Dickenson Community Hospital
312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727
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 |
|---|---|---|---|---|
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $481.85 | $2,095.00 | $1,836.29 – $1,909.74 | 5 |
| PSA (Prostate) Test CPT 84153 | $31.74 | $138.00 | $18.12 – $40.42 | 6 |
| Psychotherapy group therapy CPT 90853 | $76.13 | $331.00 | $26.52 – $476.32 | 5 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $67.62 | $294.00 | $74.57 – $245.40 | 5 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $68.77 | $299.00 | $99.14 – $276.19 | 5 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $76.13 | $331.00 | $99.14 – $276.19 | 5 |
| Psycl/nrpsyc tech 1st CPT 96138 | $160.54 | $698.00 | $15.45 – $1,161.15 | 5 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $18.17 | $79.00 | $14.50 – $52.97 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $27.60 | $120.00 | $18.77 – $52.97 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $15.87 | $69.00 | $14.14 – $52.97 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $19.78 | $86.00 | $14.16 – $52.97 | 5 |
| Pten gene dup/delet variant CPT 81323 | $67.62 | $294.00 | $78.84 – $294.00 | 6 |
| Pten gene full sequence CPT 81321 | $463.22 | $2,014.00 | $540.63 – $1,322.30 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $80.27 | $349.00 | $46.00 – $440.59 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $72.45 | $315.00 | $46.00 – $440.59 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $76.36 | $332.00 | $46.00 – $440.59 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $47.61 | $207.00 | $46.00 – $440.59 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $33.81 | $147.00 | $40.29 – $111.27 | 6 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.41 | $67.00 | $12.49 – $52.97 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $26.91 | $117.00 | $28.73 – $52.97 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $24.84 | $108.00 | $29.33 – $52.97 | 5 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $6,926.45 | $30,115.00 | $3,518.37 – $12,123.73 | 6 |
| Pulse ox continuous overnight monitoring CPT 94762 | $67.85 | $295.00 | $42.24 – $109.72 | 6 |
| Pulse ox multiple CPT 94761 | $30.82 | $134.00 | $26.80 – $134.00 | 2 |
| Pulse ox single CPT 94760 | $20.47 | $89.00 | $10.50 – $89.00 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $703.67 | $3,059.45 | $638.27 – $638.27 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $18.40 | $80.00 | $27.79 – $134.99 | 5 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $248.86 | $1,082.00 | $57.75 – $329.95 | 5 |
| Puncture spinal lumbar diagnostic CPT 62270 | $277.38 | $1,206.00 | $1,206.00 – $1,442.62 | 5 |
| Quest t3 uptake CPT 84479 | $10.58 | $46.00 | $6.47 – $20.68 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,690.78 | $24,742.51 | $165.94 – $2,351.14 | 6 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $100.05 | $435.00 | $108.59 – $25,831.82 | 6 |
| Rapid Strep Test CPT 87880 | $19.78 | $86.00 | $14.80 – $36.09 | 6 |
| Rbc deglycerolized each unit HCPCS P9039 | $128.80 | $560.00 | $214.54 – $257.58 | 5 |
| Rbc irradiated each unit HCPCS P9038 | $106.26 | $462.00 | $178.90 – $257.58 | 5 |
| Rbc osmotic fragility CPT 85555 | $11.27 | $49.00 | $7.47 – $16.60 | 6 |
| Rbc serum pretx incubj drugs CPT 86975 | $90.16 | $392.00 | $12.89 – $162.56 | 6 |
| Red blood cells each unit HCPCS P9021 | $106.26 | $462.00 | $40.69 – $257.58 | 5 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $403.88 | $1,756.00 | $247.67 – $257.58 | 5 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $106.26 | $462.00 | $110.25 – $257.58 | 5 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $106.26 | $462.00 | $232.84 – $257.58 | 5 |
| Red blood cells washed each unit HCPCS P9022 | $112.01 | $487.00 | $258.37 – $577.65 | 5 |
| Red cell mass multiple CPT 78121 | $217.58 | $946.00 | $119.90 – $697.93 | 6 |
| Reduction of procidentia 45900 CPT 45900 | $1,203.13 | $5,231.00 | $106.92 – $2,781.73 | 5 |
| Rem/biv cast full arm/leg CPT 29705 | $28.52 | $124.00 | $33.21 – $373.95 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,149.95 | $4,999.80 | $4.96 – $908.86 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $241.27 | $1,049.00 | $1,049.00 – $1,395.86 | 5 |
| Removal cerumen impacted (both sides) CPT 69210 | $45.54 | $198.00 | $39.52 – $39.52 | 1 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $82.34 | $358.00 | $46.00 – $740.55 | 5 |
| Removal duct glbldr calculi CPT 47544 | $825.47 | $3,589.00 | $3,589.00 – $10,761.57 | 5 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $376.97 | $1,639.00 | $58.03 – $2,373.54 | 5 |
| Removal foreign body foot subcutaneous right CPT 28190 | $302.91 | $1,317.00 | $95.83 – $815.81 | 5 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $37.49 | $163.00 | $52.47 – $329.95 | 5 |
| Removal sutr/staple req anes CPT 15851 | $814.89 | $3,543.00 | $53.95 – $2,344.82 | 5 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $298.31 | $1,297.00 | $84.09 – $3,449.79 | 5 |
| Remove vaginal foreign body 57415 CPT 57415 | $442.29 | $1,923.00 | $1,923.00 – $4,816.24 | 5 |
| Renal function panel CPT 80069 | $14.49 | $63.00 | $8.68 – $19.49 | 6 |
| Repair blood ves direct neck 35201 CPT 35201 | $1,215.78 | $5,286.00 | $901.82 – $4,022.38 | 5 |
| Repair blood vessel direct hand finger CPT 35207 | $674.82 | $2,934.00 | $967.94 – $4,022.38 | 5 |
| Repair blood vessel dir lower extr CPT 35226 | $684.94 | $2,978.00 | $863.75 – $4,022.38 | 5 |
| Repair blood vessel dir upper extr CPT 35206 | $680.11 | $2,957.00 | $874.00 – $4,022.38 | 5 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $416.30 | $1,810.00 | $274.31 – $815.81 | 5 |
| Repair dental ellis ii fx CPT 41899 | $72.68 | $316.00 | $316.00 – $2,373.54 | 5 |
| Repair extns tendon finger without grft ea CPT 26418 | $348.22 | $1,514.00 | $335.87 – $2,520.71 | 5 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $673.21 | $2,927.00 | $551.96 – $2,574.13 | 5 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $252.77 | $1,099.00 | $192.97 – $350.29 | 5 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $310.27 | $1,349.00 | $255.92 – $350.29 | 5 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,302.95 | $5,665.00 | $220.51 – $4,131.17 | 5 |
| Replace duod/jej tube perc CPT 49451 | $340.17 | $1,479.00 | $652.31 – $678.40 | 5 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Reptilase test CPT 85635 | $17.02 | $74.00 | $8.95 – $21.65 | 6 |
| Resuscitation cardiopulmonary CPT 92950 | $504.16 | $2,192.00 | $140.46 – $1,402.52 | 6 |
| Reticulated platelet assay CPT 85055 | $46.23 | $201.00 | $34.13 – $78.67 | 6 |
| Reticulocyte automated CPT 85045 | $6.67 | $29.00 | $3.99 – $9.31 | 6 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,677.51 | $20,337.00 | $11,939.83 – $12,417.42 | 5 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revise vag graft via vagina CPT 57295 | $1,221.99 | $5,313.00 | $4,631.00 – $4,816.24 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $9.66 | $42.00 | $6.14 – $17.58 | 6 |
| Rheumatoid factor quantitative CPT 86431 | $9.66 | $42.00 | $5.67 – $17.58 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $436.60 | $1,898.26 | $4.58 – $201.74 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $208.44 | $906.28 | $72.58 – $201.74 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $207.92 | $904.00 | $118.49 – $3,449.79 | 5 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $290.72 | $1,264.00 | $1,264.00 – $15,044.28 | 5 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $5,233.65 | $22,755.00 | $11,333.58 – $11,786.93 | 5 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $13,714.21 | $59,627.00 | $35,224.06 – $36,633.02 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $727.49 | $3,163.00 | $2,140.41 – $2,226.03 | 5 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $241.50 | $1,050.00 | $1,050.00 – $2,226.03 | 5 |
| Rsv assay w/optic CPT 87807 | $20.01 | $87.00 | $13.10 – $28.87 | 6 |
| Rubella antibody igg CPT 86762 | $24.61 | $107.00 | $10.88 – $31.76 | 6 |
| Rubeola antibody igg CPT 86765 | $22.08 | $96.00 | $12.88 – $28.15 | 6 |
| Russell viper venom diluted CPT 85613 | $16.33 | $71.00 | $6.63 – $20.93 | 6 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $795.11 | $3,457.00 | $825.37 – $2,021.70 | 6 |
| Salmonella antibody CPT 86768 | $23.00 | $100.00 | $13.19 – $28.87 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | $10.12 | $44.00 | $14.80 – $44.00 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $337.87 | $1,469.00 | $136.92 – $812.75 | 6 |
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.