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 |
|---|---|---|---|---|
| Antinuclear antibodies titer CPT 86039 | $19.32 | $84.00 | $11.16 – $24.54 | 6 |
| Antipsychotics nos 1-3 CPT 80342 | $10.81 | $47.00 | $20.77 – $21.60 | 5 |
| Antipsychotics nos 7/more CPT 80344 | $25.30 | $110.00 | $20.77 – $21.60 | 5 |
| Antistreptolysin o screen CPT 86063 | $9.89 | $43.00 | $5.77 – $17.58 | 6 |
| Antistreptolysin o titer CPT 86060 | $12.42 | $54.00 | $7.30 – $17.58 | 6 |
| Antithrombin iii activity CPT 85300 | $20.24 | $88.00 | $6.63 – $25.98 | 6 |
| Apc gene dup/delet variants CPT 81203 | $94.99 | $413.00 | $180.00 – $413.00 | 6 |
| Apc gene full sequence CPT 81201 | $94.99 | $413.00 | $413.00 – $1,018.46 | 6 |
| Appendix Removal (Laparoscopic) CPT 44970 | $2,357.04 | $10,248.00 | $7,363.51 – $7,658.05 | 5 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $267.03 | $1,161.00 | $453.95 – $3,662.90 | 5 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $135.01 | $587.00 | $229.52 – $3,662.90 | 5 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $25.76 | $112.00 | $43.79 – $3,662.90 | 5 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $844.79 | $3,673.00 | $1,436.14 – $3,662.90 | 5 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $135.01 | $587.00 | $229.52 – $3,662.90 | 5 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $25.76 | $112.00 | $43.79 – $3,662.90 | 5 |
| Application finger splntstatic 29130 CPT 29130 | $50.83 | $221.00 | $29.61 – $140.28 | 5 |
| Application long leg splint 29505 CPT 29505 | $76.36 | $332.00 | $51.83 – $140.28 | 5 |
| Application lower leg splint 29515 CPT 29515 | $63.48 | $276.00 | $55.86 – $140.28 | 5 |
| Application multi layer compression below knee (both sides) CPT 29581 | $108.10 | $470.00 | $82.07 – $373.95 | 5 |
| Application of forearm cast 29075 CPT 29075 | $127.65 | $555.00 | $64.86 – $373.95 | 5 |
| Application of long leg cast 29345 CPT 29345 | $92.00 | $400.00 | $115.17 – $373.95 | 5 |
| Application of paste boot 29580 CPT 29580 | $59.34 | $258.00 | $42.74 – $373.95 | 5 |
| Application short leg cast 29405 CPT 29405 | $97.52 | $424.00 | $88.82 – $373.95 | 5 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $366.39 | $1,593.00 | $622.86 – $3,662.90 | 5 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $366.39 | $1,593.00 | $622.86 – $3,662.90 | 5 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $24.61 | $107.00 | $5.85 – $52.97 | 5 |
| Appl multlay comprs arm/hand CPT 29584 | $64.63 | $281.00 | $46.00 – $140.28 | 5 |
| Apply finger cast 29086 CPT 29086 | $43.24 | $188.00 | $41.81 – $373.95 | 5 |
| Apply forearm splintdynamic 29126 CPT 29126 | $130.87 | $569.00 | $49.27 – $140.28 | 5 |
| Apply of finger splint 29131 CPT 29131 | $32.20 | $140.00 | $37.11 – $140.28 | 5 |
| Apply rigid leg cast 29445 CPT 29445 | $127.19 | $553.00 | $46.00 – $373.95 | 5 |
| #aptt mix-1:1 incubated CPT 87532 | $57.50 | $250.00 | $35.09 – $90.76 | 6 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $27.60 | $120.00 | $10.85 – $83.00 | 6 |
| Aquaporin-4 antibody cba each CPT 86052 | $27.60 | $120.00 | $10.85 – $26.71 | 6 |
| Aquaporin-4 antibody elisa CPT 86051 | $33.81 | $147.00 | $10.38 – $25.26 | 6 |
| Ar gene full gene sequence CPT 81173 | $232.30 | $1,010.00 | $240.04 – $664.04 | 6 |
| Arterial blood draw/perc 36620 CPT 36620 | $180.09 | $783.00 | $82.46 – $1,270.64 | 5 |
| Artery x-rays chest CPT 75756 | $443.90 | $1,930.00 | $208.46 – $3,289.52 | 6 |
| Art expos/graft artery perfusion 33987 CPT 33987 | $363.63 | $1,581.00 | $1,581.00 – $15,044.28 | 5 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $261.97 | $1,139.00 | $450.71 – $468.74 | 5 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $236.90 | $1,030.00 | $811.05 – $843.49 | 5 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $241.50 | $1,050.00 | $811.05 – $843.49 | 5 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $87.86 | $382.00 | $43.66 – $468.74 | 5 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $289.57 | $1,259.00 | $450.71 – $468.74 | 5 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $174.57 | $759.00 | $759.00 – $843.49 | 5 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $892.40 | $3,880.00 | $309.69 – $2,972.32 | 5 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $249.55 | $1,085.00 | $56.37 – $468.74 | 5 |
| Aspirate pleura without imaging 32554 CPT 32554 | $693.68 | $3,016.00 | $1,836.29 – $1,909.74 | 5 |
| Assay dir meas fr estradiol CPT 82681 | $35.19 | $153.00 | $19.88 – $61.35 | 6 |
| Assay of androsterone CPT 82160 | $26.22 | $114.00 | $19.88 – $56.30 | 6 |
| Assay of feces for trypsin CPT 84490 | $8.51 | $37.00 | $8.17 – $21.65 | 6 |
| Assay of glucosidase CPT 82963 | $22.54 | $98.00 | $18.12 – $47.64 | 6 |
| Assay of glutathione CPT 82978 | $23.46 | $102.00 | $15.45 – $33.92 | 6 |
| Assay of interleukin-6 (il-6) CPT 83529 | $31.05 | $135.00 | $15.54 – $38.25 | 6 |
| Assay of leflunomide CPT 80193 | $48.53 | $211.00 | $18.23 – $85.17 | 6 |
| Assay of lrh hormone CPT 83727 | $17.02 | $74.00 | $17.19 – $37.53 | 6 |
| Assay of osteocalcin CPT 83937 | $30.13 | $131.00 | $29.85 – $65.68 | 6 |
| Assay of prostaglandin CPT 84150 | $20.47 | $89.00 | $31.82 – $89.00 | 6 |
| Assay of PSA complexed CPT 84152 | $19.32 | $84.00 | $18.12 – $40.42 | 6 |
| Assay of salicylate CPT 80179 | $23.69 | $103.00 | $16.78 – $41.14 | 6 |
| Assay of somatostatin CPT 84307 | $21.16 | $92.00 | $18.28 – $40.42 | 6 |
| Assay phosphohexose enzymes CPT 84087 | $17.94 | $78.00 | $8.17 – $23.82 | 6 |
| Assay toxin or antitoxin CPT 87230 | $34.04 | $148.00 | $14.80 – $43.31 | 6 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $97.06 | $422.00 | $46.00 – $1,161.15 | 6 |
| Ast/sgot CPT 84450 | $8.97 | $39.00 | $5.18 – $11.55 | 6 |
| Asxl1 full gene sequence CPT 81175 | $545.33 | $2,371.00 | $636.32 – $1,491.20 | 6 |
| Atn1 gene detc abnor alleles CPT 81177 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $47.28 | $205.58 | $0.04 – $0.18 | 2 |
| Atxn10 gene detc abnor allel CPT 81183 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atxn1 gene detc abnor allele CPT 81178 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atxn2 gene detc abnor allele CPT 81179 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atxn3 gene detc abnor allele CPT 81180 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atxn7 gene detc abnor allele CPT 81181 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Atxn8os gen detc abnor allel CPT 81182 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $3,389.97 | $14,739.00 | $9,109.66 – $9,474.05 | 5 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $502.09 | $2,183.00 | $531.55 – $1,852.81 | 6 |
| Autologous blood process CPT 86890 | $79.12 | $344.00 | $42.36 – $185.72 | 6 |
| Avul nail plate addl CPT 11732 | $40.25 | $175.00 | $33.13 – $125.57 | 5 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $90.85 | $395.00 | $53.92 – $125.57 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $11.25 | $48.91 | $3.59 – $27.20 | 2 |
| Baclofen eval charges CPT 97750 | $31.51 | $137.00 | $33.32 – $66.86 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $56.12 | $244.00 | $70.20 – $154.46 | 6 |
| #bac vag cand-c. albicans naa CPT 87481 | $60.03 | $261.00 | $35.09 – $90.76 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | $60.03 | $261.00 | $35.09 – $90.76 | 6 |
| B cells total count CPT 86355 | $64.63 | $281.00 | $37.73 – $83.00 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $47.84 | $208.00 | $29.07 – $329.95 | 5 |
| Benign lesion paring 4+ CPT 11057 | $57.27 | $249.00 | $31.54 – $329.95 | 5 |
| #_benzodiazconfur CPT 80346 | $13.80 | $60.00 | $20.77 – $21.60 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $224.98 | $978.18 | $6.76 – $26.96 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $20.24 | $88.00 | $16.90 – $56.30 | 6 |
| Beta-2 microglobulin CPT 82232 | $27.60 | $120.00 | $16.18 – $35.37 | 6 |
| B-hexosaminidase ea assay CPT 83080 | $28.06 | $122.00 | $16.87 – $37.53 | 6 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $191.82 | $834.00 | $74.80 – $758.02 | 5 |
| Bilirubin direct CPT 82248 | $8.74 | $38.00 | $5.02 – $10.83 | 6 |
| Bilirubin total CPT 82247 | $8.74 | $38.00 | $5.02 – $10.83 | 6 |
| Biopsy needle liver percutaneous CPT 47000 | $678.96 | $2,952.00 | $1,338.53 – $1,392.07 | 5 |
| Biopsy of nail unit 11755 CPT 11755 | $288.42 | $1,254.00 | $92.93 – $815.81 | 5 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $1,138.04 | $4,948.00 | $257.73 – $2,781.73 | 5 |
| Biopsy skin incisional single lesion CPT 11106 | $112.01 | $487.00 | $190.42 – $815.81 | 5 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $1,221.99 | $5,313.00 | $189.18 – $4,816.24 | 5 |
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.