Visits & medical services prices at Bon Secours Southside Medical Center
Petersburg, VA · every code in this section with a posted price and a Medicare benchmark.
184 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $4,761.90 | $15,873 | 0.6× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$133.80–$140.70 | $446–$469 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $107.10 | $357 | 0.8× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $1,742.70 | $5,809 | 13.4× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $38.10 | $127 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 6 matching MRF lines |
$8.70–$227.40 | $29–$758 | varies |
| Behavral qualit analys voice (92524) | $277.50 | $925 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $970.20 | $3,234 | 2.7× |
| Car seat/bed test 60 min (94780) | $119.40 | $398 | 3.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,303.80 | $4,346 | 6.2× |
| Cardiopulmonary exercise testing (94621) | $223.80 | $746 | 0.6× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$117.30–$1,464 | $391–$4,880 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$245.10–$2,247.90 | $817–$7,493 | varies |
| Cardioversion elective internal (92961) | $612.90 | $2,043 | 1.0× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $22.80 | $76 | 0.9× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $22,926 | $76,420 | 7.2× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $17,905.50 | $59,685 | 5.7× |
| Chemo Anti-Neopl Sq/Im (96401) | $131.10 | $437 | 1.9× |
| Chemo IV infusion addl hr (96415) | $192.60 | $642 | 2.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $210.60 | $702 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $408.60 | $1,362 | 1.3× |
| Chest Wall Manipulation (94668) | $88.80 | $296 | 0.7× |
| Color/duplex Doppler, complete (93975) | $2,092.50 | $6,975 | 9.0× |
| Continuous Pulse Ox (94762) | $285.60 | $952 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $7,797 | $25,990 | 2.5× |
| Coronary Artery Angio S&I (93454) | $6,917.10 | $23,057 | 2.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $448.50 | $1,495 | 2.1× |
| Cpt initial (94667) | $140.40 | $468 | 1.1× |
| Critical care first hour (99291) | $6,468.30 | $21,561 | 8.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$75.30–$305.10 | $251–$1,017 | varies |
| Dialysis One Evaluation (90945) | $1,131 | $3,770 | 2.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $2,092.50 | $6,975 | 9.0× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $169.80 | $566 | 1.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,168.20 | $3,894 | 5.0× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $903 | $3,010 | 8.9× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,764.60 | $5,882 | 7.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,130.10 | $3,767 | 11.1× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $228.30 | $761 | 1.0× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $100.50 | $335 | 1.0× |
| Duplex Scan Hemodialysis Access (93990) | $1,089 | $3,630 | 10.7× |
| Duplex up extrem art bilat (93930) | $1,242.30 | $4,141 | 5.3× |
| Duplex up extrem art unilat/ltd (93931) | $823.20 | $2,744 | 8.1× |
| Echo Congenital Complete (93303) | $865.20 | $2,884 | 1.6× |
| Echo Heart Xthoracic,Limited (93308) | $1,468.50 | $4,895 | 6.3× |
| Echo r-t 2d w/probe placement only (93313) | $1,686.60 | $5,622 | 3.2× |
| Echo transesophag montr cardiac pump functj (93318) | $523.80 | $1,746 | 1.0× |
| Echo transesophageal (93312) | $1,686.60 | $5,622 | 3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $3,686.10 | $12,287 | 6.9× |
| Eeg 41-60 Minutes (95812) | $291.60 | $972 | 1.4× |
| EEG awake and asleep (95819) | $1,227.60 | $4,092 | 5.8× |
| EEG awake drowsy (95816) | $1,138.50 | $3,795 | 5.4× |
| Eeg Sleep Only (95822) | $60.30 | $201 | 0.3× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $291.90 | $973 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) | $243.90 | $813 | 16.6× |
| Electrocardiogram Tracing (93005) range across 7 matching MRF lines |
$1,171.80–$73,760.92 | $1,953–$122,934.87 | varies |
| Electrophysiology Evaluation (93642) | $1,287.90 | $4,293 | 1.1× |
| Emergency Dept Visit Level 2 (99282) | $617.40 | $2,058 | 4.1× |
| Emergency Dept Visit Level 3 (99283) | $972.90 | $3,243 | 3.7× |
| Emergency Dept Visit Level 4 (99284) | $16,121.68 | $26,869.47 | 39.6× |
| Ep & ablate supravent arrhyt (93653) | $23,543.70 | $78,479 | 0.9× |
| Ep & ablate ventric tachy (93654) | $17,236.50 | $57,455 | 0.7× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $4,834.80 | $16,116 | 0.6× |
| Er level 1 (99281) range across 2 matching MRF lines |
$31.80–$189 | $106–$630 | varies |
| Er level v (99285) | $2,316.60 | $7,722 | 4.0× |
| Evaluate pt use of inhaler (94664) | $275.40 | $918 | 1.3× |
| Evaluate Speech Production (92522) | $277.50 | $925 | 2.5× |
| Evaluate Swallowing Function (92610) | $397.50 | $1,325 | 4.7× |
| Evaluation of speech fluency (92521) | $123.60 | $412 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $39.30 | $131 | 1.1× |
| External ECG rec>7d<15d recording (93246) | $64.20 | $214 | 1.8× |
| External Ecg Scanning Analysis Report (93226) | $120.60 | $402 | 2.1× |
| Extracranial Bilat Study (93880) | $2,185.50 | $7,285 | 9.4× |
| Extracranial Uni/Ltd Study (93882) | $924.60 | $3,082 | 9.1× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $523.80 | $1,746 | 1.0× |
| Flexible endoscopic eval swallow c/v rec (92612) | $220.20 | $734 | 1.1× |
| Gi tract capsule endoscopy (91110) | $3,730.50 | $6,217.50 | 4.2× |
| Group Therapeutic Procedures (97150) | $122.40 | $408 | 6.8× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $23,804.70 | $79,349 | 7.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $4,193.40 | $13,978 | 6.3× |
| Holter monitor recording (93225) | $1,179 | $3,930 | 9.1× |
| Icd device progr eval dual (93283) | $75.60 | $252 | 2.1× |
| Immunization administration (90471) | $952 | $1,586.67 | 13.6× |
| Insert/Place Heart Catheter (93503) | $1,487.10 | $4,957 | 1.0× |
| Intra-atrial pacing (93610) | $7,014.30 | $23,381 | 0.9× |
| Intra-atrial recording (93602) | $7,170.60 | $23,902 | 0.9× |
| Intracranial Complete Study (93886) | $1,046.10 | $3,487 | 4.5× |
| Intraventricular pacing (93612) | $7,014.30 | $23,381 | 0.9× |
| Irrig Drug Delivery Device (96523) range across 3 matching MRF lines |
$24–$145.50 | $80–$485 | varies |
| IV infusion hydration each additional hour (96361) | $104.10 | $347 | 2.3× |
| IV infusion hydration initial 31 min-1 hour (96360) | $283.20 | $944 | 1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $151.20 | $504 | 2.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $104.10 | $347 | 2.3× |
| IV push initial (96374) | $190.20 | $634 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $19,726.20 | $65,754 | 6.2× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $625.80 | $2,086 | 3.0× |
| Mechanical chest wall oscillation per session (94669) | $84.30 | $281 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $54.30 | $181 | 1.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $60.30 | $201 | 1.6× |
| Motion Fluoroscopy/Swallow (92611) | $484.20 | $1,614 | 5.3× |
| Muscle Test 2 Limbs (95861) | $122.40 | $408 | 0.9× |
| Muscle Test One Limb (95860) | $107.10 | $357 | 0.8× |
| Nasopharyngoscopy (92511) | $74.70 | $249 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $729.30 | $2,431 | 1.8× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,206 | $4,020 | 3.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $249.30 | $831 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $609.90 | $2,033 | 1.5× |
| Nerve Conduction Studies 3-4 Studies (95908) | $389.10 | $1,297 | 1.8× |
| Nerve conduction studies 5-6 studies (95909) | $389.10 | $1,297 | 1.8× |
| Neuromuscular Reeducation (97112) | $216.90 | $723 | 6.6× |
| Newborn resuscitation (99465) | $515.10 | $1,717 | 0.8× |
| Oral Function Therapy (92526) | $271.20 | $904 | 3.2× |
| Oral Speech Device Eval (92597) | $136.80 | $456 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $18 | $60 | 0.4× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 2 matching MRF lines |
$53.70–$227.40 | $179–$758 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $10.80 | $36 | 0.5× |
| Ot eval high complexity (97167) | $253.80 | $846 | 2.5× |
| Ot Eval Low Complex (97165) | $253.80 | $846 | 2.5× |
| Ot Eval Moderate Complexity (97166) | $253.80 | $846 | 2.5× |
| Ot manual therapy 15 min (97140) range across 12 matching MRF lines |
$35.10–$192.90 | $117–$643 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $39 | $130 | 1.0× |
| Ot Re-Eval Est Plan Care (97168) | $224.40 | $748 | 3.3× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $254.10 | $847 | 2.0× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $59.40 | $198 | 0.5× |
| Peripheral arterial disease rehab per session (93668) | $72 | $240 | 1.3× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $7,917.60 | $26,392 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $10,787.10 | $35,957 | 1.0× |
| Phlebotomy therapeutic (99195) | $275.40 | $918 | 2.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $63.30 | $211 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $63.30 | $211 | 1.1× |
| Plethysmography (94726) | $682.20 | $2,274 | 1.9× |
| Pm Device Progr Eval Sngl (93279) | $98.10 | $327 | 2.7× |
| Pm/Icd Remote Tech Serv (93296) | $43.20 | $144 | 1.2× |
| Prq Card Angio/Athrect 1 Art (92924) | $10,479.60 | $34,932 | 0.9× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $16,707.30 | $55,691 | 1.5× |
| Prq Card Stent/Ath/Angio (92933) | $21,700.80 | $72,336 | 1.2× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $16,707.30 | $55,691 | 1.5× |
| Psych diag eval w/med srvcs (90792) | $150 | $500 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $153.90 | $513 | 0.9× |
| Psytx Crisis Initial 60 Min (90839) | $180.60 | $602 | 1.0× |
| Pt Eval High Complex (97163) | $256.20 | $854 | 2.6× |
| Pt eval low complex 20 min (97161) | $256.20 | $854 | 2.6× |
| Pt Eval Mod Complex (97162) | $256.20 | $854 | 2.6× |
| Pt gait training 15 min (97116) | $153 | $510 | 5.3× |
| Pt group caregiver training (97552) | $20.40 | $68 | 0.9× |
| Pt mechanical traction (97012) | $139.80 | $466 | 9.7× |
| Pt Re-Eval Est Plan Care (97164) | $224.40 | $748 | 3.3× |
| Pulm function test by gas (94727) | $682.20 | $2,274 | 3.2× |
| Pulmonary service/procedure (94799) | $147.30 | $491 | 1.2× |
| Pulmonary Stress Testing (94618) | $120.60 | $402 | 0.9× |
| R Hrt Art/Grft Angio (93457) | $12,782.40 | $42,608 | 4.0× |
| R hrt coronary artery angio (93456) | $11,904.30 | $39,681 | 3.8× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $18,792 | $62,640 | 5.9× |
| Respiratory flow volume loop (94375) | $388.80 | $1,296 | 1.8× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $96.30 | $321 | 1.7× |
| Right Heart Cath (93451) | $4,987.20 | $16,624 | 1.6× |
| Right ventricular recording (93603) | $1,164 | $3,880 | 1.0× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $150.90 | $503 | 0.8× |
| Self Care Mngment Training (97535) range across 6 matching MRF lines |
$83.40–$192.90 | $278–$643 | varies |
| Slp caregiver training 1st 30 min (97550) | $49.80 | $166 | 0.9× |
| Speech sound lang comprehen (92523) | $346.50 | $1,155 | 1.5× |
| Spirometry (94010) | $377.40 | $1,258 | 1.8× |
| Stress Tte Only (93350) | $1,472.10 | $4,907 | 2.8× |
| Surfactant Admin Thru Tube (94610) | $87.90 | $293 | 0.4× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$612.60–$1,394.70 | $2,042–$4,649 | varies |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $55.80 | $186 | 2.5× |
| Ther Ivntj Ea Addl 15 Min (97130) | $77.70 | $259 | 3.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $44.10 | $147 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $151.20 | $504 | 2.2× |
| Ther/Proph/Diag Iv Inf Init (96365) | $553.80 | $1,846 | 2.7× |
| Therapeutic Activities (97530) | $249 | $830 | 7.1× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$787.20–$2,251.80 | $2,624–$7,506 | varies |
| Transcath Closure of Asd (93580) | $16,577.70 | $55,259 | 0.9× |
| Transtelephonic Rhythm Strip Pacemaker Eval (93293) | $88.50 | $295 | 2.4× |
| Tte w/doppler, complete (93306) | $3,250.50 | $10,835 | 6.1× |
| Tx atrial fib pulm vein isol (93656) | $15,197.40 | $50,658 | 0.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $445.50 | $1,485 | 5.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $151.20 | $504 | 3.3× |
| Unlisted cardiovascular service/procedure (93799) | $147.30 | $491 | 1.2× |
| Unlisted otorhinolaryngological service (92700) | $5,250.74 | $8,751.23 | 186.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $861.60 | $2,872 | 6.6× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,905.90 | $6,353 | 9.0× |
| Vent Mgmt Inpat Init Day (94002) | $627.30 | $2,091 | 1.0× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $627.30 | $2,091 | 1.0× |
| Vital capacity, total (94150) | $103.20 | $344 | 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.