Bon Secours Mercy Health Petersburg LLC
Bon Secours Mercy Health Petersburg LLC in Petersburg, VA publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
200 Medical Park Blvd.,Petersburg,VA 23805 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd/Pel W Cont | $3,614.10 | $12,047.00 | 70% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abd/Pel W Cont | $3,614.10 | $12,047.00 | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Brain W/O Contrast | $2,471.10 | $8,237.00 | 70% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Brain W/O Contrast | $2,471.10 | $8,237.00 | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $3,523.80 | $11,746.00 | 70% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/ Contrast | $3,523.80 | $11,746.00 | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $637.50 | $2,125.00 | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammo Dgx Bilateral Incl Cad if Perf | $637.50 | $2,125.00 | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $543.60 | $1,812.00 | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammo Dgx Unilateral Incl Cad if Perf | $543.60 | $1,812.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $5,133.60 | $17,112.00 | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Ext Jnt W/O Cont | $5,133.60 | $17,112.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $6,580.80 | $21,936.00 | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Ext Jnt W&W/O Cont | $6,580.80 | $21,936.00 | 70% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain WO Ctrst | $4,790.10 | $15,967.00 | 70% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain WO Ctrst | $4,790.10 | $15,967.00 | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI-Brain WO & W Contrast | $8,307.00 | $27,690.00 | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI-Brain WO & W Contrast | $8,307.00 | $27,690.00 | 70% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI-Spine Lumbar WO Contrast | $5,799.60 | $19,332.00 | 70% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI-Spine Lumbar WO Contrast | $5,799.60 | $19,332.00 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $1,216.50 | $4,055.00 | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC Fetal Eval 2-3 Trim Sgl Gest | $1,216.50 | $4,055.00 | 70% |
| Screening mammogram, both breasts CPT 77067 HC Mammo Screening Incl Cad if Perf | $461.40 | $1,538.00 | 70% |
| Screening mammogram, both breasts inpatient CPT 77067 HC Mammo Screening Incl Cad if Perf | $461.40 | $1,538.00 | 70% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal, Non OB | $1,297.50 | $4,325.00 | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal, Non OB | $1,297.50 | $4,325.00 | 70% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,893.30 | $6,311.00 | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,893.30 | $6,311.00 | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 HC L-Spine Min 4 Views | $864.30 | $2,881.00 | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC L-Spine Min 4 Views | $864.30 | $2,881.00 | 70% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $209.40 | $698.00 | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel Calcium Total | $209.40 | $698.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC So Lipid Panel | $26.10 | $87.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $189.00 | $630.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC So Lipid Panel | $26.10 | $87.00 | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $189.00 | $630.00 | 70% |
| Complete blood count (CBC) with differential CPT 85025 HC So Cbc | $14.40 | $48.00 | 70% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc | $207.30 | $691.00 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC So Cbc | $14.40 | $48.00 | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc | $207.30 | $691.00 | 70% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc (Hemogram) | $161.40 | $538.00 | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc (Hemogram) | $161.40 | $538.00 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC So Comp Metabolic Panel | $48.90 | $163.00 | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $228.30 | $761.00 | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC So Comp Metabolic Panel | $48.90 | $163.00 | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $228.30 | $761.00 | 70% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $224.70 | $749.00 | 70% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $224.70 | $749.00 | 70% |
| Liver function blood test panel CPT 80076 HC So Hepatic Function Panel | $14.40 | $48.00 | 70% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $209.40 | $698.00 | 70% |
| Liver function blood test panel inpatient CPT 80076 HC So Hepatic Function Panel | $14.40 | $48.00 | 70% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $209.40 | $698.00 | 70% |
| Obstetric blood test panel CPT 80055 HC Obstetric Panel | $94.20 | $314.00 | 70% |
| Obstetric blood test panel inpatient CPT 80055 HC Obstetric Panel | $94.20 | $314.00 | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC So Prostate Specific Antigen/Free | $33.60 | $112.00 | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC So Prostate Specific Antigen/Free | $33.60 | $112.00 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC So Assay of Psa Total | $33.60 | $112.00 | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Assay of Prostate Specific Antigen Total | $115.20 | $384.00 | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC So Assay of Psa Total | $33.60 | $112.00 | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Assay of Prostate Specific Antigen Total | $115.20 | $384.00 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC So Ptt | $26.40 | $88.00 | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Ptt | $132.90 | $443.00 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC So Ptt | $26.40 | $88.00 | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Ptt | $132.90 | $443.00 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC So Prothrombin Time | $12.60 | $42.00 | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $97.20 | $324.00 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC So Prothrombin Time | $12.60 | $42.00 | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $97.20 | $324.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC So Tsh 3rd Generation | $174.30 | $581.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $183.00 | $610.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC So Tsh 3rd Generation | $174.30 | $581.00 | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $183.00 | $610.00 | 70% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis W/ Microscopy | $139.80 | $466.00 | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis W/ Microscopy | $139.80 | $466.00 | 70% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis, Auto, W/O Scope | $25.20 | $84.00 | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis, Auto, W/O Scope | $25.20 | $84.00 | 70% |
| Urinalysis without microscope exam, manual CPT 81002 HC Non-Auto,Urine W/O Microscopy | $12.00 | $40.00 | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Non-Auto,Urine W/O Microscopy | $12.00 | $40.00 | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with polyp removal CPT 45385 Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq | $14,124.92 | $23,541.53 | 40% |
| Colonoscopy with tissue sample CPT 45380 Colonoscopy W/Biopsy Single/Multiple | $13,577.94 | $22,629.90 | 40% |
| Colonoscopy, diagnostic CPT 45378 Colonoscopy Flx Dx W/Collj Spec When Pfrmd | $12,388.44 | $20,647.40 | 40% |
| Gallbladder removal, laparoscopic CPT 47562 Laparoscopy Surg Cholecystectomy | $18,572.11 | $30,953.52 | 40% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible | $16,353.98 | $27,256.63 | 40% |
| Left heart catheterization, diagnostic CPT 93452 HC L Heart W Lvgram | $14,713.80 | $49,046.00 | 70% |
| Left heart catheterization, diagnostic inpatient CPT 93452 HC L Heart W Lvgram | $14,713.80 | $49,046.00 | 70% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,647.60 | $5,492.00 | 70% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn | $1,647.60 | $5,492.00 | 70% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Inj a/S Transforam Lumbar | $680.70 | $2,269.00 | 70% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Inj a/S Transforam Lumbar | $680.70 | $2,269.00 | 70% |
| Prostate biopsy CPT 55700 HC Biopsy Prostate Needle or Punc | $6,179.21 | $10,298.68 | 40% |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 Laps Surg Prst8ect Rpbic Rad W/Nrv Sparing Robot | $33,883.09 | $56,471.82 | 40% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy <Age 12 | $11,577.52 | $19,295.87 | 40% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Egd Transoral Biopsy Single/Multiple | $12,885.00 | $21,475.00 | 40% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC Egd Diagnostic Brush Wash | $12,776.58 | $21,294.30 | 40% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC Php Family Psychotherapy W/Patient Present 50 Mins | $151.80 | $506.00 | 70% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC Php Family Psychotherapy W/Patient Present 50 Mins | $151.80 | $506.00 | 70% |
| Group psychotherapy session CPT 90853 HC Php Group Psychotherapy | $95.10 | $317.00 | 70% |
| Group psychotherapy session CPT 90853 HC Iop Group | $95.10 | $317.00 | 70% |
| Group psychotherapy session inpatient CPT 90853 HC Php Group Psychotherapy | $95.10 | $317.00 | 70% |
| Group psychotherapy session inpatient CPT 90853 HC Iop Group | $95.10 | $317.00 | 70% |
| New patient office visit, about 30 minutes CPT 99203 HC New Pt, Outpt Visit Level 3 | $257.70 | $859.00 | 70% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC New Pt, Outpt Visit Level 3 | $257.70 | $859.00 | 70% |
| New patient office visit, about 45 minutes CPT 99204 HC New Pt, Outpt Visit Level 4 | $288.90 | $963.00 | 70% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC New Pt, Outpt Visit Level 4 | $288.90 | $963.00 | 70% |
| New patient office visit, about 60 minutes CPT 99205 HC New Pt, Outpt Visit Level 5 | $363.30 | $1,211.00 | 70% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC New Pt, Outpt Visit Level 5 | $363.30 | $1,211.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $255.90 | $853.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Ther Ex per 15 Min | $382.50 | $1,275.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Exercise,Ea 15 Min | $255.90 | $853.00 | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Ther Ex per 15 Min | $382.50 | $1,275.00 | 70% |
| Psychotherapy session, 30 minutes CPT 90832 HC Php Psychotherapy W/Patient 30 Minutes | $180.60 | $602.00 | 70% |
| Psychotherapy session, 30 minutes CPT 90832 HC Iop Tx 30 Min | $180.60 | $602.00 | 70% |
| Psychotherapy session, 30 minutes CPT 90832 HC OP Psych Tx 30 Min | $180.60 | $602.00 | 70% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Iop Tx 30 Min | $180.60 | $602.00 | 70% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC OP Psych Tx 30 Min | $180.60 | $602.00 | 70% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Php Psychotherapy W/Patient 30 Minutes | $180.60 | $602.00 | 70% |
| Psychotherapy session, 45 minutes CPT 90834 HC Php Psychotherapy W/Patient 45 Minutes | $361.20 | $1,204.00 | 70% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC Php Psychotherapy W/Patient 45 Minutes | $361.20 | $1,204.00 | 70% |
| Psychotherapy session, 60 minutes CPT 90837 HC Php Psychotherapy W/Patient 60 Minutes | $180.60 | $602.00 | 70% |
| Psychotherapy session, 60 minutes CPT 90837 HC Php Psych Tx 60 Min | $180.60 | $602.00 | 70% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Php Psychotherapy W/Patient 60 Minutes | $180.60 | $602.00 | 70% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC Php Psych Tx 60 Min | $180.60 | $602.00 | 70% |