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.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $4,761.90 $15,873 0.6×
Airway inhalation treatment (94640) $137.25 $457.50 0.6×
Ambulatory Bp Analysis (93788) $1,742.70 $5,809 13.4×
Ambulatory Bp Recording (93786) $107.10 $357 0.8×
Appl modality 1+lllt po pain (97037) $38.10 $127 1.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $118.05 $393.50 8.2×
Bedside Swallowing Eval (92610) $397.50 $1,325 4.7×
Behavioral and qualitative analysis of voice and resonance (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) $790.65 $2,635.50 3.8×
Cardioversion (92960) $1,246.50 $4,155 1.9×
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 Perc Clos,Cong Interatrial Commun W/Impl (93580) $16,577.70 $55,259 0.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $17,905.50 $59,685 5.7×
Chemother, IV infusion, 1 hr (96413) $408.60 $1,362 1.3×
Chemother, IV infusion, ea add hr (96415) $192.60 $642 2.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $131.10 $437 1.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $210.60 $702 3.0×
Color/duplex Doppler, complete (93975) $2,092.50 $6,975 9.0×
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/bipap (94660) $448.50 $1,495 2.1×
Cpt initial (94667) $140.40 $468 1.1×
Critical care (99291) $6,468.30 $21,561 8.0×
Debridement Open Wound 20 Sq Cm< (97597) $190.20 $634 1.0×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,242.30 $4,141 5.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $823.20 $2,744 8.1×
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 extracranial art compl bi study (93880) $2,185.50 $7,285 9.4×
Duplex Scan Hemodialysis Access (93990) $1,089 $3,630 10.7×
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 Transthoracic - Congenital Tte Complete (93303) $865.20 $2,884 1.6×
Echo Transthoracic - Congenital Tte Limited (93304) $523.80 $1,746 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,686.10 $12,287 6.9×
EEG awake and asleep (95819) $1,227.60 $4,092 5.8×
EEG awake drowsy (95816) $1,138.50 $3,795 5.4×
EEG coma or 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×
EKG rhythm strip (93041) $96.30 $321 1.7×
Electrocardiogram Tracing (93005) $23,219.67 $38,699.45 403.4×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $291.60 $972 1.4×
EMG one extremity (95860) $107.10 $357 0.8×
EMG two extremities (95861) $122.40 $408 0.9×
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×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,287.90 $4,293 1.1×
Er level 1 (99281) $110.40 $368 1.3×
Er level ii (99282) $617.40 $2,058 4.1×
Er level iii (99283) $972.90 $3,243 3.7×
Er level IV (99284) $16,121.68 $26,869.47 39.6×
Er level v (99285) $2,316.60 $7,722 4.0×
Eval speech sound production (92522) $277.50 $925 2.5×
Eval to use/fit voice prosth (92597) $136.80 $456 1.9×
Evaluate Pt Use Of Inhaler (94664) $275.40 $918 1.3×
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×
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×
Hemodialysis (90935) $4,193.40 $13,978 6.3×
Holter Monitor (93225) $1,179 $3,930 9.1×
Immunization Admin (90471) $952 $1,586.67 13.6×
Ins swan ganz bedside (93503) $1,487.10 $4,957 1.0×
Intra Atrial Recording (93602) $7,170.60 $23,902 0.9×
Intra-atrial pacing (93610) $7,014.30 $23,381 0.9×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $87.90 $293 0.4×
Intraventricular pacing (93612) $7,014.30 $23,381 0.9×
Irrig drug delivery device (96523) $145.50 $485 2.5×
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, therap/proph/diagnost,initial,1st hour (96365) $553.80 $1,846 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $104.10 $347 2.3×
IV push ea addl new drug (96375) $151.20 $504 3.3×
IV push initial (96374) $190.20 $634 0.9×
L hrt art/grft angio (93459) $19,726.20 $65,754 6.2×
Manual therapy 15 min (97140) $114 $380 4.1×
Mechanical chest wall oscillation (94669) $84.30 $281 0.4×
Mechanical traction (97012) $139.80 $466 9.7×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $484.20 $1,614 5.3×
Nasopharyngoscopy (92511) $74.70 $249 0.4×
Neg press wound tx >50 cm (97608) $1,206 $4,020 3.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $729.30 $2,431 1.8×
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×
Newborn resuscitation (99465) $515.10 $1,717 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $861.60 $2,872 6.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $285.60 $952 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $140.55 $468.50 3.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $10.80 $36 0.5×
Ot eval high complex 60 min (97167) $253.80 $846 2.5×
Ot eval low complex 30 min (97165) $253.80 $846 2.5×
Ot eval mod complex 45 min (97166) $253.80 $846 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $18 $60 0.4×
Ot Prosthetic Training, Each 15 Min (97761) $39 $130 1.0×
Ot re-evaluation (97168) $224.40 $748 3.3×
Ot therapeutic activity 15 min (97530) $249 $830 7.1×
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×
Peritoneal Dialysis (90945) $1,131 $3,770 2.8×
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×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $75.60 $252 2.1×
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×
Prq trluml coronary angio/atherect one art/brnch (92924) $10,479.60 $34,932 0.9×
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 Electrical Stimulation (97032) $243.90 $813 16.6×
Pt eval high complex 45 min (97163) $256.20 $854 2.6×
Pt eval low complex 20 min (97161) $256.20 $854 2.6×
Pt eval mod complex 30 min (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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $216.90 $723 6.6×
Pt re-evaluation (97164) $224.40 $748 3.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $138.15 $460.50 4.3×
Pulm function test by gas (94727) $682.20 $2,274 3.2×
Pulmonary Service/Procedure (94799) $147.30 $491 1.2×
Pulmonary stress test simple (94618) $120.60 $402 0.9×
R & l hrt cath w/njx l ventriculog img s&i (93453) $18,792 $62,640 5.9×
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/Injec Hrt Art/Grft& L Vent I (93461) $23,804.70 $79,349 7.5×
R&l hrt art/ventricle angio (93460) $22,926 $76,420 7.2×
Respiratory flow volume loop (94375) $388.80 $1,296 1.8×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $88.80 $296 0.7×
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 echo (93350) $1,472.10 $4,907 2.8×
Temp transcutaneous pacing (92953) $1,003.65 $3,345.50 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $55.80 $186 2.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $77.70 $259 3.7×
Ther/prop/diag inj/inf proc (96379) $44.10 $147 1.0×
Therapeutic prophylactic/dx injection subq/im (96372) $151.20 $504 2.2×
Tilt table evaluation (93660) $1,519.50 $5,065 4.2×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $1,046.10 $3,487 4.5×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $271.20 $904 3.2×
Unlisted Cardiovascular Service/Procedure (93799) $147.30 $491 1.2×
Unlisted otorhinolaryngological service (92700) $5,250.74 $8,751.23 186.1×
Upr/lxtr art stdy 3+ lvls (93923) $1,905.90 $6,353 9.0×
Vasc Duplex Scan Extracranial,Limited (93882) $924.60 $3,082 9.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $625.80 $2,086 3.0×
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×