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 |
|---|---|---|---|---|
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $152.92 | $254.87 | not published | 0 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $13,043.88 | $21,739.80 | not published | 0 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $19.96 | $33.26 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $161.40 | $269.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $244.20 | $407.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $105.60 | $176.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $1,033.20 | $1,722.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $12,533.80 | $20,889.67 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $17,335.60 | $28,892.67 | not published | 0 |
| Passy muir valve metal trach HCPCS L8501 | $1,589.06 | $2,648.43 | not published | 0 |
| Patten bottom HCPCS L2370 | $1,142.09 | $1,903.49 | not published | 0 |
| Pdgfra gene CPT 81314 | $988.80 | $1,648.00 | not published | 0 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $81.61 | $136.02 | not published | 0 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,397.15 | $17,328.58 | not published | 0 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $6,763.50 | $11,272.50 | not published | 0 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,381.76 | $5,636.26 | not published | 0 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $4,050.01 | $6,750.01 | not published | 0 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $18,069.10 | $30,115.16 | not published | 0 |
| Pelv band/spread bar thigh c HCPCS L1640 | $1,689.31 | $2,815.52 | not published | 0 |
| Pelvic control band & belt b HCPCS L2640 | $1,121.35 | $1,868.92 | not published | 0 |
| Pelvic control band & belt u HCPCS L2630 | $826.25 | $1,377.09 | not published | 0 |
| Pelvic control hip heavy dut HCPCS L2620 | $892.15 | $1,486.92 | not published | 0 |
| Pelvic control pelvic sling HCPCS L2580 | $1,548.65 | $2,581.08 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $781.20 | $1,302.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $834.00 | $1,390.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $721.20 | $1,202.00 | not published | 0 |
| Pelvic & hip control thigh c HCPCS L1680 | $3,789.05 | $6,315.09 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,855.40 | $4,759.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $949.20 | $1,582.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $187.20 | $312.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $129.60 | $216.00 | not published | 0 |
| Pelv & thor control gluteal HCPCS L2650 | $493.83 | $823.05 | not published | 0 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $10,828.22 | $18,047.04 | not published | 0 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $111.79 | $186.32 | not published | 0 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $869.37 | $1,448.95 | not published | 0 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $207.59 | $345.99 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $46,941.80 | $78,236.34 | not published | 0 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $680.92 | $1,134.86 | not published | 0 |
| Pentamidine non-comp unit HCPCS J2545 | $680.92 | $1,134.86 | not published | 0 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $5,312.30 | $8,853.84 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,071.60 | $1,786.00 | not published | 0 |
| Permanent tear duct plug HCPCS A4263 | $455.16 | $758.60 | not published | 0 |
| Peroneal straps pair pre ots HCPCS L0980 | $60.99 | $101.65 | not published | 0 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $12,276.89 | $20,461.48 | not published | 0 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $25,049.77 | $41,749.61 | not published | 0 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $380.15 | $633.59 | not published | 0 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $124,228.58 | $207,047.64 | not published | 0 |
| Ph body fluid CPT 83986 | $13.80 | $23.00 | not published | 0 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $139.54 | $232.56 | not published | 0 |
| Phenobarbital therapeutic drug level CPT 80184 | $51.60 | $86.00 | not published | 0 |
| Phentolaine mesylate inj HCPCS J2760 | $1,999.05 | $3,331.75 | not published | 0 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $4.80 | $8.00 | not published | 0 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $4.80 | $8.00 | not published | 0 |
| Phenytoin total therapeutic drug level CPT 80185 | $52.20 | $87.00 | not published | 0 |
| Phlebotomy therapeutic CPT 99195 | $169.20 | $282.00 | not published | 0 |
| Phosphorus CPT 84100 | $19.20 | $32.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $34.90 | $58.17 | not published | 0 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $2,590.33 | $4,317.21 | not published | 0 |
| Pin caspar distraction 12mm HCPCS C1821 | $36,412.68 | $60,687.80 | not published | 0 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $598.82 | $998.04 | not published | 0 |
| Plas shoe insert w ank joint HCPCS L2180 | $373.07 | $621.79 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $530.36 | $883.93 | not published | 0 |
| Plastic mold recipro hip & c HCPCS L2627 | $7,626.95 | $12,711.59 | not published | 0 |
| Platelet automated CPT 85049 | $18.60 | $31.00 | not published | 0 |
| Plating chrome/nickel pr bar HCPCS L2750 | $278.92 | $464.86 | not published | 0 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $333.00 | $555.00 | not published | 0 |
| Pneum full leg splnt pre ots HCPCS L4370 | $466.79 | $777.99 | not published | 0 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $75.60 | $126.00 | not published | 0 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,793.40 | $2,989.00 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5450 | $902.08 | $1,503.47 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $2,095.99 | $3,493.31 | not published | 0 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | $5,035.95 | $8,393.25 | not published | 0 |
| Post-operative body jacket HCPCS L1310 | $6,406.10 | $10,676.83 | not published | 0 |
| Potassium 24 hour urine CPT 84133 | $18.00 | $30.00 | not published | 0 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $20.40 | $34.00 | not published | 0 |
| Potassium serum/plasma/whole blood CPT 84132 | $18.60 | $31.00 | not published | 0 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $353.74 | $589.56 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,143.20 | $3,572.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $105.00 | $175.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $83.40 | $139.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $268.80 | $448.00 | not published | 0 |
| Pr correction hammertoe CPT 28285 | $31,529.58 | $52,549.30 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $53.40 | $89.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $130.20 | $217.00 | not published | 0 |
| Prealbumin CPT 84134 | $57.60 | $96.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.80 | $8.00 | not published | 0 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.80 | $8.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $954.60 | $1,591.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $281.40 | $469.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $6,916.59 | $11,527.65 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $6,030.77 | $10,051.28 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $211.20 | $352.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $107.40 | $179.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $907.20 | $1,512.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,080.00 | $1,800.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $4,269.64 | $7,116.07 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $268.80 | $448.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $333.60 | $556.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $2,465.99 | $4,109.98 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $447.00 | $745.00 | 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.