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 |
|---|---|---|---|---|
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $217.12 | $944.00 | $143.75 – $316.86 | 6 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $30.82 | $134.00 | $16.90 – $39.70 | 6 |
| F-18 fdg pet diag HCPCS A9552 | $276.00 | $1,200.00 | $450.00 – $450.00 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,254.88 | $5,456.00 | $350.60 – $939.47 | 3 |
| F-18 sodium fluoride HCPCS A9580 | $131.79 | $573.00 | $538.56 – $538.56 | 1 |
| F9 full gene sequence CPT 81238 | $462.76 | $2,012.00 | $540.00 – $1,322.30 | 6 |
| Facial bones <3 CPT 70140 | $64.63 | $281.00 | $35.22 – $105.12 | 6 |
| Factor ix CPT 85250 | $32.66 | $142.00 | $19.04 – $41.86 | 6 |
| Factor viii CPT 85240 | $30.82 | $134.00 | $6.63 – $39.70 | 6 |
| Family therapy without pt 50min 90846 CPT 90846 | $117.76 | $512.00 | $76.25 – $292.96 | 5 |
| Family therapy with patient 50 min 90847 CPT 90847 | $124.89 | $543.00 | $86.50 – $292.96 | 5 |
| Fat/lipids feces qualitative CPT 82705 | $8.97 | $39.00 | $5.10 – $11.55 | 6 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $23.69 | $103.00 | $16.78 – $41.14 | 6 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $24.07 | $104.67 | $1.23 – $1.94 | 2 |
| Ferritin CPT 82728 | $23.46 | $102.00 | $11.55 – $30.31 | 6 |
| Fetal hemoglobin rosette CPT 85461 | $11.27 | $49.00 | $8.46 – $20.93 | 6 |
| #_fet/norfentcnfrmur CPT 80354 | $13.34 | $58.00 | $20.77 – $21.60 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $17.48 | $76.00 | $6.63 – $22.38 | 6 |
| Fibrin degradation products CPT 85362 | $11.73 | $51.00 | $6.63 – $15.16 | 6 |
| Fibrinogen activity CPT 85384 | $14.72 | $64.00 | $6.63 – $21.65 | 6 |
| Fibrinolytic antiplasmin CPT 85410 | $4.37 | $19.00 | $6.63 – $17.32 | 6 |
| Fibrinolytic plasminogen CPT 85415 | $28.52 | $124.00 | $6.63 – $37.53 | 6 |
| Flecainide (tambocor)-sendout CPT 80181 | $23.69 | $103.00 | $16.78 – $41.14 | 6 |
| Fl exam g/colon tube w contrast CPT 49465 | $224.02 | $974.00 | $211.32 – $219.78 | 5 |
| Flow cytometry marker each additional CPT 88185 | $60.72 | $264.00 | $15.37 – $61.92 | 6 |
| Flow cytometry one marker technical component CPT 88184 | $99.36 | $432.00 | $15.37 – $314.79 | 6 |
| Fluidotherapy charges pt CPT 97022 | $21.39 | $93.00 | $15.44 – $52.97 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $20.70 | $90.00 | $12.05 – $26.71 | 6 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $501.46 | $2,180.27 | $12.85 – $18.45 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | $2,492.74 | $10,838.00 | $2,821.50 – $6,533.03 | 3 |
| Folic acid CPT 82746 | $25.30 | $110.00 | $14.70 – $32.48 | 6 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,818.86 | $7,908.07 | $6.58 – $361.20 | 6 |
| Fondaparinux sodium HCPCS J1652 | $80.44 | $349.73 | $1.27 – $9.11 | 2 |
| Foot X-ray CPT 73630 | $75.21 | $327.00 | $29.60 – $105.12 | 6 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $104.65 | $455.00 | $74.82 – $756.41 | 5 |
| Formoterol fumarate, inh HCPCS J7606 | $31.75 | $138.03 | $2.20 – $53.97 | 2 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $179.98 | $782.54 | $1.56 – $6.02 | 3 |
| _fragile x methylation-sendout CPT 81244 | $94.99 | $413.00 | $40.40 – $98.88 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $58.42 | $254.00 | $65.48 – $257.58 | 5 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $106.26 | $462.00 | $20.34 – $257.58 | 5 |
| Fresh frozen plasma thawing ea un CPT 86927 | $46.69 | $203.00 | $13.44 – $162.56 | 6 |
| Frozen blood thaw CPT 86931 | $92.00 | $400.00 | $42.36 – $163.92 | 6 |
| Fructosamine glycated protein CPT 82985 | $25.76 | $112.00 | $16.76 – $36.81 | 6 |
| Ftl cgen abnor four anal CPT 81511 | $193.20 | $840.00 | $138.15 – $338.51 | 6 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $24.30 | $105.64 | $0.04 – $0.04 | 1 |
| Fxn gene detc abnor alleles CPT 81284 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Fxn gene full gene sequence CPT 81286 | $212.06 | $922.00 | $240.04 – $605.57 | 6 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $37.95 | $165.00 | $30.36 – $165.00 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $506.00 | $2,200.00 | $60.07 – $178.82 | 3 |
| Gabapentin non-blood CPT 80355 | $17.25 | $75.00 | $20.77 – $21.60 | 5 |
| Galectin-3 CPT 82777 | $23.00 | $100.00 | $16.02 – $97.44 | 6 |
| Gammaglobulin iga CPT 82784 | $15.87 | $69.00 | $8.17 – $20.21 | 6 |
| Gammaglobulin ige CPT 82785 | $28.29 | $123.00 | $16.46 – $36.09 | 6 |
| Gamma glutamyltransferase CPT 82977 | $12.42 | $54.00 | $2.31 – $15.88 | 6 |
| General health panel CPT 80050 | $48.30 | $210.00 | $13.59 – $87.34 | 6 |
| Genetic tstg severe inh cond CPT 81443 | $3,083.61 | $13,407.00 | $2,203.70 – $5,397.47 | 6 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $70.50 | $306.50 | $3.89 – $4.00 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $28.29 | $123.00 | $16.38 – $36.09 | 6 |
| Ghs abscess perianal iandd CPT 46050 | $207.92 | $904.00 | $75.15 – $2,781.73 | 5 |
| Ghs abscess postoperative iandd complex CPT 10180 | $742.67 | $3,229.00 | $131.08 – $1,933.07 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $27.60 | $120.00 | $17.11 – $37.53 | 6 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $554.53 | $2,411.00 | $65.29 – $225.20 | 6 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $53.82 | $234.00 | $26.91 – $260.45 | 6 |
| Ghs antibodies (torch) igm CPT 86694 | $24.61 | $107.00 | $14.39 – $31.76 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $563.73 | $2,451.00 | $331.53 – $2,226.03 | 5 |
| Ghs change cysto/gastrost CPT 43762 | $51.06 | $222.00 | $222.00 – $678.40 | 5 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $60.03 | $261.00 | $35.09 – $90.76 | 6 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $127.42 | $554.00 | $150.30 – $919.89 | 5 |
| Ghs closed reduction ankle dislocation CPT 27840 | $207.92 | $904.00 | $249.07 – $919.89 | 5 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $207.92 | $904.00 | $404.42 – $919.89 | 5 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $567.64 | $2,468.00 | $448.54 – $919.89 | 5 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $567.64 | $2,468.00 | $357.33 – $919.89 | 5 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $278.76 | $1,212.00 | $492.23 – $919.89 | 5 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $201.94 | $878.00 | $490.19 – $919.89 | 5 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $77.74 | $338.00 | $178.74 – $919.89 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $141.22 | $614.00 | $50.51 – $151.42 | 5 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $71.99 | $313.00 | $45.92 – $151.42 | 5 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $71.99 | $313.00 | $60.21 – $151.42 | 5 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $71.53 | $311.00 | $54.79 – $151.42 | 5 |
| Ghs cricothyroidotomy CPT 31605 | $231.15 | $1,005.00 | $279.75 – $4,220.67 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $25.53 | $111.00 | $15.21 – $33.20 | 6 |
| Ghs dislocation elbow closed treatment CPT 24600 | $241.50 | $1,050.00 | $293.96 – $919.89 | 5 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $54.28 | $236.00 | $26.11 – $373.95 | 5 |
| Ghs excision ingrown nail CPT 11765 | $67.85 | $295.00 | $51.61 – $125.57 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | $411.01 | $1,787.00 | $268.45 – $3,449.79 | 5 |
| Ghs fb removal from muscle - complicated CPT 20525 | $796.49 | $3,463.00 | $220.05 – $3,449.79 | 5 |
| Ghs fb removal - incisional CPT 10121 | $704.03 | $3,061.00 | $157.00 – $2,344.82 | 5 |
| Ghs fb removal - non-incisional CPT 20520 | $207.92 | $904.00 | $108.81 – $3,449.79 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $69.00 | $300.00 | $51.19 – $112.60 | 6 |
| Ghs flow volume loop CPT 94375 | $90.62 | $394.00 | $32.11 – $200.13 | 6 |
| Ghs gastric intub aspiration lavage CPT 43753 | $63.02 | $274.00 | $20.04 – $20.04 | 1 |
| Ghs hgb stability-thal CPT 83068 | $14.26 | $62.00 | $8.17 – $20.93 | 6 |
| Ghs histoplasma antigen CPT 87385 | $19.78 | $86.00 | $13.25 – $28.87 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $865.26 | $3,762.00 | $242.12 – $2,781.73 | 5 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $531.30 | $2,310.00 | $150.37 – $2,101.37 | 5 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $120.52 | $524.00 | $76.07 – $329.95 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $241.50 | $1,050.00 | $78.03 – $2,781.73 | 5 |
| Ghs inhibitor screen CPT 85335 | $22.08 | $96.00 | $6.63 – $28.15 | 6 |
| Ghs init tx 1st degree burn CPT 16000 | $63.94 | $278.00 | $51.94 – $359.25 | 5 |
| Ghs inj tendon origin/insertion CPT 20551 | $55.89 | $243.00 | $56.91 – $468.74 | 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.