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 |
|---|---|---|---|---|
| Cyclic citrullinated peptide antibody CPT 86200 | $43.20 | $72.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $162.26 | $270.44 | not published | 0 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $44.12 | $73.54 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $43.20 | $72.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $11.36 | $18.94 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $14.12 | $23.53 | not published | 0 |
| Cygnus, per sq cm HCPCS Q4170 | $17,810.55 | $29,684.25 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $57,670.76 | $96,117.93 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $524.40 | $874.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $524.40 | $874.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $524.40 | $874.00 | not published | 0 |
| Cystatin c CPT 82610 | $61.80 | $103.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $76.80 | $128.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $1,335.60 | $2,226.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $1,335.60 | $2,226.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $450.60 | $751.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $1,335.60 | $2,226.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,335.60 | $2,226.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $90.00 | $150.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $1,587.60 | $2,646.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $61.80 | $103.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $74.40 | $124.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $322.80 | $538.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $79.80 | $133.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $83.40 | $139.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $36.60 | $61.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $91.20 | $152.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $205.80 | $343.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $91.20 | $152.00 | not published | 0 |
| Cytopath smear oth prep screen & interp CPT 88161 | $116.40 | $194.00 | not published | 0 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,882.20 | $4,803.66 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $90.00 | $150.00 | not published | 0 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $19,029.36 | $31,715.60 | not published | 0 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,269.40 | $10,449.00 | not published | 0 |
| Dch validity tests CPT 81002 | $12.00 | $20.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $34.80 | $58.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $418.80 | $698.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,080.00 | $1,800.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $430.20 | $717.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $1,860.00 | $3,100.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $7,117.59 | $11,862.65 | not published | 0 |
| Decalcification CPT 88311 | $36.00 | $60.00 | not published | 0 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $180.00 | $300.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $611.40 | $1,019.00 | not published | 0 |
| Decompression of tibia nerve CPT 28035 | $4,535.33 | $7,558.88 | not published | 0 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $879.21 | $1,465.35 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $163.20 | $272.00 | not published | 0 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,588.58 | $9,314.30 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $84.00 | $140.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $7,896.01 | $13,160.02 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $38.76 | $64.60 | not published | 0 |
| Desoxycorticosterone CPT 82633 | $115.20 | $192.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $130.20 | $217.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $19,195.82 | $31,993.03 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $9,894.75 | $16,491.25 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $4,527.84 | $7,546.40 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $3,666.01 | $6,110.01 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $133.80 | $223.00 | not published | 0 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | $2,427.60 | $4,046.00 | not published | 0 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.80 | $8.00 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $15.30 | $25.50 | not published | 0 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $312.65 | $521.08 | not published | 0 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $36.00 | $60.00 | not published | 0 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $36.00 | $60.00 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $36.00 | $60.00 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $36.00 | $60.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $87.00 | $145.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $39.00 | $65.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $84.00 | $140.00 | not published | 0 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $129.00 | $215.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $317.40 | $529.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $247.80 | $413.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $202.03 | $336.72 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $25.10 | $41.84 | not published | 0 |
| Diffusing capacity CPT 94729 | $171.60 | $286.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $584.36 | $973.94 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,057.88 | $13,429.80 | not published | 0 |
| Digoxin total therapeutic drug level CPT 80162 | $52.20 | $87.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $450.60 | $751.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $1,256.24 | $2,093.73 | not published | 0 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $46.56 | $77.60 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $4.80 | $8.00 | not published | 0 |
| Disability dlco CPT 94727 | $185.40 | $309.00 | not published | 0 |
| Disaccharidases CPT 82657 | $244.20 | $407.00 | not published | 0 |
| Dmpk gene detc abnor allele CPT 81234 | $411.00 | $685.00 | not published | 0 |
| Dna antibody native/double stranded CPT 86225 | $54.60 | $91.00 | not published | 0 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $163.20 | $272.00 | not published | 0 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $502.45 | $837.42 | not published | 0 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $92.82 | $154.70 | not published | 0 |
| Doppler echo complete CPT 93320 | $600.60 | $1,001.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $273.60 | $456.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $140.40 | $234.00 | not published | 0 |
| Dornhoffer fixed part w/window HCPCS L8614 | $101,915.93 | $169,859.88 | not published | 0 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $473.45 | $789.09 | not published | 0 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $576.29 | $960.48 | not published | 0 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $70.71 | $117.85 | not published | 0 |
| Dpyd gene common variants CPT 81232 | $578.40 | $964.00 | not published | 0 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $467.40 | $779.00 | not published | 0 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $467.40 | $779.00 | not published | 0 |
| Drainage external ear complex 69005 CPT 69005 | $1,080.00 | $1,800.00 | 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.