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 |
|---|---|---|---|---|
| Tube drain vert dev st 5-40f HCPCS A5200 | $53.55 | $357.00 | $109.60 – $109.60 | 1 |
| Tx atrial fib pulm vein isol CPT 93656 | $4,032.60 | $26,884.00 | $1,571.00 – $55,595.04 | 18 |
| Tx closed hip disl traumatic without anes CPT 27250 | $245.85 | $1,639.00 | $240.67 – $638.12 | 18 |
| Tx closed tib shaft fx without manip CPT 27750 | $191.10 | $1,274.00 | $240.67 – $638.12 | 18 |
| Tx l/r atrial fib addl CPT 93657 | $513.90 | $3,426.00 | $1,571.00 – $22,720.38 | 5 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $63.30 | $422.00 | $167.67 – $638.12 | 18 |
| Tympanometry & reflex thresh CPT 92550 | $14.55 | $97.00 | $17.18 – $459.27 | 18 |
| U2af1 gene common variants CPT 81357 | $248.10 | $1,654.00 | $96.63 – $463.80 | 18 |
| Ugt1a1 gene analy common variants CPT 81350 | $157.80 | $1,052.00 | $117.00 – $561.60 | 18 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $101.55 | $677.00 | $56.37 – $244.81 | 18 |
| Ultrasound breast complete CPT 76641 | $101.55 | $677.00 | $45.83 – $244.81 | 18 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $96.45 | $643.00 | $45.83 – $203.78 | 18 |
| Ultrasound chest CPT 76604 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound elastography ea l target les CPT 76983 | $91.35 | $609.00 | $142.83 – $145.60 | 5 |
| Ultrasound elastography parenchyma CPT 76981 | $101.55 | $677.00 | $56.26 – $244.81 | 18 |
| Ultrasound encephalogram CPT 76506 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | $101.55 | $677.00 | $24.59 – $144.64 | 5 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $101.55 | $677.00 | $87.26 – $144.64 | 5 |
| Ultrasound guide intraoperative CPT 76998 | $101.55 | $677.00 | $141.88 – $144.64 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $91.65 | $611.00 | $127.09 – $144.64 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $101.55 | $677.00 | $31.46 – $203.78 | 18 |
| Ultrasound infant hips ltd without stress CPT 76886 | $96.45 | $643.00 | $31.46 – $203.78 | 18 |
| Ultrasound joint complete left CPT 76881 | $101.55 | $677.00 | $20.42 – $244.81 | 18 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $101.55 | $677.00 | $9.51 – $244.81 | 18 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $101.55 | $677.00 | $26.69 – $244.81 | 18 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $50.70 | $338.00 | $48.16 – $338.00 | 6 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $50.70 | $338.00 | $27.90 – $238.14 | 6 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $101.55 | $677.00 | $76.07 – $558.72 | 18 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $101.55 | $677.00 | $31.46 – $244.81 | 18 |
| Ultrasound prostate/transrectal CPT 76872 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound retroperitoneal limited CPT 76775 | $96.45 | $643.00 | $48.16 – $244.81 | 18 |
| Ultrasound scrotum and contents CPT 76870 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound spinal canal and contents CPT 76800 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound transabd ea addl gest CPT 76812 | $50.70 | $338.00 | $31.46 – $238.14 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $101.55 | $677.00 | $48.16 – $244.81 | 18 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $199.20 | $1,328.00 | $100.87 – $816.94 | 18 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $145.50 | $970.00 | $216.40 – $220.61 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | $31.65 | $211.00 | $93.55 – $95.37 | 5 |
| Unlisted chemotherapy px CPT 96549 | $16.95 | $113.00 | $12.41 – $371.93 | 18 |
| Unlisted CT procedure CPT 76497 | $559.65 | $3,731.00 | $53.34 – $203.78 | 18 |
| Unlisted dialysis procedure CPT 90999 | $301.05 | $2,007.00 | $81.00 – $1,184.83 | 5 |
| Unlisted fluoroscopic px CPT 76496 | $63.90 | $426.00 | $44.07 – $203.78 | 18 |
| Unlisted mr procedure CPT 76498 | $537.15 | $3,581.00 | $84.91 – $314.39 | 18 |
| Unlisted muscskel px head CPT 21499 | $113.40 | $756.00 | $231.09 – $3,475.83 | 18 |
| Unlisted neurological dx px CPT 95999 | $71.55 | $477.00 | $22.09 – $301.31 | 18 |
| Unlisted procedure microbiology CPT 87999 | $51.75 | $345.00 | $10.67 – $16.21 | 6 |
| Unlisted procedure rectum CPT 45999 | $379.05 | $2,527.00 | $907.35 – $2,177.63 | 18 |
| Unlisted px biliary tract CPT 47999 | $377.85 | $2,519.00 | $884.93 – $3,012.16 | 18 |
| Unlisted px casting/strpg CPT 29799 | $54.30 | $362.00 | $97.21 – $362.00 | 18 |
| Unlisted px small intestine CPT 44799 | $1,100.70 | $7,338.00 | $884.93 – $2,696.89 | 18 |
| Unlisted spec derm svc/px CPT 96999 | $86.85 | $579.00 | $13.56 – $469.81 | 18 |
| Unlisted special svc px/rprt CPT 99199 | $1.20 | $8.00 | $2.46 – $2.46 | 1 |
| Unlisted transfusion med px CPT 86999 | $12.30 | $82.00 | $4.70 – $67.73 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $93.90 | $626.00 | $31.46 – $203.78 | 18 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $166.80 | $1,112.00 | $81.00 – $1,459.79 | 18 |
| Upgrade pm system CPT 33214 | $4,780.35 | $31,869.00 | $498.19 – $24,474.85 | 18 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $668.55 | $4,457.00 | $267.02 – $816.94 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $636.75 | $4,245.00 | $217.92 – $816.94 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $604.95 | $4,033.00 | $169.21 – $558.72 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $426.60 | $2,844.00 | $282.31 – $2,123.84 | 18 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $384.60 | $2,564.00 | $311.30 – $2,123.84 | 18 |
| Urea nitrogen CPT 84520 | $6.90 | $46.00 | $1.98 – $9.48 | 18 |
| Urea nitrogen 24 hour urine CPT 84540 | $7.95 | $53.00 | $2.78 – $13.34 | 18 |
| Ureteral reflux study CPT 78740 | $182.70 | $1,218.00 | $132.02 – $936.12 | 18 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $119.55 | $797.00 | $80.56 – $558.72 | 18 |
| Urethrocystography void s&i CPT 74455 | $119.55 | $797.00 | $85.62 – $558.72 | 18 |
| Uric acid blood CPT 84550 | $7.95 | $53.00 | $2.26 – $10.85 | 18 |
| Uric acid urine CPT 84560 | $8.40 | $56.00 | $2.54 – $12.19 | 18 |
| Urinalysis microscopic only CPT 81015 | $5.40 | $36.00 | $1.53 – $7.32 | 18 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.75 | $25.00 | $1.09 – $5.21 | 18 |
| Urinalysis (with microscopy) CPT 81001 | $5.70 | $38.00 | $1.59 – $7.61 | 18 |
| Urinalysis (without microscopy) CPT 81003 | $3.90 | $26.00 | $1.13 – $5.40 | 18 |
| Urine Culture Test CPT 87086 | $13.95 | $93.00 | $4.04 – $19.37 | 18 |
| Urine flow measurement 51736 CPT 51736 | $54.75 | $365.00 | $13.65 – $311.55 | 18 |
| Urine pregnancy test CPT 81025 | $11.10 | $74.00 | $3.18 – $20.66 | 18 |
| Urography, antegrade CPT 74425 | $119.55 | $797.00 | $75.50 – $797.00 | 18 |
| Urography inf drip &/or bolus CPT 74410 | $119.55 | $797.00 | $91.93 – $410.73 | 18 |
| Use 1st target lesion CPT 76982 | $152.10 | $1,014.00 | $56.26 – $244.81 | 18 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $136.12 | $907.48 | $33.36 – $165.05 | 6 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $57.08 | $380.55 | $29.86 – $173.53 | 18 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $55.60 | $370.69 | $12.11 – $168.95 | 18 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $23.12 | $154.11 | $9.71 – $70.27 | 18 |
| Vaccine mmr live subcutaneous CPT 90707 | $159.55 | $1,063.65 | $33.36 – $187.65 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $326.57 | $2,177.13 | $64.64 – $992.77 | 18 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $359.12 | $2,394.13 | $132.37 – $1,091.72 | 18 |
| Vaccine rabies im CPT 90675 | $584.36 | $3,895.71 | $53.19 – $767.40 | 18 |
| Vaccine tdap >=7 years im CPT 90715 | $79.54 | $530.25 | $33.36 – $96.10 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.32 | $448.79 | $21.50 – $83.28 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $23.70 | $158.00 | $6.77 – $32.50 | 18 |
| Valvuloplasty aortic CPT 92986 | $4,357.65 | $29,051.00 | $1,525.20 – $13,327.61 | 18 |
| Valvuloplasty mitral CPT 92987 | $4,357.65 | $29,051.00 | $1,574.76 – $27,032.38 | 18 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $313.30 | $2,088.67 | $0.05 – $0.05 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $90.33 | $602.18 | $0.21 – $0.21 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.70 | $158.00 | $6.77 – $32.50 | 18 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $150.00 | $6.44 – $30.91 | 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.