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 |
|---|---|---|---|---|
| Repair rpr lip full thickness vermilion only CPT 40650 | $329.40 | $549.00 | not published | 0 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $2,143.20 | $3,572.00 | not published | 0 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $2,143.20 | $3,572.00 | not published | 0 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $150.00 | $250.00 | not published | 0 |
| Replace duod/jej tube perc CPT 49451 | $594.60 | $991.00 | not published | 0 |
| Replace g/c tube perc CPT 49450 | $594.60 | $991.00 | not published | 0 |
| Repl trach puncture dilator HCPCS L8514 | $368.08 | $613.47 | not published | 0 |
| Reptilase test CPT 85635 | $36.60 | $61.00 | not published | 0 |
| Restorigin 1 sq cm HCPCS Q4191 | $9,498.96 | $15,831.60 | not published | 0 |
| Resuscitation cardiopulmonary CPT 92950 | $1,207.20 | $2,012.00 | not published | 0 |
| Reticulocyte automated CPT 85045 | $16.20 | $27.00 | not published | 0 |
| Revision of cervix CPT 57720 | $2,035.80 | $3,393.00 | not published | 0 |
| Revision of eyelid CPT 67961 | $1,522.80 | $2,538.00 | not published | 0 |
| Revision of penis CPT 54435 | $2,308.20 | $3,847.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $22.20 | $37.00 | not published | 0 |
| Rho d immune globulin inj HCPCS J2790 | $199.26 | $332.10 | not published | 0 |
| Rib gusset (elastic) each HCPCS L1280 | $311.80 | $519.67 | not published | 0 |
| Ring flange plas/leather mol HCPCS L1110 | $1,136.27 | $1,893.79 | not published | 0 |
| Ring flange plastic/leather HCPCS L1100 | $677.71 | $1,129.52 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $3,486.91 | $5,811.52 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $19,137.64 | $31,896.06 | not published | 0 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,090.89 | $3,484.81 | not published | 0 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $8,455.68 | $14,092.80 | not published | 0 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $13,528.96 | $22,548.27 | not published | 0 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $6,451.20 | $10,752.00 | not published | 0 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,451.20 | $10,752.00 | not published | 0 |
| Rocker bottom, contact afo HCPCS L2232 | $346.67 | $577.79 | not published | 0 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $5,757.57 | $9,595.95 | not published | 0 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $8,919.76 | $14,866.26 | not published | 0 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $4,258.85 | $7,098.09 | not published | 0 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $69.46 | $115.77 | not published | 0 |
| Rubella antibody igg CPT 86762 | $54.60 | $91.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $148.80 | $248.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $35.40 | $59.00 | not published | 0 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $4,614.30 | $7,690.50 | not published | 0 |
| Salmonella antibody CPT 86768 | $39.60 | $66.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $106.20 | $177.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $561.60 | $936.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $327.60 | $546.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $329.40 | $549.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $447.00 | $745.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $298.20 | $497.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $383.40 | $639.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $23,153.72 | $38,589.53 | not published | 0 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $2,698.09 | $4,496.82 | not published | 0 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $2,546.28 | $4,243.80 | not published | 0 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $84.60 | $141.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $262.20 | $437.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $58.20 | $97.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $427,132.61 | $711,887.68 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $10.20 | $17.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $161.40 | $269.00 | not published | 0 |
| Sewho cap design without jnts cf HCPCS L3961 | $5,456.64 | $9,094.40 | not published | 0 |
| Sf3b1 gene common variants CPT 81347 | $579.60 | $966.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $268.80 | $448.00 | not published | 0 |
| Sheath below knee HCPCS L8400 | $57.55 | $95.91 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $13,160.02 | $21,933.36 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $19,769.71 | $32,949.52 | not published | 0 |
| Shoe clubfoot wedge HCPCS L3380 | $177.00 | $295.00 | not published | 0 |
| Shoe dennis browne splint bo HCPCS L3640 | $154.40 | $257.33 | not published | 0 |
| Shoe heel new leather standa HCPCS L3455 | $145.25 | $242.09 | not published | 0 |
| Shoe heel new rubber standar HCPCS L3460 | $122.62 | $204.36 | not published | 0 |
| Shoe heel pad & depress for HCPCS L3480 | $222.35 | $370.59 | not published | 0 |
| Shoe heel sach cushion type HCPCS L3450 | $376.60 | $627.66 | not published | 0 |
| Shoe heel thomas extend to b HCPCS L3470 | $222.35 | $370.59 | not published | 0 |
| Shoe heel thomas with wedge HCPCS L3465 | $208.90 | $348.16 | not published | 0 |
| Shoe lift elev heel/sole neo HCPCS L3310 | $264.23 | $440.38 | not published | 0 |
| Shoe metatarsal bar between HCPCS L3410 | $331.28 | $552.13 | not published | 0 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | $145.25 | $242.09 | not published | 0 |
| Shoe outflare wedge HCPCS L3390 | $177.00 | $295.00 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $435.37 | $725.62 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | $177.00 | $295.00 | not published | 0 |
| Shoe sole wedge outside sole HCPCS L3360 | $127.05 | $211.75 | not published | 0 |
| Shoe wedge sach HCPCS L3340 | $304.16 | $506.94 | not published | 0 |
| Sho heel count plast reinfor HCPCS L3430 | $571.88 | $953.13 | not published | 0 |
| Sho insert w arch toe filler HCPCS L5000 | $1,846.64 | $3,077.73 | not published | 0 |
| Sho lift taper to metatarsal HCPCS L3300 | $186.10 | $310.17 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,353.00 | $2,255.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $240.00 | $400.00 | not published | 0 |
| Shrinker prosth above knee HCPCS L8460 | $301.36 | $502.26 | not published | 0 |
| Shrinker prosth below knee HCPCS L8440 | $211.99 | $353.31 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $11,477.91 | $19,129.85 | not published | 0 |
| Sickling rbc CPT 85660 | $55.20 | $92.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $506.45 | $844.09 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $862.20 | $1,437.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $781.20 | $1,302.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $576.00 | $960.00 | not published | 0 |
| Sio flex pelvisacral custom HCPCS L0622 | $953.81 | $1,589.69 | not published | 0 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | $631.56 | $1,052.60 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | $112,684.50 | $187,807.50 | not published | 0 |
| Skin Biopsy CPT 11102 | $130.20 | $217.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $1,803.00 | $3,005.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $692.99 | $1,154.98 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $307.69 | $512.81 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $26,910.87 | $44,851.45 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $20.40 | $34.00 | not published | 0 |
| Smear gram stain CPT 87205 | $18.00 | $30.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $19.80 | $33.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $22.80 | $38.00 | not published | 0 |
| Smear wet mount CPT 87210 | $18.00 | $30.00 | 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.