Supplies, drugs & other prices at Bon Secours Memorial Regional Medical Center
Mechanicsville, VA · every code in this section with a posted price and a Medicare benchmark.
46 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,759.20 | $2,932 | 2.2× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,284 | $2,140 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $85.20 | $142 | 1.8× |
| Admin influenza virus vac (G0008) | $25.20 | $42 | 0.5× |
| Admin pneumococcal vaccine (G0009) | $38.40 | $64 | 0.8× |
| Alveolus clsd reduc stblz te (D7771) | $6,087.60 | $10,146 | 1.8× |
| Behavior counsel obesity 15m (G0447) | $61.80 | $103 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $3,856.65 | $6,427.75 | 4.1× |
| Catheterize for urine spec (P9612) | $17.40 | $29 | 1.9× |
| Colon ca scrn not hi rsk ind (G0121) | $3,704.46 | $6,174.10 | 4.0× |
| Colorectal scrn; hi risk ind (G0105) | $3,690.71 | $6,151.18 | 4.0× |
| Diab manage trn per indiv (G0108) | $113.40 | $189 | 2.0× |
| Direct refer hospital observ (G0379) | $738 | $1,230 | 1.2× |
| Drug test def 1-7 classes (G0480) | $140.40 | $234 | 1.2× |
| Elec stim other than wound (G0283) | $100.20 | $167 | 7.9× |
| Followup eval of foot pt lop (G0246) | $250.20 | $417 | 1.9× |
| Hbot, full body chamber, 30m (G0277) | $438.60 | $731 | 3.2× |
| Hepb screen high risk indiv (G0499) | $93 | $155 | 3.3× |
| Home sleep test/type 3 porta (G0399) | $718.80 | $1,198 | 3.3× |
| Home sleep test/type 4 porta (G0400) | $583.20 | $972 | 2.7× |
| Iliac Atherectomy (0238T) | $14,567.40 | $24,279 | 0.8× |
| Initial foot exam pt lops (G0245) | $250.20 | $417 | 1.9× |
| Inj for sacroiliac jt anesth (G0260) | $2,554.70 | $4,257.83 | 3.6× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) | $25,712.86 | $42,854.78 | 4.8× |
| Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) | $21,032.61 | $35,054.35 | 3.9× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $66,838.20 | $111,397 | 2.1× |
| Intens behave ther cardio dx (G0446) | $20.40 | $34 | 0.5× |
| Mnt subs tx for change dx (G0270) | $40.20 | $67 | 1.3× |
| Mra w/cont, chest (C8909) | $2,116.20 | $3,527 | 6.0× |
| Mra w/cont, pelvis (C8918) | $675 | $1,125 | 1.9× |
| Mra w/o cont, abd (C8901) | $1,997.40 | $3,329 | 8.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $675 | $1,125 | 1.9× |
| Mri w/o fol w/cont, breast, (C8908) | $3,868.80 | $6,448 | 11.1× |
| Oth resp proc, group (G0239) | $331.20 | $552 | 8.8× |
| Oth resp proc, indiv (G0238) | $73.80 | $123 | 2.5× |
| Pathogen test for platelets (P9100) | $199.20 | $332 | 3.4× |
| Perq Sacral Augmt Bilat Inj (0201T) | $6,913.20 | $11,522 | 0.9× |
| Psa screening (G0103) | $102 | $170 | 5.3× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $36,044.40 | $60,074 | 1.9× |
| Therapeutic procd strg endur (G0237) | $116.40 | $194 | 4.0× |
| Tomosynthesis, mammo (G0279) | $237.60 | $396 | 18.7× |
| 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 wo fol wcon,doppler (C8929) | $2,967.60 | $4,946 | 3.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,419.60 | $2,366 | 2.1× |
| Visit to determ ldct elig (G0296) | $58.20 | $97 | 0.6× |