Lee County Community Hospital
127 HEALTHCARE DRIVE, PENNINGTON GAP, VA · Balladhealth · · NPI 1205488996
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 |
|---|---|---|---|---|
| Osmolality urine CPT 83935 | $11.50 | $50.00 | $6.82 – $15.16 | 6 |
| Ot evaluation high complexity patient/family CPT 97167 | $77.74 | $338.00 | $46.00 – $482.75 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $70.38 | $306.00 | $46.00 – $482.75 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $74.06 | $322.00 | $46.00 – $482.75 | 5 |
| Oth resp proc, indiv HCPCS G0238 | $77.51 | $337.00 | $14.83 – $64.91 | 5 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $45.31 | $197.00 | $46.00 – $66.86 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $35.65 | $155.00 | $45.50 – $66.86 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $28.52 | $124.00 | $27.40 – $66.86 | 5 |
| Ot re-evaluation patient/family CPT 97168 | $44.85 | $195.00 | $46.00 – $482.75 | 5 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $33.12 | $144.00 | $34.63 – $66.86 | 5 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $30.36 | $132.00 | $28.73 – $66.86 | 5 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $31.74 | $138.00 | $32.37 – $66.86 | 5 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $33.12 | $144.00 | $32.01 – $52.97 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $13.50 | $58.69 | $1.23 – $2.52 | 2 |
| Palb2 gene full gene seq CPT 81307 | $218.04 | $948.00 | $254.59 – $1,018.46 | 6 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $52.57 | $228.57 | $16.97 – $178.98 | 2 |
| Papaverin hcl injection HCPCS J2440 | $155.28 | $675.11 | $3.08 – $67.32 | 2 |
| Parathormone (pth) intact CPT 83970 | $71.07 | $309.00 | $41.28 – $90.94 | 6 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $38.64 | $168.00 | $22.64 – $329.95 | 5 |
| Partial removal finger bone CPT 26236 | $679.42 | $2,954.00 | $2,423.76 – $2,520.71 | 5 |
| Partial removal foot fascia CPT 28060 | $1,347.34 | $5,858.00 | $3,972.28 – $4,131.17 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $1,046.49 | $4,549.97 | $147.88 – $147.88 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | $21.85 | $95.00 | $33.47 – $181.06 | 6 |
| Pcv21 vaccine im CPT 90684 | $636.35 | $2,766.72 | $223.47 – $595.50 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $635.95 | $2,765.00 | $300.68 – $606.37 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $605.36 | $2,632.00 | $270.44 – $606.37 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $576.61 | $2,507.00 | $172.70 – $427.00 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $656.19 | $2,853.00 | $480.63 – $786.00 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $593.63 | $2,581.00 | $304.57 – $786.00 | 6 |
| Pelvic Ultrasound (complete) CPT 76856 | $99.82 | $434.00 | $86.68 – $312.26 | 6 |
| Pelvic Ultrasound (limited) CPT 76857 | $99.82 | $434.00 | $49.23 – $206.11 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $283.54 | $1,232.79 | $4.07 – $201.74 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $47.70 | $207.39 | $1.05 – $1.39 | 2 |
| Penile injection CPT 54235 | $1,386.44 | $6,028.00 | $69.64 – $158.54 | 5 |
| Pentamidine non-comp unit HCPCS J2545 | $43.22 | $187.92 | $99.63 – $201.74 | 6 |
| Perq dev breast 1st strtctc CPT 19283 | $275.31 | $1,197.00 | $1,197.00 – $2,508.42 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,145.86 | $4,982.00 | $652.31 – $678.40 | 5 |
| Ph body fluid CPT 83986 | $5.06 | $22.00 | $3.58 – $8.50 | 6 |
| Phencyclidine (pcp) CPT 83992 | $13.34 | $58.00 | $18.23 – $58.00 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $186.20 | $809.58 | $3.08 – $53.10 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $19.55 | $85.00 | $14.60 – $33.92 | 6 |
| Phentolaine mesylate inj HCPCS J2760 | $1,083.53 | $4,710.98 | $25.53 – $760.36 | 6 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $6.79 | $29.51 | $0.30 – $0.79 | 2 |
| Phenytoin total therapeutic drug level CPT 80185 | $23.00 | $100.00 | $13.25 – $28.87 | 6 |
| Phlebotomy therapeutic CPT 99195 | $63.94 | $278.00 | $22.93 – $134.99 | 5 |
| Phosphorus CPT 84100 | $8.05 | $35.00 | $4.74 – $10.10 | 6 |
| Phys blood bank serv reactj CPT 86078 | $71.30 | $310.00 | $33.13 – $181.06 | 6 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $158.45 | $688.92 | $2.15 – $4.80 | 2 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $230.00 | $1,000.00 | $255.77 – $815.81 | 5 |
| Pinworm exam CPT 87172 | $6.90 | $30.00 | $4.27 – $15.39 | 6 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $52.27 | $227.28 | $1.88 – $6.05 | 2 |
| Place duod/jej tube perc CPT 49441 | $756.93 | $3,291.00 | $652.31 – $678.40 | 5 |
| Plasma volume multiple CPT 78111 | $571.55 | $2,485.00 | $119.90 – $1,720.07 | 6 |
| Platelet aggregation each agent teg CPT 85576 | $36.80 | $160.00 | $24.91 – $54.86 | 6 |
| Platelet automated CPT 85049 | $7.82 | $34.00 | $4.48 – $10.10 | 6 |
| Platelet pheresis each unit HCPCS P9034 | $106.26 | $462.00 | $267.75 – $577.65 | 5 |
| Platelets each unit HCPCS P9019 | $106.26 | $462.00 | $27.68 – $257.58 | 5 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $283.59 | $1,233.00 | $283.00 – $577.65 | 5 |
| Platelets irradiated ea unit HCPCS P9032 | $52.90 | $230.00 | $115.45 – $577.65 | 5 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $106.26 | $462.00 | $117.85 – $577.65 | 5 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $106.26 | $462.00 | $125.87 – $577.65 | 5 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $131.79 | $573.00 | $283.00 – $577.65 | 5 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $143.52 | $624.00 | $283.00 – $577.65 | 5 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $182.16 | $792.00 | $283.00 – $577.65 | 5 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $579.83 | $2,521.00 | $283.00 – $577.65 | 5 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $92.23 | $401.00 | $2,411.94 – $2,508.42 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $90.85 | $395.00 | $46.58 – $200.13 | 5 |
| Pmp22 gene dup/delet CPT 81324 | $94.99 | $413.00 | $413.00 – $1,018.46 | 6 |
| Pmp22 gene full sequence CPT 81325 | $94.99 | $413.00 | $413.00 – $1,018.46 | 6 |
| Pms2 gene dup/delet variants CPT 81319 | $170.89 | $743.00 | $199.49 – $448.23 | 6 |
| Pms2 gene full seq analysis CPT 81317 | $984.17 | $4,279.00 | $676.50 – $1,491.20 | 6 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $33.35 | $145.00 | $24.66 – $57.74 | 6 |
| Potassium 24 hour urine CPT 84133 | $7.36 | $32.00 | $4.73 – $10.10 | 6 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $17.17 | $74.67 | $0.19 – $0.30 | 2 |
| Potassium serum/plasma/whole blood CPT 84132 | $8.05 | $35.00 | $2.31 – $10.83 | 6 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $105.80 | $460.00 | $123.30 – $301.70 | 6 |
| Pq biliary strict dil s&i CPT 74363 | $171.81 | $747.00 | $313.46 – $386.59 | 5 |
| Pr application of long arm splint CPT 29105 | $105.80 | $460.00 | $53.41 – $140.28 | 5 |
| Pr application splint static short arm CPT 29125 | $75.90 | $330.00 | $43.32 – $140.28 | 5 |
| Pr biopsy skin punch single lesion CPT 11104 | $74.06 | $322.00 | $125.90 – $815.81 | 5 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $75.67 | $329.00 | $45.44 – $359.25 | 5 |
| Prealbumin CPT 84134 | $24.15 | $105.00 | $14.59 – $32.48 | 6 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.30 | $1.30 | $0.46 – $0.51 | 2 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.89 | $3.89 | $0.02 – $0.02 | 1 |
| Pregabalin - sendout CPT 80366 | $18.86 | $82.00 | $20.77 – $21.60 | 5 |
| Pregnancy associated plasma protein-a CPT 84163 | $15.87 | $69.00 | $15.05 – $33.20 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $99.82 | $434.00 | $86.68 – $188.99 | 6 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $99.82 | $434.00 | $39.76 – $188.99 | 6 |
| Prep skin to 100cm2 other CPT 15004 | $254.15 | $1,105.00 | $329.99 – $1,933.07 | 5 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $305.44 | $1,328.00 | $1,328.00 – $1,933.07 | 5 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $44.16 | $192.00 | $60.59 – $740.55 | 5 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $47.84 | $208.00 | $12.89 – $162.56 | 6 |
| Pretreat rbc absorption reference CPT 86978 | $90.16 | $392.00 | $22.38 – $162.56 | 6 |
| Pretreat rbc density gradient separation reference CPT 86972 | $90.16 | $392.00 | $13.44 – $162.56 | 6 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $90.16 | $392.00 | $13.44 – $162.56 | 6 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $256.68 | $1,116.00 | $76.91 – $2,344.82 | 5 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $239.66 | $1,042.00 | $1,042.00 – $2,344.82 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $210.22 | $914.00 | $175.69 – $815.81 | 5 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $19.32 | $84.00 | $32.84 – $59.78 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $155.25 | $675.00 | $136.29 – $329.95 | 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.