Rappahannock General Hospital
101 Harris Rd., Kilmarnock, VA · Bonsecours · · NPI 1699125526
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 |
|---|---|---|---|---|
| Forearm/arm cuffs free motio HCPCS L3720 | $2,121.83 | $3,536.38 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $154.80 | $258.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $202.50 | $337.50 | not published | 0 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $22.32 | $37.20 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $56.40 | $94.00 | not published | 0 |
| Ft insert ucb berkeley shell HCPCS L3000 | $1,121.03 | $1,868.39 | not published | 0 |
| Full sole/heel wedge btween HCPCS L3420 | $195.16 | $325.27 | not published | 0 |
| Furnsh initial orthosis only HCPCS L1200 | $6,386.07 | $10,643.45 | not published | 0 |
| G6pd full gene sequence CPT 81249 | $1,800.00 | $3,000.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $7,488.00 | $12,480.00 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $536.54 | $894.24 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $124.81 | $208.01 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $276.15 | $460.25 | not published | 0 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $12,545.28 | $20,908.80 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $12,398.40 | $20,664.00 | not published | 0 |
| Gammaglobulin iga CPT 82784 | $61.80 | $103.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $64.80 | $108.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $39.60 | $66.00 | not published | 0 |
| Gammaplex injection HCPCS J1557 | $14,349.50 | $23,915.84 | not published | 0 |
| Gamunex-c/gammaked HCPCS J1561 | $9,638.35 | $16,063.92 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $90.00 | $150.00 | not published | 0 |
| Generator barostim neo2 2014 HCPCS C1767 | $154,037.51 | $256,729.18 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $117,153.84 | $195,256.40 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $138,526.50 | $230,877.50 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $7,345.80 | $12,243.00 | not published | 0 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $87,073.80 | $145,123.00 | not published | 0 |
| Genome sequence analysis CPT 81425 | $2,935.80 | $4,893.00 | not published | 0 |
| Genome sequence analysis CPT 81426 | $2,935.80 | $4,893.00 | not published | 0 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $25.18 | $41.96 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $64.80 | $108.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $598.80 | $998.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $51.60 | $86.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $338.40 | $564.00 | not published | 0 |
| Ghs antibodies (torch) igm CPT 86694 | $56.40 | $94.00 | not published | 0 |
| Ghs bladder cath - complex-foley CPT 51703 | $105.00 | $175.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,159.80 | $1,933.00 | not published | 0 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,279.40 | $3,799.00 | not published | 0 |
| Ghs change cysto/gastrost CPT 43762 | $383.40 | $639.00 | not published | 0 |
| Ghs chemo >8 hrs CPT 96416 | $884.40 | $1,474.00 | not published | 0 |
| Ghs chemo IV push, ea addtl CPT 96411 | $338.40 | $564.00 | not published | 0 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $129.60 | $216.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $149.40 | $249.00 | not published | 0 |
| Ghs closed reduction ankle dislocation CPT 27840 | $149.40 | $249.00 | not published | 0 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,033.20 | $1,722.00 | not published | 0 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,033.20 | $1,722.00 | not published | 0 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,127.80 | $5,213.00 | not published | 0 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,033.20 | $1,722.00 | not published | 0 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,033.20 | $1,722.00 | not published | 0 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $149.40 | $249.00 | not published | 0 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $149.40 | $249.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $272.40 | $454.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $84.00 | $140.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $271.80 | $453.00 | not published | 0 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $209.40 | $349.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $150.00 | $250.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $149.40 | $249.00 | not published | 0 |
| Ghs excision ingrown nail CPT 11765 | $268.80 | $448.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $190.80 | $318.00 | not published | 0 |
| Ghs fb removal - incisional CPT 10121 | $1,079.40 | $1,799.00 | not published | 0 |
| Ghs fb removal - non-incisional CPT 20520 | $1,079.40 | $1,799.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $992.40 | $1,654.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $153.60 | $256.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $500.40 | $834.00 | not published | 0 |
| Ghs gastric intub aspiration lavage CPT 43753 | $173.40 | $289.00 | not published | 0 |
| Ghs hcv amplificaiton CPT 87521 | $129.00 | $215.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,335.60 | $2,226.00 | not published | 0 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $780.00 | $1,300.00 | not published | 0 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $333.60 | $556.00 | not published | 0 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $333.60 | $556.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $534.60 | $891.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $48.00 | $80.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $330.60 | $551.00 | not published | 0 |
| Ghs insertion of needle - bone CPT 36680 | $357.60 | $596.00 | not published | 0 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $399.60 | $666.00 | not published | 0 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $399.60 | $666.00 | not published | 0 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,106.80 | $5,178.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $489.60 | $816.00 | not published | 0 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $112.20 | $187.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $5,526.00 | $9,210.00 | not published | 0 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $272.40 | $454.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $3,721.88 | $6,203.13 | not published | 0 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $5,839.66 | $9,732.77 | not published | 0 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $399.60 | $666.00 | not published | 0 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $399.60 | $666.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $399.60 | $666.00 | not published | 0 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $399.60 | $666.00 | not published | 0 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $399.60 | $666.00 | not published | 0 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $33.00 | $55.00 | not published | 0 |
| Ghs mbp CPT 83873 | $64.20 | $107.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $144.60 | $241.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $144.60 | $241.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $144.60 | $241.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $72.60 | $121.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $72.60 | $121.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $640.20 | $1,067.00 | not published | 0 |
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.