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 |
|---|---|---|---|---|
| Repair rpr lip full thickness vermilion only CPT 40650 | $310.27 | $1,349.00 | $255.92 – $350.29 | 5 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,302.95 | $5,665.00 | $220.51 – $4,131.17 | 5 |
| Replace duod/jej tube perc CPT 49451 | $340.17 | $1,479.00 | $652.31 – $678.40 | 5 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Reptilase test CPT 85635 | $17.02 | $74.00 | $8.95 – $21.65 | 6 |
| Resuscitation cardiopulmonary CPT 92950 | $504.16 | $2,192.00 | $140.46 – $1,402.52 | 5 |
| Reticulated platelet assay CPT 85055 | $46.23 | $201.00 | $34.13 – $78.67 | 6 |
| Reticulocyte automated CPT 85045 | $6.67 | $29.00 | $3.99 – $9.31 | 6 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,677.51 | $20,337.00 | $11,939.83 – $12,417.42 | 5 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,482.13 | $32,531.00 | $19,960.83 – $20,759.27 | 5 |
| Revise vag graft via vagina CPT 57295 | $1,221.99 | $5,313.00 | $4,631.00 – $4,816.24 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $9.66 | $42.00 | $6.14 – $17.58 | 6 |
| Rheumatoid factor quantitative CPT 86431 | $9.66 | $42.00 | $5.67 – $17.58 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $175.03 | $761.00 | $4.58 – $201.74 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $207.92 | $904.00 | $118.49 – $3,449.79 | 5 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $1,525.59 | $6,633.00 | $5,799.08 – $6,031.04 | 5 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $5,233.65 | $22,755.00 | $11,333.58 – $11,786.93 | 5 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $13,714.21 | $59,627.00 | $35,224.06 – $36,633.02 | 5 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $727.49 | $3,163.00 | $2,140.41 – $2,226.03 | 5 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $241.50 | $1,050.00 | $1,050.00 – $2,226.03 | 5 |
| Rsv assay w/optic CPT 87807 | $20.01 | $87.00 | $13.10 – $28.87 | 6 |
| Rubella antibody igg CPT 86762 | $24.61 | $107.00 | $10.88 – $31.76 | 6 |
| Rubeola antibody igg CPT 86765 | $22.08 | $96.00 | $12.88 – $28.15 | 6 |
| Russell viper venom diluted CPT 85613 | $16.33 | $71.00 | $6.63 – $20.93 | 6 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $795.11 | $3,457.00 | $825.37 – $2,021.70 | 6 |
| Salmonella antibody CPT 86768 | $23.00 | $100.00 | $13.19 – $28.87 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | $10.12 | $44.00 | $14.80 – $44.00 | 6 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $337.87 | $1,469.00 | $136.92 – $312.26 | 5 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $225.17 | $979.00 | $112.12 – $312.26 | 5 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $337.87 | $1,469.00 | $117.72 – $312.26 | 5 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $225.17 | $979.00 | $78.40 – $206.11 | 5 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $225.17 | $979.00 | $83.14 – $206.11 | 5 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $337.87 | $1,469.00 | $114.89 – $312.26 | 5 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $225.17 | $979.00 | $75.27 – $206.11 | 5 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $225.17 | $979.00 | $77.04 – $206.11 | 5 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $8,336.73 | $36,246.65 | $6,082.59 – $6,082.59 | 1 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $41.63 | $181.00 | $16.90 – $53.41 | 6 |
| Screening Mammogram CPT 77067 | $72.68 | $316.00 | $42.59 – $214.90 | 17 |
| Screening prostate cancer PSA HCPCS G0103 | $31.74 | $138.00 | $16.90 – $42.58 | 6 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $119.37 | $519.00 | $39.66 – $41.25 | 5 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.83 | $21.00 | $2.70 – $9.31 | 6 |
| Semen analysis presence/motility CPT 89321 | $20.70 | $90.00 | $7.40 – $26.71 | 6 |
| Semen analysis w/count CPT 89310 | $8.97 | $39.00 | $7.40 – $18.77 | 6 |
| Serpina1 gene CPT 81332 | $131.33 | $571.00 | $43.65 – $96.00 | 6 |
| Sertraline (zoloft) - sendout CPT 80332 | $24.38 | $106.00 | $104.17 – $108.34 | 5 |
| Sf3b1 gene common variants CPT 81347 | $243.34 | $1,058.00 | $173.93 – $425.85 | 6 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $81.88 | $356.00 | $46.78 – $329.95 | 5 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $90.39 | $393.00 | $61.81 – $329.95 | 5 |
| Shoulder MRI (with and without contrast) CPT 73223 | $656.19 | $2,853.00 | $480.63 – $786.00 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $624.68 | $2,716.00 | $304.57 – $786.00 | 6 |
| Shoulder X-ray CPT 73030 | $75.21 | $327.00 | $31.58 – $105.12 | 6 |
| Sickling rbc CPT 85660 | $9.43 | $41.00 | $5.51 – $12.27 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | $1,138.04 | $4,948.00 | $3,836.63 – $3,990.10 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $302.15 | $1,313.70 | $44.48 – $217.11 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $576.61 | $2,507.00 | $300.68 – $606.37 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | $549.24 | $2,388.00 | $270.44 – $606.37 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | $521.87 | $2,269.00 | $172.70 – $427.00 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $13.34 | $58.00 | $20.77 – $21.60 | 5 |
| Skel musc relaxant 3 or more CPT 80370 | $13.34 | $58.00 | $20.77 – $21.60 | 5 |
| Skin Biopsy CPT 11102 | $38.64 | $168.00 | $65.69 – $815.81 | 5 |
| Sleep study unattended CPT 95806 | $255.76 | $1,112.00 | $153.06 – $289.74 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | $84.87 | $369.00 | $46.00 – $529.74 | 5 |
| Slp ther svc non-spch gen CPT 92606 | $36.80 | $160.00 | $46.00 – $52.97 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | $4,078.82 | $17,734.00 | $6,014.17 – $25,831.82 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $8.97 | $39.00 | $5.39 – $15.39 | 6 |
| Smear gram stain CPT 87205 | $7.36 | $32.00 | $4.27 – $15.39 | 6 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $10.12 | $44.00 | $5.99 – $15.39 | 6 |
| Smear wet mount CPT 87210 | $6.90 | $30.00 | $5.45 – $15.39 | 6 |
| Smn1 gene full gene sequence CPT 81336 | $232.30 | $1,010.00 | $240.04 – $664.04 | 6 |
| Sodium 24 hour urine CPT 84300 | $8.51 | $37.00 | $5.06 – $10.83 | 6 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $11.13 | $48.38 | $7.99 – $18.92 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $11.13 | $48.38 | $7.38 – $18.92 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $11.13 | $48.38 | $7.08 – $18.92 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $119.24 | $518.44 | $3.56 – $9.01 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.51 | $37.00 | $4.81 – $10.83 | 6 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $191.13 | $831.00 | $36.63 – $200.13 | 5 |
| Splint finger fold over sm HCPCS L3924 | $151.34 | $658.00 | $75.00 – $75.00 | 1 |
| Split blood or products CPT 86985 | $37.72 | $164.00 | $13.44 – $162.56 | 6 |
| Sputum specimen collection CPT 89220 | $46.69 | $203.00 | $15.37 – $314.79 | 6 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $812.13 | $3,531.00 | $859.20 – $25,831.82 | 6 |
| Staph a dna amp probe CPT 87640 | $60.03 | $261.00 | $35.09 – $90.76 | 6 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $173.88 | $756.00 | $46.00 – $529.74 | 5 |
| St evaluation swallow function CPT 92610 | $80.73 | $351.00 | $46.00 – $529.74 | 5 |
| Stimulants synthetic CPT 80371 | $20.93 | $91.00 | $20.77 – $21.60 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $50.83 | $221.00 | $28.21 – $140.28 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | $36.80 | $160.00 | $25.02 – $140.28 | 5 |
| Strapping of hand or finger CPT 29280 | $55.89 | $243.00 | $23.70 – $140.28 | 5 |
| Strapping of knee CPT 29530 | $55.89 | $243.00 | $28.10 – $140.28 | 5 |
| Strapping of toes 29550 CPT 29550 | $50.83 | $221.00 | $21.06 – $140.28 | 5 |
| Strep b dna amp probe CPT 87653 | $60.03 | $261.00 | $35.09 – $90.76 | 6 |
| Stress test pulmonary CPT 94618 | $90.16 | $392.00 | $94.54 – $109.72 | 5 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $188.05 | $817.60 | $0.30 – $1.62 | 2 |
| Sugars multiple quant CPT 84379 | $11.96 | $52.00 | $11.53 – $25.26 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | $18.40 | $80.00 | $20.77 – $21.60 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $77.66 | $337.66 | $33.21 – $66.42 | 3 |
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.