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 |
|---|---|---|---|---|
| Ko w/0 joint rigid molded to HCPCS L1834 | $2,853.65 | $4,756.08 | not published | 0 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | $4,175.39 | $6,958.98 | not published | 0 |
| Kras gene addl variants CPT 81276 | $640.20 | $1,067.00 | not published | 0 |
| Kras gene variants exon 2 CPT 81275 | $640.20 | $1,067.00 | not published | 0 |
| Kyphosis pad HCPCS L1020 | $384.55 | $640.92 | not published | 0 |
| Kyphosis pad floating HCPCS L1025 | $554.82 | $924.70 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $6.37 | $10.61 | not published | 0 |
| Lacer molded to patient mode HCPCS L2330 | $1,310.23 | $2,183.71 | not published | 0 |
| Lactate dehydrogenase (ldh) CPT 83615 | $23.40 | $39.00 | not published | 0 |
| Lactated ringers intravenous solution HCPCS J7120 | $36.00 | $60.00 | not published | 0 |
| Lactic acid CPT 83605 | $78.60 | $131.00 | not published | 0 |
| Lactoferrin fecal quant CPT 83631 | $111.60 | $186.00 | not published | 0 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $15,490.44 | $25,817.40 | not published | 0 |
| Lateral thoracic extension HCPCS L1210 | $873.11 | $1,455.19 | not published | 0 |
| Lateral trochanteric pad HCPCS L1290 | $277.29 | $462.15 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $79,158.00 | $131,930.00 | not published | 0 |
| Lead capillary CPT 83655 | $45.60 | $76.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $87,639.78 | $146,066.30 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $21,768.45 | $36,280.75 | not published | 0 |
| Legg perthes orthosis trilat HCPCS L1720 | $5,264.29 | $8,773.81 | not published | 0 |
| Legg perthes orth scottish r HCPCS L1730 | $4,444.25 | $7,407.08 | not published | 0 |
| Legg perthes patten bottom t HCPCS L1755 | $6,389.56 | $10,649.26 | not published | 0 |
| Leg perthes orth toronto typ HCPCS L1700 | $5,552.10 | $9,253.50 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $495.00 | $825.00 | not published | 0 |
| Lens, intraocular (new tech) HCPCS C1780 | $336.42 | $560.70 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,957.90 | $6,596.50 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $4,729.69 | $7,882.82 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,187.37 | $1,978.95 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $142.56 | $237.60 | not published | 0 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,463.15 | $4,105.25 | not published | 0 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $9,726.07 | $16,210.11 | not published | 0 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.14 | $8.56 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $10.20 | $17.00 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $58.80 | $98.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $25.70 | $42.84 | not published | 0 |
| Liberta rc ipg HCPCS C1820 | $122,437.64 | $204,062.73 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $59.16 | $98.60 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $24.48 | $40.80 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $55.20 | $92.00 | not published | 0 |
| Lift heel adj small gl60404sm HCPCS L3332 | $263.20 | $438.67 | not published | 0 |
| Lift heel adjustable med HCPCS L3334 | $136.07 | $226.79 | not published | 0 |
| Lifts elevation metal extens HCPCS L3330 | $2,019.60 | $3,366.00 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $2,145.00 | $3,575.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $4,555.80 | $7,593.00 | not published | 0 |
| Limited ankle motion ea jnt HCPCS L2200 | $147.87 | $246.45 | not published | 0 |
| Limited motion knee joint HCPCS L2184 | $413.36 | $688.94 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $34.27 | $57.12 | not published | 0 |
| Lipase CPT 83690 | $28.20 | $47.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $116.40 | $194.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $30.60 | $51.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $31.80 | $53.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | $150.00 | $250.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | $136.80 | $228.00 | not published | 0 |
| Lithium therapeutic drug level CPT 80178 | $26.40 | $44.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $528.60 | $881.00 | not published | 0 |
| Liver Function Test CPT 80076 | $32.40 | $54.00 | not published | 0 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $5.35 | $8.92 | not published | 0 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | $615.61 | $1,026.02 | not published | 0 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $252.99 | $421.65 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $939.00 | $1,565.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $862.20 | $1,437.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $721.20 | $1,202.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,855.40 | $4,759.00 | not published | 0 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,353.00 | $2,255.00 | not published | 0 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $232.80 | $388.00 | not published | 0 |
| Lso corset front HCPCS L0972 | $375.61 | $626.01 | not published | 0 |
| Lso flex no ri stays pre ots HCPCS L0628 | $405.85 | $676.41 | not published | 0 |
| Lso full corset HCPCS L0976 | $533.56 | $889.27 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $605.56 | $1,009.26 | not published | 0 |
| Lso sag-coronal panel custom HCPCS L0638 | $5,988.30 | $9,980.50 | not published | 0 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | $4,623.14 | $7,705.24 | not published | 0 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | $578.01 | $963.35 | not published | 0 |
| Lso sagit rigid panel prefab HCPCS L0635 | $3,565.83 | $5,943.05 | not published | 0 |
| Lso sagittal rigid panel cus HCPCS L0636 | $4,838.26 | $8,063.76 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $930.86 | $1,551.43 | not published | 0 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | $1,023.32 | $1,705.53 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $3,396.75 | $5,661.25 | not published | 0 |
| Lumbar bolster pad HCPCS L1030 | $279.43 | $465.71 | not published | 0 |
| Lumbar derotation pad HCPCS L1240 | $324.55 | $540.91 | not published | 0 |
| Lumbar or lumbar rib pad HCPCS L1040 | $316.39 | $527.32 | not published | 0 |
| Lumbar sling HCPCS L1090 | $359.10 | $598.50 | not published | 0 |
| Lung Function Test (Spirometry) CPT 94010 | $185.40 | $309.00 | not published | 0 |
| Lung perfusion imaging CPT 78580 | $399.00 | $665.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $14,850.00 | $24,750.00 | not published | 0 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $22,210.87 | $37,018.11 | not published | 0 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $146,411.74 | $244,019.56 | not published | 0 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,187.37 | $1,978.95 | not published | 0 |
| Macroscopic exam arthropod CPT 87168 | $16.80 | $28.00 | not published | 0 |
| Macroscopic exam parasite CPT 87169 | $16.80 | $28.00 | not published | 0 |
| Magnesium CPT 83735 | $36.60 | $61.00 | not published | 0 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $52.43 | $87.38 | not published | 0 |
| Mammosite ced HCPCS C1728 | $11,972.65 | $19,954.41 | not published | 0 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $85.80 | $143.00 | not published | 0 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $122.40 | $204.00 | not published | 0 |
| Man's shoe oxford brace HCPCS L3225 | $263.40 | $439.00 | not published | 0 |
| Marker biop eviva buckle ss HCPCS A4648 | $22,362.14 | $37,270.23 | not published | 0 |
| Matrion 1 sq cm HCPCS Q4201 | $30,614.36 | $51,023.93 | not published | 0 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $128,592.17 | $214,320.29 | not published | 0 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $54.60 | $91.00 | not published | 0 |
| Mayo aathr protein s free CPT 85306 | $60.00 | $100.00 | 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.