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 |
|---|---|---|---|---|
| Snrpn/ube3a gene CPT 81331 | $169.80 | $283.00 | not published | 0 |
| So airplane w/wo joint cf HCPCS L3674 | $3,838.93 | $6,398.21 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $2,926.39 | $4,877.32 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $1,939.65 | $3,232.75 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $108.53 | $180.88 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $19.80 | $33.00 | not published | 0 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $36.00 | $60.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $36.00 | $60.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $45.90 | $76.50 | not published | 0 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $36.00 | $60.00 | not published | 0 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $129.74 | $216.24 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $19.80 | $33.00 | not published | 0 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $7.58 | $12.63 | not published | 0 |
| Soft interface below knee se HCPCS L2820 | $270.09 | $450.15 | not published | 0 |
| So neo gsap dna/dna&rna CPT 81459 | $3,954.00 | $6,590.00 | not published | 0 |
| So vest canvas/web pre ots HCPCS L3675 | $570.05 | $950.09 | not published | 0 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $283.20 | $472.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $1,645.85 | $2,743.09 | not published | 0 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $213.33 | $355.55 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $313.70 | $522.84 | not published | 0 |
| Splint finger frog med HCPCS L3927 | $319.24 | $532.07 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $313.70 | $522.84 | not published | 0 |
| Sputum specimen collection CPT 89220 | $139.20 | $232.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $221.40 | $369.00 | not published | 0 |
| Static or dynami afo pre ots HCPCS L4397 | $989.48 | $1,649.13 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $71,395.37 | $118,992.28 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $57,389.55 | $95,649.25 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $62,336.93 | $103,894.88 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,385.27 | $2,308.78 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $36.00 | $60.00 | not published | 0 |
| Sternal pad HCPCS L1050 | $358.07 | $596.79 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $90.60 | $151.00 | not published | 0 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $561.60 | $936.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $211.20 | $352.00 | not published | 0 |
| St evaluation swallow function CPT 92610 | $211.20 | $352.00 | not published | 0 |
| Stocking sup grips 4 pre ots HCPCS L0982 | $55.81 | $93.01 | not published | 0 |
| Straight knee joint heavy du HCPCS L2385 | $524.38 | $873.97 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $105.00 | $175.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $41.40 | $69.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $41.40 | $69.00 | not published | 0 |
| Strapping of knee CPT 29530 | $84.00 | $140.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $50.40 | $84.00 | not published | 0 |
| Stress tte complete CPT 93351 | $1,239.00 | $2,065.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $699.00 | $1,165.00 | not published | 0 |
| St treatment speech individual CPT 92507 | $144.60 | $241.00 | not published | 0 |
| St treatment swallow dysfunction/oral CPT 92526 | $136.20 | $227.00 | not published | 0 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $4.80 | $8.00 | not published | 0 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $2,734.56 | $4,557.60 | not published | 0 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $49.61 | $82.69 | not published | 0 |
| Support clav 29.6-40.5in med HCPCS L3650 | $903.55 | $1,505.91 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $42.00 | $70.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $83.40 | $139.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $105.00 | $175.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $165.00 | $275.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $242.40 | $404.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,284.00 | $2,140.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $41.40 | $69.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $171.60 | $286.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $24.60 | $41.00 | not published | 0 |
| Suspension sleeve lower ext HCPCS L2397 | $379.13 | $631.88 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $18.00 | $30.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $75,200.10 | $125,333.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $66,096.93 | $110,161.55 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $31,936.30 | $53,227.16 | not published | 0 |
| System recell skin grafting/harvesting HCPCS C1832 | $27,210.56 | $45,350.94 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $66.60 | $111.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $79.20 | $132.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $35.40 | $59.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $40.80 | $68.00 | not published | 0 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.80 | $8.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $51.60 | $86.00 | not published | 0 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $12,574.42 | $20,957.37 | not published | 0 |
| Talymed HCPCS Q4127 | $5,145.27 | $8,575.45 | not published | 0 |
| Tap block bilat cont infusion 64489 CPT 64489 | $1,216.20 | $2,027.00 | not published | 0 |
| Tap block uni by cont infusion 64487 CPT 64487 | $653.40 | $1,089.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $8,758.80 | $14,598.00 | not published | 0 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $27,000.00 | $45,000.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $201.00 | $335.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $8,799.18 | $14,665.30 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $5,141.90 | $8,569.84 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $97.20 | $162.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $81.60 | $136.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $190.20 | $317.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $99.00 | $165.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $285.03 | $475.05 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $1,178.40 | $1,964.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $225.60 | $376.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $147.58 | $245.96 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $289.80 | $483.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,438.61 | $2,397.68 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $167.40 | $279.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $244.20 | $407.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $7,938.86 | $13,231.44 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $348.00 | $580.00 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $99.00 | $165.00 | not published | 0 |
| T cells total count CPT 86359 | $139.80 | $233.00 | not published | 0 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $37,782.00 | $62,970.00 | not published | 0 |
| Telehealth original site facility fee HCPCS Q3014 | $121.20 | $202.00 | not published | 0 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,600.58 | $6,000.96 | not published | 0 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $13,441.57 | $22,402.61 | 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.