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 |
|---|---|---|---|---|
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $24.38 | $106.00 | $14.18 – $31.04 | 6 |
| Warde zinc CPT 84630 | $19.55 | $85.00 | $11.39 – $25.26 | 6 |
| Wbc automated CPT 85048 | $4.37 | $19.00 | $2.31 – $9.31 | 6 |
| Western blot test CPT 84181 | $29.21 | $127.00 | $16.90 – $37.53 | 6 |
| Whole blood for transfusion HCPCS P9010 | $106.26 | $462.00 | $70.69 – $257.58 | 5 |
| Whole mitochondrial genome CPT 81460 | $1,621.04 | $7,048.00 | $1,158.30 – $3,659.11 | 6 |
| Whole mitochondrial genome CPT 81465 | $1,178.52 | $5,124.00 | $842.40 – $2,063.57 | 6 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $82.57 | $359.00 | $102.49 – $740.55 | 5 |
| Wound closure by adhesive HCPCS G0168 | $17.25 | $75.00 | $44.79 – $359.25 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $74.06 | $322.00 | $125.90 – $740.55 | 5 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $74.06 | $322.00 | $125.90 – $740.55 | 5 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $60.03 | $261.00 | $32.65 – $359.25 | 5 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $53.59 | $233.00 | $35.12 – $740.55 | 5 |
| Wrist X-ray CPT 73110 | $75.21 | $327.00 | $29.59 – $105.12 | 6 |
| Xe133 xenon 10mci HCPCS A9558 | $67.62 | $294.00 | $38.96 – $294.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $64.63 | $281.00 | $40.47 – $105.12 | 6 |
| X-ray abdomen 2 views CPT 74019 | $67.85 | $295.00 | $48.61 – $105.12 | 6 |
| X-ray abdomen >=3 views CPT 74021 | $71.53 | $311.00 | $56.75 – $105.12 | 6 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $67.85 | $295.00 | $47.21 – $105.12 | 6 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $67.85 | $295.00 | $36.74 – $105.12 | 6 |
| X-ray ankle 2 views (both sides) CPT 73600 | $67.85 | $295.00 | $27.44 – $52.56 | 6 |
| X-ray bone age studies CPT 77072 | $67.85 | $295.00 | $11.82 – $105.12 | 6 |
| X-ray bone survey complete CPT 77075 | $71.53 | $311.00 | $54.64 – $219.78 | 6 |
| X-ray bone survey infant CPT 77076 | $67.85 | $295.00 | $33.90 – $139.18 | 6 |
| X-ray cervical spine 2-3 views CPT 72040 | $67.85 | $295.00 | $36.09 – $105.12 | 6 |
| X-ray cervical spine 4-5 views CPT 72050 | $71.53 | $311.00 | $52.44 – $105.12 | 6 |
| X-ray cervical spine >= 6 views CPT 72052 | $75.21 | $327.00 | $62.83 – $105.12 | 6 |
| X-ray clavicle complete (both sides) CPT 73000 | $67.85 | $295.00 | $28.50 – $105.12 | 6 |
| X-ray elbow 2 views (both sides) CPT 73070 | $67.85 | $295.00 | $28.11 – $52.56 | 6 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $75.21 | $327.00 | $31.22 – $105.12 | 6 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $71.53 | $311.00 | $101.08 – $116.88 | 6 |
| X-ray exam entire spi 6/> vw CPT 72084 | $83.72 | $364.00 | $101.08 – $147.95 | 6 |
| X-ray exam of arm infant CPT 73092 | $94.53 | $411.00 | $28.04 – $105.12 | 6 |
| X-ray exam of eye sockets CPT 70200 | $67.85 | $295.00 | $40.32 – $105.12 | 6 |
| X-ray exam of femur 1 CPT 73551 | $64.63 | $281.00 | $39.84 – $105.12 | 6 |
| X-ray exam of jaw joint CPT 70328 | $64.63 | $281.00 | $29.82 – $105.12 | 6 |
| X-ray exam of sinuses CPT 70210 | $34.04 | $148.00 | $33.08 – $105.12 | 6 |
| X-ray exam si joints CPT 72200 | $64.63 | $281.00 | $29.30 – $105.12 | 6 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $67.85 | $295.00 | $26.12 – $105.12 | 6 |
| X-ray facial bones complete > 3 views CPT 70150 | $67.85 | $295.00 | $40.32 – $105.12 | 6 |
| X-ray femur >=2 views (both sides) CPT 73552 | $71.53 | $311.00 | $50.49 – $105.12 | 6 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $71.53 | $311.00 | $23.42 – $105.12 | 6 |
| X-ray foot 2 views (both sides) CPT 73620 | $67.85 | $295.00 | $27.44 – $52.56 | 6 |
| X-ray forearm 2 views (both sides) CPT 73090 | $71.53 | $311.00 | $28.50 – $52.56 | 6 |
| X-ray hand 2 views (both sides) CPT 73120 | $71.53 | $311.00 | $27.86 – $52.56 | 6 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $71.53 | $311.00 | $27.53 – $105.12 | 6 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $71.53 | $311.00 | $88.07 – $105.12 | 6 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $64.63 | $281.00 | $57.38 – $105.12 | 6 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $67.85 | $295.00 | $74.91 – $105.12 | 6 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $71.53 | $311.00 | $88.07 – $105.12 | 6 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $64.63 | $281.00 | $44.85 – $105.12 | 6 |
| X-ray humerus >= 2 views left CPT 73060 | $71.53 | $311.00 | $31.22 – $52.56 | 6 |
| X-ray joint survey 1 view CPT 77077 | $67.85 | $295.00 | $33.80 – $105.12 | 6 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $64.63 | $281.00 | $28.88 – $105.12 | 6 |
| X-ray knee 3 views (both sides) CPT 73562 | $71.53 | $311.00 | $32.96 – $105.12 | 6 |
| X-ray knee ap standing bilateral CPT 73565 | $67.85 | $295.00 | $27.83 – $105.12 | 6 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $67.85 | $295.00 | $26.86 – $105.12 | 6 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $61.41 | $267.00 | $40.32 – $105.12 | 6 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $67.85 | $295.00 | $53.17 – $105.12 | 6 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $71.53 | $311.00 | $64.98 – $105.12 | 6 |
| X-ray mandible complete > 4 views CPT 70110 | $67.85 | $295.00 | $38.56 – $105.12 | 6 |
| X-ray mandible ltd <4 views CPT 70100 | $64.63 | $281.00 | $30.93 – $105.12 | 6 |
| X-ray nasal bones complete > 3 views CPT 70160 | $67.85 | $295.00 | $29.30 – $105.12 | 6 |
| X-ray neck soft tissue CPT 70360 | $67.85 | $295.00 | $26.12 – $105.12 | 6 |
| X-ray nose to rectum for foreign body child CPT 76010 | $67.85 | $295.00 | $33.79 – $105.12 | 6 |
| X-ray optic foramina CPT 70190 | $67.85 | $295.00 | $36.37 – $105.12 | 6 |
| X-ray pelvis 1-2 views CPT 72170 | $64.63 | $281.00 | $28.96 – $105.12 | 6 |
| X-ray pelvis complete > 3 views CPT 72190 | $67.85 | $295.00 | $37.13 – $105.12 | 6 |
| X-ray ribs 2 views left CPT 71100 | $64.63 | $281.00 | $34.04 – $105.12 | 6 |
| X-ray ribs 3 views bilateral CPT 71110 | $71.53 | $311.00 | $40.32 – $105.12 | 6 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $67.85 | $295.00 | $38.87 – $105.12 | 6 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $75.21 | $327.00 | $49.73 – $105.12 | 6 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $67.85 | $295.00 | $34.22 – $105.12 | 6 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $67.85 | $295.00 | $31.31 – $105.12 | 6 |
| X-ray scapula complete (both sides) CPT 73010 | $67.85 | $295.00 | $28.57 – $105.12 | 6 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $67.85 | $295.00 | $26.31 – $105.12 | 6 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $67.85 | $295.00 | $40.32 – $105.12 | 6 |
| X-ray skull < 4 views CPT 70250 | $64.63 | $281.00 | $38.16 – $105.12 | 6 |
| X-ray skull > 4 views complete CPT 70260 | $67.85 | $295.00 | $54.30 – $105.12 | 6 |
| X-ray spine single view CPT 72020 | $64.63 | $281.00 | $25.00 – $105.12 | 6 |
| X-ray sternum > 2 views CPT 71120 | $64.63 | $281.00 | $34.34 – $105.12 | 6 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $67.85 | $295.00 | $40.32 – $105.12 | 6 |
| X-ray thoracic spine 2 views CPT 72070 | $64.63 | $281.00 | $36.81 – $105.12 | 6 |
| X-ray thoracic spine 3 views CPT 72072 | $67.85 | $295.00 | $40.24 – $105.12 | 6 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $75.21 | $327.00 | $37.52 – $105.12 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $64.63 | $281.00 | $54.72 – $105.12 | 6 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $67.85 | $295.00 | $90.62 – $105.12 | 6 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $71.53 | $311.00 | $28.88 – $52.56 | 6 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $71.53 | $311.00 | $23.79 – $52.56 | 6 |
| X-ray wrist 2 views (both sides) CPT 73100 | $67.85 | $295.00 | $27.27 – $52.56 | 6 |
| Zika virus igm antibody CPT 86794 | $17.94 | $78.00 | $16.85 – $36.81 | 6 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $132.85 | $577.62 | $12.02 – $19.53 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $2,040.02 | $8,869.65 | $8.91 – $94.88 | 2 |
| Zrsr2 gene common variants CPT 81360 | $243.34 | $1,058.00 | $173.93 – $425.85 | 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.