Visits & medical services prices at Bon Secours Southern Virginia Medical Center
Emporia, VA · every code in this section with a posted price and a Medicare benchmark.
113 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $140.10 | $467 | 0.7× |
| Appl modality 1+ areas lllt po pain reduction (97037) | $38.10 | $127 | 1.0× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $163.50 | $545 | 11.4× |
| Assessment of aphasia per hr (96105) | $537.30 | $1,791 | 5.5× |
| Behavral qualit analys voice (92524) | $127.80 | $426 | 1.2× |
| Canalith repositioning proc (95992) | $93.30 | $311 | 2.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,019.40 | $3,398 | 4.8× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$117.30–$2,502.60 | $391–$8,342 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$245.10–$1,411.50 | $817–$4,705 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $22.80 | $76 | 0.9× |
| Cbt 1st hour (94644) | $136.80 | $456 | 1.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $460.50 | $1,535 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $358.50 | $1,195 | 1.1× |
| Chest Wall Manipulation (94668) | $150.30 | $501 | 1.2× |
| Color/duplex Doppler, complete (93975) | $527.10 | $1,757 | 2.3× |
| Continuous Pulse Ox (94762) | $238.20 | $794 | 1.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $444.30 | $1,481 | 2.1× |
| Cpt initial (94667) | $172.80 | $576 | 1.3× |
| Critical care first hour (99291) | $3,422.40 | $11,408 | 4.2× |
| Debridement Open Wound 20 Sq Cm< (97597) | $75.30 | $251 | 0.4× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,366.20 | $4,554 | 5.9× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $901.50 | $3,005 | 8.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,763.40 | $5,878 | 7.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $958.50 | $3,195 | 9.4× |
| Duplex up extrem art bilat (93930) | $254.10 | $847 | 1.1× |
| Duplex up extrem art unilat/ltd (93931) | $222 | $740 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $707.10 | $2,357 | 3.0× |
| Echo transesophag montr cardiac pump functj (93318) | $524.40 | $1,748 | 1.0× |
| Electrical Stimulation Ea 15 Min (97032) | $190.50 | $635 | 13.0× |
| Electrocardiogram Tracing (93005) | $181.50 | $605 | 3.2× |
| Emergency Dept Visit Level 2 (99282) | $825.60 | $2,752 | 5.5× |
| Emergency Dept Visit Level 3 (99283) | $1,014.60 | $3,382 | 3.8× |
| Emergency Dept Visit Level 4 (99284) | $1,534.20 | $5,114 | 3.8× |
| Er level 1 (99281) | $167.70 | $559 | 2.0× |
| Er level v (99285) | $2,010.90 | $6,703 | 3.5× |
| Evaluate pt use of inhaler (94664) | $92.70 | $309 | 0.4× |
| Evaluate Speech Production (92522) | $511.50 | $1,705 | 4.6× |
| Evaluate Swallowing Function (92610) | $285 | $950 | 3.4× |
| Evaluation of speech fluency (92521) | $123.60 | $412 | 0.9× |
| External ECG rec>48hr<7d recording (93242) | $39.30 | $131 | 1.1× |
| Extracranial Bilat Study (93880) | $862.20 | $2,874 | 3.7× |
| Flexible endoscopic eval swallow c/v rec (92612) | $220.20 | $734 | 1.1× |
| Group Therapeutic Procedures (97150) | $163.50 | $545 | 9.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,296.60 | $4,322 | 1.9× |
| Holter monitor recording (93225) | $993.90 | $3,313 | 7.7× |
| Immunization administration (90471) | $208.50 | $695 | 3.0× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$24–$263.70 | $80–$879 | varies |
| IV infusion hydration each additional hour (96361) | $101.70 | $339 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $290.40 | $968 | 1.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $197.10 | $657 | 2.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $197.10 | $657 | 4.3× |
| IV push initial (96374) | $541.50 | $1,805 | 2.6× |
| Mechanical chest wall oscillation per session (94669) | $66.90 | $223 | 0.3× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $23.70 | $79 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $23.70 | $79 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $167.70 | $559 | 1.8× |
| Multiple Family Group Psychotherapy (90849) | $151.80 | $506 | 0.9× |
| Multiple Sleep Latency Test (95805) | $851.10 | $2,837 | 1.0× |
| Nasopharyngoscopy (92511) | $74.70 | $249 | 0.4× |
| Neuromuscular Reeducation (97112) | $172.20 | $574 | 5.3× |
| Oral Function Therapy (92526) | $430.80 | $1,436 | 5.1× |
| Oral Speech Device Eval (92597) | $139.80 | $466 | 2.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $48 | $160 | 1.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $53.70 | $179 | 1.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $10.80 | $36 | 0.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $163.50 | $545 | 11.7× |
| Ot eval high complexity (97167) | $443.70 | $1,479 | 4.4× |
| Ot Eval Low Complex (97165) | $443.70 | $1,479 | 4.4× |
| Ot Eval Moderate Complexity (97166) | $443.70 | $1,479 | 4.4× |
| Ot manual therapy 15 min (97140) | $190.50 | $635 | 6.9× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $234.30 | $781 | 1.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $234.30 | $781 | 1.9× |
| Peripheral arterial disease rehab per session (93668) | $72 | $240 | 1.3× |
| Phlebotomy therapeutic (99195) | $306 | $1,020 | 2.4× |
| 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× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $5,274.30 | $17,581 | 6.3× |
| Psych diag eval w/med srvcs (90792) | $142.80 | $476 | 0.8× |
| Psychiatric diagnostic evaluation (90791) range across 3 matching MRF lines |
$153.90–$183.90 | $513–$613 | varies |
| Psytx Crisis Initial 60 Min (90839) range across 3 matching MRF lines |
$151.80–$296.10 | $506–$987 | varies |
| Pt Eval High Complex (97163) | $443.70 | $1,479 | 4.5× |
| Pt eval low complex 20 min (97161) | $443.70 | $1,479 | 4.5× |
| Pt Eval Mod Complex (97162) | $443.70 | $1,479 | 4.5× |
| Pt gait training 15 min (97116) | $190.50 | $635 | 6.6× |
| Pt group caregiver training (97552) | $20.40 | $68 | 0.9× |
| Pt mechanical traction (97012) | $163.50 | $545 | 11.4× |
| Pt Re-Eval Est Plan Care (97164) | $190.50 | $635 | 2.8× |
| Remote 30 Day Ecg Rev/Report (93270) | $483.30 | $1,611 | 13.3× |
| Remote 30 Day Ecg Tech Supp (93229) | $144.30 | $481 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $206.40 | $688 | 1.1× |
| Self Care Mngment Training (97535) | $172.20 | $574 | 5.3× |
| Sleep study unattended (95806) | $359.40 | $1,198 | 1.7× |
| Slp caregiver training 1st 30 min (97550) | $49.80 | $166 | 0.9× |
| Speech sound lang comprehen (92523) | $511.50 | $1,705 | 2.3× |
| Standardized Cognitive Performance Testing (96125) | $421.20 | $1,404 | 4.1× |
| Stress Tte Only (93350) | $868.20 | $2,894 | 1.6× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$245.10–$612.60 | $817–$2,042 | 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) | $338.10 | $1,127 | 4.8× |
| Ther/Proph/Diag Iv Inf Init (96365) | $335.10 | $1,117 | 1.6× |
| Therapeutic Activities (97530) | $190.50 | $635 | 5.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27.90 | $93 | 0.8× |
| Tte w/doppler, complete (93306) | $1,680.30 | $5,601 | 3.2× |
| Tte W/O Doppler Complete (93307) | $231.60 | $772 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $430.80 | $1,436 | 5.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $362.70 | $1,209 | 7.9× |
| Upr/L Xtremity Art 2 Levels (93922) | $637.50 | $2,125 | 4.9× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $1,152.60 | $3,842 | 5.5× |
| Vasopneumatic device (97016) | $163.50 | $545 | 13.6× |
| Vent Mgmt Inpat Init Day (94002) | $1,164 | $3,880 | 1.9× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$34.80–$46.50 | $116–$155 | 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.