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 |
|---|---|---|---|---|
| X-ray mandible ltd <4 views CPT 70100 | $65.85 | $439.00 | $22.40 – $203.78 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray neck soft tissue CPT 70360 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray of mammary ducts CPT 77054 | $161.55 | $1,077.00 | $90.57 – $558.72 | 18 |
| X-ray optic foramina CPT 70190 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $65.85 | $439.00 | $22.40 – $244.81 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $69.30 | $462.00 | $22.40 – $244.81 | 18 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $119.55 | $797.00 | $91.93 – $797.00 | 18 |
| X-ray ribs 2 views left CPT 71100 | $65.85 | $439.00 | $22.40 – $203.78 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $72.75 | $485.00 | $22.40 – $244.81 | 18 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $69.30 | $462.00 | $22.40 – $244.81 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $76.35 | $509.00 | $37.74 – $244.81 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $69.30 | $462.00 | $22.40 – $244.81 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray scapula complete (both sides) CPT 73010 | $69.30 | $462.00 | $22.40 – $244.81 | 18 |
| X-ray sella turcica CPT 70240 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $153.90 | $1,026.00 | $66.15 – $1,162.22 | 18 |
| X-ray skull < 4 views CPT 70250 | $65.85 | $439.00 | $22.40 – $244.81 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $69.30 | $462.00 | $37.74 – $244.81 | 18 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $59.10 | $394.00 | $37.74 – $244.81 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $69.30 | $462.00 | $42.92 – $410.73 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $69.30 | $462.00 | $152.31 – $155.26 | 5 |
| X-ray spine single view CPT 72020 | $65.85 | $439.00 | $22.40 – $203.78 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray sternum > 2 views CPT 71120 | $65.85 | $439.00 | $22.40 – $203.78 | 18 |
| X-ray surgical specimen CPT 76098 | $276.60 | $1,844.00 | $25.89 – $1,279.51 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $69.30 | $462.00 | $42.92 – $410.73 | 18 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $69.30 | $462.00 | $22.40 – $203.78 | 18 |
| X-ray thoracic spine 2 views CPT 72070 | $65.85 | $439.00 | $22.40 – $244.81 | 18 |
| X-ray thoracic spine 3 views CPT 72072 | $69.30 | $462.00 | $22.40 – $244.81 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $76.35 | $509.00 | $22.40 – $203.78 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $65.85 | $439.00 | $30.40 – $203.78 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $69.30 | $462.00 | $50.35 – $244.81 | 18 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $72.75 | $485.00 | $22.40 – $101.89 | 18 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $72.75 | $485.00 | $22.40 – $101.89 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $65.70 | $438.00 | $42.92 – $410.73 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $69.30 | $462.00 | $42.92 – $410.73 | 18 |
| X-ray wrist 2 views (both sides) CPT 73100 | $69.30 | $462.00 | $22.40 – $101.89 | 18 |
| Xylose absorption test blood &/or urine CPT 84620 | $20.70 | $138.00 | $6.46 – $30.98 | 18 |
| Yersinia antibody CPT 86793 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $14,164.50 | $94,430.00 | $17,845.05 – $123,877.52 | 18 |
| Zika virus igm antibody CPT 86794 | $18.00 | $120.00 | $8.43 – $40.44 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $121.02 | $806.81 | $12.02 – $19.53 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $183.41 | $1,222.73 | $8.91 – $52.71 | 2 |
| Zrsr2 gene common variants CPT 81360 | $248.10 | $1,654.00 | $96.63 – $463.80 | 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.