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BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER

Hospital

8260 ATLEE ROAD

MECHANICSVILLE, VA, 23116

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Procedure Prices at BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER

Routine Venipuncture

CPT 36415

$3.15

Cbc Automated Diff,POCT

CPT 85025

$9.32

Chest X-Ray (1 view)

CPT 71045

$11.2

EKG Tracing

CPT 93005

$11.2

Comprehen Metabolic Panel

CPT 80053

$12.67

Chest X-Ray (2 views)

CPT 71046

$20.65

Thoracic Spine X-Ray

CPT 72072

$26.25

Mechanical Traction

CPT 97012

$26.25

Therapeutic Exercises

CPT 97110

$51.45

Therapeutic Activities

CPT 97530

$53.55

Abdominal Ultrasound — Limited

CPT 76705

$73.85

WC Subsq Intermediate Eval

CPT 99213

$75.34

Screening Mammogram (bilateral)

CPT 77067

$96.6

Echocardiogram

CPT 93307

$102.55

ER Visit — Moderate Complexity

CPT 99284

$115.85

Psych Tx 60 Min W/Pt

CPT 90837

$137.55

Echocardiogram w/ Doppler

CPT 93306

$157.15

Inj(S) Anes/Ster Epi Lumb Sng W Ima-Pbb

CPT 64483

$167.65

Diagnostic Mammogram (unilateral)

CPT 77065

$172.2

Diagnostic Mammogram (bilateral)

CPT 77066

$229.25

Colonoscopy

CPT 45378

$231.35

CT Chest

CPT 71250

$392

OB Ultrasound

CPT 76805

$530.25

ER Visit — Low-Moderate Complexity

CPT 99283

$540.4

Retroperitoneal Ultrasound

CPT 76770

$630.7

Abdominal Ultrasound

CPT 76700

$699.65

MRI Brain w/o Contrast

CPT 70551

$746.2

MRI Joint of Lower Extremity

CPT 73721

$822.15

MRI Brain w/ Contrast

CPT 70553

$863.8

ER Visit — High Complexity

CPT 99285

$1,208.55

CT Abdomen & Pelvis

CPT 74177

$1,398.25

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.