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 |
|---|---|---|---|---|
| Strapping of ankle and/or ft 29540 CPT 29540 | $51.60 | $344.00 | $28.21 – $345.64 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | $37.35 | $249.00 | $25.02 – $138.14 | 18 |
| Strapping of hand or finger CPT 29280 | $56.70 | $378.00 | $23.70 – $138.14 | 18 |
| Strapping of knee CPT 29530 | $56.85 | $379.00 | $28.10 – $311.55 | 18 |
| Strapping of toes 29550 CPT 29550 | $51.60 | $344.00 | $21.06 – $138.14 | 18 |
| Strep a ag ia CPT 87430 | $20.10 | $134.00 | $8.41 – $40.34 | 18 |
| Strep b dna amp probe CPT 87653 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Stress test pulmonary CPT 94618 | $91.80 | $612.00 | $52.52 – $311.55 | 18 |
| Stress tte complete CPT 93351 | $448.35 | $2,989.00 | $149.95 – $1,279.51 | 18 |
| Str markers specimen anal CPT 81265 | $396.00 | $2,640.00 | $116.54 – $559.37 | 18 |
| St treatment speech individual CPT 92507 | $77.40 | $516.00 | $46.00 – $367.48 | 18 |
| St treatment swallow dysfunction/oral CPT 92526 | $84.00 | $560.00 | $46.00 – $200.18 | 18 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $47.37 | $315.79 | $0.30 – $1.62 | 2 |
| Sugars multiple quant CPT 84379 | $12.30 | $82.00 | $5.77 – $27.67 | 18 |
| Sugars single quant CPT 84378 | $20.10 | $134.00 | $5.77 – $27.67 | 18 |
| Sulfonylurea screen qn-sendout CPT 80377 | $18.75 | $125.00 | $14.97 – $15.26 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $50.65 | $337.66 | $33.21 – $66.42 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $19.20 | $128.00 | $5.58 – $67.73 | 18 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $39.60 | $264.00 | $8.54 – $87.46 | 18 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $45.15 | $301.00 | $16.17 – $122.03 | 18 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $75.45 | $503.00 | $18.41 – $122.03 | 18 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $235.20 | $1,568.00 | $28.83 – $839.35 | 18 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $333.45 | $2,223.00 | $23.66 – $1,886.61 | 18 |
| Susceptibility agar dilution per agent CPT 87181 | $8.40 | $56.00 | $2.38 – $11.40 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $3.75 | $25.00 | $2.38 – $11.40 | 18 |
| Susceptibility mic per plate CPT 87186 | $15.30 | $102.00 | $4.33 – $20.76 | 18 |
| Suscept studies macrobroth dilution ea CPT 87188 | $7.20 | $48.00 | $3.32 – $15.94 | 18 |
| Svc venogram s&i CPT 75827 | $429.15 | $2,861.00 | $123.77 – $3,348.22 | 18 |
| Sweat collection by iontophoresis CPT 89230 | $23.40 | $156.00 | $6.21 – $122.03 | 18 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $7.65 | $51.00 | $2.20 – $12.20 | 18 |
| T3 (triiodothyronine) free CPT 84481 | $29.55 | $197.00 | $8.47 – $40.66 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $24.90 | $166.00 | $7.09 – $34.03 | 18 |
| T4 (thyroxine) free CPT 84439 | $15.75 | $105.00 | $4.51 – $21.65 | 18 |
| T4 (thyroxine) total CPT 84436 | $12.15 | $81.00 | $3.44 – $16.49 | 18 |
| Tacrolimus therapeutic drug level CPT 80197 | $24.00 | $160.00 | $6.87 – $32.95 | 18 |
| Target gsa panel hmtlmph neop CPT 81450 | $832.20 | $5,548.00 | $44.92 – $1,822.87 | 18 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,746.70 | $24,978.00 | $1,459.80 – $7,007.04 | 18 |
| Target gsa panel organ neop CPT 81445 | $373.65 | $2,491.00 | $44.92 – $1,434.98 | 18 |
| Tavr perq femoral CPT 33361 | $2,262.75 | $15,085.00 | $15,085.00 – $19,481.46 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $108.45 | $723.00 | $30.99 – $148.75 | 18 |
| Tc-99m disofenin HCPCS A9510 | $36.45 | $243.00 | $62.42 – $125.66 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $902.70 | $6,018.00 | $520.16 – $2,241.91 | 17 |
| Tc-99m exametazime diag HCPCS A9521 | $512.70 | $3,418.00 | $401.17 – $2,226.50 | 17 |
| Tc-99m labeled rbc HCPCS A9560 | $209.85 | $1,399.00 | $106.48 – $167.68 | 2 |
| Tc-99m maa HCPCS A9540 | $34.50 | $230.00 | $6.84 – $53.86 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | $37.05 | $247.00 | $63.59 – $99.30 | 2 |
| Tc-99m medronate HCPCS A9503 | $19.05 | $127.00 | $23.34 – $42.32 | 2 |
| Tc-99m mertiatide HCPCS A9562 | $256.05 | $1,707.00 | $836.76 – $836.76 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $19.05 | $127.00 | $26.46 – $78.99 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | $46.05 | $307.00 | $15.29 – $56.25 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.75 | $25.00 | $3.04 – $12.89 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $121.65 | $811.00 | $23.40 – $114.98 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $46.95 | $313.00 | $91.59 – $193.58 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $157.35 | $1,049.00 | $156.49 – $1,438.65 | 17 |
| Tc-99m sulfur colloid HCPCS A9541 | $45.75 | $305.00 | $20.63 – $276.00 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $154.35 | $1,029.00 | $82.47 – $153.08 | 2 |
| Tcd emboli detect w/inj CPT 93893 | $300.45 | $2,003.00 | $48.16 – $244.81 | 18 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $82.20 | $548.00 | $23.49 – $112.75 | 18 |
| T cells absolute cd 4 count CPT 86361 | $46.80 | $312.00 | $13.39 – $64.27 | 18 |
| T cells total count CPT 86359 | $66.00 | $440.00 | $18.87 – $90.55 | 18 |
| Telehealth original site facility fee HCPCS Q3014 | $22.95 | $153.00 | $13.36 – $76.44 | 18 |
| Telethx isodose plan cplx CPT 77307 | $174.30 | $1,162.00 | $56.56 – $876.78 | 18 |
| Telethx isodose plan simple CPT 77306 | $107.70 | $718.00 | $56.56 – $796.41 | 18 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,446.87 | $49,645.79 | $31.49 – $6,285.17 | 18 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $43.99 | $293.29 | $2.15 – $13.01 | 2 |
| Test for chlorohydrocarbons CPT 82441 | $6.45 | $43.00 | $3.01 – $14.42 | 18 |
| Test for porphobilinogen CPT 84106 | $7.35 | $49.00 | $2.91 – $13.97 | 18 |
| Test for urine cystines CPT 82615 | $8.85 | $59.00 | $4.78 – $22.92 | 18 |
| Testicular imaging w/vasc flow CPT 78761 | $452.25 | $3,015.00 | $159.33 – $936.12 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $223.95 | $1,493.00 | $71.73 – $505.62 | 18 |
| Test urine urobilinogen CPT 84578 | $5.70 | $38.00 | $2.24 – $10.73 | 18 |
| Tetanus immune globulin inj HCPCS J1670 | $677.46 | $4,516.43 | $62.74 – $1,412.50 | 18 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $965.85 | $6,439.00 | $1,459.80 – $6,439.00 | 18 |
| Theophylline therapeutic drug level CPT 80198 | $24.90 | $166.00 | $7.07 – $33.94 | 18 |
| Therapeutic procd strg endur HCPCS G0237 | $79.05 | $527.00 | $14.86 – $67.73 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $15.75 | $105.00 | $15.83 – $270.65 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $12.00 | $80.00 | $13.62 – $270.65 | 18 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $72.45 | $483.00 | $42.92 – $410.73 | 18 |
| Ther/proph/diag inj ia CPT 96373 | $53.70 | $358.00 | $16.51 – $452.42 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $6.08 | $40.55 | $0.89 – $3.20 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $383.85 | $2,559.00 | $612.05 – $1,468.92 | 18 |
| Thoracotomy with cardiac massage CPT 32160 | $1,912.95 | $12,753.00 | $508.26 – $6,816.06 | 5 |
| Throat x-ray & fluoroscopy CPT 70370 | $63.90 | $426.00 | $44.07 – $203.78 | 18 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,468.65 | $9,791.00 | $218.75 – $11,413.03 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $2,648.25 | $17,655.00 | $5,023.89 – $13,327.61 | 18 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $5,352.15 | $35,681.00 | $8,605.51 – $27,032.38 | 18 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $8,112.60 | $54,084.00 | $14,386.57 – $42,926.16 | 18 |
| Thrombin time CPT 85670 | $10.05 | $67.00 | $2.89 – $13.85 | 18 |
| Thromboendarterectomy common femoral CPT 35371 | $1,069.65 | $7,131.00 | $1,995.49 – $5,416.24 | 5 |
| Thromboendarterectomy sfa CPT 35302 | $1,035.00 | $6,900.00 | $5,313.07 – $5,416.24 | 5 |
| Thromboplastin inhibition CPT 85705 | $16.80 | $112.00 | $4.78 – $23.11 | 18 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $11.40 | $76.00 | $3.24 – $15.53 | 18 |
| Thyroglobulin antibody CPT 86800 | $27.75 | $185.00 | $7.96 – $38.18 | 18 |
| Thyroid imaging CPT 78013 | $452.25 | $3,015.00 | $75.02 – $936.12 | 18 |
| Thyroid mets imag whole body CPT 78018 | $452.25 | $3,015.00 | $140.07 – $1,271.44 | 18 |
| Thyroid met uptake CPT 78020 | $418.80 | $2,792.00 | $36.59 – $493.07 | 5 |
| Thyroid (TSH) Test CPT 84443 | $29.40 | $196.00 | $8.40 – $40.32 | 18 |
| Thyroid Ultrasound CPT 76536 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Thyroid uptake measurement CPT 78012 | $452.25 | $3,015.00 | $57.02 – $936.12 | 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.