Supplies, drugs & other prices at Bon Secours Southampton Medical Center
Franklin, VA · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,co (C8923) | $800.70 | $2,669 | 1.0× |
| Admin influenza virus vac (G0008) | $13.20 | $44 | 0.3× |
| Alveolus clsd reduc stblz te (D7771) | $3,043.80 | $10,146 | 0.9× |
| Catheterize for urine spec (P9612) | $37.80 | $126 | 4.0× |
| Colon ca scrn not hi rsk ind (G0121) | $4,024.62 | $6,707.71 | 4.4× |
| Colorectal scrn; hi risk ind (G0105) | $4,089.19 | $6,815.32 | 4.5× |
| Direct refer hospital observ (G0379) | $213.30 | $711 | 0.4× |
| Drug test def 1-7 classes (G0480) | $32.40 | $108 | 0.3× |
| Elec stim other than wound (G0283) | $43.80 | $146 | 3.5× |
| Hepb screen high risk indiv (G0499) | $46.50 | $155 | 1.6× |
| Pathogen test for platelets (P9100) | $33 | $110 | 0.6× |
| Psa screening (G0103) | $74.40 | $248 | 3.9× |
| Tooth reimplantation (D7270) | $832.50 | $2,775 | 1.3× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $5,788.20 | $19,294 | 1.7× |
| Tte w or w/o contr, cont ecg (C8930) | $1,714.20 | $5,714 | 2.2× |
| Tte w or wo fol wcon,doppler (C8929) | $2,276.70 | $7,589 | 3.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,266.30 | $4,221 | 1.9× |