Visits & medical services prices at Bon Secours St. Francis Medical Center

Midlothian, VA · every code in this section with a posted price and a Medicare benchmark.

159 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,396.40 $13,994 1.1×
Admn Sarscov2 Vacc 1 Dose (90480) $82.80 $138 2.1×
Advncd Care Plan 30 Min (99497) $88.20 $147 0.9×
Airway Inhalation Treatment (94640) $157.80 $263 0.7×
Appl modality 1+ areas lllt po pain reduction (97037) $76.20 $127 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101.40 $169 7.1×
Arrhythmia Induction (93618) $2,409 $4,015 2.0×
Behavral qualit analys voice (92524) $255.60 $426 2.3×
Biofeedback training any modality (90901) $60 $100 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $819.60 $1,366 2.3×
Canalith repositioning proc (95992) $186.60 $311 4.6×
Car seat/bed test 60 min (94780) $405.60 $676 11.1×
Cardiac Stress Tst,Tracing Only (93017) $1,669.80 $2,783 7.9×
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$234.60–$876.60 $391–$1,461 varies
Cardioversion (92960) $490.20 $817 0.8×
Cardioversion elective internal (92961) $1,225.80 $2,043 1.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $45.60 $76 1.8×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $17,530.80 $29,218 5.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,770.40 $31,284 5.9×
Cbt 1st hour (94644) $235.20 $392 1.8×
Chemo Anti-Neopl Sq/Im (96401) $262.20 $437 3.7×
Chemo IV infusion addl hr (96415) $376.80 $628 5.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $817.20 $1,362 2.5×
Chest Wall Manipulation (94668) $133.20 $222 1.0×
Color/duplex Doppler, complete (93975) $1,000.20 $1,667 4.3×
Color/duplex Doppler, limited (93976) $379.20 $632 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $61.20 $102 1.9×
Continuous Pulse Ox (94762) $426.60 $711 3.4×
Coronary Art/Grft Angio S&I (93455) $11,905.20 $19,842 3.8×
Coronary Artery Angio S&I (93454) $7,593 $12,655 2.4×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $813 $1,355 3.8×
Cpt initial (94667) $175.80 $293 1.4×
Critical care first hour (99291) $5,729.40 $9,549 7.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 14 matching MRF lines
$537.60–$3,572.40 $896–$5,954 varies
Dialysis One Evaluation (90945) $2,635.20 $4,392 6.5×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,420.20 $2,367 6.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $444 $740 4.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,194.80 $3,658 9.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,344.60 $2,241 13.2×
Duplex up extrem art unilat/ltd (93931) $556.80 $928 5.5×
ECG/monitoring and analysis (93271) $393.60 $656 4.2×
Echo Congenital Complete (93303) $2,189.40 $3,649 4.1×
Echo Heart Xthoracic,Limited (93308) $1,197 $1,995 5.1×
Echo r-t 2d w/probe placement only (93313) $10,860.60 $18,101 20.4×
Echo transesophag montr cardiac pump functj (93318) $1,939.20 $3,232 3.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,269.80 $3,783 4.3×
EEG awake and asleep (95819) $3,283.20 $5,472 15.6×
EEG awake drowsy (95816) $2,401.80 $4,003 11.4×
EEG extended monitoring 61-119 minutes (95813) $1,426.80 $2,378 6.8×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $611.40 $1,019 2.9×
Electrical Stimulation Ea 15 Min (97032) $130.80 $218 8.9×
Electrocardiogram Tracing (93005) $226.20 $377 3.9×
Emergency Dept Visit Level 2 (99282) $883.80 $1,473 5.9×
Emergency Dept Visit Level 3 (99283) $1,386.60 $2,311 5.2×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$1,929.60–$2,848.20 $3,216–$4,747 varies
Emg 4 Extremities (95864) $295.20 $492 2.4×
Ep & ablate supravent arrhyt (93653) $23,817 $39,695 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,438 $20,730 1.6×
Er level 1 (99281) $387 $645 4.7×
Er level v (99285) $2,770.20 $4,617 4.8×
Evaluate pt use of inhaler (94664) $160.20 $267 0.7×
Evaluate Speech Production (92522) $255.60 $426 2.3×
Evaluate Swallowing Function (92610) $275.40 $459 3.2×
Evaluation of speech fluency (92521) $247.20 $412 1.9×
Extracranial Bilat Study (93880) $792.60 $1,321 3.4×
Extracranial Uni/Ltd Study (93882) $325.80 $543 3.2×
Flexible endoscopic eval swallow c/v rec (92612) $440.40 $734 2.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $4,536.98 $7,561.63 5.4×
Gi wireless capsule measure (91112) $12,163.48 $20,272.47 13.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $23,495.40 $39,159 7.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,338 $2,230 2.0×
Holter monitor recording (93225) $525 $875 4.0×
Immunization administration (90471) $52.80 $88 0.8×
Insert/Place Heart Catheter (93503) $3,033.60 $5,056 2.0×
Irrig Drug Delivery Device (96523) $48 $80 0.8×
IV infusion hydration each additional hour (96361) $147.60 $246 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $642 $1,070 3.1×
IV infusion ther proph addl sequential to 1 hr (96367) $244.80 $408 3.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $161.40 $269 3.5×
IV push initial (96374) $288 $480 1.4×
L Hrt Art/Grft Angio (93459) $19,832.40 $33,054 6.3×
Lung Function Test (Mbc/Mvv) (94200) $115.80 $193 2.0×
Mechanical chest wall oscillation per session (94669) $133.80 $223 0.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $140.40 $234 4.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $126.60 $211 3.4×
Motion Fluoroscopy/Swallow (92611) $558 $930 6.1×
Nasopharyngoscopy (92511) $149.40 $249 0.8×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $649.20 $1,082 1.6×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $264 $440 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $268.20 $447 0.7×
Neuromuscular Reeducation (97112)
range across 14 matching MRF lines
$124.80–$285 $208–$475 varies
Newborn resuscitation (99465) $447.60 $746 0.7×
Oral Function Therapy (92526) $175.80 $293 2.1×
Oral Speech Device Eval (92597) $279.60 $466 3.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $96 $160 1.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$137.40–$140.40 $229–$234 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $21.60 $36 1.0×
Ot eval high complexity (97167) $351 $585 3.5×
Ot Eval Low Complex (97165) $356.40 $594 3.5×
Ot Eval Moderate Complexity (97166) $349.80 $583 3.5×
Ot manual therapy 15 min (97140)
range across 10 matching MRF lines
$70.20–$141 $117–$235 varies
Ot paraffin bath (97018) $89.40 $149 14.9×
Ot Re-Eval Est Plan Care (97168) $233.40 $389 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $311.40 $519 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $262.20 $437 2.1×
Peripheral arterial disease rehab per session (93668) $144 $240 2.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,401.80 $19,003 2.1×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $21,574.20 $35,957 1.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $133.20 $222 2.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $133.20 $222 2.3×
Physical Performance Test (97750) $103.20 $172 3.1×
Plethysmography (94726) $267 $445 0.7×
Positional nystagmus test (92542) $244.20 $407 1.9×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $25.20 $42 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $13,057.80 $21,763 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $21,519 $35,865 1.9×
Psychiatric diagnostic evaluation (90791) $594.60 $991 3.4×
Pt Eval High Complex (97163) $364.80 $608 3.7×
Pt eval low complex 20 min (97161) $303.60 $506 3.1×
Pt Eval Mod Complex (97162) $366 $610 3.7×
Pt gait training 15 min (97116) $142.80 $238 4.9×
Pt group caregiver training (97552) $40.80 $68 1.9×
Pt mechanical traction (97012) $103.20 $172 7.2×
Pt Re-Eval Est Plan Care (97164) $249.60 $416 3.7×
Pulmonary Stress Testing (94618) $311.40 $519 2.4×
R hrt coronary artery angio (93456) $11,367 $18,945 3.6×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,198.80 $16,998 3.2×
Remote 30 Day Ecg Rev/Report (93270) $793.80 $1,323 21.8×
Respiratory flow volume loop (94375) $1,002.60 $1,671 4.8×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $190.80 $318 3.3×
Right Heart Cath (93451) $8,512.80 $14,188 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $266.40 $444 1.4×
Self Care Mngment Training (97535)
range across 12 matching MRF lines
$156–$235.80 $260–$393 varies
Slp caregiver training 1st 30 min (97550) $99.60 $166 1.9×
Speech sound lang comprehen (92523) $275.40 $459 1.2×
Spirometry (94010) $374.40 $624 1.8×
Stress Tte Only (93350) $1,653.60 $2,756 3.1×
Surfactant Admin Thru Tube (94610) $175.80 $293 0.8×
Temp transcutaneous pacing (92953) $490.20 $817 0.8×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $116.40 $194 3.9×
Ther/Proph/Diag Inj Sc/Im (96372) $148.20 $247 2.1×
Ther/Proph/Diag Iv Inf Init (96365) $503.40 $839 2.4×
Therapeutic Activities (97530)
range across 12 matching MRF lines
$162.60–$168.60 $271–$281 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $58.80 $98 1.6×
Trans Care Mgmt 14 Day Disch (99495) $240 $400 1.8×
Trans Care Mgmt 7 Day Disch (99496) $240 $400 1.8×
Tte w/doppler, complete (93306) $3,630.60 $6,051 6.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $174 $290 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $241.80 $403 5.3×
Unlisted cardiovascular service/procedure (93799) $294.60 $491 2.3×
Upr/L Xtremity Art 2 Levels (93922) $510.60 $851 3.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $428.40 $714 2.0×
Vasopneumatic device (97016) $208.80 $348 17.4×
Veeg 2-12 hr unmonitored (95711) $1,054.80 $1,758 5.0×
Veeg Ea 12-26 Hr Unmntr (95714) $4,210.20 $7,017 11.6×
Vent Mgmt Inpat Init Day (94002) $1,798.20 $2,997 3.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,419.60 $2,366 2.4×
Vital capacity, total (94150) $334.80 $558 2.7×
Wheelchair Mgmt Ea 15 Min (97542)
range across 2 matching MRF lines
$69.60–$89.40 $116–$149 varies

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.