Bon Secours Southside Medical Center
Petersburg, VA
Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $13,718.01 | $22,863.35 | 3.6× |
| Shoulder arthroscopy with decompression (29826) | $31,070.06 | $51,783.44 | — |
| Knee arthroscopy with meniscectomy (29881) | $12,679.81 | $21,133.02 | 4.0× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) | $11,577.52 | $19,295.87 | 2.0× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $11,346.64 | $18,911.06 | 12.8× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $13,191.89 | $21,986.48 | 14.9× |
| Diagnostic colonoscopy (45378) | $12,079.01 | $20,131.68 | 13.3× |
| Colonoscopy with biopsy (45380) | $13,550.88 | $22,584.81 | 11.6× |
| Colonoscopy with lesion removal (45385) | $13,446.36 | $22,410.60 | 11.5× |
| Laparoscopic gallbladder removal (47562) | $18,572.11 | $30,953.52 | 3.1× |
| Inguinal hernia repair (age 5+) (49505) | $16,161.52 | $26,935.87 | 4.6× |
| Laparoscopic radical prostatectomy (55866) | $33,883.09 | $56,471.82 | 3.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $680.70 | $2,269 | 0.8× |
| CT head/brain without contrast (70450) | $2,471.10 | $8,237 | 24.2× |
| MRI brain without contrast (70551) | $4,790.10 | $15,967 | 20.6× |
| MRI brain with contrast (70552) | $4,489.20 | $14,964 | 13.2× |
| MRI brain without and with contrast (70553) | $8,307 | $27,690 | 24.4× |
| X-ray lower spine, 4+ views (72110) | $864.30 | $2,881 | 8.5× |
| MRI lumbar spine without contrast (72148) | $5,799.60 | $19,332 | 24.9× |
| CT pelvis with contrast (72193) | $3,523.80 | $11,746 | 20.6× |
| MRI lower-extremity joint without contrast (73721) | $5,133.60 | $17,112 | 22.1× |
| CT abdomen and pelvis with contrast (74177) | $3,614.10 | $12,047 | 10.6× |
| Ultrasound, abdomen complete (76700) | $1,893.30 | $6,311 | 18.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,216.50 | $4,055 | 11.9× |
| Ultrasound, transvaginal (76830) | $1,297.50 | $4,325 | 12.7× |
| Mammography, one breast (diagnostic) (77065) | $543.60 | $1,812 | 6.3× |
| Mammography, both breasts (diagnostic) (77066) | $637.50 | $2,125 | 5.8× |
| Mammography, screening (bilateral) (77067) | $461.40 | $1,538 | 5.1× |
| Basic metabolic panel (80048) | $209.40 | $698 | 24.8× |
| Comprehensive metabolic panel (80053) | $138.60 | $462 | 13.1× |
| Obstetric panel (80055) | $94.20 | $314 | 2.0× |
| Lipid panel (80061) | $107.55 | $358.50 | 8.0× |
| Renal function panel (80069) | $224.70 | $749 | 25.9× |
| Hepatic function panel (80076) | $111.90 | $373 | 13.7× |
| Urinalysis, non-automated, without microscopy (81002) | $12 | $40 | 3.4× |
| PSA, total (84153) | $74.40 | $248 | 4.0× |
| Thyroid stimulating hormone (TSH) (84443) | $178.65 | $595.50 | 10.6× |
| CBC with automated differential (85025) | $110.85 | $369.50 | 14.3× |
| CBC, automated (85027) | $161.40 | $538 | 24.9× |
| Prothrombin time (PT) (85610) | $54.90 | $183 | 12.8× |
| Partial thromboplastin time (PTT) (85730) | $79.65 | $265.50 | 13.3× |
| Psychotherapy, 30 minutes (90832) | $180.60 | $602 | 1.0× |
| Psychotherapy, 45 minutes (90834) | $361.20 | $1,204 | 2.1× |
| Psychotherapy, 60 minutes (90837) | $180.60 | $602 | 1.0× |
| Family psychotherapy, with patient (50 min) (90847) | $151.80 | $506 | 0.9× |
| Group psychotherapy (90853) | $95.10 | $317 | 1.0× |
| Left heart catheterization (93452) | $14,713.80 | $49,046 | 4.7× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $319.20 | $1,064 | 11.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $257.70 | $859 | 2.0× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $288.90 | $963 | 2.2× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $363.30 | $1,211 | 2.8× |
More prices at this hospital
- Imaging: 283 codes with posted prices and Medicare benchmarks
- Lab & pathology: 608 codes with posted prices and Medicare benchmarks
- Visits & medical services: 184 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 839 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 29 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 28.3 MB) ↓ — captured 2026-08-30
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