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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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $8,396.40 $13,994 1.1×
Advance care planning first 30 mins (99497) $88.20 $147 0.9×
Airway inhalation treatment (94640) $157.80 $263 0.7×
Appl modality 1+lllt po pain (97037) $76.20 $127 2.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101.40 $169 7.1×
Bedside Swallowing Eval (92610) $275.40 $459 3.2×
Behavioral and qualitative analysis of voice and resonance (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 Procedure (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) $555.60 $926 2.6×
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,W Left Heart Ventriculography (93458) $18,770.40 $31,284 5.9×
Cbt 1st hour (94644) $235.20 $392 1.8×
Chemother, IV infusion, 1 hr (96413) $817.20 $1,362 2.5×
Chemother, IV infusion, ea add hr (96415) $376.80 $628 5.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $262.20 $437 3.7×
Color/duplex Doppler, complete (93975) $1,000.20 $1,667 4.3×
Color/duplex Doppler, limited (93976) $379.20 $632 3.7×
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/bipap (94660) $813 $1,355 3.8×
Cpt initial (94667) $175.80 $293 1.4×
Critical care (99291) $5,729.40 $9,549 7.1×
Debridement Open Wound 20 Sq Cm< (97597) $537.60 $896 2.7×
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 Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $556.80 $928 5.5×
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 scan extracranial art compl bi study (93880) $792.60 $1,321 3.4×
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 Transthoracic - Congenital Tte Complete (93303) $2,189.40 $3,649 4.1×
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 greater than 1 hour (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×
EKG rhythm strip (93041) $190.80 $318 3.3×
Electrocardiogram Tracing (93005) $226.20 $377 3.9×
EMG four 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 ii (99282) $883.80 $1,473 5.9×
Er level iii (99283) $1,386.60 $2,311 5.2×
Er level IV (99284) $2,388.90 $3,981.50 5.9×
Er level v (99285) $2,770.20 $4,617 4.8×
Eval speech sound production (92522) $255.60 $426 2.3×
Eval to use/fit voice prosth (92597) $279.60 $466 3.9×
Evaluate Pt Use Of Inhaler (94664) $160.20 $267 0.7×
Evaluation of speech fluency (92521) $247.20 $412 1.9×
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×
Hemodialysis (90935) $1,338 $2,230 2.0×
Holter Monitor (93225) $525 $875 4.0×
Imm admn sarscov2 vaccine single dose (90480) $82.80 $138 2.1×
Immunization Admin (90471) $52.80 $88 0.8×
Induction of arrhythmia by electrical pacing (93618) $2,409 $4,015 2.0×
Ins swan ganz bedside (93503) $3,033.60 $5,056 2.0×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $175.80 $293 0.8×
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, therap/proph/diagnost,initial,1st hour (96365) $503.40 $839 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $161.40 $269 3.5×
IV push ea addl new drug (96375) $241.80 $403 5.3×
IV push initial (96374) $288 $480 1.4×
L hrt art/grft angio (93459) $19,832.40 $33,054 6.3×
Manual therapy 15 min (97140) $105.60 $176 3.8×
Massage 15 min (97124) $116.40 $194 3.9×
Maximum voluntary ventilation (94200) $115.80 $193 2.0×
Mechanical chest wall oscillation (94669) $133.80 $223 0.6×
Mechanical traction (97012) $103.20 $172 7.2×
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 Fluor Eval Swlng Funcj C/V Rec (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×
Newborn resuscitation (99465) $447.60 $746 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $510.60 $851 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $426.60 $711 3.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $138.90 $231.50 3.0×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $21.60 $36 1.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $61.20 $102 1.9×
Ot eval high complex 60 min (97167) $351 $585 3.5×
Ot eval low complex 30 min (97165) $356.40 $594 3.5×
Ot eval mod complex 45 min (97166) $349.80 $583 3.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $96 $160 1.9×
Ot re-evaluation (97168) $233.40 $389 3.4×
Ot therapeutic activity 15 min (97530) $165.60 $276 4.7×
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×
Paraffin bath pt (97018) $89.40 $149 14.9×
Peripheral arterial disease rehab per session (93668) $144 $240 2.5×
Peritoneal Dialysis (90945) $2,635.20 $4,392 6.5×
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×
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 Electrical Stimulation (97032) $130.80 $218 8.9×
Pt eval high complex 45 min (97163) $364.80 $608 3.7×
Pt eval low complex 20 min (97161) $303.60 $506 3.1×
Pt eval mod complex 30 min (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 Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $204.90 $341.50 6.3×
Pt Physical Performance Test (97750) $103.20 $172 3.1×
Pt re-evaluation (97164) $249.60 $416 3.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $195.90 $326.50 6.0×
Pulmonary stress test simple (94618) $311.40 $519 2.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $10,198.80 $16,998 3.2×
R hrt coronary artery angio (93456) $11,367 $18,945 3.6×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $23,495.40 $39,159 7.4×
R&l hrt art/ventricle angio (93460) $17,530.80 $29,218 5.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $793.80 $1,323 21.8×
Respiratory flow volume loop (94375) $1,002.60 $1,671 4.8×
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×
Rt Chest Wall Manipulation,Subsequent (94668) $133.20 $222 1.0×
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 echo (93350) $1,653.60 $2,756 3.1×
Temp transcutaneous pacing (92953) $490.20 $817 0.8×
Therapeutic prophylactic/dx injection subq/im (96372) $148.20 $247 2.1×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $175.80 $293 2.1×
Unlisted Cardiovascular Service/Procedure (93799) $294.60 $491 2.3×
Upr/lxtr art stdy 3+ lvls (93923) $428.40 $714 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $325.80 $543 3.2×
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) $79.50 $132.50 2.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $393.60 $656 4.2×