Lonesome Pine Hospital
1990 HOLTON AVE., BIG STONE GAP, VA · Balladhealth · · NPI 1326041716
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Endo cath bile duct s&i CPT 74328 | $86.10 | $574.00 | $171.92 – $273.12 | 5 |
| Endo cath panc duct s&i CPT 74329 | $83.10 | $554.00 | $171.92 – $273.12 | 5 |
| Endocerv curettage w/scope 57456 CPT 57456 | $61.65 | $411.00 | $113.08 – $685.93 | 18 |
| Endocervical curettage 57505 CPT 57505 | $138.30 | $922.00 | $74.66 – $1,959.07 | 18 |
| Endoluminal bx biliary tree CPT 47543 | $841.05 | $5,607.00 | $5,607.00 – $7,602.79 | 5 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,458.00 | $9,720.00 | $246.10 – $273.12 | 5 |
| Endoluminl ivus oct c ea CPT 92979 | $1,434.15 | $9,561.00 | $151.82 – $273.12 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | $167.10 | $1,114.00 | $46.00 – $471.79 | 18 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $758.70 | $5,058.00 | $202.66 – $4,167.89 | 18 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Endovenous laser vein addon 36479 CPT 36479 | $655.20 | $4,368.00 | $3,464.50 – $3,531.77 | 5 |
| Endovenous rf abl vein addl CPT 36476 | $947.25 | $6,315.00 | $3,464.50 – $3,531.77 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $117.18 | $781.18 | $1.04 – $15.69 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | $598.05 | $3,987.00 | $3,987.00 – $5,410.23 | 5 |
| Enzyme histochemistry CPT 88319 | $207.75 | $1,385.00 | $8.54 – $1,713.67 | 18 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $72.30 | $482.00 | $482.00 – $1,162.20 | 17 |
| Ep & ablate supravent arrhyt CPT 93653 | $4,032.60 | $26,884.00 | $1,571.00 – $55,595.04 | 18 |
| Ep & ablate ventric tachy CPT 93654 | $4,032.60 | $26,884.00 | $1,571.00 – $55,595.04 | 18 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $708.15 | $4,721.00 | $703.71 – $4,721.00 | 18 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $182.25 | $1,215.00 | $155.27 – $2,587.75 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $708.15 | $4,721.00 | $215.06 – $4,721.00 | 18 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $182.25 | $1,215.00 | $119.30 – $2,587.75 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $306.00 | $2,040.00 | $194.88 – $1,019.17 | 5 |
| Epilepsy gen seq alys panel CPT 81419 | $3,142.35 | $20,949.00 | $1,224.28 – $5,876.54 | 18 |
| Ep induct arrhy by elect pacing CPT 93618 | $513.90 | $3,426.00 | $217.79 – $8,941.81 | 18 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $42.80 | $285.30 | $0.84 – $0.84 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $42.80 | $285.30 | $87.59 – $87.59 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $636.32 | $4,242.14 | $5.85 – $250.56 | 18 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $69.98 | $466.53 | $4.72 – $157.47 | 18 |
| Epstein barr early antigen antibody CPT 86663 | $22.95 | $153.00 | $6.56 – $31.49 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $13.80 | $92.00 | $7.65 – $36.70 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $30.60 | $204.00 | $9.07 – $43.54 | 18 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $366.82 | $2,445.45 | $3.52 – $57.46 | 18 |
| Ercp biliary & pancreas CPT 74330 | $86.10 | $574.00 | $180.68 – $273.12 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $185.56 | $1,237.07 | $17.35 – $22.30 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $68.40 | $456.00 | $82.27 – $197.46 | 17 |
| ER Visit (level 2) CPT 99282 | $94.35 | $629.00 | $149.81 – $359.55 | 17 |
| ER Visit (level 3) CPT 99283 | $204.75 | $1,365.00 | $266.34 – $639.22 | 17 |
| ER Visit (level 4) CPT 99284 | $300.30 | $2,002.00 | $407.12 – $977.08 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $456.15 | $3,041.00 | $581.05 – $1,394.52 | 17 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $146.69 | $977.91 | $10.15 – $113.73 | 3 |
| Esophageal dilat s&i CPT 74360 | $85.80 | $572.00 | $162.65 – $273.12 | 5 |
| Esophagus motility study CPT 91010 | $227.25 | $1,515.00 | $330.30 – $873.80 | 18 |
| Esoph egd dilation <30 mm CPT 43249 | $581.40 | $3,876.00 | $254.57 – $4,081.50 | 18 |
| Established Patient Office Visit (level 1) CPT 99211 | $18.90 | $126.00 | $16.29 – $26.90 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $22.35 | $149.00 | $30.65 – $36.06 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $36.30 | $242.00 | $36.06 – $43.80 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $41.70 | $278.00 | $47.56 – $66.94 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $46.20 | $308.00 | $65.21 – $103.22 | 2 |
| Estradiol total CPT 82670 | $49.05 | $327.00 | $13.97 – $67.06 | 18 |
| Estrogens total-sendout CPT 82672 | $38.10 | $254.00 | $10.85 – $52.08 | 18 |
| Ethylene glycol -sendout CPT 82693 | $25.05 | $167.00 | $7.45 – $35.76 | 18 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $129.37 | $862.49 | $1.65 – $15.59 | 2 |
| Euglobulin lysis CPT 85360 | $17.85 | $119.00 | $4.21 – $20.18 | 18 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $124.05 | $827.00 | $46.00 – $367.48 | 18 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $112.80 | $752.00 | $45.62 – $235.46 | 18 |
| Evaluation heart device CPT 93640 | $513.90 | $3,426.00 | $250.02 – $9,106.60 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $110.10 | $734.00 | $46.00 – $367.48 | 18 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $795.75 | $5,305.00 | $5,305.00 – $20,688.05 | 5 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $795.75 | $5,305.00 | $5,305.00 – $20,688.05 | 5 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,619.25 | $10,795.00 | $10,795.00 – $20,688.05 | 5 |
| Event monitor CPT 93270 | $247.50 | $1,650.00 | $32.70 – $87.39 | 18 |
| Evoked auditory tst complete CPT 92588 | $25.80 | $172.00 | $34.60 – $793.70 | 18 |
| Evoked oa emissions ltd CPT 92587 | $23.70 | $158.00 | $34.60 – $459.27 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $66.30 | $442.00 | $13.78 – $43.74 | 5 |
| Evoked potentials upper limbs CPT 95925 | $365.55 | $2,437.00 | $17.51 – $505.62 | 18 |
| Evoked potential visual not glaucoma CPT 95930 | $107.70 | $718.00 | $24.09 – $505.62 | 18 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $676.50 | $4,510.00 | $1,482.24 – $4,551.39 | 17 |
| Ewho w/joint(s) cf HCPCS L3764 | $163.20 | $1,088.00 | $946.49 – $2,218.66 | 17 |
| Exam of vagina w/scope 57420 CPT 57420 | $61.65 | $411.00 | $113.08 – $685.93 | 18 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $180.45 | $1,203.00 | $215.09 – $3,512.94 | 18 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,174.65 | $7,831.00 | $261.22 – $6,801.81 | 18 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $355.35 | $2,369.00 | $164.43 – $3,512.94 | 18 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $176.40 | $1,176.00 | $71.20 – $1,506.19 | 18 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $135.60 | $904.00 | $90.08 – $1,506.19 | 18 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $149.10 | $994.00 | $136.10 – $1,506.19 | 18 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $355.35 | $2,369.00 | $176.30 – $3,512.94 | 18 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $38.55 | $257.00 | $78.90 – $1,506.19 | 18 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $323.25 | $2,155.00 | $152.04 – $3,512.94 | 18 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $390.90 | $2,606.00 | $233.24 – $6,178.31 | 18 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $183.75 | $1,225.00 | $396.63 – $951.91 | 18 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $222.30 | $1,482.00 | $565.37 – $1,506.19 | 18 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $264.30 | $1,762.00 | $192.51 – $1,658.19 | 18 |
| Exc hand les sc < 1.5 cm CPT 26115 | $676.05 | $4,507.00 | $233.54 – $3,867.45 | 18 |
| Exchange biliary drg cath CPT 47536 | $1,105.80 | $7,372.00 | $3,009.24 – $7,615.49 | 18 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $119.40 | $796.00 | $148.65 – $938.37 | 18 |
| Exchange drainage catheter CPT 49423 | $848.10 | $5,654.00 | $964.73 – $4,493.40 | 18 |
| Exchange nephrostomy cath CPT 50435 | $516.00 | $3,440.00 | $1,952.07 – $4,446.23 | 18 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $516.90 | $3,446.00 | $250.67 – $6,178.31 | 18 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $714.75 | $4,765.00 | $1,611.44 – $3,867.45 | 18 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $323.25 | $2,155.00 | $115.21 – $1,658.19 | 18 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $293.70 | $1,958.00 | $123.67 – $3,512.94 | 18 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $202.05 | $1,347.00 | $565.37 – $1,506.19 | 18 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $268.95 | $1,793.00 | $1,611.44 – $3,512.94 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.