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 |
|---|---|---|---|---|
| Debridement bone <= 20 sq cm CPT 11044 | $306.75 | $2,045.00 | $232.56 – $3,512.94 | 15 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $27.45 | $183.00 | $50.49 – $1,352.66 | 5 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $294.90 | $1,966.00 | $82.89 – $1,352.66 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $304.65 | $2,031.00 | $70.65 – $864.65 | 15 |
| Debride nail1-5 11720 CPT 11720 | $16.50 | $110.00 | $25.54 – $125.48 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $24.90 | $166.00 | $45.11 – $125.48 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $294.75 | $1,965.00 | $340.70 – $856.74 | 15 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $113.40 | $756.00 | $28.93 – $1,352.66 | 5 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $345.30 | $2,302.00 | $306.96 – $1,506.19 | 15 |
| Debr inf skin add-on 11001 CPT 11001 | $31.20 | $208.00 | $22.03 – $518.20 | 5 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $290.10 | $1,934.00 | $168.56 – $1,572.00 | 15 |
| Decalcification CPT 88311 | $9.00 | $60.00 | $8.87 – $43.09 | 6 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $261.75 | $1,745.00 | $322.27 – $702.56 | 15 |
| Deep muscle biopsy 20205 CPT 20205 | $1,124.85 | $7,499.00 | $2,321.13 – $6,178.31 | 15 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $86.95 | $579.64 | $10.15 – $15.86 | 2 |
| Delivery of placenta 59414 CPT 59414 | $863.40 | $5,756.00 | $114.25 – $6,885.34 | 15 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $34.80 | $232.00 | $21.16 – $465.76 | 15 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,013.31 | $20,088.72 | $12.99 – $1,409.39 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $205.50 | $1,370.00 | $66.75 – $282.99 | 15 |
| Dermagraft HCPCS Q4106 | $23.40 | $156.00 | $36.45 – $79.09 | 3 |
| Dermapure 1 square cm HCPCS Q4152 | $140.32 | $935.46 | $89.25 – $264.69 | 14 |
| Design mlc device for imrt CPT 77338 | $391.95 | $2,613.00 | $226.18 – $796.41 | 15 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $124.07 | $827.16 | $5.23 – $158.85 | 6 |
| Desoxycorticosterone CPT 82633 | $33.15 | $221.00 | $30.98 – $67.54 | 15 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,285.95 | $8,573.00 | $1,866.85 – $4,153.43 | 15 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $761.70 | $5,078.00 | $510.02 – $530.42 | 5 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $99.60 | $664.00 | $44.48 – $426.75 | 15 |
| Destruction 2-14 lesions 17003 CPT 17003 | $27.60 | $184.00 | $15.31 – $230.88 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $39.15 | $261.00 | $46.85 – $222.00 | 15 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $168.60 | $1,124.00 | $379.81 – $1,941.52 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $421.20 | $2,808.00 | $949.72 – $4,153.43 | 15 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $159.90 | $1,066.00 | $197.78 – $464.78 | 15 |
| Destruction vag lesions simple 57061 CPT 57061 | $1,140.00 | $7,600.00 | $129.11 – $3,316.33 | 15 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $1,345.50 | $8,970.00 | $93.14 – $4,388.58 | 15 |
| Developmental screen/score/document 96110 CPT 96110 | $40.65 | $271.00 | $27.08 – $812.51 | 6 |
| Devel tst phys/qhp 1st hr CPT 96112 | $67.20 | $448.00 | $46.00 – $781.26 | 15 |
| Device ablt adv novasure HCPCS C1886 | $6,885.23 | $45,901.53 | $345.59 – $345.59 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,578.00 | $23,853.30 | $8,873.43 – $8,873.43 | 1 |
| Device tiss remov myosure reach HCPCS C1782 | $1,223.52 | $8,156.79 | $2,831.78 – $2,831.78 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $33.75 | $225.00 | $46.00 – $812.51 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $69.30 | $462.00 | $25.22 – $185.10 | 15 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.27 | $1.78 | $0.04 – $0.07 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $16.75 | $111.68 | $0.16 – $0.62 | 2 |
| Dextran 40 infusion HCPCS J7100 | $17.76 | $118.41 | $100.25 – $118.41 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $7.26 | $48.38 | $10.15 – $18.00 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $7.26 | $48.38 | $18.00 – $18.00 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $7.26 | $48.38 | $3.19 – $18.00 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $7.26 | $48.38 | $10.76 – $18.00 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $38.85 | $259.00 | $13.91 – $48.46 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $16.95 | $113.00 | $5.72 – $21.17 | 15 |
| Diab manage trn ind/group HCPCS G0109 | $11.85 | $79.00 | $14.71 – $54.42 | 15 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $138.30 | $922.00 | $31.22 – $456.45 | 15 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $51.30 | $342.00 | $114.06 – $424.56 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $85.50 | $570.00 | $59.60 – $236.51 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $74.10 | $494.00 | $59.60 – $184.47 | 15 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $3,533.70 | $23,558.00 | $13,967.54 – $14,526.24 | 5 |
| Dialysis one evaluation CPT 90945 | $194.55 | $1,297.00 | $72.41 – $1,128.41 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.03 | $453.55 | $0.92 – $12.94 | 2 |
| Dicyclomine injection HCPCS J0500 | $95.37 | $635.82 | $1.85 – $19.99 | 2 |
| Diffusing capacity CPT 94729 | $100.35 | $669.00 | $56.06 – $125.63 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $14.62 | $97.49 | $1.85 – $15.93 | 2 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,895.82 | $32,638.78 | $540.91 – $11,264.04 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $23.25 | $155.00 | $12.75 – $28.95 | 15 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $215.62 | $1,437.44 | $10.46 – $105.60 | 2 |
| Dilate biliary duct/ampulla CPT 47542 | $841.05 | $5,607.00 | $5,607.00 – $7,530.38 | 5 |
| Dilate urethra stricture CPT 53600 | $212.25 | $1,415.00 | $38.52 – $531.43 | 15 |
| Dilation of cervical canal 57800 CPT 57800 | $1,346.40 | $8,976.00 | $3,016.52 – $6,885.34 | 15 |
| Dilator fascial 10fx20cm HCPCS C2627 | $388.60 | $2,590.68 | $363.08 – $363.08 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.93 | $19.50 | $0.92 – $1.34 | 2 |
| Disability dlco CPT 94727 | $47.55 | $317.00 | $46.58 – $459.27 | 15 |
| Disaccharidases CPT 82657 | $31.65 | $211.00 | $12.68 – $48.33 | 15 |
| Dissolve clot heart vessel CPT 92975 | $1,818.15 | $12,121.00 | $612.93 – $6,159.32 | 5 |
| Dmd dup/delet analysis CPT 81161 | $219.15 | $1,461.00 | $126.13 – $608.22 | 15 |
| Dna antibody native/double stranded CPT 86225 | $24.00 | $160.00 | $11.83 – $29.95 | 15 |
| Dna gardnerella CPT 87510 | $35.10 | $234.00 | $10.36 – $43.71 | 15 |
| Dna trichomonas CPT 87660 | $35.10 | $234.00 | $10.36 – $43.71 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $24.08 | $160.56 | $7.69 – $18.00 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $61.14 | $407.58 | $1.06 – $57.96 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $7.98 | $53.19 | $0.71 – $1.46 | 2 |
| Doppler echo complete CPT 93320 | $224.25 | $1,495.00 | $61.72 – $621.02 | 5 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $513.90 | $3,426.00 | $1,279.00 – $2,301.83 | 5 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $252.45 | $1,683.00 | $75.90 – $459.27 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $229.50 | $1,530.00 | $40.79 – $282.99 | 15 |
| Dpyd gene common variants CPT 81232 | $224.40 | $1,496.00 | $157.33 – $381.09 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $66.45 | $443.00 | $61.12 – $1,597.00 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $56.70 | $378.00 | $84.82 – $1,506.19 | 15 |
| Drainage lymph node lesion 38300 CPT 38300 | $900.45 | $6,003.00 | $112.41 – $6,178.31 | 15 |
| Drainage mouth roof lesion CPT 42000 | $147.45 | $983.00 | $66.06 – $503.78 | 15 |
| Drainage of kidney lesion CPT 50390 | $369.45 | $2,463.00 | $508.94 – $1,506.19 | 15 |
| Drainage of urethra abscess 53060 CPT 53060 | $877.35 | $5,849.00 | $72.27 – $4,446.23 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $40.95 | $273.00 | $32.36 – $282.99 | 15 |
| Drain cath image guided visceral pq CPT 49405 | $1,161.30 | $7,742.00 | $936.63 – $3,512.94 | 15 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $363.60 | $2,424.00 | $688.72 – $1,501.40 | 15 |
| Drain finger abscess;simple 26010 CPT 26010 | $130.95 | $873.00 | $95.92 – $426.75 | 15 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $228.60 | $1,524.00 | $98.47 – $426.75 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $75.90 | $506.00 | $52.10 – $426.75 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $102.00 | $680.00 | $115.32 – $864.65 | 15 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $267.30 | $1,782.00 | $614.08 – $8,083.47 | 5 |
| Drng of eyelid abscess 67700 CPT 67700 | $205.50 | $1,370.00 | $85.07 – $675.12 | 15 |
| Drng of finger abscess comp 26011 CPT 26011 | $709.80 | $4,732.00 | $159.67 – $3,512.94 | 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.