Dickenson Community Hospital

312 HOSPITAL DR., CLINTWOOD, VA · Balladhealth · · NPI 1285685727

Source: hospital's published price file ↗ · Published Mar 23, 2026 · Ingested Sep 16, 2026

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
T cells absolute cd 4 count CPT 86361 $46.00 $200.00 $26.78 – $63.53 6
T cells total count CPT 86359 $64.63 $281.00 $37.73 – $83.00 6
Telehealth original site facility fee HCPCS Q3014 $22.54 $98.00 $21.43 – $22.29 5
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 $11,418.53 $49,645.79 $46.74 – $9,060.46 6
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 $67.46 $293.29 $2.15 – $13.01 2
Test for chlorohydrocarbons CPT 82441 $6.44 $28.00 $6.01 – $18.96 6
Test for urine cystines CPT 82615 $8.74 $38.00 $8.17 – $20.93 6
Test pathogen(s) for platelets reference HCPCS P9100 $32.20 $140.00 $22.95 – $91.67 6
Test stress cardiovascular tracing only CPT 93017 $219.88 $956.00 $71.73 – $323.06 6
Tgsap so/hl 51/< rna alys CPT 81456 $947.83 $4,121.00 $2,627.64 – $4,121.00 6
Theophylline therapeutic drug level CPT 80198 $24.38 $106.00 $14.14 – $31.04 6
Therapeutic procd strg endur HCPCS G0237 $77.51 $337.00 $15.84 – $64.91 5
Ther/proph/diag inj ia CPT 96373 $52.67 $229.00 $16.51 – $97.66 6
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 $9.33 $40.55 $0.89 – $3.20 2
Thoracotomy with cardiac massage CPT 32160 $1,877.49 $8,163.00 $508.26 – $9,647.99 5
Thrombin time CPT 85670 $9.89 $43.00 $5.77 – $12.99 6
Thromboplastin inhibition CPT 85705 $16.56 $72.00 $6.63 – $20.93 6
Thromboplastin time partial (ptt) substitution fractions each CPT 85732 $11.04 $48.00 $6.47 – $14.44 6
Thyroglobulin antibody CPT 86800 $27.37 $119.00 $15.91 – $35.37 6
Thyroid (TSH) Test CPT 84443 $28.98 $126.00 $16.80 – $36.81 6
Thyroid Ultrasound CPT 76536 $99.82 $434.00 $78.52 – $206.11 6
Tissue culture skin/biopsy CPT 88233 $128.34 $558.00 $140.73 – $314.79 6
Tissue exam koh skin/hair/nails CPT 87220 $6.90 $30.00 $4.27 – $15.39 6
Tissue transglutaminase iga CPT 86364 $72.91 $317.00 $10.38 – $25.26 6
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 $12.71 $55.27 $4.17 – $7.99 2
Tobramycin peak therapeutic drug level CPT 80200 $27.60 $120.00 $16.13 – $35.37 6
Tomosynthesis breast screen bilateral CPT 77063 $72.68 $316.00 $22.98 – $88.58 6
Total tau CPT 84394 $50.14 $218.00 $128.92 – $128.92 1
Toxoplasma antibody igg CPT 86777 $24.61 $107.00 $14.39 – $31.76 6
Toxoplasma antibody igm CPT 86778 $24.61 $107.00 $14.41 – $31.76 6
Tp53 gene full gene sequence CPT 81351 $808.22 $3,514.00 $577.67 – $1,414.69 6
Tp53 gene known famil vrnt CPT 81353 $388.01 $1,687.00 $240.04 – $679.19 6
Tp53 gene trgt sequence alys CPT 81352 $414.92 $1,804.00 $240.04 – $726.11 6
Tpmt gene com vrnts CPT 81335 $220.11 $957.00 $157.33 – $385.43 6
Tracheobrnchsc thru est trachs incisn CPT 31615 $264.50 $1,150.00 $172.01 – $3,462.54 5
Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 $20.47 $89.00 $44.38 – $130.63 5
Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 $19.39 $84.29 $0.05 – $0.05 1
Transferrin CPT 84466 $21.39 $93.00 $12.76 – $28.15 6
Transfusion blood/blood component(s) CPT 36430 $117.07 $509.00 $45.17 – $821.43 5
Tray bonemarrw oncontrol 102mm HCPCS C1830 $894.50 $3,889.13 $215.91 – $215.91 1
Treat elbow dislocation CPT 24605 $710.01 $3,087.00 $324.07 – $1,915.84 5
Treat elbow fracture CPT 24620 $710.01 $3,087.00 $444.39 – $919.89 5
Treat finger fracture each CPT 26742 $62.10 $270.00 $245.96 – $919.89 5
Treat foot dislocation CPT 28570 $99.82 $434.00 $434.00 – $919.89 5
Treat fracture of radius CPT 25505 $201.94 $878.00 $345.71 – $919.89 5
Treat fracture of ulna CPT 25535 $207.92 $904.00 $340.52 – $919.89 5
Treat hip dislocation CPT 27252 $676.20 $2,940.00 $596.62 – $1,915.84 5
Treat humerus fracture CPT 24565 $278.76 $1,212.00 $405.54 – $919.89 5
Treat knee dislocation CPT 27552 $646.99 $2,813.00 $620.72 – $1,915.84 5
Treat knee fracture 27530 CPT 27530 $106.95 $465.00 $192.45 – $919.89 5
Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 $42.55 $185.00 $31.19 – $120.89 6
Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 $38.87 $169.00 $11.82 – $109.72 6
Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 $96.60 $420.00 $16.11 – $109.72 6
Treatment of ankle fracture CPT 27814 $3,023.58 $13,146.00 $9,885.14 – $10,280.55 5
Treatment of fibula fracture 27780 CPT 27780 $217.35 $945.00 $193.83 – $919.89 5
Treatment of thigh fracture CPT 27503 $617.55 $2,685.00 $884.51 – $919.89 5
Treat midfoot fracture each CPT 28455 $74.52 $324.00 $177.32 – $919.89 5
Treat thigh fx growth plate CPT 27516 $94.99 $413.00 $152.18 – $919.89 5
Treat ulnar fracture CPT 24675 $207.92 $904.00 $370.92 – $919.89 5
Treat wrist bone fracture CPT 25635 $207.92 $904.00 $309.66 – $919.89 5
Treat wrist dislocation CPT 25675 $207.92 $904.00 $286.79 – $919.89 5
Treponema pallidum antibody CPT 86780 $23.00 $100.00 $13.24 – $28.87 6
Trg gene rearrangement anal CPT 81342 $346.38 $1,506.00 $201.50 – $443.89 6
Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 $35.10 $152.60 $1.48 – $1.68 2
#tricyclicantidprssnt CPT 80337 $29.21 $127.00 $20.77 – $21.60 5
Triglycerides CPT 84478 $9.89 $43.00 $2.31 – $12.99 6
Trim nail(s) HCPCS G0127 $11.73 $51.00 $9.85 – $125.57 5
Trim nondyst nails CPT 11719 $11.73 $51.00 $15.88 – $125.57 5
Troponin quantitative CPT 84484 $17.02 $74.00 $12.47 – $27.43 6
Tx closed hip disl traumatic without anes CPT 27250 $241.50 $1,050.00 $410.00 – $919.89 5
Tx closed tib shaft fx without manip CPT 27750 $187.45 $815.00 $280.25 – $919.89 5
Tx tarsal bone fx without manip 28450 CPT 28450 $62.10 $270.00 $167.67 – $919.89 5
U2af1 gene common variants CPT 81357 $243.34 $1,058.00 $173.93 – $425.85 6
Ugt1a1 gene analy common variants CPT 81350 $155.02 $674.00 $210.60 – $516.07 6
Ultrasound abdomen aorta screening study aaa CPT 76706 $99.82 $434.00 $101.46 – $206.11 6
Ultrasound breast complete CPT 76641 $94.99 $413.00 $82.49 – $206.11 6
Ultrasound breast unilateral limited (both sides) CPT 76642 $90.16 $392.00 $82.49 – $206.11 6
Ultrasound chest CPT 76604 $99.82 $434.00 $56.63 – $206.11 6
Ultrasound guide tissue ablation CPT 76940 $90.16 $392.00 $127.09 – $204.73 5
Ultrasound joint complete left CPT 76881 $99.82 $434.00 $20.42 – $206.11 6
Ultrasound joint/nonvascular extremity limited left CPT 76882 $99.82 $434.00 $9.51 – $206.11 6
Ultrasound nrv&acc strux 1xtr compre CPT 76883 $99.82 $434.00 $26.69 – $206.11 6
Ultrasound pregnant uterus follow up per fetus CPT 76816 $94.99 $413.00 $56.63 – $188.99 6
Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 $99.82 $434.00 $56.63 – $188.99 6
Ultrasound pregnant uterus transvaginal CPT 76817 $99.82 $434.00 $55.48 – $188.99 6
Ultrasound retroperitoneal limited CPT 76775 $94.76 $412.00 $61.14 – $206.11 6
Ultrasound scrotum and contents CPT 76870 $99.82 $434.00 $85.79 – $206.11 6
Ultrasound transvaginal non obstetric CPT 76830 $99.82 $434.00 $86.68 – $206.11 6
Unlisted procedure microbiology CPT 87999 $50.83 $221.00 $11.50 – $15.39 6
Unlisted px casting/strpg CPT 29799 $53.59 $233.00 $134.88 – $140.28 5
Unlisted px small intestine CPT 44799 $1,080.31 $4,697.00 $3,278.45 – $3,887.73 5
Unlisted transfusion med px CPT 86999 $11.73 $51.00 $6.52 – $25.80 6
Unsched dialysis esrd pt hos HCPCS G0257 $163.76 $712.00 $83.00 – $1,677.10 6
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 $656.19 $2,853.00 $480.63 – $786.00 6
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 $624.68 $2,716.00 $392.26 – $786.00 6
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 $593.63 $2,581.00 $304.57 – $786.00 6
Upper Endoscopy (EGD, diagnostic) CPT 43235 $418.83 $1,821.00 $282.31 – $1,899.63 5
Upper Endoscopy (EGD, with biopsy) CPT 43239 $377.43 $1,641.00 $311.30 – $1,899.63 5
Urea nitrogen CPT 84520 $6.67 $29.00 $3.95 – $8.66 6
Urea nitrogen 24 hour urine CPT 84540 $8.05 $35.00 $5.56 – $12.27 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.