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 |
|---|---|---|---|---|
| Closed tx/acetabululm without manip 27220 CPT 27220 | $124.05 | $827.00 | $240.67 – $638.12 | 18 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $629.10 | $4,194.00 | $353.72 – $3,765.34 | 18 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $124.05 | $827.00 | $213.12 – $638.12 | 18 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $63.30 | $422.00 | $422.00 – $3,420.19 | 18 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $63.30 | $422.00 | $83.11 – $638.12 | 18 |
| Closed tx orbit without manipulj CPT 21400 | $268.20 | $1,788.00 | $153.21 – $1,262.92 | 18 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $723.45 | $4,823.00 | $489.76 – $3,765.34 | 18 |
| Closed tx septal&nose fx CPT 21337 | $1,229.10 | $8,194.00 | $253.90 – $7,763.62 | 18 |
| Clos txnose fx without stablz 21315 CPT 21315 | $255.60 | $1,704.00 | $158.42 – $3,300.21 | 18 |
| Closure paravalvlr leak pq CPT 33999 | $296.70 | $1,978.00 | $612.05 – $2,790.29 | 18 |
| Clot factor fletcher fact CPT 85292 | $33.30 | $222.00 | $4.78 – $45.43 | 18 |
| Clot factor xii hageman CPT 85280 | $33.90 | $226.00 | $9.68 – $46.44 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | $15.60 | $104.00 | $4.56 – $21.86 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | $21.30 | $142.00 | $4.78 – $39.22 | 18 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $245.85 | $1,639.00 | $195.08 – $638.12 | 18 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $191.10 | $1,274.00 | $240.67 – $638.12 | 18 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $129.90 | $866.00 | $203.96 – $638.12 | 18 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $212.85 | $1,419.00 | $126.99 – $3,420.19 | 18 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $63.30 | $422.00 | $135.16 – $638.12 | 18 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $578.40 | $3,856.00 | $226.05 – $3,765.34 | 18 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $63.30 | $422.00 | $134.14 – $638.12 | 18 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $124.05 | $827.00 | $135.50 – $638.12 | 18 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $45.75 | $305.00 | $100.86 – $638.12 | 18 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $211.95 | $1,413.00 | $240.67 – $638.12 | 18 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $205.50 | $1,370.00 | $240.67 – $638.12 | 18 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $205.50 | $1,370.00 | $84.11 – $638.12 | 18 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $864.75 | $5,765.00 | $637.50 – $3,765.34 | 18 |
| Clsd tx fracture of radius 25500 CPT 25500 | $63.30 | $422.00 | $191.76 – $638.12 | 18 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $66.60 | $444.00 | $62.97 – $638.12 | 18 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $87.30 | $582.00 | $78.44 – $638.12 | 18 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $236.55 | $1,577.00 | $216.43 – $638.12 | 18 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $378.15 | $2,521.00 | $382.23 – $3,420.19 | 18 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $185.25 | $1,235.00 | $189.76 – $638.12 | 18 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $275.25 | $1,835.00 | $393.59 – $3,420.19 | 18 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $124.05 | $827.00 | $195.42 – $638.12 | 18 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $205.50 | $1,370.00 | $240.67 – $638.12 | 18 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $63.30 | $422.00 | $240.67 – $638.12 | 18 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $268.20 | $1,788.00 | $260.03 – $1,262.92 | 18 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $124.05 | $827.00 | $119.68 – $638.12 | 18 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $233.25 | $1,555.00 | $153.49 – $638.12 | 18 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $283.95 | $1,893.00 | $214.47 – $638.12 | 18 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $111.30 | $742.00 | $170.73 – $638.12 | 18 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $66.60 | $444.00 | $159.44 – $638.12 | 18 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $283.95 | $1,893.00 | $269.51 – $7,051.96 | 18 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $283.95 | $1,893.00 | $207.88 – $3,420.19 | 18 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $205.50 | $1,370.00 | $240.67 – $638.12 | 18 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $109.20 | $728.00 | $106.92 – $638.12 | 18 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $245.85 | $1,639.00 | $317.86 – $3,420.19 | 18 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $39.45 | $263.00 | $104.35 – $638.12 | 18 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $63.30 | $422.00 | $214.17 – $638.12 | 18 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $205.50 | $1,370.00 | $340.66 – $3,420.19 | 18 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $124.05 | $827.00 | $142.31 – $638.12 | 18 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $406.35 | $2,709.00 | $283.59 – $3,420.19 | 18 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $723.45 | $4,823.00 | $360.54 – $3,765.34 | 18 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $637.35 | $4,249.00 | $270.31 – $3,765.34 | 18 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $205.50 | $1,370.00 | $69.98 – $577.61 | 18 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $72.75 | $485.00 | $67.98 – $638.12 | 18 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $229.20 | $1,528.00 | $240.67 – $638.12 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $337.05 | $2,247.00 | $450.74 – $3,420.19 | 18 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $63.30 | $422.00 | $183.63 – $638.12 | 18 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $63.30 | $422.00 | $206.89 – $638.12 | 18 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $63.30 | $422.00 | $199.45 – $638.12 | 18 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $124.05 | $827.00 | $240.67 – $638.12 | 18 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $191.10 | $1,274.00 | $224.84 – $638.12 | 18 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $191.10 | $1,274.00 | $213.02 – $638.12 | 18 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $283.95 | $1,893.00 | $240.67 – $638.12 | 18 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $283.95 | $1,893.00 | $323.90 – $3,420.19 | 18 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $723.45 | $4,823.00 | $284.28 – $3,765.34 | 18 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $124.05 | $827.00 | $231.19 – $638.12 | 18 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $211.95 | $1,413.00 | $433.87 – $3,420.19 | 18 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $191.10 | $1,274.00 | $234.20 – $638.12 | 18 |
| Cltx lunate dislc w/mnpj CPT 25690 | $723.45 | $4,823.00 | $372.68 – $3,765.34 | 18 |
| Cltx mndblr fx w/mnpj CPT 21451 | $704.55 | $4,697.00 | $449.12 – $3,633.26 | 18 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $1,229.10 | $8,194.00 | $257.73 – $7,763.62 | 18 |
| Cltx post ankle fx w/mnpj CPT 27768 | $659.25 | $4,395.00 | $330.86 – $3,765.34 | 18 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $723.45 | $4,823.00 | $246.49 – $3,765.34 | 18 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $211.95 | $1,413.00 | $199.16 – $638.12 | 18 |
| Cltx thigh fx CPT 27267 | $1,444.95 | $9,633.00 | $349.52 – $7,661.86 | 18 |
| C motor evoked lwr limbs CPT 95929 | $413.85 | $2,759.00 | $42.06 – $873.80 | 18 |
| C motor evoked uppr limbs CPT 95928 | $413.85 | $2,759.00 | $42.06 – $2,010.86 | 18 |
| C motor evoked upr&lwr limbs CPT 95939 | $347.85 | $2,319.00 | $42.06 – $2,010.86 | 18 |
| #cmvcul-virus inoculation shell CPT 87254 | $34.20 | $228.00 | $9.78 – $46.94 | 18 |
| Cmv pcr-sendout CPT 87496 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Coagulation time activated teg CPT 85347 | $7.35 | $49.00 | $2.14 – $10.27 | 18 |
| Cold agglutinin screen (arc) CPT 86156 | $11.85 | $79.00 | $4.04 – $19.37 | 18 |
| Cold agglutinin titer CPT 86157 | $13.95 | $93.00 | $4.03 – $19.34 | 18 |
| Colistimethate sodium inj HCPCS J0770 | $68.47 | $456.48 | $22.99 – $35.98 | 2 |
| Collagen based wound filler HCPCS A6010 | $4,635.84 | $30,905.58 | $9.53 – $9.53 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $26.10 | $174.00 | $12.89 – $298.54 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $33.90 | $226.00 | $18.42 – $282.99 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $25.50 | $170.00 | $93.55 – $282.99 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | $6.90 | $46.00 | $1.50 – $22.42 | 18 |
| Colonoscopy (with biopsy) CPT 45380 | $484.05 | $3,227.00 | $1,167.54 – $2,802.11 | 18 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $246.60 | $1,644.00 | $685.27 – $1,959.07 | 18 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $1,140.00 | $7,600.00 | $331.93 – $7,580.19 | 18 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $37.20 | $248.00 | $65.49 – $685.93 | 18 |
| Colposcopy vulva 56820 CPT 56820 | $37.20 | $248.00 | $65.49 – $430.02 | 18 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $61.65 | $411.00 | $113.08 – $685.93 | 18 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $61.65 | $411.00 | $113.08 – $685.93 | 18 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $62.25 | $415.00 | $12.44 – $398.95 | 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.