Visits & medical services prices at Bon Secours Memorial Regional Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $8,396.40 $13,994 1.1×
Advance care planning first 30 mins (99497) $88.20 $147 0.9×
Airway inhalation treatment (94640) $157.80 $263 0.7×
Appl modality 1+lllt po pain (97037) $76.20 $127 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101.40 $169 7.1×
Bedside Swallowing Eval (92610) $275.40 $459 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $255.60 $426 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $819.60 $1,366 2.2×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,642.60 $6,071 0.5×
Car seat/bed test 60 min (94780) $405.60 $676 10.8×
Cardiac Stress Tst,Tracing Only (93017) $1,669.80 $2,783 7.7×
Cardiopulmonary resuscitation (92950) $555.60 $926 2.6×
Cardioversion (92960) $1,053.30 $1,755.50 1.6×
Caregiver hlth risk assmt score doc stnd instrm (96161) $61.80 $103 1.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $45.60 $76 1.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,770.40 $31,284 5.8×
Cbt 1st hour (94644) $235.20 $392 1.8×
Chemo IV push addl drug (96411) $336.60 $561 4.7×
Chemother, IV infusion, 1 hr (96413) $817.20 $1,362 2.5×
Chemother, IV infusion, ea add hr (96415) $376.80 $628 5.2×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $262.20 $437 3.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $421.20 $702 5.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $595.20 $992 1.8×
Color/duplex Doppler, complete (93975) $1,000.20 $1,667 4.2×
Color/duplex Doppler, limited (93976) $595.20 $992 5.7×
Coronary art/grft angio s&i (93455) $11,905.20 $19,842 3.7×
Coronary artery angio s&i (93454) $7,593 $12,655 2.3×
Cpap/bipap (94660) $813 $1,355 3.7×
Cpt initial (94667) $175.80 $293 1.3×
Critical care (99291) $5,729.40 $9,549 6.9×
Debridement Open Wound 20 Sq Cm< (97597) $344.10 $573.50 1.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $486.60 $811 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $339.60 $566 3.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,420.20 $2,367 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $444 $740 4.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $556.80 $928 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,194.80 $3,658 9.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,344.60 $2,241 12.8×
Duplex scan extracranial art compl bi study (93880) $792.60 $1,321 3.3×
Duplex Scan Hemodialysis Access (93990) $372.60 $621 3.6×
Echo Heart Xthoracic,Limited (93308) $1,197 $1,995 5.0×
Echo r-t 2d w/probe placement only (93313) $10,860.60 $18,101 19.8×
Echo transesophag montr cardiac pump functj (93318) $1,939.20 $3,232 3.5×
Echo Transthoracic - Congenital Tte Complete (93303) $2,189.40 $3,649 4.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,269.80 $3,783 4.1×
EEG awake and asleep (95819) $3,283.20 $5,472 15.2×
EEG awake drowsy (95816) $2,401.80 $4,003 11.1×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $1,003.20 $1,672 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $611.40 $1,019 2.8×
EKG rhythm strip (93041) $238.20 $397 4.0×
Elec alys implt cplx cn npgt prgrmg (95977) $181.80 $303 1.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $74.40 $124 2.0×
Electrocardiogram Tracing (93005) $226.20 $377 3.8×
Ep & ablate supravent arrhyt (93653) $23,817 $39,695 0.9×
Ep & ablate ventric tachy (93654) $30,394.80 $50,658 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,438 $20,730 1.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,737 $12,895 1.0×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $2,452.80 $4,088 2.0×
Er level 1 (99281) $387 $645 4.6×
Er level ii (99282) $883.80 $1,473 5.7×
Er level iii (99283) $1,386.60 $2,311 5.1×
Er level IV (99284) $1,929.60 $3,216 4.6×
Er level v (99285) $2,770.20 $4,617 4.6×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $4,668.71 $7,781.18 12.5×
Eval speech sound production (92522) $255.60 $426 2.3×
Eval to use/fit voice prosth (92597) $279.60 $466 3.9×
Evaluate Pt Use Of Inhaler (94664) $160.20 $267 0.7×
Evaluation of speech fluency (92521) $247.20 $412 1.9×
External Ecg Scanning Analysis Report (93226) $1,237.20 $2,062 20.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $440.40 $734 2.2×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $2,604.78 $4,341.30 12.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $5,737.70 $9,562.83 6.7×
Gi tract capsule endoscopy (91110) $1,429.20 $2,382 1.6×
Gi wireless capsule measure (91112) $5,780.42 $9,634.03 6.4×
Hemodialysis (90935) $1,419.60 $2,366 2.1×
Holter Monitor (93225) $525 $875 3.9×
Ilr Device Eval Progr (93285) $69.60 $116 1.9×
Imm admn sarscov2 vaccine single dose (90480) $82.80 $138 2.0×
Immunization Admin (90471) $52.80 $88 0.7×
Injection intra arterial (96373) $468 $780 2.2×
Interrog device eval heart (93289) $105 $175 2.8×
Intra-atrial pacing (93610)
unusually low: confirm this is the full procedure
$2,461.80 $4,103 0.3×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $175.80 $293 0.8×
Irrig drug delivery device (96523) $169.50 $282.50 2.9×
IV infusion hydration each additional hour (96361) $147.60 $246 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $642 $1,070 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $244.80 $408 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $503.40 $839 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $161.40 $269 3.4×
IV push ea addl new drug (96375) $241.80 $403 5.1×
IV push initial (96374) $288 $480 1.3×
L hrt art/grft angio (93459) $19,832.40 $33,054 6.1×
Manual therapy 15 min (97140) $141 $235 5.1×
Mechanical chest wall oscillation (94669) $168.60 $281 0.8×
Mechanical traction (97012) $103.20 $172 7.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $140.40 $234 4.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $126.60 $211 3.4×
Motility study esophagus (91010) $2,604.78 $4,341.30 7.0×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $558 $930 6.1×
Multiple Sleep Latency Test (95805) $3,824.40 $6,374 4.4×
Nasopharyngoscopy (92511) $149.40 $249 0.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $649.20 $1,082 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $264 $440 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $307.80 $513 0.8×
Newborn resuscitation (99465) $447.60 $746 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $510.60 $851 3.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $393.60 $656 3.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $67.20 $112 1.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $21.60 $36 1.0×
Osteopathic manipulative tx 3-4 body regions (98926) $52.20 $87 2.4×
Osteopathic manipulative tx 5-6 body regions (98927) $52.20 $87 2.4×
Osteopathic manipulative tx 7-8 body regions (98928) $49.20 $82 2.3×
Osteopathic manipulative tx 9-10 body regions (98929) $52.20 $87 2.4×
Ot eval high complex 60 min (97167) $351 $585 3.5×
Ot eval low complex 30 min (97165) $356.40 $594 3.5×
Ot eval mod complex 45 min (97166) $349.80 $583 3.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $36 $60 0.7×
Ot re-evaluation (97168) $160.80 $268 2.3×
Ot therapeutic activity 15 min (97530) $165.60 $276 4.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $311.40 $519 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $262.20 $437 2.0×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $403.80 $673 1.8×
Peripheral arterial disease rehab per session (93668) $144 $240 2.4×
Peritoneal Dialysis (90945) $2,635.20 $4,392 6.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,401.80 $19,003 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $21,574.20 $35,957 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $126.60 $211 2.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $133.20 $222 2.3×
Plethysmography (94726) $267 $445 0.7×
Pm device eval in person (93288) $96 $160 2.6×
Pm device progr eval dual (93280) $82.20 $137 2.2×
Pm device progr eval multi (93281) $84 $140 2.2×
Pm device progr eval sngl (93279) $52.80 $88 1.4×
Pm/Icd Remote Tech Serv (93296) $69.60 $116 1.9×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,884.80 $9,808 6.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $142.80 $238 3.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $20.40 $34 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $25.20 $42 0.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $155.40 $259 4.2×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $144 $240 3.8×
Prq Card Stent W/Angio 1 Vsl (92928) $13,057.80 $21,763 1.1×
Prq Card Stent/Ath/Angio (92933) $21,355.20 $35,592 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $21,519 $35,865 1.9×
Prq trluml coronary angio/atherect one art/brnch (92924) $20,912.40 $34,854 1.8×
Psychiatric diagnostic evaluation (90791) $444 $740 2.5×
Pt Electrical Stimulation (97032) $73.80 $123 5.0×
Pt eval high complex 45 min (97163) $364.80 $608 3.7×
Pt eval low complex 20 min (97161) $303.60 $506 3.1×
Pt eval mod complex 30 min (97162) $366 $610 3.7×
Pt gait training 15 min (97116) $142.80 $238 4.9×
Pt group caregiver training (97552) $40.80 $68 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $124.80 $208 3.8×
Pt re-evaluation (97164) $249.60 $416 3.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $235.80 $393 7.3×
Pulmonary stress test simple (94618) $311.40 $519 2.3×
Pure Tone Audiometry Air Only (92552) $42.60 $71 0.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $10,198.80 $16,998 3.1×
R hrt coronary artery angio (93456) $11,367 $18,945 3.5×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $16,959.60 $28,266 5.2×
R&l hrt art/ventricle angio (93460) $17,530.80 $29,218 5.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $893.40 $1,489 23.9×
Respiratory flow volume loop (94375) $893.40 $1,489 4.1×
Right heart cath (93451) $8,512.80 $14,188 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $412.80 $688 2.1×
Rt Chest Wall Manipulation,Subsequent (94668) $133.20 $222 1.0×
Sleep study unattended (95806) $718.80 $1,198 3.3×
Slp caregiver training 1st 30 min (97550) $99.60 $166 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $783 $1,305 3.6×
Speech sound lang comprehen (92523) $275.40 $459 1.2×
Spirometry (94010) $536.40 $894 2.5×
Temp transcutaneous pacing (92953) $490.20 $817 0.7×
Ther/prop/diag inj/inf proc (96379) $88.20 $147 1.9×
Therapeutic prophylactic/dx injection subq/im (96372) $148.20 $247 2.1×
Tilt table evaluation (93660) $2,149.20 $3,582 5.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $58.80 $98 1.6×
Trans Care Mgmt 14 Day Disch (99495) $240 $400 1.8×
Trans Care Mgmt 7 Day Disch (99496) $240 $400 1.8×
Transtelephonic rhythm strip pacemaker eval (93293) $94.80 $158 2.5×
Tte w/doppler, complete (93306) $3,630.60 $6,051 6.6×
Tx atrial fib pulm vein isol (93656) $24,316.20 $40,527 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $174 $290 2.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $175.80 $293 2.1×
Unlisted Diagnostic Gastroenterology Procedure (91299) $4,806.18 $8,010.30 37.2×
Upr/lxtr art stdy 3+ lvls (93923) $428.40 $714 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $462 $770 4.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,192.20 $1,987 5.5×
Vasopneumatic device (97016) $208.80 $348 17.4×
Veeg Ea 12-26 Hr Unmntr (95714) $4,210.20 $7,017 11.2×
Vent mgmt inpat init day (94002) $1,798.20 $2,997 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,419.60 $2,366 2.3×
Vital capacity, total (94150) $334.80 $558 2.6×
Wheelchair Mgmt Ea 15 Min (97542) $79.50 $132.50 2.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $393.60 $656 4.1×