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 |
|---|---|---|---|---|
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $997.65 | $6,651.00 | $2,814.89 – $6,715.94 | 18 |
| Insert uteri tandem/ovoids CPT 57155 | $834.90 | $5,566.00 | $3,107.01 – $10,640.17 | 18 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,365.20 | $35,768.00 | $35,768.00 – $42,133.10 | 5 |
| Insert vad art access left hrt art & vein access CPT 33991 | $2,745.90 | $18,306.00 | $18,306.00 – $42,133.10 | 5 |
| Ins icd gen exist mlt leads CPT 33231 | $13,264.80 | $88,432.00 | $29,355.54 – $73,501.53 | 18 |
| Ins icd gen exist sgl lead CPT 33240 | $14,763.15 | $98,421.00 | $488.80 – $52,086.53 | 18 |
| Insitu hybridization auto CPT 88367 | $222.45 | $1,483.00 | $18.41 – $839.35 | 18 |
| Insitu hybridization (fish) CPT 88366 | $114.75 | $765.00 | $43.14 – $398.95 | 18 |
| Insitu hybridization manual CPT 88368 | $192.90 | $1,286.00 | $28.83 – $839.35 | 18 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $93.30 | $622.00 | $35.09 – $217.69 | 6 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $134.85 | $899.00 | $28.83 – $398.95 | 18 |
| Insj perq vad r hrt venous CPT 33995 | $414.00 | $2,760.00 | $2,760.00 – $42,133.10 | 5 |
| Insj phrnc nrv stim sys CPT 33276 | $13,975.20 | $93,168.00 | $25,387.38 – $93,686.54 | 18 |
| Insj phrnc nrv stim transvns CPT 33277 | $5,332.95 | $35,553.00 | $4,179.62 – $4,260.78 | 5 |
| Ins left heart vent thor inscn ecmo CPT 33988 | $463.05 | $3,087.00 | $3,087.00 – $10,628.42 | 5 |
| Ins lv lead exist pm/icd CPT 33224 | $2,714.40 | $18,096.00 | $502.02 – $22,231.32 | 18 |
| Ins mark abd/pel for right perq CPT 49411 | $567.75 | $3,785.00 | $1,350.48 – $3,241.14 | 18 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,079.10 | $7,194.00 | $612.05 – $1,544.18 | 18 |
| Ins pm gen exist dual lead CPT 33230 | $13,264.80 | $88,432.00 | $21,702.72 – $52,086.53 | 18 |
| Ins pm gen w/exist mlt leads CPT 33221 | $4,020.60 | $26,804.00 | $10,368.73 – $40,969.48 | 18 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,120.80 | $7,472.00 | $3,493.34 – $7,615.49 | 18 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $6,987.45 | $46,583.00 | $10,368.73 – $45,104.02 | 18 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $4,157.25 | $27,715.00 | $434.68 – $24,474.85 | 18 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $3,980.85 | $26,539.00 | $399.51 – $19,378.01 | 18 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $3,981.15 | $26,541.00 | $512.16 – $24,474.85 | 18 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $16,704.15 | $111,361.00 | $7,778.00 – $67,166.19 | 18 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $201.90 | $1,346.00 | $524.20 – $1,483.15 | 18 |
| Instll rx agnt into rnal tub CPT 50391 | $129.00 | $860.00 | $243.77 – $585.06 | 18 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $775.65 | $5,171.00 | $2,814.89 – $6,715.94 | 18 |
| Insulin total CPT 83525 | $19.95 | $133.00 | $5.72 – $27.43 | 18 |
| Ins vag brachytx device CPT 57156 | $335.10 | $2,234.00 | $297.32 – $713.57 | 18 |
| Integra meshed bil wound mat HCPCS C9363 | $74.73 | $498.21 | $9.96 – $291.40 | 17 |
| Intens cardiac rehab no exer HCPCS G0423 | $56.85 | $379.00 | $34.81 – $301.86 | 18 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $56.85 | $379.00 | $34.81 – $301.86 | 18 |
| Interdiscal perq aspir dx CPT 62267 | $267.00 | $1,780.00 | $690.91 – $1,658.19 | 18 |
| Interrog dev eval scrms ip CPT 93291 | $513.90 | $3,426.00 | $14.77 – $67.73 | 18 |
| Interrog device eval heart CPT 93289 | $513.90 | $3,426.00 | $17.24 – $87.39 | 18 |
| Interrog evl pm/ldls pm ip CPT 93288 | $513.90 | $3,426.00 | $16.59 – $87.39 | 18 |
| Interrog&prgrmg ipnss CPT 93151 | $47.55 | $317.00 | $46.12 – $222.62 | 18 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $147.00 | $980.00 | $47.05 – $719.21 | 18 |
| Interrog without prgrmg ipnss CPT 93153 | $147.00 | $980.00 | $46.12 – $222.62 | 18 |
| Intra-atrial pacing CPT 93610 | $1,142.25 | $7,615.00 | $114.32 – $16,589.83 | 18 |
| Intra-atrial recording CPT 93602 | $1,142.25 | $7,615.00 | $85.22 – $16,589.83 | 18 |
| Intracard echo interv w/s&i CPT 93662 | $513.90 | $3,426.00 | $164.25 – $626.99 | 5 |
| Intracranial angioplasty CPT 61630 | $1,912.80 | $12,752.00 | $1,264.34 – $18,535.90 | 5 |
| Intracranial complete study CPT 93886 | $317.55 | $2,117.00 | $76.07 – $558.72 | 18 |
| Intracranial limited study CPT 93888 | $229.50 | $1,530.00 | $31.46 – $244.81 | 18 |
| Intrapul surf admin endo tube CPT 94610 | $58.65 | $391.00 | $14.86 – $465.76 | 18 |
| Intraventricular pacing CPT 93612 | $1,142.25 | $7,615.00 | $119.33 – $16,589.83 | 18 |
| Intrinsic factor antibody CPT 86340 | $26.40 | $176.00 | $7.54 – $36.19 | 18 |
| Intrm oph exam est patient CPT 92012 | $58.35 | $389.00 | $36.06 – $311.76 | 17 |
| Intro cath dialysis circuit CPT 36901 | $736.65 | $4,911.00 | $1,535.88 – $3,686.11 | 18 |
| Intro cath dialysis circuit w/pta CPT 36902 | $2,648.25 | $17,655.00 | $5,023.89 – $13,327.61 | 18 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $5,352.30 | $35,682.00 | $11,263.49 – $27,032.38 | 18 |
| Intro catheter aorta CPT 36200 | $67.35 | $449.00 | $449.00 – $897.68 | 5 |
| Intro cath svc/ivc CPT 36010 | $1,818.15 | $12,121.00 | $205.98 – $897.68 | 5 |
| Intro long gi tube CPT 44500 | $329.25 | $2,195.00 | $470.14 – $2,123.84 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | $71.70 | $478.00 | $140.90 – $273.12 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $235.05 | $1,567.00 | $231.09 – $972.92 | 18 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $49.95 | $333.00 | $133.96 – $252.14 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | $30.75 | $205.00 | $8.40 – $863.98 | 17 |
| Ionm in operatng room 15 min CPT 95940 | $77.55 | $517.00 | $517.00 – $517.00 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $45.83 | $305.52 | $1.14 – $93.79 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $60.90 | $406.02 | $0.30 – $70.98 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $72.15 | $481.00 | $55.48 – $106.74 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $91.95 | $613.00 | $79.99 – $148.02 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $106.50 | $710.00 | $96.67 – $192.00 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $56.85 | $379.00 | $36.42 – $80.07 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.09 | $7.25 | $0.40 – $15.81 | 17 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $72.99 | $486.62 | $2.29 – $101.17 | 3 |
| Iron CPT 83540 | $11.40 | $76.00 | $2.31 – $15.53 | 18 |
| Iron binding capacity CPT 83550 | $15.45 | $103.00 | $2.31 – $20.98 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $32.43 | $216.18 | $5.92 – $139.95 | 18 |
| Iron stain peripheral blood CPT 85536 | $11.40 | $76.00 | $3.44 – $16.51 | 18 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $282.45 | $1,883.00 | $0.16 – $0.72 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $122.10 | $814.00 | $7.47 – $112.77 | 18 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $29.40 | $196.00 | $21.33 – $138.14 | 18 |
| Ivc venogram s&i CPT 75825 | $1,357.80 | $9,052.00 | $115.63 – $7,393.69 | 18 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $43.95 | $293.00 | $17.41 – $371.93 | 18 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $25.65 | $171.00 | $18.55 – $378.79 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $36.00 | $240.00 | $17.41 – $672.55 | 18 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $92.55 | $617.00 | $61.37 – $498.07 | 18 |
| IV inj ra drug dx study CPT 78808 | $452.25 | $3,015.00 | $39.75 – $936.12 | 18 |
| Ivp w/nephrotomography CPT 74415 | $105.90 | $706.00 | $91.93 – $410.73 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $119.55 | $797.00 | $91.59 – $410.73 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | $121.05 | $807.00 | $92.60 – $444.48 | 18 |
| John cunningham antibody CPT 86711 | $25.20 | $168.00 | $8.45 – $40.54 | 18 |
| J-tube placement CPT 44015 | $73.50 | $490.00 | $490.00 – $5,410.23 | 5 |
| Ketamine and metabolite screen - quest CPT 80357 | $20.25 | $135.00 | $14.97 – $15.26 | 5 |
| Ketogenic steroids fract CPT 83582 | $24.15 | $161.00 | $7.74 – $37.13 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $14.40 | $96.00 | $4.09 – $19.61 | 18 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $15.50 | $103.36 | $0.33 – $0.80 | 17 |
| Kidney imaging morphology CPT 78700 | $452.25 | $3,015.00 | $159.33 – $936.12 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | $452.25 | $3,015.00 | $159.33 – $1,271.44 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $452.25 | $3,015.00 | $159.33 – $1,271.44 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Kit gene analys d816 variant CPT 81273 | $108.15 | $721.00 | $47.05 – $299.69 | 18 |
| Knee MRI (with and without contrast) CPT 73723 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| Knee MRI (with contrast) CPT 73722 | $636.75 | $4,245.00 | $217.92 – $1,835.66 | 18 |
| Knee MRI (without contrast) CPT 73721 | $614.85 | $4,099.00 | $169.21 – $558.72 | 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.