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Bon Secours Southern Virginia Medical Center

727 North Main Street, Emporia, VA 23847 · (434) 348-4400

Acute Care HospitalsProprietaryCMS rating 4/5Part of BON Secours Mercy Health · 30 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,304 price rows for 39 procedures

Published prices

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

CPT 80048 · lowest of 8 lines

$264
cash
$8,254
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 8 lines

$2,434
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 8 lines

$2,723
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 8 lines

$233
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 8 lines

$5,372
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 8 lines

$5,754
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 8 lines

$8,941
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 16 lines

$14
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 16 lines

$49
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 8 lines

$525
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 24 lines

$368
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 8 lines

$368
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 16 lines

$64
cash
Group psychotherapy

CPT 90853 · lowest of 32 lines

$278
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 16 lines

$26
cash
Liver function panel

CPT 80076 · lowest of 16 lines

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

CPT 70553 · lowest of 8 lines

$4,622
cash
$5,500
cash
$4,669
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 8 lines

$4,669
cash
PSA test (prostate)

CPT 84153 · lowest of 16 lines

$143
cash
$68
cash
$191
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 8 lines

$1,334
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 16 lines

$13
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 24 lines

$152
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 24 lines

$152
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 24 lines

$296
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 8 lines

$357
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 8 lines

$1,973
cash
$672
cash
TSH test (thyroid)

CPT 84443 · lowest of 16 lines

$182
cash
Transvaginal ultrasound

CPT 76830 · lowest of 8 lines

$887
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 8 lines

$1,429
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 8 lines

$4,629
cash
Urinalysis with microscope

CPT 81001 · lowest of 8 lines

$173
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 8 lines

$967
cash

Source files

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