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PricedCare

Bon Secours Southampton Memorial Hospital

100 Fairview Drive - Po Box 817, Franklin, VA 23851 · (757) 569-6100

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Part of BON Secours Mercy Health · 30 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-04-01

2,244 price rows for 34 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 22 lines

$13
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 11 lines

$719
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 11 lines

$338
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 22 lines

$899
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 22 lines

$95
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 11 lines

$4,833
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 11 lines

$4,496
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 11 lines

$5,696
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 22 lines

$14
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 22 lines

$38
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 11 lines

$181
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 22 lines

$95
cash
Hip or knee replacement, no major complications

MS-DRG 470

—
cash
Hospital stay for digestive disorders, no complications

MS-DRG 392

—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 22 lines

$37
cash
Liver function panel

CPT 80076 · lowest of 22 lines

$14
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 11 lines

$1,360
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 22 lines

$731
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 22 lines

$731
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 22 lines

$914
cash
PSA test (prostate)

CPT 84153 · lowest of 44 lines

$34
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 22 lines

$30
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 22 lines

$95
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 11 lines

$424
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 11 lines

$19
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 22 lines

$144
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 11 lines

$672
cash
TSH test (thyroid)

CPT 84443 · lowest of 22 lines

$61
cash
Transvaginal ultrasound

CPT 76830 · lowest of 22 lines

$423
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 11 lines

$423
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 11 lines

$4,066
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 11 lines

$4,814
cash
Urinalysis with microscope

CPT 81001 · lowest of 11 lines

$16
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 11 lines

$377
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.