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 |
|---|---|---|---|---|
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $450.00 | $750.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $450.00 | $750.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $450.00 | $750.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,098.00 | $1,830.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $823.80 | $1,373.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,045.80 | $1,743.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $450.00 | $750.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $450.00 | $750.00 | not published | 0 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $3,292.97 | $5,488.29 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $27.00 | $45.00 | not published | 0 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $27,685.51 | $46,142.52 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $128.40 | $214.00 | not published | 0 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,537.67 | $2,562.79 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $11,573.57 | $19,289.29 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $12,237.83 | $20,396.38 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $81.00 | $135.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $84.00 | $140.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $176.40 | $294.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $28,298.99 | $47,164.98 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $7,294.41 | $12,157.35 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $207.60 | $346.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $207.60 | $346.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $270.00 | $450.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $329.40 | $549.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $2,049.00 | $3,415.00 | not published | 0 |
| Coombs direct CPT 86880 | $103.20 | $172.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $91.20 | $152.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $283.20 | $472.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $36,960.00 | $61,600.00 | not published | 0 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $19,789.50 | $32,982.50 | not published | 0 |
| Cortisol total am CPT 82533 | $64.20 | $107.00 | not published | 0 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $105.10 | $175.17 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $12,605.91 | $21,009.85 | not published | 0 |
| Covers for upright each HCPCS L1120 | $135.71 | $226.19 | not published | 0 |
| Cover wrist HCPCS L3984 | $132.98 | $221.64 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $48.60 | $81.00 | not published | 0 |
| C-peptide CPT 84681 | $81.60 | $136.00 | not published | 0 |
| Cranial cervical orthosis HCPCS L0112 | $24,736.88 | $41,228.13 | not published | 0 |
| C-reactive protein CPT 86140 | $43.20 | $72.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $45.60 | $76.00 | not published | 0 |
| Creatine kinase CPT 82550 | $33.00 | $55.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $49.80 | $83.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $18.00 | $30.00 | not published | 0 |
| Creatinine CPT 82565 | $20.40 | $34.00 | not published | 0 |
| Creatinine 24 hour urine CPT 82570 | $21.00 | $35.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $36.60 | $61.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $228.60 | $381.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $289.20 | $482.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $553.20 | $922.00 | not published | 0 |
| Crotalidae poly immune fab HCPCS J0840 | $5,180.76 | $8,634.60 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $16.20 | $27.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $979.80 | $1,633.00 | not published | 0 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,991.60 | $4,986.00 | not published | 0 |
| Cta neck without &/or w/contrast CPT 70498 | $708.60 | $1,181.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,464.00 | $2,440.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $858.60 | $1,431.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $849.00 | $1,415.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $1,537.20 | $2,562.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $129.00 | $129.00 | not published | 0 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $721.20 | $1,202.00 | not published | 0 |
| CT lower extremity without contrast (both sides) CPT 73700 | $604.20 | $1,007.00 | not published | 0 |
| Ctlso a-p-l control molded HCPCS L0700 | $7,104.19 | $11,840.32 | not published | 0 |
| Ctlso a-p-l control with inter HCPCS L0710 | $7,809.45 | $13,015.75 | not published | 0 |
| Ctlso axilla sling HCPCS L1010 | $298.58 | $497.64 | not published | 0 |
| Ctlso milwauke initial model HCPCS L1000 | $7,236.31 | $12,060.51 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,698.00 | $2,830.00 | not published | 0 |
| CT neck soft tissue w/contrast CPT 70491 | $690.00 | $1,150.00 | not published | 0 |
| CT neck soft tissue without contrast CPT 70490 | $576.00 | $960.00 | not published | 0 |
| CT neck soft tissue without & w/contrast CPT 70492 | $862.20 | $1,437.00 | not published | 0 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $3,117.00 | $5,195.00 | not published | 0 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $576.00 | $960.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $150.00 | $250.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,065.80 | $3,443.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,169.00 | $3,615.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,409.40 | $2,349.00 | not published | 0 |
| CT thoracic spine w/contrast CPT 72129 | $862.20 | $1,437.00 | not published | 0 |
| CT thoracic spine without contrast CPT 72128 | $721.20 | $1,202.00 | not published | 0 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $283.80 | $473.00 | not published | 0 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $721.20 | $1,202.00 | not published | 0 |
| CT upper extremity without contrast (both sides) CPT 73200 | $604.20 | $1,007.00 | not published | 0 |
| Cuffs adj lock with active con HCPCS L3740 | $3,489.64 | $5,816.07 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $32.40 | $54.00 | not published | 0 |
| Culture afb any source CPT 87116 | $178.80 | $298.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $32.40 | $54.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $36.60 | $61.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $20.40 | $34.00 | not published | 0 |
| Culture body fluid CPT 87070 | $34.20 | $57.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $39.00 | $65.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $81.60 | $136.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $31.80 | $53.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $121.80 | $203.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $49.20 | $82.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $57.60 | $96.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $24.60 | $41.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $54.60 | $91.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $654.00 | $1,090.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $105.60 | $176.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $85.80 | $143.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $14,129.71 | $23,549.51 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $4.80 | $8.00 | 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.