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 |
|---|---|---|---|---|
| Mayo myoglobin CPT 83874 | $22.65 | $151.00 | $6.46 – $31.01 | 18 |
| Mayo nickel CPT 83885 | $26.40 | $176.00 | $12.26 – $58.82 | 18 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $27.75 | $185.00 | $10.61 – $50.90 | 18 |
| Mayo organic acids qualitative each specimen CPT 83919 | $27.75 | $185.00 | $8.23 – $39.48 | 18 |
| Mayo oxalate 24 hour urine CPT 83945 | $22.50 | $150.00 | $7.23 – $34.68 | 18 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $19.95 | $133.00 | $5.77 – $27.67 | 18 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $26.10 | $174.00 | $7.52 – $36.07 | 18 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $21.15 | $141.00 | $6.03 – $28.92 | 18 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $31.80 | $212.00 | $17.55 – $84.22 | 18 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $31.50 | $210.00 | $4.78 – $43.15 | 18 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $24.15 | $161.00 | $6.88 – $33.02 | 18 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $14.70 | $98.00 | $4.22 – $20.26 | 18 |
| Mayo pregnenolone CPT 84140 | $17.70 | $118.00 | $10.34 – $49.61 | 18 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $29.10 | $194.00 | $8.30 – $39.82 | 18 |
| Mayo proinsulin CPT 84206 | $16.50 | $110.00 | $12.62 – $64.06 | 18 |
| Mayo psaft prostate specific antigen free CPT 84154 | $32.25 | $215.00 | $9.20 – $44.14 | 18 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $23.70 | $158.00 | $9.20 – $44.16 | 18 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $23.25 | $155.00 | $6.45 – $32.06 | 18 |
| Mayo receptor assay transferrin soluble CPT 84238 | $63.90 | $426.00 | $18.29 – $87.77 | 18 |
| Mayo renin CPT 84244 | $38.55 | $257.00 | $11.00 – $52.78 | 18 |
| Mayo repu protein electrophoresis urine CPT 84166 | $31.20 | $208.00 | $8.92 – $42.79 | 18 |
| Mayo selenium CPT 84255 | $43.05 | $287.00 | $12.77 – $61.27 | 18 |
| Mayo serotonin CPT 84260 | $37.65 | $251.00 | $15.49 – $74.35 | 18 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $33.90 | $226.00 | $9.68 – $46.44 | 18 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $24.00 | $160.00 | $6.87 – $32.95 | 18 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $20.10 | $134.00 | $46.02 – $200.63 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $7.20 | $48.00 | $2.14 – $12.20 | 18 |
| Mayo tau phosphorylated 217 each CPT 84393 | $51.15 | $341.00 | $64.46 – $309.41 | 17 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $365.85 | $2,439.00 | $104.46 – $501.41 | 18 |
| Mayo tgrp testosterone free CPT 84402 | $43.05 | $287.00 | $12.74 – $61.13 | 18 |
| Mayo tgrp testosterone total CPT 84403 | $45.15 | $301.00 | $12.91 – $61.94 | 18 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $12.15 | $81.00 | $11.09 – $53.21 | 18 |
| Mayo thyroglobulin CPT 84432 | $27.15 | $181.00 | $8.03 – $38.54 | 18 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $17.85 | $119.00 | $5.09 – $24.43 | 18 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $20.70 | $138.00 | $6.20 – $29.74 | 18 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $46.35 | $309.00 | $25.64 – $123.07 | 18 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $18.30 | $122.00 | $7.08 – $33.98 | 18 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $23.70 | $158.00 | $6.77 – $32.50 | 18 |
| Mayo vasoactive intestinal peptide CPT 84586 | $59.55 | $397.00 | $17.67 – $84.79 | 18 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $34.20 | $228.00 | $10.12 – $48.58 | 18 |
| Mayo vitamin b3 (niacin) CPT 84591 | $20.25 | $135.00 | $8.22 – $40.94 | 18 |
| Mayo vitamin k CPT 84597 | $24.00 | $160.00 | $6.86 – $32.93 | 18 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $11.10 | $74.00 | $6.63 – $31.80 | 18 |
| Md inr test revie inter mgmt HCPCS G0250 | $5.10 | $34.00 | $8.87 – $10.44 | 2 |
| Measurement post void urine by ultrasound CPT 51798 | $136.65 | $911.00 | $18.91 – $138.14 | 18 |
| #mec-opiates CPT 80356 | $27.00 | $180.00 | $14.97 – $15.26 | 5 |
| Mecp2 gene dup/delet variant CPT 81304 | $157.80 | $1,052.00 | $75.00 – $360.00 | 18 |
| Mecp2 gene full seq CPT 81302 | $1,308.90 | $8,726.00 | $263.94 – $1,266.89 | 18 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $7.39 | $49.24 | $0.62 – $27.61 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $71.26 | $475.07 | $0.74 – $4.62 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $14.40 | $96.00 | $4.23 – $20.30 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $17.70 | $118.00 | $5.28 – $25.34 | 18 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $68.47 | $456.48 | $4.31 – $8.43 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $0.50 | $3.36 | $1.03 – $7.32 | 17 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $19.55 | $130.31 | $4.96 – $5.20 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $49.50 | $330.00 | $13.14 – $92.57 | 18 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $48.32 | $322.15 | $2.77 – $36.47 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $139.55 | $930.35 | $0.19 – $2.55 | 3 |
| Methylphenidate CPT 80360 | $11.70 | $78.00 | $14.97 – $15.26 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.10 | $27.31 | $1.92 – $2.15 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $2.93 | $19.50 | $0.21 – $0.21 | 1 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $269.70 | $1,798.01 | $0.46 – $1.78 | 3 |
| Microalbumin urine screen CPT 82044 | $7.50 | $50.00 | $3.12 – $14.95 | 18 |
| Microdissection manual CPT 88381 | $239.10 | $1,594.00 | $42.68 – $314.20 | 6 |
| Microsatellite instability CPT 81301 | $507.00 | $3,380.00 | $173.01 – $836.54 | 18 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $16.87 | $112.49 | $0.26 – $1.85 | 2 |
| Middle cerebral artery echo CPT 76821 | $93.90 | $626.00 | $31.46 – $244.81 | 18 |
| Mitochondrial gene CPT 81440 | $4,265.70 | $28,438.00 | $1,662.00 – $7,977.60 | 18 |
| Mlh1 gene CPT 81288 | $290.40 | $1,936.00 | $95.05 – $461.57 | 18 |
| Mlh1 gene dup/delete variant CPT 81294 | $149.70 | $998.00 | $95.34 – $485.76 | 18 |
| Mlh1 gene full seq CPT 81292 | $2,599.35 | $17,329.00 | $323.12 – $1,620.96 | 18 |
| Mlh1 gene known variants CPT 81293 | $332.55 | $2,217.00 | $129.53 – $794.40 | 18 |
| Mnl appl strs jt radiography CPT 77071 | $63.90 | $426.00 | $22.40 – $203.78 | 17 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $28.95 | $193.00 | $6.03 – $90.55 | 18 |
| Mopath procedure level 1 CPT 81400 | $157.80 | $1,052.00 | $31.98 – $153.50 | 18 |
| Mopath procedure level 3 CPT 81402 | $191.10 | $1,274.00 | $75.17 – $360.79 | 18 |
| Mopath procedure level 5 CPT 81404 | $231.30 | $1,542.00 | $137.42 – $659.59 | 18 |
| Mopath procedure level 6 CPT 81405 | $254.55 | $1,697.00 | $150.68 – $723.24 | 18 |
| Mopath procedure level 7 CPT 81406 | $280.05 | $1,867.00 | $141.44 – $678.91 | 18 |
| Mopath procedure level 8 CPT 81407 | $746.70 | $4,978.00 | $423.14 – $2,031.05 | 18 |
| Mopath procedure level 9 CPT 81408 | $1,296.75 | $8,645.00 | $1,000.00 – $4,800.00 | 18 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $7.02 | $46.79 | $1.23 – $3.84 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $70.82 | $472.13 | $21.21 – $21.21 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $113.55 | $757.00 | $91.81 – $398.95 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $117.45 | $783.00 | $28.83 – $783.00 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $86.40 | $576.00 | $18.41 – $398.95 | 18 |
| Motor &/ sens nrve cndj test CPT 95905 | $55.20 | $368.00 | $22.09 – $950.18 | 18 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $52.05 | $347.00 | $19.51 – $93.55 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $105.75 | $705.00 | $91.81 – $398.95 | 18 |
| M/phmtrc alysishquant/semiq CPT 88369 | $33.30 | $222.00 | $24.35 – $207.59 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | $105.60 | $704.00 | $18.41 – $398.95 | 18 |
| Mpl gene analysis common variants CPT 81338 | $192.90 | $1,286.00 | $75.17 – $360.79 | 18 |
| MRA abdomen post contrast CPT 74185 | $636.75 | $4,245.00 | $248.50 – $786.00 | 6 |
| MRA chest w IV cont HCPCS C8909 | $537.15 | $3,581.00 | $217.92 – $816.94 | 18 |
| MRA chest wo IV cont HCPCS C8910 | $636.75 | $4,245.00 | $169.21 – $670.08 | 18 |
| MRA chest wwo IV cont HCPCS C8911 | $668.55 | $4,457.00 | $267.02 – $816.94 | 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.