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 |
|---|---|---|---|---|
| Chest X-ray CPT 71046 | $232.80 | $388.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $100.20 | $167.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $782.40 | $1,304.00 | not published | 0 |
| Chloride CPT 82435 | $17.40 | $29.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $90.60 | $151.00 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $47.15 | $78.59 | not published | 0 |
| Cholesterol CPT 82465 | $18.00 | $30.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $52.80 | $88.00 | not published | 0 |
| Cholinesterase CPT 82480 | $23.40 | $39.00 | not published | 0 |
| Chromatography CPT 83021 | $56.40 | $94.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $94.80 | $158.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $459.00 | $765.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $111.00 | $185.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $189.00 | $315.00 | not published | 0 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $14.28 | $23.80 | not published | 0 |
| Circum 28 days or older CPT 54161 | $1,335.60 | $2,226.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $148.32 | $247.20 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $250.36 | $417.27 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $43,536.90 | $72,561.50 | not published | 0 |
| Clearance of airways CPT 31720 | $337.80 | $563.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $43.66 | $72.76 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $7,638.75 | $12,731.25 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $1,354.55 | $2,257.59 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $149.40 | $249.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,033.20 | $1,722.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,033.20 | $1,722.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,033.20 | $1,722.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $149.40 | $249.00 | not published | 0 |
| Closed tx orbit without manipulj CPT 21400 | $329.40 | $549.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,894.40 | $4,824.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $150.00 | $250.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $999.60 | $1,666.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $43.80 | $73.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $33.60 | $56.00 | not published | 0 |
| Clot factor xiii fibrin stab CPT 85290 | $47.40 | $79.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $149.40 | $249.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $149.40 | $249.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $149.40 | $249.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $149.40 | $249.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $432.00 | $720.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $149.40 | $249.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $404.40 | $674.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $149.40 | $249.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $149.40 | $249.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $149.40 | $249.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $149.40 | $249.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $149.40 | $249.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $149.40 | $249.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $149.40 | $249.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $432.00 | $720.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $149.40 | $249.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $149.40 | $249.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $149.40 | $249.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $149.40 | $249.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $404.40 | $674.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $149.40 | $249.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $149.40 | $249.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $149.40 | $249.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,033.20 | $1,722.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $432.00 | $720.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $149.40 | $249.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $149.40 | $249.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,033.20 | $1,722.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,032.60 | $1,721.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,033.20 | $1,722.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,033.20 | $1,722.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $72.60 | $121.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $129.60 | $216.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $16.80 | $28.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,036.83 | $1,728.05 | not published | 0 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $47,285.03 | $78,808.39 | not published | 0 |
| Coch implant microphone repl HCPCS L8616 | $1,167.58 | $1,945.97 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $28.20 | $47.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $32.40 | $54.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $336.42 | $560.70 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $225.60 | $376.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $544.05 | $906.75 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $372.88 | $621.46 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $169.20 | $282.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $208.80 | $348.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $15.00 | $25.00 | not published | 0 |
| Colonoscopy (diagnostic) CPT 45378 | $2,948.81 | $4,914.68 | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $4,585.18 | $7,641.97 | not published | 0 |
| Colonoscopy (with biopsy) CPT 45380 | $8,094.75 | $13,491.25 | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | $3,422.65 | $5,704.42 | not published | 0 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,035.80 | $3,393.00 | not published | 0 |
| Combination bilateral ho HCPCS L1690 | $6,900.80 | $11,501.33 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $480.00 | $800.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $93.60 | $156.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $46.80 | $78.00 | 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.