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 |
|---|---|---|---|---|
| Drainage external ear simple 69000 CPT 69000 | $467.40 | $779.00 | not published | 0 |
| Drainage mouth roof lesion CPT 42000 | $150.00 | $250.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $1,080.00 | $1,800.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $916.80 | $1,528.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $846.60 | $1,411.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $211.80 | $353.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,159.80 | $1,933.00 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $337.80 | $563.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $130.20 | $217.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $307.80 | $513.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $268.80 | $448.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $49,103.17 | $81,838.62 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $465.60 | $776.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,080.00 | $1,800.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,080.00 | $1,800.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $27.28 | $45.46 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $4.94 | $8.23 | not published | 0 |
| Drop lock knee HCPCS L2182 | $309.11 | $515.19 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $105.76 | $176.26 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $10,290.54 | $17,150.90 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $6,822.43 | $11,370.72 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $27,606.35 | $46,010.59 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $6,451.66 | $10,752.76 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $38,593.48 | $64,322.47 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $54,968.58 | $91,614.30 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $38,747.84 | $64,579.74 | not published | 0 |
| Drug assay caffeine CPT 80155 | $128.40 | $214.00 | not published | 0 |
| Drug assay rufinamide CPT 80210 | $59.40 | $99.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $397.20 | $662.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $78.00 | $130.00 | not published | 0 |
| Drug asy hydroxychloroquine CPT 80220 | $121.80 | $203.00 | not published | 0 |
| Drug test def 1-7 classes HCPCS G0480 | $519.00 | $865.00 | not published | 0 |
| Drug test prsmv instrmnt CPT 80306 | $42.60 | $71.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $206.40 | $344.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $66.60 | $111.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $286.20 | $477.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $26,840.58 | $44,734.30 | not published | 0 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,730.39 | $12,883.98 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,172.80 | $5,288.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $114.60 | $191.00 | not published | 0 |
| Ecg 12 lead tracing only CPT 93005 | $57.00 | $95.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $378.00 | $630.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $836.40 | $1,394.00 | not published | 0 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $67.80 | $113.00 | not published | 0 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $103.20 | $172.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $976.80 | $1,628.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $553.80 | $923.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,839.00 | $3,065.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $471.60 | $786.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $228.60 | $381.00 | not published | 0 |
| Echo stress CPT 93350 | $905.40 | $1,509.00 | not published | 0 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $10,567.25 | $17,612.08 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $124.20 | $207.00 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $10,028.42 | $16,714.03 | not published | 0 |
| Egd remove foreign body CPT 43247 | $594.60 | $991.00 | not published | 0 |
| Egd remove lesion snare CPT 43251 | $3,567.40 | $5,945.67 | not published | 0 |
| Electrd sq emblem s-icd HCPCS C1896 | $21,333.08 | $35,555.14 | not published | 0 |
| Electrolyte panel CPT 80051 | $28.80 | $48.00 | not published | 0 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $5,570.75 | $9,284.58 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $130.20 | $217.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $130.20 | $217.00 | not published | 0 |
| Endo ak/hip alignable system HCPCS L5920 | $1,757.90 | $2,929.84 | not published | 0 |
| Endo below knee alignable sy HCPCS L5910 | $1,208.47 | $2,014.11 | not published | 0 |
| Endo bk ultra-light material HCPCS L5940 | $1,661.88 | $2,769.80 | not published | 0 |
| Endo knee-shin frct swg & st HCPCS L5812 | $1,872.88 | $3,121.46 | not published | 0 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | $2,416.30 | $4,027.16 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $380.40 | $634.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $1,151.40 | $1,919.00 | not published | 0 |
| Endo, single, pulmonary HCPCS C1601 | $12,269.49 | $20,449.15 | not published | 0 |
| Endoskel knee-shin mnl lock HCPCS L5810 | $1,654.84 | $2,758.06 | not published | 0 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $45.25 | $75.42 | not published | 0 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $1,624.24 | $2,707.07 | not published | 0 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $463.75 | $772.91 | not published | 0 |
| Epilepsy gen seq alys panel CPT 81419 | $7,345.80 | $12,243.00 | not published | 0 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $612.00 | $1,020.00 | not published | 0 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $4.80 | $8.00 | not published | 0 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $714.74 | $1,191.24 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $52.20 | $87.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $57.00 | $95.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $69.60 | $116.00 | not published | 0 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $281.52 | $469.20 | not published | 0 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,142.91 | $5,238.19 | not published | 0 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,538.00 | $4,230.00 | not published | 0 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $57.81 | $96.35 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $116.40 | $194.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $294.60 | $491.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $486.60 | $811.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $857.40 | $1,429.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,330.80 | $2,218.00 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $487.56 | $812.60 | not published | 0 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $4.80 | $8.00 | not published | 0 |
| Esophagoscopy flex biopsy CPT 43202 | $1,254.00 | $2,090.00 | not published | 0 |
| Esophagoscopy flex remove fb CPT 43215 | $1,254.00 | $2,090.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $174.60 | $291.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $174.60 | $291.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $174.60 | $291.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $174.60 | $291.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $235.20 | $392.00 | not published | 0 |
| Estradiol total CPT 82670 | $109.20 | $182.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $85.20 | $142.00 | 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.