VCU Community Memorial Hospital — price list
← Hospital overviewVerified from VCU Community Memorial Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
201 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| .025X150CM GDWRE ZIPWRE STD Outpatient | 27800000S2-42976 CDM | $171 | $76.77 | $49.99 – $155 | — | |
| .045" GUIDE WIRE TROCAR TIP Outpatient | 27200000S1-45219 CDM | $88.00 | $39.60 | $25.78 – $80.08 | — | |
| (NO DURATION) DEXTROSE 5% IV SOLN [5180203] Outpatient | 0264751010_2 NDC | $64.00 | $28.80 | $18.75 – $58.24 | — | |
| (NO DURATION) DEXTROSE 5% IV SOLN [5180203] Inpatient & outpatient | 0264751010_2 NDC | $65.25 | $29.36 | $18.75 – $59.38 | — | |
| (NO DURATION) SODIUM CHLORIDE 0.45 % IV SOLN [5180204] Outpatient | 0338004303_3 NDC | $105 | $47.03 | $30.33 – $95.10 | — | |
| (NO DURATION) SODIUM CHLORIDE 0.9% IV SOLN [5180202] Outpatient | 0264780000 NDC | $63.00 | $28.35 | $18.46 – $57.33 | — | |
| (R) MTP PLATE - SELEGREE Outpatient | 27800000S1-44409 CDM | $2,630 | $1,184 | $771 – $2,393 | — | |
| (SUB) SOLUTION IRRIGATION 0.9% SODIUM CHLORIDE 3,000ML FLEX BAG Outpatient | 2709999901-46218 CDM | $75.04 | $33.77 | $21.99 – $68.29 | — | |
| (SUB) SOLUTION IV 0.9% SODIUM CHLORIDE INJECTION 100ML FLEX BAG Outpatient | 2709999901-46333 CDM | $38.32 | $17.24 | $3.61 – $34.87 | — | |
| (SUB) SOLUTION IV 0.9% SODIUM CHLORIDE INJECTION 100ML FLEX BAG Inpatient & outpatient | 2709999901-46333 CDM | $12.32 | $5.54 | $3.61 – $11.21 | — | |
| *DISCONTINUED - REPLACEMENT PENDING* TRAY SAFT PLUS ARTHROGRAM Inpatient & outpatient | 27200000S1-45612 CDM | $559 | $252 | $50.28 – $509 | — | |
| *DISCONTINUED - REPLACEMENT PENDING* TRAY SAFT PLUS ARTHROGRAM Outpatient | 27200000S1-45612 CDM | $172 | $77.22 | $50.28 – $156 | — | |
| *USE WD # 401229* DRESSING AQUACEL SURG COVER Inpatient & outpatient | 27200000S1-46059 CDM | $150 | $67.66 | $44.06 – $137 | — | |
| *USE WD # 65072* SUTURE COATED VICRYL PLUS ANTIBACTERIAL UNDYED Outpatient | 27200000S1-45938 CDM | $23.04 | $10.37 | $6.75 – $20.97 | — | |
| *USE WD 409630* (DISCONTINUED) RADIAL JAW 4 Inpatient & outpatient | 27800000S2-43003 CDM | $18.96 | $8.53 | $5.55 – $17.25 | — | |
| *USE WD 409630* (DISCONTINUED) RADIAL JAW 4 Outpatient | 27800000S2-43003 CDM | $18.95 | $8.53 | $5.55 – $17.24 | — | |
| *USE WD# 12111* (CONVERSION) SUT 3-0 SH 27IN VCL PLUS AB UN Outpatient | 2709999901-46552 CDM | $10.40 | $4.68 | $3.05 – $9.46 | — | |
| *USE WD# 12243* (CONVERSION) ELECTRODE BLADE 6IN NO.139107 Inpatient & outpatient | 27000000S1-46610 CDM | $24.40 | $10.98 | $7.15 – $22.20 | — | |
| *USE WD# 127814* (CONVERSION) SLV CMPR MED THG SCD SEQ 3 Outpatient | 27200000S1-46095 CDM | $128 | $57.71 | $37.58 – $117 | — | |
| *USE WD# 216284* (CONVERSION) TRAY FOLEY ADVANCE LUBRICATH LATEX Inpatient & outpatient | 2709999901-46506 CDM | $117 | $52.79 | $34.37 – $107 | — | |
| *USE WD# 218600* (DISCONTINUED) PAD SANITARY CURITY MATERNITY PO Inpatient & outpatient | 2709999901-46576 CDM | $0.86 | $0.39 | $0.25 – $0.78 | — | |
| *USE WD# 21988* (CONVERSION) ELECTRODE BLADE 1IN ULTRA CLEA Outpatient | 2709999901-46367 CDM | $27.60 | $12.42 | $8.09 – $25.12 | — | |
| *USE WD# 227* (CONVERSION) PAD GROUNDING DISPERSE ADULT Outpatient | 2709999901-46401 CDM | $22.08 | $9.94 | $3.84 – $20.09 | — | |
| *USE WD# 28369 (DUPLICATE)* CONTOUR CURVED CUTTER Inpatient & outpatient | 27200000S1-46161 CDM | $1,008 | $453 | $295 – $917 | — | |
| *USE WD# 3796* (CONVERSION) SUTURE VICRYL 3-0 UD BR CT 18I Outpatient | 27200000S1-45375 CDM | $78.96 | $35.53 | $23.14 – $71.85 | — | |
| *USE WD# 401268* (DISCONTINUED) TRAY SKIN PREP Outpatient | 2709999901-46267 CDM | $56.72 | $25.52 | $16.62 – $51.62 | — | |
| *USE WD# 401287* (DISCONTINUED) DRESSING OPSITE 6X8 FLEXIGRID Outpatient | 27200000S2-45171 CDM | $85.02 | $38.26 | $24.91 – $77.37 | — | |
| *USE WD# 401287* DRESSING OPSITE 6X8 FLEXIGRID Outpatient | 27200000S2-45170 CDM | $85.02 | $38.26 | $24.91 – $77.37 | — | |
| *USE WD# 402781* (DUPLICATE) CUFF TOURNIQUET ST 34IN DUAL P Inpatient & outpatient | 27000000S1-46595 CDM | $84.00 | $37.80 | $24.61 – $76.44 | — | |
| *USE WD# 404533* (DUPLICATE) PLUG CATHETER FOLEY DRAINAGE CAP Outpatient | 2709999901-46301 CDM | $440 | $198 | $129 – $400 | — |