Hiram W Davis Medical Center

P O Box 4030, Petersburg, VA 23803 · (804) 524-7112

Acute Care HospitalsGovernment - StateRichmond, VA metro Website ↗

Price file

Prices published

File dated 2025-07-21 (older than a year)

46 price rows for 46 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

—

$11

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

—

$461

list

CT scan of the head, no contrast

CPT 70450

—

cash

—

$158

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

—

$321

list

Cataract surgery with lens implant

CPT 66984

—

cash

—

$740

list

Chlamydia test (DNA)

CPT 87491

—

cash

—

$44

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

—

$485

list

Colonoscopy with biopsy

CPT 45380

—

cash

—

$625

list

Colonoscopy with polyp removal

CPT 45385

—

cash

—

$649

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

—

$10

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

—

$14

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

—

$226

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

—

$20

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

—

$249

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

—

$920

list

Gonorrhea test (DNA)

CPT 87591

—

cash

—

$44

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

—

$730

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

—

$754

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

—

$459

list

Left heart catheterization

CPT 93452

—

cash

—

$1,312

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

—

$17

list

Liver function panel

CPT 80076

—

cash

—

$11

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

—

$493

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

—

$311

list

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

CPT 72148

—

cash

—

$294

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

—

$294

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

—

$350

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

—

$155

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

—

$230

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

—

$305

list

PSA test (prostate)

CPT 84153

—

cash

—

$23

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

—

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

—

$41

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

—

$195

list

Prostate biopsy

CPT 55700

—

cash

—

$339

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

—

$1,969

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

—

$183

list

Sleep study (overnight, attended)

CPT 95810

—

cash

—

$845

list

TSH test (thyroid)

CPT 84443

—

cash

—

$21

list

Transvaginal ultrasound

CPT 76830

—

cash

—

$173

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

—

$170

list

Upper endoscopy (EGD)

CPT 43235

—

cash

—

$427

list

Upper endoscopy with biopsy

CPT 43239

—

cash

—

$547

list

Urinalysis with microscope

CPT 81001

—

cash

—

list

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

CPT 72110

—

cash

—

$71

list

Source files

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

https://dbhds.virginia.gov/wp-content/uploads/2025/11/541013630_hiram-w-davis-medical-center_standardcharges.csv
Hiram W Davis Medical Center · parsed · wide v2.0.0 · file dated 2025-07-21 · 0.1 MB · 46 price rows read · read Nov 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001713_central-state-hospital_standardcharges.csv
Central State Hospital · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001766_piedmont-geriatric-hospital_standardcharges.csv
Piedmont Geriatric Hospital · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001746_eastern-state-hospital_standardcharges.csv
Eastern State Hospital · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/540807019_northern-virginia-mental-health-institute_standardcharges.csv
Northern Virginia Mental Health Institute · unmatched · wide v2.0.0 · file dated 2025-07-21 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001727_commonwealth-center-for-children-and-adolescents_standardcharges.csv
Commonwealth Center for Children and Adolescents · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001817_western-state-hospital_standardcharges.csv
Western State Hospital · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001711_catawba-hospital_standardcharges.csv
Catawba Hospital · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/541004175_southern-virginia-mental-health-institute_standardcharges.csv
Southern Virginia Mental Health Institute · unmatched · wide v2.0.0 · file dated 2025-07-21 · read Oct 2026
https://dbhds.virginia.gov/wp-content/uploads/2025/11/546001769_southwestern-virginia-mental-health-institute_standardcharges.csv
Southwestern Virginia Mental Health Institute · unmatched · wide v2.0.0 · file dated 2025-01-01 · read Oct 2026