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 |
|---|---|---|---|---|
| Head CT scan (with contrast) CPT 70460 | $690.00 | $1,150.00 | not published | 0 |
| Head CT scan (without contrast) CPT 70450 | $576.00 | $960.00 | not published | 0 |
| Heel leather reinforced HCPCS L3440 | $272.30 | $453.84 | not published | 0 |
| Heinz bodies direct CPT 85441 | $16.80 | $28.00 | not published | 0 |
| Heinz bodies induced CPT 85445 | $25.20 | $42.00 | not published | 0 |
| Helicobacter pylori antibody igm CPT 86677 | $57.00 | $95.00 | not published | 0 |
| Hematocrit CPT 85014 | $9.60 | $16.00 | not published | 0 |
| Hemoglobin CPT 85018 | $9.60 | $16.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $28.20 | $47.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $11.40 | $19.00 | not published | 0 |
| Heparin assay CPT 85520 | $48.60 | $81.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $43.86 | $73.10 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $4.80 | $8.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $49.20 | $82.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $46.20 | $77.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $47.40 | $79.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $31.20 | $52.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $56.40 | $94.00 | not published | 0 |
| Hepatitis d quantification CPT 87523 | $36.00 | $60.00 | not published | 0 |
| Hepatobiliary system imaging CPT 78226 | $1,173.60 | $1,956.00 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $8,169.99 | $13,616.65 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $51.60 | $86.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $75.60 | $126.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $110.40 | $184.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $21.00 | $35.00 | not published | 0 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $296.60 | $494.34 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $296.60 | $494.34 | not published | 0 |
| Hinge extension/flex wrist/f HCPCS L3900 | $5,261.16 | $8,768.60 | not published | 0 |
| Hinge ext/flex wrist finger HCPCS L3901 | $6,895.02 | $11,491.70 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,533.33 | $2,555.55 | not published | 0 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $761.11 | $1,268.51 | not published | 0 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $841.06 | $1,401.76 | not published | 0 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $1,589.33 | $2,648.89 | not published | 0 |
| Hip joint adjustable flexion HCPCS L2622 | $1,135.52 | $1,892.54 | not published | 0 |
| Hip X-ray CPT 73502 | $120.60 | $201.00 | not published | 0 |
| Hkafo torsion ball bearing j HCPCS L2060 | $2,175.18 | $3,625.30 | not published | 0 |
| Hkafo torsion bil rot straps HCPCS L2040 | $721.92 | $1,203.20 | not published | 0 |
| Hkafo torsion unilat rot str HCPCS L2070 | $553.87 | $923.11 | not published | 0 |
| Hkafo unilat torsion ball br HCPCS L2090 | $1,774.37 | $2,957.28 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $971.40 | $1,619.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $245.40 | $409.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $289.80 | $483.00 | not published | 0 |
| Hla i typing complete hr CPT 81379 | $1,108.80 | $1,848.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $562.80 | $938.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $401.40 | $669.00 | not published | 0 |
| Ho abduction hip adjustable HCPCS L1650 | $880.04 | $1,466.73 | not published | 0 |
| Ho abduction static plastic HCPCS L1660 | $644.90 | $1,074.83 | not published | 0 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $1,272.11 | $2,120.18 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $14.75 | $24.59 | not published | 0 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $459.83 | $766.38 | not published | 0 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $1,385.27 | $2,308.78 | not published | 0 |
| Ho frejka cov only pre cst HCPCS L1610 | $195.32 | $325.54 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | $261.60 | $436.00 | not published | 0 |
| Home sleep test/type 3 porta HCPCS G0399 | $261.60 | $436.00 | not published | 0 |
| Home sleep test/type 4 porta HCPCS G0400 | $504.00 | $840.00 | not published | 0 |
| Homocysteine CPT 83090 | $66.00 | $110.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $23.40 | $39.00 | not published | 0 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $53.40 | $89.00 | not published | 0 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $166.80 | $278.00 | not published | 0 |
| Hopd mntl hlt, grp HCPCS C7903 | $53.40 | $89.00 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $6,023.92 | $10,039.87 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $248.40 | $414.00 | not published | 0 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $3,912.00 | $6,520.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $453.60 | $756.00 | not published | 0 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $5,103.00 | $8,505.00 | not published | 0 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $38.56 | $64.27 | not published | 0 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $14.28 | $23.80 | not published | 0 |
| Hydration IV infusion each additional hour CPT 96361 | $66.60 | $111.00 | not published | 0 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $221.40 | $369.00 | not published | 0 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $181.69 | $302.81 | not published | 0 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $65.48 | $109.14 | not published | 0 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $116.69 | $194.48 | not published | 0 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $62.36 | $103.94 | not published | 0 |
| #hypersens-actinomyces ab CPT 86602 | $37.80 | $63.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $12,260.18 | $20,433.64 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $6,220.80 | $10,368.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $569.23 | $948.71 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $45.60 | $76.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $129.60 | $216.00 | not published | 0 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $999.61 | $1,666.01 | not published | 0 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,217.06 | $2,028.44 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $116,243.53 | $193,739.21 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $112,800.15 | $188,000.25 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $91,031.70 | $151,719.50 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $107,559.89 | $179,266.48 | not published | 0 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,049.00 | $3,415.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,860.00 | $3,100.00 | not published | 0 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $90.00 | $150.00 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $727.80 | $1,213.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $742.80 | $1,238.00 | not published | 0 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $127.80 | $213.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $874.20 | $1,457.00 | not published | 0 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $283.20 | $472.00 | not published | 0 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $18,737.24 | $31,228.74 | not published | 0 |
| Immob elbow child sm HCPCS L3762 | $2,430.43 | $4,050.71 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $989.48 | $1,649.13 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,143.36 | $1,905.60 | not published | 0 |
| Immobilizer shldr sling med HCPCS L3660 | $1,173.88 | $1,956.46 | not published | 0 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,687.44 | $6,145.74 | not published | 0 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $81.60 | $136.00 | 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.