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 |
|---|---|---|---|---|
| Tension based scoliosis orth HCPCS L1005 | $11,421.79 | $19,036.31 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $20.09 | $33.49 | not published | 0 |
| Test socket below knee HCPCS L5620 | $921.08 | $1,535.14 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $391.80 | $653.00 | not published | 0 |
| Tetanus immune globulin inj HCPCS J1670 | $1,051.66 | $1,752.76 | not published | 0 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $7,077.72 | $11,796.20 | not published | 0 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,790.00 | $4,650.00 | not published | 0 |
| Theophylline therapeutic drug level CPT 80198 | $53.40 | $89.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $46.20 | $77.00 | not published | 0 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $46.20 | $77.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $10.15 | $16.92 | not published | 0 |
| Thigh/wght bear high roll cu HCPCS L2550 | $1,214.20 | $2,023.67 | not published | 0 |
| Thigh/wght bear lacer molded HCPCS L2540 | $1,619.45 | $2,699.09 | not published | 0 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | $855.82 | $1,426.36 | not published | 0 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | $1,116.72 | $1,861.20 | not published | 0 |
| Thorac cont lat support upri HCPCS L2680 | $522.17 | $870.28 | not published | 0 |
| Thorac cont paraspinal uprig HCPCS L2670 | $569.18 | $948.64 | not published | 0 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,426.80 | $2,378.00 | not published | 0 |
| Thoracic control thoracic ba HCPCS L2660 | $639.40 | $1,065.66 | not published | 0 |
| Thoracic pad HCPCS L1060 | $386.49 | $644.15 | not published | 0 |
| Thor rib belt custom fabrica HCPCS L0220 | $4,102.60 | $6,837.67 | not published | 0 |
| Thrombin time CPT 85670 | $22.20 | $37.00 | not published | 0 |
| Thromboplastin inhibition CPT 85705 | $36.00 | $60.00 | not published | 0 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $50.40 | $84.00 | not published | 0 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | $2,285.53 | $3,809.21 | not published | 0 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | $4,067.45 | $6,779.09 | not published | 0 |
| Th/wght bear quad-lat brim c HCPCS L2520 | $1,918.12 | $3,196.86 | not published | 0 |
| Th/wght bear quad-lat brim m HCPCS L2510 | $2,878.10 | $4,796.84 | not published | 0 |
| Thyroglobulin antibody CPT 86800 | $62.40 | $104.00 | not published | 0 |
| Thyroid imaging CPT 78013 | $486.60 | $811.00 | not published | 0 |
| Thyroid (TSH) Test CPT 84443 | $66.00 | $110.00 | not published | 0 |
| Thyroid Ultrasound CPT 76536 | $281.40 | $469.00 | not published | 0 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $605.90 | $1,009.83 | not published | 0 |
| Thyroxine binding globulin (tbg) CPT 84442 | $55.80 | $93.00 | not published | 0 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $11,479.89 | $19,133.15 | not published | 0 |
| Tissue culture skin/biopsy CPT 88233 | $518.40 | $864.00 | not published | 0 |
| Tissue exam koh skin/hair/nails CPT 87220 | $11.40 | $19.00 | not published | 0 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $50,338.39 | $83,897.32 | not published | 0 |
| Tissue transglutaminase iga CPT 86364 | $34.80 | $58.00 | not published | 0 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | $3,182.66 | $5,304.44 | not published | 0 |
| Tlso 2 piece rigid shell HCPCS L0491 | $2,740.65 | $4,567.75 | not published | 0 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $3,258.46 | $5,430.77 | not published | 0 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $4,053.13 | $6,755.21 | not published | 0 |
| Tlso 3 piece rigid shell HCPCS L0492 | $1,784.66 | $2,974.43 | not published | 0 |
| Tlso corset front HCPCS L0970 | $381.34 | $635.57 | not published | 0 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | $1,237.64 | $2,062.73 | not published | 0 |
| Tlso full corset HCPCS L0974 | $623.60 | $1,039.34 | not published | 0 |
| Tlso r fram soft ant pre cst HCPCS L0466 | $1,353.96 | $2,256.60 | not published | 0 |
| Tlso r fram soft pre ots HCPCS L0467 | $1,353.96 | $2,256.60 | not published | 0 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | $1,696.79 | $2,827.99 | not published | 0 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | $1,696.79 | $2,827.99 | not published | 0 |
| Tlso rigid frame pre subclav HCPCS L0470 | $2,347.99 | $3,913.31 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $5,143.49 | $8,572.48 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $3,582.29 | $5,970.49 | not published | 0 |
| Tlso rigid plastic custom fa HCPCS L0480 | $5,390.18 | $8,983.64 | not published | 0 |
| Tlso rigid plastic pre one HCPCS L0490 | $1,009.46 | $1,682.44 | not published | 0 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $1,686.07 | $2,810.11 | not published | 0 |
| Tobramycin peak therapeutic drug level CPT 80200 | $60.00 | $100.00 | not published | 0 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,302.43 | $7,170.72 | not published | 0 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $15.60 | $26.00 | not published | 0 |
| Tomosynthesis breast screen bilateral CPT 77063 | $18.00 | $30.00 | not published | 0 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $249.41 | $415.68 | not published | 0 |
| Torsion ank & half solid sti HCPCS L2375 | $439.09 | $731.82 | not published | 0 |
| Torsion straight knee joint HCPCS L2380 | $382.85 | $638.08 | not published | 0 |
| Total Knee Replacement CPT 27447 | $31,736.64 | $52,894.40 | not published | 0 |
| Toxoplasma antibody igg CPT 86777 | $53.40 | $89.00 | not published | 0 |
| Toxoplasma antibody igm CPT 86778 | $54.60 | $91.00 | not published | 0 |
| Tp53 gene trgt sequence alys CPT 81352 | $720.00 | $1,200.00 | not published | 0 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $6,640.81 | $11,068.02 | not published | 0 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $329.40 | $549.00 | not published | 0 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $16.73 | $27.88 | not published | 0 |
| Transferrin CPT 84466 | $33.60 | $56.00 | not published | 0 |
| Transfusion blood/blood component(s) CPT 36430 | $661.20 | $1,102.00 | not published | 0 |
| Trans shoe caliper plate new HCPCS L3610 | $358.55 | $597.58 | not published | 0 |
| Trans shoe calip plate exist HCPCS L3600 | $272.30 | $453.84 | not published | 0 |
| Trans shoe solid stirrup exi HCPCS L3620 | $272.30 | $453.84 | not published | 0 |
| Trans shoe solid stirrup new HCPCS L3630 | $358.55 | $597.58 | not published | 0 |
| Trapezius sling HCPCS L1070 | $400.34 | $667.24 | not published | 0 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $2,824.78 | $4,707.96 | not published | 0 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $6,854.72 | $11,424.54 | not published | 0 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $6,103.94 | $10,173.24 | not published | 0 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $13,654.76 | $22,757.93 | not published | 0 |
| Trb@ gene rearrange dirprobe CPT 81341 | $148.80 | $248.00 | not published | 0 |
| Treat elbow dislocation CPT 24605 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat elbow fracture CPT 24620 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat finger fracture each CPT 26742 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat foot dislocation CPT 28570 | $149.40 | $249.00 | not published | 0 |
| Treat foot dislocation CPT 28600 | $149.40 | $249.00 | not published | 0 |
| Treat fracture of radius CPT 25505 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat fracture of ulna CPT 25535 | $417.60 | $696.00 | not published | 0 |
| Treat humerus fracture CPT 24535 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat humerus fracture CPT 24565 | $1,033.20 | $1,722.00 | not published | 0 |
| Treat kneecap dislocation CPT 27562 | $149.40 | $249.00 | not published | 0 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $2,035.80 | $3,393.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $205.20 | $342.00 | not published | 0 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $189.00 | $315.00 | not published | 0 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $163.20 | $272.00 | not published | 0 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $2,035.80 | $3,393.00 | not published | 0 |
| Treatment of ankle fracture CPT 27814 | $17,398.50 | $28,997.50 | not published | 0 |
| Treatment of thigh fracture CPT 27503 | $1,033.20 | $1,722.00 | 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.