Visits & medical services prices at Bon Secours St. Mary's Hospital

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

236 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×
Acupunct W/Stimul 15 Min (97813) $53.40 $89 1.8×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $53.40 $89 1.8×
Admn Sarscov2 Vacc 1 Dose (90480) $27.60 $46 0.7×
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 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $101.40 $169 7.1×
Assmt & care planning pt w/cognitive impairment (99483) $175.20 $292 1.7×
Behavral qualit analys voice (92524) $255.60 $426 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $819.60 $1,366 2.2×
Canalith repositioning proc (95992) $186.60 $311 4.6×
Car seat/bed test 60 min (94780) $405.60 $676 10.8×
Cardiac Stress Tst,Tracing Only (93017) $1,669.80 $2,783 7.7×
Cardiopulmonary exercise testing (94621) $942 $1,570 2.5×
Cardiopulmonary resuscitation (92950) $234.60 $391 1.1×
Cardioversion (92960)
range across 2 matching MRF lines
$490.20–$1,616.40 $817–$2,694 varies
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 5.4×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $18,770.40 $31,284 5.8×
Cbt 1st hour (94644) $235.20 $392 1.8×
Chemo Anti-Neopl Sq/Im (96401) $262.20 $437 3.6×
Chemo Hormon Antineopl Sq/Im (96402) $454.20 $757 6.3×
Chemo IV infusion addl hr (96415) $376.80 $628 5.2×
Chemo IV push addl drug (96411) $336.60 $561 4.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $476.40 $794 6.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,512.60 $2,521 4.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $595.20 $992 1.8×
Chest Wall Manipulation (94668) $133.20 $222 1.0×
Color/duplex Doppler, complete (93975) $1,000.20 $1,667 4.2×
Color/duplex Doppler, limited (93976) $595.20 $992 5.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $61.20 $102 1.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $318.60 $531 1.8×
Cont gluc mntr physician/qhp provided equiptment (95250) $401.40 $669 3.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $115.80 $193 2.0×
Continuous Pulse Ox (94762) $393.60 $656 3.0×
Coronary Art/Grft Angio S&I (93455) $11,905.20 $19,842 3.7×
Coronary Artery Angio S&I (93454) $7,593 $12,655 2.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $813 $1,355 3.7×
Cpt initial (94667) $175.80 $293 1.3×
Critical care first hour (99291) $5,729.40 $9,549 6.9×
Debridement Open Wound 20 Sq Cm< (97597) $537.60 $896 2.7×
Dialysis One Evaluation (90945) $2,635.20 $4,392 6.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $742.20 $1,237 3.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,420.20 $2,367 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $444 $740 4.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,194.80 $3,658 9.2×
Dup-scan xtr veins unilateral/limited study (93971) $1,344.60 $2,241 12.8×
Duplex Scan Hemodialysis Access (93990) $372.60 $621 3.6×
Duplex up extrem art bilat (93930) $508.20 $847 2.1×
Duplex up extrem art unilat/ltd (93931) $556.80 $928 5.3×
ECG/monitoring and analysis (93271) $393.60 $656 4.1×
Echo Congenital Complete (93303) $2,373 $3,955 4.3×
Echo Heart Xthoracic,Limited (93308) $1,197 $1,995 5.0×
Echo r-t 2d w/probe placement only (93313) $2,446.20 $4,077 4.5×
Echo transesophag montr cardiac pump functj (93318) $1,939.20 $3,232 3.5×
Echo transesophageal (93312) $2,698.20 $4,497 4.9×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $5,617.20 $9,362 10.2×
Eeg 41-60 Minutes (95812) $336.60 $561 1.6×
EEG awake and asleep (95819) $3,283.20 $5,472 15.2×
EEG awake drowsy (95816) $2,401.80 $4,003 11.1×
EEG cerebral death evaluation (95824) $1,007.40 $1,679 2.7×
EEG cont rec w/video by tech min 8 channels (95700) $294.60 $491 1.4×
EEG extended monitoring 61-119 minutes (95813) $1,426.80 $2,378 6.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $588.60 $981 2.7×
EEG w/o vid 2-12hr cont mntr (95707) $588.60 $981 2.7×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $1,003.20 $1,672 2.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $611.40 $1,019 2.8×
Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) $181.80 $303 1.9×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $74.40 $124 2.0×
Electrical Stimulation Ea 15 Min (97032) $130.80 $218 8.9×
Electrocardiogram Tracing (93005) $226.20 $377 3.8×
Electrophysiology Evaluation (93642) $2,452.80 $4,088 2.0×
Emergency Dept Visit Level 2 (99282) $883.80 $1,473 5.7×
Emergency Dept Visit Level 3 (99283) $1,386.60 $2,311 5.1×
Emergency Dept Visit Level 4 (99284) $1,929.60 $3,216 4.6×
Endomyocardial Biopsy (93505) $1,784.40 $2,974 0.6×
Ep & ablate supravent arrhyt (93653) $23,817 $39,695 0.9×
Ep & ablate ventric tachy (93654) $30,394.80 $50,658 1.2×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,438 $20,730 1.6×
Er level 1 (99281)
range across 2 matching MRF lines
$360–$387 $600–$645 varies
Er level v (99285)
range across 2 matching MRF lines
$2,770.20–$4,865.07 $4,617–$8,108.45 varies
Esophgl Balo Distension Dx Std W/Provocation (91040)
range across 2 matching MRF lines
$9,023.84–$12,540.23 $15,039.73–$20,900.38 varies
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×
External ECG rec>48hr<7d recording (93242) $78.60 $131 2.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $241.80 $403 1.8×
External ECG rec>7d<15d recording (93246) $128.40 $214 3.4×
External ECG rec>7d<15d scanning alys w/report (93247) $241.80 $403 1.8×
Extracranial Bilat Study (93880) $792.60 $1,321 3.3×
Extracranial Uni/Ltd Study (93882) $325.80 $543 3.1×
Flexible endoscopic eval swallow c/v rec (92612) $440.40 $734 2.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $8,671.10 $14,451.83 10.1×
Gi tract capsule endoscopy (91110) $6,966.51 $11,610.85 7.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $23,495.40 $39,159 7.2×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,419.60 $2,366 2.1×
Holter monitor recording (93225) $525 $875 3.9×
Icd Device Interrogate (93289) $225.60 $376 6.0×
Icd device progr eval dual (93283) $300.60 $501 8.0×
Icd Device Progr Eval Mult (93284) $357 $595 9.5×
Icm Device Eval (93290) $69.60 $116 1.9×
Ilr Device Eval Progr (93285) $69.60 $116 1.9×
Ilr Device Interrogate (93291) $18.60 $31 0.6×
Im Adm Intransl/Oral 1 Vaccine (90473) $55.20 $92 0.8×
Immunization administration (90471) $52.80 $88 0.7×
Insert/Place Heart Catheter (93503) $3,033.60 $5,056 1.9×
Intracranial Complete Study (93886) $1,594.20 $2,657 6.7×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$48–$291 $80–$485 varies
IV infusion hydration each additional hour (96361) $147.60 $246 3.1×
IV infusion hydration initial 31 min-1 hour (96360) $642 $1,070 3.0×
IV infusion ther proph addl sequential to 1 hr (96367) $244.80 $408 3.4×
IV infusion therapy prophylaxis/dx ea hour (96366) $161.40 $269 3.4×
IV push initial (96374) $288 $480 1.3×
L Hrt Art/Grft Angio (93459) $19,832.40 $33,054 6.1×
Liver Elastography W/O Imag W/I&R (91200) $98.40 $164 0.8×
Lwr Xtr Vasc Stdy Bilat (93924) $1,314 $2,190 6.1×
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×
Motility study esophagus (91010) $7,827.44 $13,045.73 20.9×
Motion Fluoroscopy/Swallow (92611) $558 $930 6.1×
Multiple Sleep Latency Test (95805) $3,824.40 $6,374 4.4×
Muscle Test Nonparaspinal (95870) $271.80 $453 2.0×
Nasopharyngoscopy (92511) $149.40 $249 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867)
range across 2 matching MRF lines
$23,145.95–$24,721.74 $38,576.58–$41,202.90 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $649.20 $1,082 1.6×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $379.80 $633 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $264 $440 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $307.80 $513 0.8×
Neuromuscular Reeducation (97112)
range across 8 matching MRF lines
$124.80–$285 $208–$475 varies
Newborn resuscitation (99465) $447.60 $746 0.7×
Nitric oxide expired gas determination (95012) $150 $250 4.0×
Nrpsyc tst eval phys/qhp 1st (96132) $1,003.20 $1,672 2.7×
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 4 matching MRF lines
$137.40–$140.40 $229–$234 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925)
range across 2 matching MRF lines
$21.60–$57 $36–$95 varies
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 12 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) $160.80 $268 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $311.40 $519 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $262.20 $437 2.0×
Peripheral arterial disease rehab per session (93668) $144 $240 2.4×
Perq transcath closure pda (93582) $32,624.40 $54,374 1.8×
Perq Transcath Cls Aortic (93591) $33,938.40 $56,564 1.8×
Perq Transcath Cls Mitral (93590) $33,938.40 $56,564 1.8×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $11,401.80 $19,003 2.0×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $21,685.80 $36,143 1.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $126.60 $211 2.1×
Plethysmography (94726) $267 $445 0.7×
Pm device eval in person (93288) $96 $160 2.6×
Pm device progr eval dual (93280) $82.20 $137 2.2×
Pm device progr eval multi (93281) $84 $140 2.2×
Pm Device Progr Eval Sngl (93279) $186.60 $311 5.0×
Pm/Icd Remote Tech Serv (93296) $24 $40 0.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,884.80 $9,808 6.8×
Polysom <6 yrs 4/> paramtrs (95782) $2,275.80 $3,793 2.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $24 $40 0.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $244.80 $408 6.5×
Prq Card Angio/Athrect 1 Art (92924) $20,912.40 $34,854 1.8×
Prq Card Stent W/Angio 1 Vsl (92928) $21,378.60 $35,631 1.8×
Prq Card Stent/Ath/Angio (92933) $21,355.20 $35,592 1.2×
Prq Revasc Byp Graft 1 Vsl (92937) $21,519 $35,865 1.9×
Psych diag eval w/med srvcs (90792) $197.40 $329 1.1×
Psychiatric diagnostic evaluation (90791)
range across 2 matching MRF lines
$465.60–$855.60 $776–$1,426 varies
Psychological tst eval svc phys/qhp first hour (96130) $197.40 $329 0.9×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $754.20 $1,257 1.7×
Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) $243.60 $406 1.8×
Psytx Crisis Initial 60 Min (90839) $301.80 $503 1.7×
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×
Pulm function test by gas (94727) $103.20 $172 0.5×
Pulmonary service/procedure (94799) $294.60 $491 2.3×
Pulmonary Stress Testing (94618) $272.40 $454 2.0×
R Hrt Art/Grft Angio (93457) $15,666.60 $26,111 4.8×
R hrt coronary artery angio (93456) $11,367 $18,945 3.5×
R&L Hrt Cath W/Ventriclgrphy (93453) $10,198.80 $16,998 3.1×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $70.80 $118 1.9×
Remote 30 Day Ecg Rev/Report (93270) $893.40 $1,489 23.9×
Remote 30 Day Ecg Tech Supp (93229) $288.60 $481 0.8×
Respiratory flow volume loop (94375) $893.40 $1,489 4.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $190.80 $318 3.2×
Right Heart Cath (93451) $8,512.80 $14,188 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$266.40–$412.80 $444–$688 varies
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $321.60 $536 2.6×
Self Care Mngment Training (97535)
range across 7 matching MRF lines
$156–$235.80 $260–$393 varies
Sleep study unattended (95806) $718.80 $1,198 3.3×
Slp caregiver training 1st 30 min (97550) $99.60 $166 1.9×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $783 $1,305 3.6×
Speech sound lang comprehen (92523) $275.40 $459 1.2×
Spirometry (94010)
range across 2 matching MRF lines
$374.40–$698.40 $624–$1,164 varies
Stress Tte Only (93350) $1,653.60 $2,756 3.0×
Surfactant Admin Thru Tube (94610) $175.80 $293 0.8×
Temp transcutaneous pacing (92953) $490.20 $817 0.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $45 $75 1.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$70.20–$116.40 $117–$194 varies
Ther/Prop/Diag Inj/Inf Proc (96379) $88.20 $147 1.9×
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 10 matching MRF lines
$162.60–$168.60 $271–$281 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,149.20 $3,582 5.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $58.80 $98 1.6×
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×
Transcath Closure of Asd (93580) $19,265.40 $32,109 1.0×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $632.40 $1,054 6.0×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $94.80 $158 2.5×
Tte w/doppler, complete (93306) $3,630.60 $6,051 6.6×
Tx atrial fib pulm vein isol (93656) $24,316.20 $40,527 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $174 $290 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $241.80 $403 5.1×
Upr/L Xtremity Art 2 Levels (93922) $510.60 $851 3.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $428.40 $714 2.0×
Valvuloplasty aortic valve (92986) $3,626.40 $6,044 0.6×
Valvuloplasty mitral valve (92987) $22,119.60 $36,866 1.9×
Vasopneumatic device (97016)
range across 10 matching MRF lines
$64.80–$208.80 $108–$348 varies
Veeg 2-12 Hr Cont Mntr (95713) $1,171.80 $1,953 3.1×
Veeg 2-12 hr unmonitored (95711) $1,054.80 $1,758 4.9×
Veeg Ea 12-26 Hr Unmntr (95714) $4,210.20 $7,017 11.2×
Veeg ea 12-26hr cont mntr (95716) $2,193.60 $3,656 2.5×
Vent Mgmt Inpat Init Day (94002) $1,798.20 $2,997 2.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,419.60 $2,366 2.3×
Visual Evoked Potential Test (95930) $197.40 $329 0.9×
Vital capacity, total (94150) $98.40 $164 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.