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 |
|---|---|---|---|---|
| Inj ontruzant 10 mg HCPCS Q5112 | $6,676.27 | $11,127.12 | not published | 0 |
| Inj, pedmark, 100 mg HCPCS J0208 | $7.55 | $12.58 | not published | 0 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $11,827.27 | $19,712.12 | not published | 0 |
| Inj, releuko 1 mcg HCPCS Q5125 | $412.13 | $686.88 | not published | 0 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $3,565.07 | $5,941.79 | not published | 0 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $90,406.62 | $150,677.70 | not published | 0 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $520.09 | $866.81 | not published | 0 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $29,190.70 | $48,651.17 | not published | 0 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,216.20 | $2,027.00 | not published | 0 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $653.40 | $1,089.00 | not published | 0 |
| Inj. tigecycline (accord) HCPCS J3244 | $97.75 | $162.91 | not published | 0 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $29,097.53 | $48,495.89 | not published | 0 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $3,172.61 | $5,287.68 | not published | 0 |
| Inj, uzedy, 1 mg HCPCS J2799 | $0.01 | $0.01 | not published | 0 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $94.25 | $157.08 | not published | 0 |
| Inj vocal cord bulking agent HCPCS L8607 | $2,909.06 | $4,848.43 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $2,143.20 | $3,572.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $1,344.60 | $2,241.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $1,254.00 | $2,090.00 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $205.20 | $342.00 | not published | 0 |
| Insertion catheter bladder temporary simple CPT 51702 | $204.60 | $341.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,145.00 | $3,575.00 | not published | 0 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $5,243.40 | $8,739.00 | not published | 0 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $1,071.60 | $1,786.00 | not published | 0 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,877.60 | $9,796.00 | not published | 0 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $166.20 | $277.00 | not published | 0 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $502.80 | $838.00 | not published | 0 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $263.20 | $438.67 | not published | 0 |
| Insulin total CPT 83525 | $45.00 | $75.00 | not published | 0 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $18,284.98 | $30,474.97 | not published | 0 |
| Integra meshed bil wound mat HCPCS C9363 | $59,975.09 | $99,958.48 | not published | 0 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $13,793.28 | $22,988.80 | not published | 0 |
| Interdental fixation CPT 21110 | $999.60 | $1,666.00 | not published | 0 |
| Interfyl, 1 mg HCPCS Q4171 | $7,915.80 | $13,193.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $822.00 | $1,370.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $58.80 | $98.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $630.00 | $1,050.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $28.70 | $47.83 | not published | 0 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $369.29 | $615.49 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $65,193.98 | $108,656.64 | not published | 0 |
| Ipratropium bromide non-comp HCPCS J7644 | $4.80 | $8.00 | not published | 0 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $90.00 | $150.00 | not published | 0 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,362.20 | $8,937.00 | not published | 0 |
| Iron CPT 83540 | $358.20 | $597.00 | not published | 0 |
| Iron binding capacity CPT 83550 | $34.20 | $57.00 | not published | 0 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $90.00 | $150.00 | not published | 0 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $90.00 | $150.00 | not published | 0 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $92.40 | $154.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $7,829.28 | $13,048.80 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $118.80 | $198.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $81.60 | $136.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $84.60 | $141.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $359.40 | $599.00 | not published | 0 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $10,878.62 | $18,131.04 | not published | 0 |
| Jak2 targeted sequence analysis CPT 81279 | $643.80 | $1,073.00 | not published | 0 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $3,932.61 | $6,554.35 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $3,865.45 | $6,442.41 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $5,788.78 | $9,647.97 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $4,112.42 | $6,854.03 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $4,087.96 | $6,813.26 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $4,500.45 | $7,500.75 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $7,249.49 | $12,082.48 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $5,917.93 | $9,863.22 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $618.22 | $1,030.37 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $3,992.09 | $6,653.49 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $14,623.09 | $24,371.82 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $3,113.80 | $5,189.66 | not published | 0 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $69.60 | $116.00 | not published | 0 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $15.30 | $25.50 | not published | 0 |
| Kidney imag w/bld flow multi CPT 78709 | $927.00 | $1,545.00 | not published | 0 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $908.40 | $1,514.00 | not published | 0 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $241.80 | $403.00 | not published | 0 |
| Kit case 4.2mm spinejack HCPCS C1062 | $16,484.65 | $27,474.42 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $18,602.13 | $31,003.55 | not published | 0 |
| Kit hfx iq ipg bundle HCPCS C1822 | $104,488.56 | $174,147.60 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $102,905.40 | $171,509.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $43,536.90 | $72,561.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,909.06 | $4,848.43 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $53,736.37 | $89,560.61 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $47,285.03 | $78,808.39 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,101.69 | $5,169.48 | not published | 0 |
| Knee control condylar pad HCPCS L2810 | $291.46 | $485.77 | not published | 0 |
| Knee control full kneecap HCPCS L2795 | $292.65 | $487.75 | not published | 0 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $511.56 | $852.60 | not published | 0 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | $511.56 | $852.60 | not published | 0 |
| Knee joint cam lock each joi HCPCS L2415 | $433.55 | $722.58 | not published | 0 |
| Knee joint drop lock ea jnt HCPCS L2405 | $283.03 | $471.72 | not published | 0 |
| Knee lift loop drop lock rin HCPCS L2492 | $418.55 | $697.58 | not published | 0 |
| Knee MRI (with and without contrast) CPT 73723 | $2,855.40 | $4,759.00 | not published | 0 |
| Knee MRI (without contrast) CPT 73721 | $1,353.00 | $2,255.00 | not published | 0 |
| Knee orth pos locking joint HCPCS L1831 | $1,050.27 | $1,750.45 | not published | 0 |
| Knee X-ray CPT 73564 | $229.20 | $382.00 | not published | 0 |
| Ko dbl upright w/air pre cst HCPCS L1847 | $2,052.56 | $3,420.94 | not published | 0 |
| Ko dbl upright w/air pre ots HCPCS L1848 | $2,052.56 | $3,420.94 | not published | 0 |
| Ko derot ant cruciate custom HCPCS L1840 | $3,355.94 | $5,593.24 | not published | 0 |
| Ko elastic w/joints pre ots HCPCS L1812 | $287.78 | $479.63 | not published | 0 |
| Ko rigid without joints pre ots HCPCS L1836 | $476.09 | $793.49 | not published | 0 |
| Ko single upright prefab ots HCPCS L1851 | $3,201.98 | $5,336.63 | not published | 0 |
| Ko supracondylar socket mold HCPCS L1860 | $4,449.95 | $7,416.58 | not published | 0 |
| Ko swedish type pre ots HCPCS L1850 | $1,016.66 | $1,694.44 | 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.