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 |
|---|---|---|---|---|
| Reposition pm/icd lead CPT 33215 | $1,818.15 | $12,121.00 | $307.21 – $7,393.69 | 18 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $693.60 | $4,624.00 | $4,624.00 – $9,628.65 | 5 |
| Repos lv lead pm/icd CPT 33226 | $1,818.15 | $12,121.00 | $483.32 – $9,454.41 | 18 |
| Repos sq defib eltrd CPT 33273 | $1,432.35 | $9,549.00 | $1,173.62 – $8,750.63 | 18 |
| Reptilase test CPT 85635 | $17.10 | $114.00 | $4.93 – $23.64 | 18 |
| Respirator motion mgmt simul CPT 77293 | $426.45 | $2,843.00 | $156.53 – $570.48 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $11.10 | $74.00 | $7.22 – $34.63 | 18 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $10.35 | $69.00 | $8.22 – $39.43 | 18 |
| Resp virus 6-11 targets CPT 87632 | $373.80 | $2,492.00 | $109.03 – $523.34 | 18 |
| Resuscitation cardiopulmonary CPT 92950 | $513.90 | $3,426.00 | $78.04 – $972.92 | 18 |
| Resuscitation delivery/birthing room CPT 99465 | $130.20 | $868.00 | $78.04 – $1,405.82 | 18 |
| Reticulated platelet assay CPT 85055 | $46.95 | $313.00 | $17.87 – $85.78 | 18 |
| Reticulocyte automated CPT 85045 | $6.90 | $46.00 | $2.00 – $9.58 | 18 |
| Revasc intra lithotrip-ather HCPCS C9766 | $8,623.20 | $57,488.00 | $8,605.51 – $42,926.16 | 18 |
| Revasc intra lithotrip-stent HCPCS C9765 | $8,623.20 | $57,488.00 | $8,605.51 – $42,926.16 | 18 |
| Revasc intravasc lithotripsy HCPCS C9764 | $4,311.45 | $28,743.00 | $5,023.89 – $27,032.38 | 18 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,624.35 | $50,829.00 | $14,386.57 – $42,926.16 | 18 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $13,872.30 | $92,482.00 | $14,386.57 – $42,926.16 | 18 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,766.55 | $31,777.00 | $8,605.51 – $27,032.38 | 18 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,624.35 | $50,829.00 | $14,386.57 – $42,926.16 | 18 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,624.35 | $50,829.00 | $14,386.57 – $42,926.16 | 18 |
| Revise vag graft via vagina CPT 57295 | $1,245.00 | $8,300.00 | $3,158.41 – $7,580.19 | 18 |
| Revision of cervix CPT 59320 | $1,582.20 | $10,548.00 | $173.18 – $7,580.19 | 18 |
| Revision of infusion pump CPT 36261 | $1,399.20 | $9,328.00 | $1,991.80 – $8,750.63 | 18 |
| Revision of iris CPT 66761 | $251.55 | $1,677.00 | $536.62 – $1,384.55 | 18 |
| Revision tips CPT 37183 | $2,983.35 | $19,889.00 | $5,553.17 – $13,327.61 | 18 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,004.00 | $13,360.00 | $3,661.98 – $14,665.92 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $9.90 | $66.00 | $3.07 – $14.74 | 18 |
| Rheumatoid factor quantitative CPT 86431 | $9.90 | $66.00 | $2.84 – $13.61 | 18 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $178.35 | $1,189.00 | $2.55 – $142.53 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $50.25 | $335.00 | $40.32 – $145.32 | 6 |
| Right ventric recording CPT 93603 | $379.35 | $2,529.00 | $101.08 – $8,941.81 | 18 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $7,301.56 | $48,677.08 | $47.70 – $5,639.31 | 18 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $319.20 | $2,128.00 | $133.06 – $1,658.19 | 18 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,309.95 | $8,733.00 | $329.21 – $6,801.81 | 18 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $211.95 | $1,413.00 | $118.49 – $3,512.94 | 18 |
| Rmvl icd by tv extr CPT 33244 | $1,818.15 | $12,121.00 | $653.76 – $8,750.63 | 18 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,081.60 | $80,544.00 | $21,702.72 – $52,086.53 | 18 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $12,081.60 | $80,544.00 | $29,355.54 – $73,501.53 | 18 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,081.60 | $80,544.00 | $21,702.72 – $52,086.53 | 18 |
| Rmvl icd pulse gen only CPT 33241 | $1,435.50 | $9,570.00 | $215.37 – $9,454.41 | 18 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $296.40 | $1,976.00 | $1,976.00 – $10,628.42 | 5 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $242.10 | $1,614.00 | $612.05 – $1,468.92 | 18 |
| Rmvl perm pm pulse gen CPT 33233 | $1,339.05 | $8,927.00 | $222.45 – $17,601.69 | 18 |
| Rmvl perq right heart vad CPT 33997 | $414.00 | $2,760.00 | $2,760.00 – $9,628.65 | 5 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $1,554.60 | $10,364.00 | $3,411.10 – $8,186.63 | 18 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,554.60 | $10,364.00 | $3,411.10 – $8,186.63 | 18 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $1,554.60 | $10,364.00 | $3,411.10 – $8,186.63 | 18 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $4,025.10 | $26,834.00 | $10,368.73 – $40,969.48 | 18 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $3,737.25 | $24,915.00 | $8,074.17 – $19,378.01 | 18 |
| Rmvl pq iabp CPT 33968 | $784.95 | $5,233.00 | $5,233.00 – $9,628.65 | 5 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $784.95 | $5,233.00 | $5,233.00 – $9,628.65 | 5 |
| Rmvl sq defib electrode CPT 33272 | $1,432.35 | $9,549.00 | $1,173.62 – $8,750.63 | 18 |
| Rmvl subq card rhythm mntr CPT 33286 | $513.90 | $3,426.00 | $289.67 – $1,993.74 | 18 |
| Rmvl tv pm lead dual CPT 33235 | $1,361.10 | $9,074.00 | $487.04 – $8,750.63 | 18 |
| Rmvl tv pm lead sgl CPT 33234 | $1,818.15 | $12,121.00 | $413.73 – $8,750.63 | 18 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $5,332.95 | $35,553.00 | $8,168.56 – $26,092.22 | 18 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $13,975.20 | $93,168.00 | $25,387.38 – $72,257.73 | 18 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.79 | $1,258.59 | $0.07 – $0.09 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $778.20 | $5,188.00 | $1,535.88 – $3,686.11 | 18 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $474.90 | $3,166.00 | $246.23 – $1,193.20 | 18 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $513.30 | $3,422.00 | $636.03 – $3,031.61 | 18 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $582.30 | $3,882.00 | $721.50 – $3,348.43 | 18 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $496.20 | $3,308.00 | $1,535.88 – $3,348.22 | 18 |
| Rpl tun cvc wo subq port CPT 36581 | $910.35 | $6,069.00 | $2,814.89 – $6,715.94 | 18 |
| Rpr cgen av fistula thrx&abd CPT 35182 | $523.80 | $3,492.00 | $1,995.49 – $11,418.39 | 5 |
| Rsv assay w/optic CPT 87807 | $20.55 | $137.00 | $6.55 – $31.44 | 18 |
| Rubella antibody igg CPT 86762 | $25.20 | $168.00 | $7.20 – $34.54 | 18 |
| Rubeola antibody igg CPT 86765 | $22.50 | $150.00 | $6.44 – $30.91 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | $422.85 | $2,819.00 | $164.76 – $790.82 | 18 |
| Russell viper venom diluted CPT 85613 | $16.65 | $111.00 | $4.78 – $22.99 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $810.00 | $5,400.00 | $458.54 – $2,200.99 | 18 |
| Salivary glnd img serial img CPT 78231 | $158.55 | $1,057.00 | $121.84 – $936.12 | 18 |
| Salmonella antibody CPT 86768 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Sarscov coronavirus ag ia CPT 87426 | $10.20 | $68.00 | $10.67 – $77.02 | 18 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $71.25 | $475.00 | $94.97 – $94.97 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $34.05 | $227.00 | $53.84 – $53.84 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $45.30 | $302.00 | $75.90 – $75.90 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $22.05 | $147.00 | $32.45 – $32.45 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $344.25 | $2,295.00 | $76.07 – $558.72 | 18 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $229.50 | $1,530.00 | $76.07 – $244.81 | 18 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $344.25 | $2,295.00 | $76.07 – $558.72 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $229.50 | $1,530.00 | $48.16 – $244.81 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $229.50 | $1,530.00 | $74.94 – $244.81 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $229.50 | $1,530.00 | $48.16 – $244.81 | 18 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $344.25 | $2,295.00 | $76.07 – $558.72 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $229.50 | $1,530.00 | $48.16 – $244.81 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $229.50 | $1,530.00 | $48.16 – $244.81 | 18 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $647.70 | $4,318.00 | $964.73 – $3,867.45 | 18 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,437.00 | $36,246.65 | $4,775.85 – $4,775.85 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $25.20 | $168.00 | $9.03 – $43.32 | 18 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $42.30 | $282.00 | $12.04 – $57.79 | 18 |
| Screening Mammogram CPT 77067 | $74.10 | $494.00 | $30.69 – $214.90 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $32.25 | $215.00 | $9.66 – $46.34 | 18 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $9.15 | $61.00 | $1.53 – $10.90 | 2 |
| Sc ther infusion reset pump CPT 96371 | $37.80 | $252.00 | $64.35 – $371.93 | 18 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,818.15 | $12,121.00 | $1,844.05 – $14,665.92 | 5 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $121.65 | $811.00 | $28.58 – $29.14 | 5 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.80 | $32.00 | $1.35 – $6.48 | 18 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $12.30 | $82.00 | $46.00 – $57.14 | 5 |
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.