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 |
|---|---|---|---|---|
| Tc-99m pentetate dtpa HCPCS A9539 | $46.05 | $307.00 | $15.29 – $56.25 | 2 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.75 | $25.00 | $3.04 – $12.89 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $121.65 | $811.00 | $23.40 – $114.98 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $46.95 | $313.00 | $91.59 – $193.58 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $157.35 | $1,049.00 | $156.49 – $1,438.65 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $45.75 | $305.00 | $20.63 – $276.00 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $154.35 | $1,029.00 | $82.47 – $153.08 | 2 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $82.20 | $548.00 | $42.75 – $102.42 | 15 |
| T cells absolute cd 4 count CPT 86361 | $46.80 | $312.00 | $26.78 – $58.38 | 15 |
| T cells total count CPT 86359 | $66.00 | $440.00 | $37.73 – $82.25 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $22.95 | $153.00 | $15.00 – $69.43 | 15 |
| Telethx isodose plan cplx CPT 77307 | $174.30 | $1,162.00 | $101.81 – $796.41 | 15 |
| Telethx isodose plan simple CPT 77306 | $107.70 | $718.00 | $101.81 – $796.41 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,670.27 | $51,135.13 | $46.74 – $6,096.19 | 15 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.78 | $65.21 | $2.15 – $13.01 | 2 |
| Test for chlorohydrocarbons CPT 82441 | $6.45 | $43.00 | $6.01 – $13.10 | 15 |
| Test for urine cystines CPT 82615 | $8.85 | $59.00 | $5.72 – $20.82 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $452.25 | $3,015.00 | $190.43 – $850.31 | 15 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $32.70 | $218.00 | $22.95 – $125.48 | 15 |
| Test stress cardiovascular tracing only CPT 93017 | $223.95 | $1,493.00 | $71.73 – $459.27 | 15 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $965.85 | $6,439.00 | $2,461.97 – $6,364.73 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $24.90 | $166.00 | $12.75 – $30.83 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $79.05 | $527.00 | $15.84 – $61.52 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $15.75 | $105.00 | $28.49 – $262.51 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $12.00 | $80.00 | $24.51 – $262.51 | 15 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $72.45 | $483.00 | $77.25 – $373.08 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $53.70 | $358.00 | $16.51 – $452.42 | 15 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $6.08 | $40.55 | $0.89 – $3.20 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $383.85 | $2,559.00 | $612.05 – $1,334.27 | 15 |
| Thoracotomy with cardiac massage CPT 32160 | $1,912.95 | $12,753.00 | $508.26 – $6,751.15 | 5 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,468.65 | $9,791.00 | $218.75 – $11,304.34 | 5 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $2,648.25 | $17,655.00 | $4,877.57 – $12,105.92 | 15 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $5,352.15 | $35,681.00 | $8,354.86 – $24,554.41 | 15 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $8,112.60 | $54,084.00 | $13,967.54 – $38,991.26 | 15 |
| Thrombin time CPT 85670 | $10.05 | $67.00 | $4.64 – $12.58 | 15 |
| Thromboendarterectomy common femoral CPT 35371 | $1,069.65 | $7,131.00 | $1,798.65 – $5,364.65 | 5 |
| Thromboplastin inhibition CPT 85705 | $16.80 | $112.00 | $4.64 – $20.99 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $11.40 | $76.00 | $4.64 – $14.10 | 15 |
| Thyroglobulin antibody CPT 86800 | $27.75 | $185.00 | $11.83 – $34.68 | 15 |
| Thyroid imaging CPT 78013 | $452.25 | $3,015.00 | $135.04 – $850.31 | 15 |
| Thyroid mets imag whole body CPT 78018 | $452.25 | $3,015.00 | $252.13 – $1,154.89 | 15 |
| Thyroid (TSH) Test CPT 84443 | $29.40 | $196.00 | $13.91 – $36.62 | 15 |
| Thyroid Ultrasound CPT 76536 | $101.55 | $677.00 | $78.52 – $222.37 | 15 |
| Thyroid uptake measurement CPT 78012 | $452.25 | $3,015.00 | $102.63 – $850.31 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | $25.05 | $167.00 | $13.91 – $32.22 | 15 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $7,850.85 | $52,339.00 | $12,697.12 – $14,526.24 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | $2,004.00 | $13,360.00 | $3,911.11 – $14,526.24 | 5 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $3,739.95 | $24,933.00 | $13,967.54 – $14,526.24 | 5 |
| Tilt table study CPT 93660 | $450.75 | $3,005.00 | $76.28 – $793.70 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $130.95 | $873.00 | $140.73 – $306.79 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $7.20 | $48.00 | $4.27 – $10.36 | 15 |
| Tissue transglutaminase iga CPT 86364 | $74.55 | $497.00 | $10.38 – $25.14 | 15 |
| Tl-201 thallium diag per mci HCPCS A9505 | $44.85 | $299.00 | $17.33 – $58.63 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $117.02 | $780.10 | $4.17 – $7.99 | 2 |
| Tobramycin peak therapeutic drug level CPT 80200 | $28.35 | $189.00 | $12.75 – $35.16 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $74.10 | $494.00 | $12.48 – $59.60 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $74.10 | $494.00 | $22.98 – $50.10 | 15 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $253.57 | $1,690.47 | $4.47 – $27.35 | 3 |
| Total tau CPT 84394 | $51.15 | $341.00 | $128.92 – $281.05 | 14 |
| Toxoplasma antibody igg CPT 86777 | $25.20 | $168.00 | $11.83 – $31.37 | 15 |
| Toxoplasma antibody igm CPT 86778 | $25.20 | $168.00 | $11.83 – $31.41 | 15 |
| Tp53 gene full gene sequence CPT 81351 | $823.80 | $5,492.00 | $577.67 – $1,399.23 | 15 |
| Tp53 gene known famil vrnt CPT 81353 | $395.40 | $2,636.00 | $167.97 – $671.44 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | $422.85 | $2,819.00 | $167.97 – $718.33 | 15 |
| Tpmt gene com vrnts CPT 81335 | $224.40 | $1,496.00 | $157.33 – $381.09 | 15 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $1,163.70 | $7,758.00 | $3,100.00 – $11,404.50 | 15 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $269.70 | $1,798.00 | $172.01 – $2,329.71 | 15 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $21.00 | $140.00 | $44.38 – $119.83 | 15 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $12.64 | $84.29 | $0.05 – $0.05 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | $195.75 | $1,305.00 | $95.00 – $752.20 | 15 |
| Transcath biopsy CPT 37200 | $1,384.20 | $9,228.00 | $4,877.57 – $11,835.62 | 15 |
| Transcath closure of asd CPT 93580 | $3,076.95 | $20,513.00 | $992.08 – $38,991.26 | 15 |
| Transcatheter bx s&i CPT 75970 | $347.25 | $2,315.00 | $260.11 – $270.52 | 5 |
| Transcath occlusion cns CPT 61624 | $2,493.45 | $16,623.00 | $16,623.00 – $38,991.26 | 15 |
| Transcath occlusion non-cns CPT 61626 | $2,110.35 | $14,069.00 | $11,263.49 – $24,554.41 | 15 |
| Transcutaneous carboxyhb CPT 88740 | $4.80 | $32.00 | $6.26 – $20.43 | 15 |
| Transferrin CPT 84466 | $22.05 | $147.00 | $12.68 – $27.82 | 15 |
| Transfusion blood/blood component(s) CPT 36430 | $119.40 | $796.00 | $45.17 – $938.37 | 15 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $1,730.42 | $11,536.13 | $59.24 – $2,213.69 | 15 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $1,510.82 | $10,072.11 | $19.34 – $1,581.92 | 15 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $3,759.45 | $25,062.99 | $8.21 – $2,213.69 | 15 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $988.65 | $6,591.00 | $724.99 – $3,864.35 | 3 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $583.37 | $3,889.13 | $205.41 – $205.41 | 1 |
| Treat elbow dislocation CPT 24605 | $723.45 | $4,823.00 | $324.07 – $3,420.19 | 15 |
| Treat elbow fracture CPT 24620 | $723.45 | $4,823.00 | $444.39 – $3,420.19 | 15 |
| Treat finger fracture each CPT 26742 | $63.30 | $422.00 | $245.96 – $3,420.19 | 15 |
| Treat foot dislocation CPT 28570 | $101.55 | $677.00 | $240.67 – $618.93 | 15 |
| Treat fracture of radius CPT 25505 | $205.50 | $1,370.00 | $345.71 – $3,420.19 | 15 |
| Treat fracture of ulna CPT 25535 | $211.95 | $1,413.00 | $240.67 – $618.93 | 15 |
| Treat hip dislocation CPT 27252 | $723.45 | $4,823.00 | $596.62 – $3,420.19 | 15 |
| Treat humerus fracture CPT 24565 | $283.95 | $1,893.00 | $405.54 – $3,420.19 | 15 |
| Treat knee dislocation CPT 27552 | $659.25 | $4,395.00 | $620.72 – $3,420.19 | 15 |
| Treat knee fracture 27530 CPT 27530 | $109.20 | $728.00 | $192.45 – $618.93 | 15 |
| Treat lower leg dislocation CPT 27830 | $211.95 | $1,413.00 | $240.67 – $618.93 | 15 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $834.75 | $5,565.00 | $291.22 – $6,885.34 | 15 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $43.50 | $290.00 | $31.19 – $282.99 | 15 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $39.60 | $264.00 | $11.82 – $76.77 | 6 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $98.55 | $657.00 | $16.11 – $465.76 | 15 |
| Treatment of ankle fracture CPT 27814 | $3,081.15 | $20,541.00 | $6,917.10 – $15,433.92 | 15 |
| Treatment of ankle fracture 27786 CPT 27786 | $241.50 | $1,610.00 | $236.91 – $618.93 | 15 |
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.