Oth resp proc, group (G0239) | $104.40 | $174 | 2.9× |
| Oth resp proc, indiv (G0238) | $97.20 | $162 | 3.4× |
| Pathogen test for platelets (P9100) | $66 | $110 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) | $35,794.20 | $59,657 | 2.0× |
| Perc d-e cor revasc t cabg s (C9604) | $22,216.80 | $37,028 | 2.0× |
| Perc d-e cor stent ather s (C9602) | $35,794.20 | $59,657 | 2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,643.20 | $16,072 | 1.4× |
| Psa screening (G0103) | $115.20 | $192 | 6.0× |
| Revasc intra lithotrip-stent (C9765) | $33,155.40 | $55,259 | 1.9× |
| Revasc intravasc lithotripsy (C9764) | $20,800.80 | $34,668 | 1.8× |
| Screen pap by tech w md supv (P3000) | $60.60 | $101 | 3.3× |
| Therapeutic procd strg endur (G0237) | $102 | $170 | 3.6× |
| Tomosynthesis, mammo (G0279) | $279 | $465 | 22.0× |
| Tooth reimplantation (D7270) | $1,665 | $2,775 | 2.6× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $10,807.80 | $18,013 | 1.9× |
| Transcatheter renal sympath denervation unilat (0338T) | $10,807.80 | $18,013 | 1.9× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $11,576.40 | $19,294 | 3.3× |
| Trluml Perip Athrc Iliac Art (0238T) | $33,938.40 | $56,564 | 1.9× |
| 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) | $505.20 | $842 | 0.8× |
| Visit to determ ldct elig (G0296) | $190.20 | $317 | 1.9× |
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.