Visits & medical services prices at Bon Secours Southampton Medical Center
Franklin, VA · every code in this section with a posted price and a Medicare benchmark.
96 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $89.70 | $299 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $63.90 | $213 | 4.4× |
| Behavral qualit analys voice (92524) | $426.30 | $1,421 | 3.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $297 | $990 | 0.8× |
| Canalith repositioning proc (95992) | $103.20 | $344 | 2.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $990.90 | $3,303 | 4.7× |
| Cardiopulmonary resuscitation (92950) | $1,426.20 | $4,754 | 6.8× |
| Cardioversion (92960) | $950.70 | $3,169 | 1.5× |
| Cbt 1st hour (94644) | $361.20 | $1,204 | 2.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $205.80 | $686 | 0.6× |
| Chest Wall Manipulation (94668) | $99.60 | $332 | 0.8× |
| Color/duplex Doppler, complete (93975) | $1,032.90 | $3,443 | 4.4× |
| Color/duplex Doppler, limited (93976) | $713.40 | $2,378 | 7.0× |
| Continuous Pulse Ox (94762) | $430.20 | $1,434 | 3.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $231.60 | $772 | 1.1× |
| Cpt initial (94667) | $150.90 | $503 | 1.2× |
| Critical care first hour (99291) | $2,954.70 | $9,849 | 3.7× |
| Debridement Open Wound 20 Sq Cm< (97597) | $125.70 | $419 | 0.6× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,032.90 | $3,443 | 4.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $760.80 | $2,536 | 3.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $697.50 | $2,325 | 6.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,032.90 | $3,443 | 4.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $644.10 | $2,147 | 6.3× |
| Duplex Scan Hemodialysis Access (93990) | $1,377.90 | $4,593 | 13.5× |
| Duplex up extrem art bilat (93930) | $370.20 | $1,234 | 1.6× |
| Duplex up extrem art unilat/ltd (93931) | $624.30 | $2,081 | 6.1× |
| Echo Heart Xthoracic,Limited (93308) | $958.50 | $3,195 | 4.1× |
| Echo transesophag montr cardiac pump functj (93318) | $524.40 | $1,748 | 1.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,714.20 | $5,714 | 3.2× |
| Electrical Stimulation Ea 15 Min (97032) | $101.40 | $338 | 6.9× |
| Electrocardiogram Tracing (93005) | $180.30 | $601 | 3.1× |
| Emergency Dept Visit Level 2 (99282) | $531.30 | $1,771 | 3.5× |
| Emergency Dept Visit Level 3 (99283) | $1,018.50 | $3,395 | 3.8× |
| Emergency Dept Visit Level 4 (99284) | $1,619.40 | $5,398 | 4.0× |
| Er level 1 (99281) | $266.10 | $887 | 3.2× |
| Er level v (99285) | $2,391 | $7,970 | 4.1× |
| Evaluate pt use of inhaler (94664) | $148.50 | $495 | 0.7× |
| Evaluate Speech Production (92522) | $74.70 | $249 | 0.7× |
| Evaluate Swallowing Function (92610) | $272.10 | $907 | 3.2× |
| External Ecg Scanning Analysis Report (93226) | $1,016.10 | $3,387 | 17.7× |
| Extracranial Bilat Study (93880) | $1,093.20 | $3,644 | 4.7× |
| Extracranial Uni/Ltd Study (93882) | $832.80 | $2,776 | 8.2× |
| Group Therapeutic Procedures (97150) | $61.20 | $204 | 3.4× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,367.70 | $4,559 | 2.0× |
| Holter monitor recording (93225) | $700.20 | $2,334 | 5.4× |
| Immunization administration (90471) | $194.10 | $647 | 2.8× |
| Irrig Drug Delivery Device (96523) | $39.90 | $133 | 0.7× |
| IV infusion hydration each additional hour (96361) | $79.50 | $265 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $237.60 | $792 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $79.50 | $265 | 1.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $79.50 | $265 | 1.7× |
| IV push initial (96374) | $101.10 | $337 | 0.5× |
| Mechanical chest wall oscillation per session (94669) | $83.10 | $277 | 0.4× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $21.30 | $71 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $341.40 | $1,138 | 3.7× |
| Nasopharyngoscopy (92511) | $124.50 | $415 | 0.6× |
| Neuromuscular Reeducation (97112) | $119.40 | $398 | 3.6× |
| Oral Function Therapy (92526) | $266.70 | $889 | 3.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $17.70 | $59 | 0.8× |
| Ot eval high complexity (97167) | $202.20 | $674 | 2.0× |
| Ot Eval Low Complex (97165) | $202.20 | $674 | 2.0× |
| Ot Eval Moderate Complexity (97166) | $202.20 | $674 | 2.0× |
| Ot manual therapy 15 min (97140) range across 14 matching MRF lines |
$50.40–$105.60 | $168–$352 | varies |
| Ot paraffin bath (97018) | $54.60 | $182 | 9.1× |
| Ot Prosthetic Training, Each 15 Min (97761) | $63.30 | $211 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $68.10 | $227 | 1.0× |
| Phlebotomy therapeutic (99195) | $222 | $740 | 1.7× |
| Plethysmography (94726) | $120.90 | $403 | 0.3× |
| Pt Eval High Complex (97163) | $202.20 | $674 | 2.1× |
| Pt eval low complex 20 min (97161) | $162 | $540 | 1.7× |
| Pt Eval Mod Complex (97162) | $202.20 | $674 | 2.1× |
| Pt gait training 15 min (97116) | $119.40 | $398 | 4.1× |
| Pt mechanical traction (97012) | $91.80 | $306 | 6.4× |
| Pt Re-Eval Est Plan Care (97164) | $123.90 | $413 | 1.8× |
| Pulmonary service/procedure (94799) | $151.50 | $505 | 1.2× |
| Pulmonary Stress Testing (94618) | $143.70 | $479 | 1.1× |
| Respiratory flow volume loop (94375) | $120.60 | $402 | 0.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $221.70 | $739 | 1.1× |
| Self Care Mngment Training (97535) | $119.40 | $398 | 3.7× |
| Speech sound lang comprehen (92523) | $426.30 | $1,421 | 1.9× |
| Spirometry (94010) | $234.90 | $783 | 1.1× |
| Temp transcutaneous pacing (92953) | $408.90 | $1,363 | 0.6× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $44.10 | $147 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $45.90 | $153 | 0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $237.60 | $792 | 1.1× |
| Therapeutic Activities (97530) range across 17 matching MRF lines |
$95.40–$119.40 | $318–$398 | varies |
| Tte w/doppler, complete (93306) | $1,533.30 | $5,111 | 2.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $239.10 | $797 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $101.10 | $337 | 2.2× |
| Upr/L Xtremity Art 2 Levels (93922) | $500.40 | $1,668 | 3.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $984.60 | $3,282 | 4.7× |
| Vasopneumatic device (97016) | $63 | $210 | 5.2× |
| Vent Mgmt Inpat Init Day (94002) | $1,055.70 | $3,519 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,004.40 | $3,348 | 1.7× |
| Vital capacity, total (94150) | $94.50 | $315 | 0.8× |
| Wheelchair Mgmt Ea 15 Min (97542) | $24 | $80 | 0.8× |
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.