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Bon Secours St Francis Medical Center

13710 St Francis Boulevard, Midlothian, VA 23114 · (804) 594-7400

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 3/5Richmond, VA metroPart of BON Secours Mercy Health · 30 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-04-01

514 price rows for 49 procedures

Published prices

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

CPT 80048 · lowest of 2 lines · metro median $58

$58
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,972

$2,972
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $977

$977
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,646

$1,646
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $185

$185
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $3,969

$3,969
cash
Colonoscopy with biopsy

CPT 45380 · metro median $5,287

$4,652
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $5,872

$5,110
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $29

$29
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $71

$71
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $434

$434
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 4 lines · metro median $159

$159
cash
Gallbladder removal (laparoscopic)

CPT 47562 · metro median $12,680

$12,680
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $185

$185
cash
—
cash
—
cash
—
cash
Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $7,031

$7,031
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $74

$74
cash
Liver function panel

CPT 80076 · lowest of 3 lines · metro median $29

$29
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,440

$1,440
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,884

$1,884
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,484

$1,484
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,229

$1,229
cash
—
cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,837

$1,837
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $122

$122
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $146

$146
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $166

$166
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $102

$102
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $43

$43
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $107

$107
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $1,106

$1,106
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $83

$214
cash
Prostate biopsy

CPT 55700 · metro median $6,179

$7,284
cash
Prostate removal (laparoscopic)

CPT 55866 · metro median $33,344

$34,030
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $25

$25
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $202

$202
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 3 lines · metro median $2,089

$2,089
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $94

$94
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $11,578

$13,342
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $1,364

$1,364
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,733

$1,733
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,721

$1,721
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $5,021

$4,418
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $79

$79
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $844

$844
cash

Source files

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