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 |
|---|---|---|---|---|
| MRA ext low(run-off)pst cntrst CPT 73725 | $636.75 | $4,245.00 | $249.49 – $786.00 | 6 |
| MRA pelvis CPT 72198 | $537.15 | $3,581.00 | $249.49 – $786.00 | 6 |
| MRA pelvis w IV cont HCPCS C8918 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| MRA pelvis wo IV cont HCPCS C8919 | $537.15 | $3,581.00 | $169.21 – $670.08 | 18 |
| MRA spinal canal CPT 72159 | $537.15 | $3,581.00 | $250.15 – $786.00 | 6 |
| MRA w/cont, abd HCPCS C8900 | $604.95 | $4,033.00 | $217.92 – $816.94 | 18 |
| MRA w/cont, lwr ext HCPCS C8912 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| Mra, w/dye, spinal canal HCPCS C8931 | $537.15 | $3,581.00 | $217.92 – $816.94 | 18 |
| Mra, w/dye, upper extremity HCPCS C8934 | $537.15 | $3,581.00 | $217.92 – $816.94 | 18 |
| MRA without cont, abd HCPCS C8901 | $636.75 | $4,245.00 | $169.21 – $670.08 | 18 |
| MRA without cont, lwr ext HCPCS C8913 | $537.15 | $3,581.00 | $169.21 – $670.08 | 18 |
| Mra, without dye, spinal canal HCPCS C8932 | $537.15 | $3,581.00 | $169.21 – $670.08 | 18 |
| Mra, without dye, upper extr HCPCS C8935 | $537.15 | $3,581.00 | $169.21 – $670.08 | 18 |
| MRA without fol w/cont, abd HCPCS C8902 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $659.55 | $4,397.00 | $267.02 – $816.94 | 18 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $537.15 | $3,581.00 | $267.02 – $816.94 | 18 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $537.15 | $3,581.00 | $267.02 – $816.94 | 18 |
| MRI breast c- unilateral CPT 77046 | $636.75 | $4,245.00 | $115.28 – $558.72 | 18 |
| MRI breast c-+ w/cad uni CPT 77048 | $702.00 | $4,680.00 | $232.84 – $786.00 | 6 |
| MRI breast without cont bi CPT 77047 | $668.55 | $4,457.00 | $115.28 – $558.72 | 18 |
| MRI breast w IV cont bi CPT 77049 | $737.10 | $4,914.00 | $229.55 – $786.00 | 6 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $636.75 | $4,245.00 | $169.21 – $558.72 | 18 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $664.80 | $4,432.00 | $267.02 – $1,835.66 | 18 |
| MRI chest without contrast CPT 71550 | $604.95 | $4,033.00 | $169.21 – $558.72 | 18 |
| MRI chest without & w/contrast CPT 71552 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI chest w IV cont CPT 71551 | $636.75 | $4,245.00 | $217.92 – $1,835.66 | 18 |
| MRI fetal ea addl gestation CPT 74713 | $538.20 | $3,588.00 | $314.09 – $786.00 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | $897.00 | $5,980.00 | $136.77 – $558.72 | 18 |
| MRI guid ndl plc s&i CPT 77021 | $537.15 | $3,581.00 | $274.36 – $786.00 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | $537.15 | $3,581.00 | $274.36 – $786.00 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $971.40 | $6,476.00 | $217.92 – $816.94 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $679.80 | $4,532.00 | $169.21 – $558.72 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI orbit/face/neck without contrast CPT 70540 | $604.95 | $4,033.00 | $169.21 – $558.72 | 18 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| MRI tmj CPT 70336 | $636.75 | $4,245.00 | $169.21 – $558.72 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $636.75 | $4,245.00 | $169.21 – $558.72 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI upper extremity w/dye CPT 73219 | $971.40 | $6,476.00 | $217.92 – $816.94 | 18 |
| MRI without fol w/cont, breast HCPCS C8908 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $636.75 | $4,245.00 | $267.02 – $816.94 | 18 |
| Mr safety determination physician/other qhp CPT 76016 | $39.90 | $266.00 | $44.03 – $203.78 | 17 |
| Mr safety implant elec prepj CPT 76018 | $39.45 | $263.00 | $45.90 – $222.62 | 17 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $5.55 | $37.00 | $37.00 – $37.00 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | $25.65 | $171.00 | $29.70 – $138.14 | 17 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $11.10 | $74.00 | $12.25 – $67.73 | 17 |
| Mr sfty med physics xm cstmz CPT 76017 | $104.10 | $694.00 | $120.86 – $558.72 | 17 |
| Mr spectroscopy CPT 76390 | $537.15 | $3,581.00 | $84.91 – $314.39 | 18 |
| Msh2 gene dup/delete variant CPT 81297 | $119.10 | $794.00 | $75.86 – $511.92 | 18 |
| Msh2 gene full seq CPT 81295 | $2,311.95 | $15,413.00 | $75.86 – $916.08 | 18 |
| Msh2 gene known variants CPT 81296 | $166.20 | $1,108.00 | $64.77 – $810.55 | 18 |
| Msh6 gene dup/delete variant CPT 81300 | $127.20 | $848.00 | $80.84 – $571.20 | 18 |
| Msh6 gene full seq CPT 81298 | $2,599.35 | $17,329.00 | $143.92 – $1,540.44 | 18 |
| Msh6 gene known variants CPT 81299 | $207.00 | $1,380.00 | $80.62 – $739.20 | 18 |
| Mthfr gene analy common variants CPT 81291 | $76.35 | $509.00 | $29.78 – $156.82 | 18 |
| M.tuberculo dna dir probe CPT 87555 | $18.75 | $125.00 | $10.67 – $64.51 | 18 |
| Mucin synovial fluid CPT 83872 | $10.20 | $68.00 | $2.93 – $14.06 | 18 |
| Mucopolysaccharides CPT 83864 | $34.95 | $233.00 | $14.10 – $68.40 | 18 |
| Multiple sleep latency test CPT 95805 | $338.40 | $2,256.00 | $397.29 – $2,010.86 | 18 |
| Mumps antibody igg CPT 86735 | $22.80 | $152.00 | $6.53 – $31.32 | 18 |
| Muscle test cran nerv unilat CPT 95867 | $71.55 | $477.00 | $16.72 – $477.00 | 18 |
| Muscle test hemidiaphragm CPT 95866 | $71.55 | $477.00 | $7.38 – $301.31 | 18 |
| Muscle test larynx CPT 95865 | $55.20 | $368.00 | $23.37 – $311.55 | 18 |
| Mycobacteria dna dir probe CPT 87550 | $18.75 | $125.00 | $10.03 – $48.12 | 18 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.52 | $10.13 | $0.28 – $2.79 | 2 |
| Mycoplasma antibody igm CPT 86738 | $23.10 | $154.00 | $6.62 – $31.78 | 18 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $225.00 | $1,500.00 | $87.70 – $420.96 | 18 |
| Myelogphy 2/> spine regions CPT 72270 | $223.65 | $1,491.00 | $165.73 – $1,667.39 | 18 |
| Myelography l-s spine CPT 72265 | $203.55 | $1,357.00 | $130.66 – $1,667.39 | 18 |
| Myelography neck spine CPT 72240 | $205.50 | $1,370.00 | $129.41 – $1,667.39 | 18 |
| Myelography thoracic spine CPT 72255 | $205.50 | $1,370.00 | $121.89 – $1,667.39 | 18 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $406.65 | $2,711.00 | $729.78 – $1,835.66 | 18 |
| Myelography via inj w/s&i cervical CPT 62302 | $406.65 | $2,711.00 | $729.78 – $1,835.66 | 18 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $406.65 | $2,711.00 | $729.78 – $1,835.66 | 18 |
| Myelography via inj w/s&i thoracic CPT 62303 | $406.65 | $2,711.00 | $729.78 – $1,835.66 | 18 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $19.95 | $133.00 | $5.77 – $27.67 | 18 |
| Myocrd img pet 1std rst/strs CPT 78491 | $1,187.10 | $7,914.00 | $337.49 – $3,348.43 | 18 |
| Myocrd img pet 1 std w/ct CPT 78429 | $582.30 | $3,882.00 | $702.50 – $3,348.43 | 18 |
| Myocrd img pet 2rtracer CPT 78432 | $1,967.85 | $13,119.00 | $774.00 – $3,553.75 | 18 |
| Myocrd img pet 2rtracer CT CPT 78433 | $2,164.50 | $14,430.00 | $774.00 – $5,158.15 | 18 |
| Myocrd img pet mlt rst&strs CPT 78492 | $1,282.05 | $8,547.00 | $360.68 – $3,348.43 | 18 |
| Myocrd img pet rst&strs CT CPT 78431 | $1,410.90 | $9,406.00 | $774.00 – $5,158.15 | 18 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $664.50 | $4,430.00 | $721.50 – $3,348.43 | 18 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $15.46 | $103.05 | $2.15 – $6.51 | 2 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $227.43 | $1,516.18 | $0.14 – $0.14 | 1 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $79.80 | $532.00 | $37.61 – $467.41 | 18 |
| Natriuretic peptide CPT 83880 | $59.40 | $396.00 | $19.63 – $94.22 | 18 |
| Natural killer cells total count CPT 86357 | $66.00 | $440.00 | $18.87 – $90.55 | 18 |
| N block inj hypogas plxs CPT 64517 | $528.90 | $3,526.00 | $862.97 – $2,071.12 | 18 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $71.85 | $479.00 | $7.76 – $311.55 | 18 |
| Ndl round specialty proguide HCPCS C1715 | $25.50 | $170.00 | $52.19 – $52.19 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $587.70 | $3,918.00 | $167.05 – $420.63 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $559.65 | $3,731.00 | $150.25 – $816.94 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $531.75 | $3,545.00 | $95.95 – $244.81 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $604.95 | $4,033.00 | $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.