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 |
|---|---|---|---|---|
| Ot evaluation low complexity patient/family CPT 97165 | $71.70 | $478.00 | $46.00 – $334.88 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $75.45 | $503.00 | $46.00 – $334.88 | 18 |
| Oth resp proc, group HCPCS G0239 | $79.05 | $527.00 | $11.49 – $87.46 | 18 |
| Oth resp proc, indiv HCPCS G0238 | $79.05 | $527.00 | $14.83 – $67.73 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $46.20 | $308.00 | $45.97 – $118.63 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $36.60 | $244.00 | $42.32 – $109.20 | 18 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $28.95 | $193.00 | $25.48 – $65.76 | 18 |
| Ot re-evaluation patient/family CPT 97168 | $45.90 | $306.00 | $46.00 – $334.88 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $33.60 | $224.00 | $32.21 – $83.11 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $22.65 | $151.00 | $19.49 – $50.30 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $23.70 | $158.00 | $20.64 – $53.26 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $30.90 | $206.00 | $26.72 – $68.95 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $32.25 | $215.00 | $30.10 – $77.69 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.60 | $224.00 | $29.77 – $76.82 | 18 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $196.95 | $1,313.01 | $0.14 – $8.87 | 3 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $8.80 | $58.69 | $1.23 – $2.52 | 2 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $14.70 | $98.00 | $68.11 – $606.56 | 18 |
| Palb2 gene full gene seq CPT 81307 | $222.30 | $1,482.00 | $141.44 – $1,482.00 | 18 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $66.03 | $440.18 | $16.97 – $178.98 | 2 |
| Parathormone (pth) intact CPT 83970 | $72.30 | $482.00 | $20.64 – $99.07 | 18 |
| Parathyrd planar w/spect&ct CPT 78072 | $452.25 | $3,015.00 | $161.02 – $1,271.44 | 18 |
| Parathyroid planar imaging CPT 78070 | $452.25 | $3,015.00 | $110.56 – $1,193.20 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $452.25 | $3,015.00 | $161.02 – $936.12 | 18 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $39.15 | $261.00 | $22.64 – $426.75 | 18 |
| Partial removal finger bone CPT 26236 | $692.25 | $4,615.00 | $1,568.89 – $3,765.34 | 18 |
| Partial removal foot fascia CPT 28060 | $1,372.80 | $9,152.00 | $2,862.98 – $7,661.86 | 18 |
| Partial removal of vaginal wall 57106 CPT 57106 | $3,139.50 | $20,930.00 | $487.47 – $7,580.19 | 18 |
| Passy muir valve metal trach HCPCS L8501 | $682.50 | $4,549.97 | $147.88 – $383.47 | 17 |
| Path clin consltj sf 5-20 CPT 80503 | $22.20 | $148.00 | $25.38 – $125.60 | 18 |
| Pca3/klk3 antigen CPT 81313 | $334.05 | $2,227.00 | $100.08 – $612.12 | 18 |
| Pcv21 vaccine im CPT 90684 | $415.01 | $2,766.72 | $161.07 – $1,261.62 | 18 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,105.68 | $47,371.18 | $67.26 – $2,282.31 | 18 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $4,622.35 | $30,815.67 | $161.99 – $2,282.31 | 18 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $4,622.35 | $30,815.67 | $98.87 – $1,630.96 | 18 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $648.00 | $4,320.00 | $167.05 – $420.63 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $617.10 | $4,114.00 | $150.25 – $420.63 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $587.70 | $3,918.00 | $95.95 – $244.81 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $604.95 | $4,033.00 | $169.21 – $558.72 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4,481.22 | $29,874.81 | $3.59 – $1,630.96 | 18 |
| Peng benzathine/procaine inj HCPCS J0558 | $294.81 | $1,965.42 | $3.22 – $139.95 | 18 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $184.92 | $1,232.78 | $4.07 – $139.95 | 18 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $31.11 | $207.39 | $1.05 – $1.39 | 2 |
| Penile injection CPT 54235 | $1,412.85 | $9,419.00 | $69.64 – $585.06 | 18 |
| Penile vascular study CPT 93981 | $273.75 | $1,825.00 | $76.07 – $244.81 | 18 |
| Perc cryo ablate renal tum CPT 50593 | $1,502.85 | $10,019.00 | $427.00 – $22,609.58 | 18 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,235.40 | $28,236.00 | $11,195.64 – $11,413.03 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $4,926.60 | $32,844.00 | $11,195.64 – $38,991.26 | 18 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $4,307.40 | $28,716.00 | $11,195.64 – $11,413.03 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $4,926.60 | $32,844.00 | $11,195.64 – $27,032.38 | 18 |
| Perc d-e cor stent ather br HCPCS C9603 | $4,235.40 | $28,236.00 | $11,195.64 – $11,413.03 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $4,926.60 | $32,844.00 | $11,195.64 – $38,991.26 | 18 |
| Perc drug-el cor stent bran HCPCS C9601 | $4,243.35 | $28,289.00 | $11,195.64 – $11,413.03 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $4,926.60 | $32,844.00 | $11,195.64 – $27,032.38 | 18 |
| Perc rf ablate renal tumor CPT 50592 | $1,772.70 | $11,818.00 | $3,836.79 – $12,858.79 | 18 |
| Percut ablate liver rf CPT 47382 | $1,791.15 | $11,941.00 | $5,898.53 – $12,858.79 | 18 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $913.65 | $6,091.00 | $1,323.49 – $1,349.19 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | $774.15 | $5,161.00 | $1,323.49 – $3,686.11 | 18 |
| Perineoplasty rpr per nonob CPT 56810 | $1,346.40 | $8,976.00 | $3,158.41 – $7,580.19 | 18 |
| Peripheral vascular rehab CPT 93668 | $513.90 | $3,426.00 | $0.26 – $224.10 | 18 |
| Peritoneogram rs&i CPT 74190 | $153.90 | $1,026.00 | $60.15 – $1,162.22 | 18 |
| Perit-vens shunt pat tst CPT 78291 | $452.25 | $3,015.00 | $121.84 – $936.12 | 18 |
| Perq clsr tcat l atr apndge CPT 33340 | $2,262.75 | $15,085.00 | $15,085.00 – $19,481.46 | 5 |
| Perq dev breast 1st mr guide CPT 19287 | $280.35 | $1,869.00 | $690.91 – $1,740.07 | 18 |
| Perq dev breast 1st strtctc CPT 19283 | $280.35 | $1,869.00 | $690.91 – $1,740.07 | 18 |
| Perq plmt bile duct stent CPT 47538 | $1,975.50 | $13,170.00 | $3,009.24 – $13,170.00 | 18 |
| Perq plmt bile duct stent CPT 47539 | $2,173.20 | $14,488.00 | $3,009.24 – $14,156.47 | 18 |
| Perq plmt bile duct stent CPT 47540 | $2,173.20 | $14,488.00 | $5,898.53 – $14,156.47 | 18 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,167.75 | $7,785.00 | $243.77 – $585.06 | 18 |
| Perq transcath closure each CPT 93592 | $1,818.15 | $12,121.00 | $12,121.00 – $19,481.46 | 5 |
| Perq transcath closure pda CPT 93582 | $3,018.15 | $20,121.00 | $17,885.90 – $38,991.26 | 18 |
| Perq transcath cls aortic CPT 93591 | $3,392.70 | $22,618.00 | $17,885.90 – $38,991.26 | 18 |
| Perq transcath cls mitral CPT 93590 | $3,392.70 | $22,618.00 | $17,885.90 – $38,991.26 | 18 |
| Pertussis ag if CPT 87265 | $11.10 | $74.00 | $5.99 – $28.75 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,537.20 | $10,248.00 | $518.48 – $3,348.43 | 18 |
| Pet CT whole body initial CPT 78816 | $1,614.00 | $10,760.00 | $518.48 – $3,348.43 | 18 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,529.85 | $10,199.00 | $367.92 – $3,348.43 | 18 |
| Pet image full body CPT 78813 | $1,937.55 | $12,917.00 | $518.48 – $3,348.43 | 18 |
| Pet image ltd area CPT 78811 | $1,601.25 | $10,675.00 | $518.48 – $3,031.61 | 18 |
| Pet image skull-thigh CPT 78812 | $1,761.45 | $11,743.00 | $518.48 – $3,348.43 | 18 |
| Pet image w/ct lmtd CPT 78814 | $1,405.50 | $9,370.00 | $518.48 – $3,348.43 | 18 |
| Pet scan brain perf study CPT 78609 | $1,742.70 | $11,618.00 | $37.61 – $1,863.93 | 6 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $81.45 | $543.00 | $166.70 – $166.70 | 1 |
| Ph body fluid CPT 83986 | $5.25 | $35.00 | $1.79 – $8.59 | 18 |
| Phencyclidine (pcp) CPT 83992 | $13.35 | $89.00 | $10.41 – $59.13 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $121.44 | $809.58 | $3.08 – $53.10 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $19.95 | $133.00 | $7.65 – $36.72 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | $706.65 | $4,710.98 | $25.53 – $1,009.34 | 18 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $7.34 | $48.91 | $0.30 – $0.79 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $23.10 | $154.00 | $6.63 – $31.80 | 18 |
| Phlebotomy therapeutic CPT 99195 | $65.10 | $434.00 | $21.33 – $311.55 | 18 |
| Phosphorus CPT 84100 | $7.95 | $53.00 | $2.37 – $11.38 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $9.15 | $61.00 | $2.89 – $13.87 | 18 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $103.34 | $688.92 | $2.15 – $4.80 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $174.80 | $1,165.33 | $270.89 – $831.58 | 17 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $234.30 | $1,562.00 | $215.06 – $1,572.00 | 18 |
| Pinworm exam CPT 87172 | $7.20 | $48.00 | $2.14 – $10.68 | 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.