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 |
|---|---|---|---|---|
| Pvb thoracic single inj site CPT 64461 | $320.10 | $2,134.00 | $688.72 – $1,652.92 | 18 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $40.52 | $270.14 | $0.49 – $10.65 | 2 |
| Pyruvate CPT 84210 | $19.05 | $127.00 | $7.24 – $34.75 | 18 |
| Pyruvate kinase CPT 84220 | $16.50 | $110.00 | $4.72 – $22.66 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $452.25 | $3,015.00 | $158.17 – $1,271.44 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | $452.25 | $3,015.00 | $101.21 – $1,193.20 | 18 |
| Quest t3 uptake CPT 84479 | $10.80 | $72.00 | $3.24 – $15.53 | 18 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,711.38 | $24,742.51 | $92.19 – $1,630.96 | 18 |
| Radiation handling CPT 77790 | $251.40 | $1,676.00 | $24.80 – $159.57 | 5 |
| Radiation physics consult CPT 77336 | $149.70 | $998.00 | $53.78 – $314.74 | 18 |
| Radiation therapy dose plan CPT 77300 | $116.55 | $777.00 | $53.78 – $314.74 | 18 |
| Radiation treatment aid(s) CPT 77332 | $217.05 | $1,447.00 | $29.19 – $314.74 | 18 |
| Radiation treatment aid(s) CPT 77333 | $238.65 | $1,591.00 | $98.16 – $314.74 | 18 |
| Radiation treatment aid(s) CPT 77334 | $262.50 | $1,750.00 | $100.05 – $876.78 | 18 |
| Radiation treatment delivery CPT 77402 | $157.80 | $1,052.00 | $49.71 – $238.92 | 18 |
| Radiation treatment delivery CPT 77412 | $190.95 | $1,273.00 | $84.44 – $1,273.00 | 18 |
| Radiology port images(s) CPT 77417 | $25.65 | $171.00 | $37.95 – $74.27 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $1,739.10 | $11,594.00 | $476.77 – $3,241.14 | 18 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72.00 | $480.00 | $60.33 – $17,919.33 | 18 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $452.25 | $3,015.00 | $246.23 – $1,271.44 | 18 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $640.50 | $4,270.00 | $165.19 – $1,271.44 | 18 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $644.40 | $4,296.00 | $636.03 – $3,031.61 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $452.25 | $3,015.00 | $246.23 – $1,271.44 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $452.25 | $3,015.00 | $140.07 – $1,193.20 | 18 |
| Radphm quant measure sgl area add-on CPT 78835 | $452.25 | $3,015.00 | $483.68 – $493.07 | 5 |
| Rapid Strep Test CPT 87880 | $20.10 | $134.00 | $8.27 – $39.67 | 18 |
| Rbc count only automated CPT 85041 | $5.25 | $35.00 | $1.51 – $7.25 | 18 |
| Rbc deglycerolized each unit HCPCS P9039 | $131.40 | $876.00 | $119.19 – $751.20 | 18 |
| Rbc irradiated each unit HCPCS P9038 | $108.15 | $721.00 | $99.39 – $348.53 | 18 |
| Rbc osmotic fragility CPT 85555 | $11.85 | $79.00 | $3.74 – $17.93 | 18 |
| Rbc serum pretx incubj drugs CPT 86975 | $91.65 | $611.00 | $12.44 – $950.18 | 18 |
| Reconstruction of nail bed CPT 11762 | $780.45 | $5,203.00 | $213.39 – $4,831.47 | 18 |
| Red blood cells each unit HCPCS P9021 | $108.15 | $721.00 | $40.69 – $361.37 | 18 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $411.30 | $2,742.00 | $178.50 – $1,014.46 | 18 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $108.15 | $721.00 | $152.83 – $598.56 | 18 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $108.15 | $721.00 | $99.35 – $443.78 | 18 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $108.15 | $721.00 | $130.47 – $636.98 | 18 |
| Red blood cells washed each unit HCPCS P9022 | $114.15 | $761.00 | $143.54 – $803.50 | 18 |
| Red cell mass multiple CPT 78121 | $221.70 | $1,478.00 | $119.90 – $1,271.44 | 18 |
| Redo endovas vena cava filtr CPT 37192 | $1,952.55 | $13,017.00 | $3,080.71 – $7,393.69 | 18 |
| Reduction of procidentia 45900 CPT 45900 | $1,226.10 | $8,174.00 | $106.92 – $2,177.63 | 18 |
| Refill/maint pump/resvr syst CPT 96522 | $132.00 | $880.00 | $63.32 – $498.07 | 18 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $528.12 | $3,520.77 | $5.32 – $50.73 | 3 |
| Relocation skin pocket aicd CPT 33223 | $1,818.15 | $12,121.00 | $456.24 – $4,831.47 | 18 |
| Relocation skin pocket pm CPT 33222 | $1,818.15 | $12,121.00 | $381.10 – $4,831.47 | 18 |
| Rem/biv cast full arm/leg CPT 29705 | $28.95 | $193.00 | $33.21 – $594.90 | 18 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,271.63 | $8,477.56 | $2.76 – $630.47 | 18 |
| Rem endovas vena cava filter CPT 37193 | $1,952.55 | $13,017.00 | $3,080.71 – $7,393.69 | 18 |
| Removal biliary drg cath CPT 47537 | $346.65 | $2,311.00 | $470.14 – $2,123.84 | 18 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $245.70 | $1,638.00 | $612.05 – $1,468.92 | 18 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $680.10 | $4,534.00 | $967.36 – $3,686.11 | 18 |
| Removal cerumen impacted (both sides) CPT 69210 | $46.65 | $311.00 | $39.52 – $138.14 | 17 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $84.00 | $560.00 | $46.00 – $523.18 | 5 |
| Removal duct glbldr calculi CPT 47544 | $841.05 | $5,607.00 | $5,607.00 – $7,602.79 | 5 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $384.30 | $2,562.00 | $58.03 – $2,123.84 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $308.40 | $2,056.00 | $95.83 – $1,658.19 | 18 |
| Removal implant superficial separate procedure CPT 20670 | $400.20 | $2,668.00 | $111.55 – $3,512.94 | 18 |
| Removal of foot lesion CPT 28080 | $665.25 | $4,435.00 | $285.06 – $3,765.34 | 18 |
| Removal of foreign body CPT 27372 | $934.95 | $6,233.00 | $410.97 – $6,233.00 | 18 |
| Removal of infusion pump CPT 36262 | $1,399.20 | $9,328.00 | $1,991.80 – $8,750.63 | 18 |
| Removal of skin tags each add'l 10 CPT 11201 | $83.55 | $557.00 | $20.75 – $233.10 | 5 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $3,880.65 | $25,871.00 | $10,197.85 – $24,474.85 | 18 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $38.25 | $255.00 | $52.47 – $426.75 | 18 |
| Removal sutr/staple req anes CPT 15851 | $830.25 | $5,535.00 | $53.95 – $4,831.47 | 18 |
| Removal tunnled intprtnl cath CPT 49422 | $996.45 | $6,643.00 | $964.73 – $6,715.94 | 18 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $180.30 | $1,202.00 | $65.88 – $1,046.07 | 18 |
| Remove cva lumen obstruct CPT 75902 | $69.30 | $462.00 | $63.06 – $273.12 | 5 |
| Remove hip foreign body 27086 CPT 27086 | $757.65 | $5,051.00 | $97.57 – $6,178.31 | 18 |
| Remove pilonidal cyst compl CPT 11772 | $1,421.40 | $9,476.00 | $490.92 – $6,801.81 | 18 |
| Remove pilonidal cyst exten CPT 11771 | $1,292.10 | $8,614.00 | $440.15 – $6,801.81 | 18 |
| Remove renal tube w/fluoro CPT 50389 | $547.20 | $3,648.00 | $524.20 – $1,632.82 | 18 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $319.20 | $2,128.00 | $84.09 – $3,512.94 | 18 |
| Remove ureter stent percut CPT 50384 | $9,426.90 | $62,846.00 | $1,952.07 – $4,894.93 | 18 |
| Remove vaginal foreign body 57415 CPT 57415 | $450.45 | $3,003.00 | $3,003.00 – $6,885.34 | 18 |
| Renal cyst study s&i CPT 74470 | $153.90 | $1,026.00 | $80.33 – $1,162.22 | 18 |
| Renal function panel CPT 80069 | $14.70 | $98.00 | $4.34 – $20.83 | 18 |
| Renal venogram bil s&i CPT 75833 | $1,357.80 | $9,052.00 | $148.58 – $7,393.69 | 18 |
| Repair blood ves direct neck 35201 CPT 35201 | $1,238.70 | $8,258.00 | $901.82 – $11,835.62 | 18 |
| Repair blood vessel direct hand finger CPT 35207 | $687.60 | $4,584.00 | $967.94 – $6,715.94 | 18 |
| Repair blood vessel dir lower extr CPT 35226 | $698.10 | $4,654.00 | $690.91 – $2,790.29 | 18 |
| Repair blood vessel dir upper extr CPT 35206 | $693.15 | $4,621.00 | $874.00 – $6,715.94 | 18 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $424.20 | $2,828.00 | $274.31 – $951.91 | 18 |
| Repair dental ellis ii fx CPT 41899 | $74.10 | $494.00 | $231.09 – $1,646.51 | 18 |
| Repair extns tendon finger without grft ea CPT 26418 | $354.75 | $2,365.00 | $335.87 – $3,420.19 | 18 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $685.95 | $4,573.00 | $551.96 – $4,572.59 | 18 |
| Repair of eye wound CPT 65270 | $784.95 | $5,233.00 | $86.97 – $5,233.00 | 18 |
| Repair pm/icd lead dual CPT 33220 | $2,481.00 | $16,540.00 | $376.81 – $8,750.63 | 18 |
| Repair pm/icd lead sgl CPT 33218 | $2,481.00 | $16,540.00 | $370.85 – $8,750.63 | 18 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $257.70 | $1,718.00 | $192.97 – $554.62 | 18 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $316.35 | $2,109.00 | $242.76 – $1,262.92 | 18 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,327.65 | $8,851.00 | $220.51 – $7,661.86 | 18 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $692.40 | $4,616.00 | $504.44 – $6,959.52 | 18 |
| Replace aortic valve open axillry 33363 CPT 33363 | $414.00 | $2,760.00 | $2,760.00 – $19,481.46 | 5 |
| Replace aortic valve open femoral 33362 CPT 33362 | $2,262.75 | $15,085.00 | $15,085.00 – $19,481.46 | 5 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $414.00 | $2,760.00 | $2,760.00 – $19,481.46 | 5 |
| Replace duod/jej tube perc CPT 49451 | $346.80 | $2,312.00 | $470.14 – $2,123.84 | 18 |
| Replace g/c tube perc CPT 49450 | $333.00 | $2,220.00 | $470.14 – $2,123.84 | 18 |
| Replace g-j tube perc CPT 49452 | $361.05 | $2,407.00 | $470.14 – $2,123.84 | 18 |
| Replace tunneled cv cath CPT 36578 | $820.95 | $5,473.00 | $967.36 – $6,715.94 | 18 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,554.60 | $10,364.00 | $3,411.10 – $8,186.63 | 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.