Smyth County Community Hospital
245 MEDICAL PARK DR., MARION, VA · Balladhealth · · NPI 1073519377
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 |
|---|---|---|---|---|
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $3,438.60 | $22,923.98 | $35.56 – $5,469.75 | 15 |
| Iron CPT 83540 | $11.40 | $76.00 | $2.31 – $14.10 | 15 |
| Iron binding capacity CPT 83550 | $15.45 | $103.00 | $2.31 – $19.05 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $19.69 | $131.27 | $10.65 – $135.74 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $149.70 | $997.99 | $0.28 – $0.72 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | $122.10 | $814.00 | $13.44 – $109.38 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $29.40 | $196.00 | $24.74 – $125.48 | 15 |
| Ivc venogram s&i CPT 75825 | $1,357.80 | $9,052.00 | $115.63 – $6,715.94 | 15 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $43.95 | $293.00 | $31.14 – $360.75 | 15 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $25.65 | $171.00 | $18.55 – $375.18 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $36.00 | $240.00 | $19.87 – $652.33 | 15 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $92.55 | $617.00 | $61.37 – $452.42 | 15 |
| IV inj ra drug dx study CPT 78808 | $452.25 | $3,015.00 | $39.75 – $850.31 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $119.55 | $797.00 | $91.59 – $373.08 | 15 |
| Jak2 targeted sequence analysis CPT 81279 | $121.05 | $807.00 | $166.68 – $403.74 | 15 |
| John cunningham antibody CPT 86711 | $25.20 | $168.00 | $11.83 – $36.82 | 15 |
| Ketamine and metabolite screen - quest CPT 80357 | $20.25 | $135.00 | $14.53 – $15.11 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $14.40 | $96.00 | $5.72 – $17.81 | 15 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $9.17 | $61.14 | $0.33 – $0.73 | 14 |
| Kidney imaging morphology CPT 78700 | $452.25 | $3,015.00 | $165.60 – $850.31 | 15 |
| Kidney imag w/bld flow multi CPT 78709 | $452.25 | $3,015.00 | $284.34 – $1,154.89 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $452.25 | $3,015.00 | $262.53 – $1,154.89 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $101.55 | $677.00 | $86.68 – $222.37 | 15 |
| Kit gene analys d816 variant CPT 81273 | $108.15 | $721.00 | $45.68 – $272.22 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $668.55 | $4,457.00 | $340.39 – $742.05 | 15 |
| Knee MRI (with contrast) CPT 73722 | $636.75 | $4,245.00 | $392.26 – $1,667.39 | 15 |
| Knee MRI (without contrast) CPT 73721 | $614.85 | $4,099.00 | $232.80 – $507.50 | 15 |
| Knee X-ray CPT 73564 | $80.10 | $534.00 | $36.93 – $222.37 | 15 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $40.06 | $267.04 | $0.14 – $0.35 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $10.50 | $70.00 | $5.72 – $13.17 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $7.26 | $48.38 | $12.61 – $18.00 | 2 |
| Lactic acid CPT 83605 | $18.75 | $125.00 | $11.57 – $25.22 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $34.35 | $229.00 | $12.68 – $42.95 | 15 |
| Lactoferrin fecal quant CPT 83631 | $21.00 | $140.00 | $12.68 – $42.79 | 15 |
| Laryngoscopy w/fb removal CPT 31530 | $599.25 | $3,995.00 | $298.66 – $3,785.83 | 15 |
| Lead capillary CPT 83655 | $21.15 | $141.00 | $12.11 – $26.40 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $344.25 | $2,295.00 | $123.50 – $507.50 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $42.90 | $286.01 | $5.67 – $18.76 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $8,215.88 | $54,772.55 | $170.78 – $437.20 | 15 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $25.68 | $171.18 | $0.07 – $0.48 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $23.10 | $154.00 | $12.75 – $28.89 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.26 | $48.38 | $4.47 – $21.00 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $25.80 | $172.00 | $12.75 – $32.02 | 15 |
| Ligation/major artery/extremity 37618 CPT 37618 | $644.55 | $4,297.00 | $1,798.65 – $2,814.65 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,070.70 | $7,138.00 | $3,080.71 – $6,715.94 | 15 |
| Limb exercise test CPT 95875 | $101.40 | $676.00 | $27.17 – $273.69 | 15 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $28.90 | $192.67 | $6.28 – $31.82 | 3 |
| Lipase CPT 83690 | $12.15 | $81.00 | $5.72 – $15.02 | 15 |
| Lipoprotein blood high res frac & quant CPT 83701 | $43.50 | $290.00 | $29.45 – $73.81 | 15 |
| Lipoprotein blood quant CPT 83704 | $55.35 | $369.00 | $29.45 – $74.53 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $14.40 | $96.00 | $5.72 – $17.85 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $16.65 | $111.00 | $5.72 – $22.89 | 15 |
| Listeria monocytogenes CPT 86723 | $15.00 | $100.00 | $11.83 – $28.75 | 15 |
| Lithium therapeutic drug level CPT 80178 | $11.70 | $78.00 | $6.61 – $14.41 | 15 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,285.10 | $15,234.00 | $10,869.55 – $11,304.34 | 5 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $79.65 | $531.00 | $167.97 – $384.09 | 15 |
| Liver Function Test CPT 80076 | $13.65 | $91.00 | $8.17 – $17.81 | 15 |
| Liver imaging CPT 78201 | $452.25 | $3,015.00 | $143.92 – $1,157.32 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $474.90 | $3,166.00 | $174.05 – $1,157.32 | 15 |
| Liver/spleen imag static only CPT 78215 | $474.90 | $3,166.00 | $174.58 – $1,157.32 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $498.60 | $3,324.00 | $191.06 – $1,157.32 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $7.95 | $52.98 | $2.43 – $10.46 | 2 |
| Low cost skin substitute app HCPCS C5271 | $267.00 | $1,780.00 | $387.11 – $2,563.11 | 5 |
| Low cost skin substitute app HCPCS C5275 | $267.00 | $1,780.00 | $387.11 – $2,563.11 | 5 |
| Low cost skin substitute app HCPCS C5272 | $112.05 | $747.00 | $277.88 – $2,563.11 | 5 |
| Low cost skin substitute app HCPCS C5276 | $112.05 | $747.00 | $277.88 – $2,563.11 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $587.70 | $3,918.00 | $171.14 – $407.98 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $559.65 | $3,731.00 | $270.44 – $742.05 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $531.75 | $3,545.00 | $102.00 – $222.37 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $668.55 | $4,457.00 | $340.39 – $742.05 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $636.75 | $4,245.00 | $340.39 – $742.05 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $604.95 | $4,033.00 | $232.80 – $507.50 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $65.85 | $439.00 | $37.52 – $222.37 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | $28.95 | $193.00 | $15.47 – $125.48 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $86.40 | $576.00 | $19.51 – $459.27 | 15 |
| Lung perfusion imaging CPT 78580 | $452.25 | $3,015.00 | $182.18 – $1,157.32 | 15 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $150.15 | $1,001.00 | $226.58 – $45,955.11 | 15 |
| Lymphatics/lymph node imaging CPT 78195 | $452.25 | $3,015.00 | $230.27 – $1,157.32 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | $83.85 | $559.00 | $42.75 – $106.89 | 15 |
| Lymph vessel x-ray trunk CPT 75807 | $492.60 | $3,284.00 | $320.00 – $6,715.94 | 15 |
| Macroscopic exam parasite CPT 87169 | $7.20 | $48.00 | $4.31 – $10.36 | 15 |
| Magnesium CPT 83735 | $11.85 | $79.00 | $2.31 – $14.61 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $28.48 | $189.86 | $0.84 – $1.23 | 2 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $28.95 | $193.00 | $14.54 – $282.99 | 15 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $38.85 | $259.00 | $23.76 – $282.99 | 15 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $236.10 | $1,574.00 | $52.04 – $492.72 | 6 |
| Map tachycard site(s) CPT 93609 | $513.90 | $3,426.00 | $296.32 – $22,504.00 | 5 |
| Mastoids complete CPT 70130 | $69.30 | $462.00 | $40.32 – $222.37 | 15 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,835.67 | $12,237.78 | $35.15 – $264.69 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $25.35 | $169.00 | $12.68 – $31.52 | 15 |
| Mayo aathr protein s free CPT 85306 | $25.95 | $173.00 | $4.64 – $33.40 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $25.95 | $173.00 | $6.26 – $33.40 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $33.45 | $223.00 | $12.75 – $84.08 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $8.10 | $54.00 | $14.53 – $15.11 | 5 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $8.10 | $54.00 | $14.53 – $15.11 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $25.05 | $167.00 | $12.68 – $32.22 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $22.35 | $149.00 | $14.53 – $15.11 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $23.40 | $156.00 | $12.68 – $29.30 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $26.40 | $176.00 | $12.75 – $32.87 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $11.70 | $78.00 | $14.53 – $15.11 | 5 |
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.