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 |
|---|---|---|---|---|
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $9.00 | $60.00 | $46.00 – $57.14 | 5 |
| Semen analysis presence/motility CPT 89321 | $21.15 | $141.00 | $5.33 – $28.92 | 18 |
| Semen analysis w/count CPT 89310 | $9.15 | $61.00 | $4.31 – $20.66 | 18 |
| Sept9 promoter methylation analysis CPT 81327 | $53.25 | $355.00 | $41.84 – $418.56 | 18 |
| Serpina1 gene CPT 81332 | $134.10 | $894.00 | $21.83 – $104.76 | 18 |
| Sertraline (zoloft) - sendout CPT 80332 | $24.90 | $166.00 | $75.08 – $76.53 | 5 |
| Set radiation therapy field CPT 77280 | $265.20 | $1,768.00 | $53.78 – $314.74 | 18 |
| Set radiation therapy field CPT 77285 | $415.65 | $2,771.00 | $131.82 – $876.78 | 18 |
| Set radiation therapy field CPT 77290 | $480.60 | $3,204.00 | $131.82 – $876.78 | 18 |
| Sewho cap design without jnts cf HCPCS L3961 | $730.95 | $4,873.00 | $1,834.09 – $5,323.28 | 17 |
| Sex chromatin identification CPT 88130 | $14.40 | $96.00 | $5.33 – $43.15 | 18 |
| Sf3b1 gene common variants CPT 81347 | $248.10 | $1,654.00 | $96.63 – $463.80 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $39.15 | $261.00 | $59.97 – $426.75 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $43.20 | $288.00 | $73.07 – $426.75 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $47.40 | $316.00 | $73.07 – $864.65 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $52.20 | $348.00 | $73.07 – $864.65 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $83.55 | $557.00 | $49.25 – $469.81 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $39.15 | $261.00 | $65.68 – $426.75 | 18 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $43.20 | $288.00 | $73.07 – $426.75 | 18 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $91.95 | $613.00 | $73.07 – $864.65 | 18 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $83.55 | $557.00 | $46.78 – $864.65 | 18 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $91.95 | $613.00 | $61.81 – $469.81 | 18 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $101.10 | $674.00 | $73.07 – $469.81 | 18 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $1,172.70 | $7,818.00 | $2,248.47 – $2,248.47 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $971.40 | $6,476.00 | $217.92 – $1,835.66 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $636.75 | $4,245.00 | $169.21 – $558.72 | 18 |
| Shoulder X-ray CPT 73030 | $76.35 | $509.00 | $22.40 – $203.78 | 18 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $69.30 | $462.00 | $37.74 – $244.81 | 18 |
| Sialidase enzyme assay CPT 87905 | $21.30 | $142.00 | $6.11 – $29.33 | 18 |
| Sialography s&i CPT 70390 | $155.40 | $1,036.00 | $98.47 – $558.72 | 18 |
| Sickling rbc CPT 85660 | $9.60 | $64.00 | $2.76 – $13.22 | 18 |
| Sigmoidoscopy w/resection CPT 45349 | $1,159.80 | $7,732.00 | $2,708.17 – $6,499.61 | 18 |
| Simple cystometrogram 51725 CPT 51725 | $118.20 | $788.00 | $106.89 – $585.06 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $587.70 | $3,918.00 | $167.05 – $420.63 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $559.65 | $3,731.00 | $150.25 – $420.63 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $531.75 | $3,545.00 | $95.95 – $244.81 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $452.10 | $3,014.00 | $136.68 – $6,715.94 | 18 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Skel musc relaxant 3 or more CPT 80370 | $13.35 | $89.00 | $14.97 – $15.26 | 5 |
| Skin Biopsy CPT 11102 | $39.15 | $261.00 | $80.13 – $864.65 | 18 |
| Sleep study attended CPT 95807 | $520.05 | $3,467.00 | $307.95 – $1,006.00 | 18 |
| Sleep Study (Polysomnography) CPT 95810 | $548.85 | $3,659.00 | $397.29 – $2,010.86 | 18 |
| Sleep study unattended CPT 95806 | $260.70 | $1,738.00 | $85.04 – $505.62 | 18 |
| Sleeve fing rolyan med HCPCS L3933 | $45.00 | $300.00 | $229.07 – $536.96 | 17 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $31.95 | $213.00 | $46.00 – $374.25 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | $90.45 | $603.00 | $46.00 – $374.25 | 5 |
| Slp pure tone screening CPT 92551 | $5.55 | $37.00 | $5.96 – $43.74 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | $161.70 | $1,078.00 | $42.89 – $200.99 | 18 |
| Slp ther svc non-spch gen CPT 92606 | $79.20 | $528.00 | $36.70 – $37.41 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | $2,932.80 | $19,552.00 | $3,159.80 – $17,919.33 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $9.15 | $61.00 | $2.70 – $12.94 | 18 |
| Smear gram stain CPT 87205 | $7.35 | $49.00 | $2.14 – $10.68 | 18 |
| Smear nasal eosinophil CPT 89190 | $7.95 | $53.00 | $2.90 – $13.90 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $10.35 | $69.00 | $3.00 – $14.38 | 18 |
| Smear wet mount CPT 87210 | $7.20 | $48.00 | $2.91 – $13.97 | 18 |
| Smn1 gene full gene sequence CPT 81336 | $236.70 | $1,578.00 | $150.68 – $723.24 | 18 |
| Snrpn/ube3a gene CPT 81331 | $74.25 | $495.00 | $25.54 – $122.57 | 18 |
| So airplane w/wo joint cf HCPCS L3674 | $588.75 | $3,925.00 | $1,290.37 – $3,961.71 | 17 |
| So cap design without jnts cf HCPCS L3671 | $190.20 | $1,268.00 | $967.71 – $2,268.39 | 17 |
| Sodium 24 hour urine CPT 84300 | $8.70 | $58.00 | $2.53 – $12.14 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.26 | $48.38 | $7.99 – $14.85 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $7.26 | $48.38 | $7.38 – $14.85 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $7.26 | $48.38 | $7.08 – $14.85 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $77.77 | $518.44 | $3.56 – $9.01 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.55 | $57.00 | $2.41 – $11.54 | 18 |
| Somatosensory testing CPT 95927 | $85.80 | $572.00 | $17.54 – $505.62 | 18 |
| Special physics consult CPT 77370 | $175.05 | $1,167.00 | $53.78 – $314.74 | 18 |
| Special radiation dosimetry CPT 77331 | $116.55 | $777.00 | $21.82 – $314.74 | 18 |
| Special radiation treatment CPT 77470 | $560.40 | $3,736.00 | $67.15 – $1,293.86 | 18 |
| Special teletx port plan CPT 77321 | $285.90 | $1,906.00 | $83.68 – $876.78 | 18 |
| Specific gravity body fluid CPT 84315 | $4.20 | $28.00 | $1.64 – $7.87 | 18 |
| Specimen fat stain CPT 89125 | $7.50 | $50.00 | $2.94 – $14.11 | 18 |
| Speech audiometry complete CPT 92556 | $9.45 | $63.00 | $17.18 – $125.48 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $310.05 | $2,067.00 | $688.72 – $1,652.92 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $194.55 | $1,297.00 | $36.63 – $873.80 | 18 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $122.25 | $815.00 | $480.66 – $1,193.61 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $11.25 | $75.00 | $55.99 – $131.25 | 17 |
| Splint finger fold over sm HCPCS L3924 | $98.70 | $658.00 | $75.00 – $216.47 | 17 |
| Splint finger frog med HCPCS L3927 | $7.05 | $47.00 | $37.14 – $87.06 | 17 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $18.45 | $123.00 | $101.27 – $237.39 | 17 |
| Split blood or products CPT 86985 | $38.55 | $257.00 | $7.47 – $362.38 | 18 |
| Sputum specimen collection CPT 89220 | $47.40 | $316.00 | $8.54 – $362.38 | 18 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $583.95 | $3,893.00 | $477.34 – $17,919.33 | 18 |
| Srs linear based CPT 77372 | $4,102.20 | $27,348.00 | $768.64 – $17,246.89 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $92.55 | $617.00 | $46.00 – $367.48 | 18 |
| Staph a dna amp probe CPT 87640 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $46.05 | $307.00 | $46.00 – $805.48 | 18 |
| Stem cells total count CPT 86367 | $66.00 | $440.00 | $26.72 – $186.67 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $7,137.15 | $47,581.00 | $13,730.88 – $14,665.92 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $875.70 | $5,838.00 | $165.17 – $165.17 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $3,725.40 | $24,836.00 | $4,422.96 – $14,665.92 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $2,004.00 | $13,360.00 | $2,436.03 – $14,665.92 | 5 |
| Stent placemt retro carotid CPT 37217 | $5,679.00 | $37,860.00 | $18,182.83 – $18,535.90 | 5 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $4,533.30 | $30,222.00 | $7,910.90 – $14,665.92 | 5 |
| St evaluate speech sound production CPT 92522 | $89.85 | $599.00 | $46.00 – $367.48 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $185.85 | $1,239.00 | $46.00 – $539.28 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $83.70 | $558.00 | $46.00 – $216.58 | 18 |
| St evaluation swallow function CPT 92610 | $82.20 | $548.00 | $46.00 – $367.48 | 18 |
| Stimulants synthetic CPT 80371 | $21.60 | $144.00 | $14.97 – $15.26 | 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.