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 |
|---|---|---|---|---|
| Ghs nailbed repair/nail removal CPT 11760 | $418.80 | $698.00 | not published | 0 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $892.80 | $1,488.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,159.80 | $1,933.00 | not published | 0 |
| Ghs nerve block axillary nerve CPT 64417 | $1,533.60 | $2,556.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $1,509.00 | $2,515.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $821.40 | $1,369.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,236.00 | $2,060.00 | not published | 0 |
| Ghs nerve block suprascapular CPT 64418 | $1,159.80 | $1,933.00 | not published | 0 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $76.20 | $127.00 | not published | 0 |
| Ghs opcc repair cvp without subq port CPT 36575 | $417.00 | $695.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $18.00 | $30.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $37.20 | $62.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $423.60 | $706.00 | not published | 0 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $265.80 | $443.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $930.00 | $1,550.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $298.80 | $498.00 | not published | 0 |
| Ghs plngl fx pm cl CPT 26725 | $149.40 | $249.00 | not published | 0 |
| Ghs ppd (tb intradermal) CPT 86580 | $45.60 | $76.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $53.40 | $89.00 | not published | 0 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $46.20 | $77.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $43.80 | $73.00 | not published | 0 |
| Ghs removal intranasal foreign body CPT 30300 | $84.00 | $140.00 | not published | 0 |
| Ghs removal pharyngeal foreign body CPT 42809 | $271.80 | $453.00 | not published | 0 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $48.00 | $80.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $42.00 | $70.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $40.20 | $67.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $304.80 | $508.00 | not published | 0 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $304.80 | $508.00 | not published | 0 |
| Ghs sleep study unattended CPT 95800 | $391.20 | $652.00 | not published | 0 |
| Ghs sphenopalatine ganglion block CPT 64505 | $196.20 | $327.00 | not published | 0 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $150.60 | $251.00 | not published | 0 |
| Ghs strapping shoulder - 29240 CPT 29240 | $83.40 | $139.00 | not published | 0 |
| Ghs st - re-eval for alt comm CPT 92597 | $230.40 | $384.00 | not published | 0 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $418.80 | $698.00 | not published | 0 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $999.60 | $1,666.00 | not published | 0 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $149.40 | $249.00 | not published | 0 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $149.40 | $249.00 | not published | 0 |
| Ghs urine, porphyrins quant CPT 84120 | $55.20 | $92.00 | not published | 0 |
| Ghs vaginal delivery only CPT 59409 | $2,338.20 | $3,897.00 | not published | 0 |
| Giardia lamblia antibody CPT 86674 | $55.20 | $92.00 | not published | 0 |
| Gi inhouse confirmation CPT 87045 | $28.20 | $47.00 | not published | 0 |
| Glassia injection HCPCS J0257 | $1,069.20 | $1,782.00 | not published | 0 |
| Glove finger flexion right lg xl HCPCS L3912 | $342.16 | $570.27 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,142.40 | $1,904.00 | not published | 0 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $1,030.94 | $1,718.23 | not published | 0 |
| Glucagon plasma - sendout CPT 82943 | $53.40 | $89.00 | not published | 0 |
| Glucose 1 hr post dose CPT 82950 | $18.60 | $31.00 | not published | 0 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $19.20 | $32.00 | not published | 0 |
| Glucose blood quantitative CPT 82947 | $16.20 | $27.00 | not published | 0 |
| Glucose body fluid CPT 82945 | $242.40 | $404.00 | not published | 0 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $39.60 | $66.00 | not published | 0 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $15.60 | $26.00 | not published | 0 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $5.10 | $8.50 | not published | 0 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,238.69 | $5,397.82 | not published | 0 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $73.20 | $122.00 | not published | 0 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $72.60 | $121.00 | not published | 0 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $5,566.14 | $9,276.90 | not published | 0 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $6,744.26 | $11,240.44 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $90,893.17 | $151,488.62 | not published | 0 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $65,515.12 | $109,191.86 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $5,884.52 | $9,807.54 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $167,379.59 | $278,965.99 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $126,652.80 | $211,088.00 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $55,410.60 | $92,351.00 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $20,304.03 | $33,840.05 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $34,433.73 | $57,389.55 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $13,374.93 | $22,291.55 | not published | 0 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $5,936.85 | $9,894.75 | not published | 0 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $124,808.42 | $208,014.03 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $10,488.44 | $17,480.73 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $125,030.06 | $208,383.44 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $59,220.08 | $98,700.13 | not published | 0 |
| Great toe with reduction 28495 CPT 28495 | $149.40 | $249.00 | not published | 0 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,532.40 | $2,554.00 | not published | 0 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $20,517.76 | $34,196.26 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $31,584.04 | $52,640.07 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,770.53 | $4,617.55 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $27,016.63 | $45,027.71 | not published | 0 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $154.40 | $257.33 | not published | 0 |
| Halo cervical into jckt vest HCPCS L0810 | $26,715.83 | $44,526.38 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $9.47 | $15.78 | not published | 0 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $4.80 | $8.00 | not published | 0 |
| Halo repl liner/interface HCPCS L0861 | $4,527.84 | $7,546.40 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $22.80 | $38.00 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $342.95 | $571.59 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $12,863.18 | $21,438.63 | not published | 0 |
| Hand X-ray CPT 73130 | $120.60 | $201.00 | not published | 0 |
| Haptoglobin quantitative CPT 83010 | $49.80 | $83.00 | not published | 0 |
| Hbb full gene sequence CPT 81364 | $1,023.00 | $1,705.00 | not published | 0 |
| Hcg qualitative CPT 84703 | $52.80 | $88.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $58.80 | $98.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $24.00 | $40.00 | not published | 0 |
| Head CT scan (with and without contrast) CPT 70470 | $862.20 | $1,437.00 | 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.