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 |
|---|---|---|---|---|
| Drng of eyelid abscess 67700 CPT 67700 | $201.94 | $878.00 | $85.07 – $555.36 | 5 |
| Drng of finger abscess comp 26011 CPT 26011 | $696.44 | $3,028.00 | $159.67 – $2,101.37 | 5 |
| Drng of hydrocele 55000 CPT 55000 | $283.13 | $1,231.00 | $102.13 – $158.54 | 5 |
| Drng of scrotum abscess 55100 CPT 55100 | $349.60 | $1,520.00 | $154.57 – $5,440.41 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $32.29 | $140.37 | $2.77 – $13.43 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $4.60 | $20.00 | $4.62 – $13.00 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $333.55 | $1,450.21 | $14.84 – $89.76 | 3 |
| Drug assay posaconazole CPT 80187 | $20.93 | $91.00 | $18.23 – $59.91 | 6 |
| Drug assay rufinamide CPT 80210 | $34.04 | $148.00 | $18.23 – $59.91 | 6 |
| Drug assay vedolizumab CPT 80280 | $32.66 | $142.00 | $18.23 – $85.17 | 6 |
| Drug assay voriconazole CPT 80285 | $34.04 | $148.00 | $18.23 – $59.91 | 6 |
| Drug asy hydroxychloroquine CPT 80220 | $14.49 | $63.00 | $16.78 – $41.14 | 6 |
| Drug screening tapentadol CPT 80372 | $14.49 | $63.00 | $20.77 – $21.60 | 5 |
| Drug test def 15-21 classes HCPCS G0482 | $208.84 | $908.00 | $149.43 – $250.80 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | $100.74 | $438.00 | $71.95 – $251.90 | 6 |
| Drug test def 22+ classes HCPCS G0483 | $270.94 | $1,178.00 | $193.71 – $250.80 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | $155.02 | $674.00 | $110.69 – $250.80 | 5 |
| Drug test prsmv instrmnt CPT 80306 | $25.07 | $109.00 | $17.14 – $37.53 | 6 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $100.51 | $437.00 | $62.14 – $137.14 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $816.04 | $3,548.00 | $2,667.89 – $2,774.61 | 5 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $337.87 | $1,469.00 | $117.64 – $206.11 | 5 |
| Dx bronchoscope/brush 31623 CPT 31623 | $696.90 | $3,030.00 | $3,030.00 – $3,462.54 | 5 |
| Ear irrigation 69209 CPT 69209 | $47.38 | $206.00 | $117.00 – $117.00 | 1 |
| Ecg 12 lead tracing only CPT 93005 | $69.69 | $303.00 | $19.28 – $49.17 | 5 |
| Ecg external < 48 hours recording CPT 93225 | $242.65 | $1,055.00 | $52.85 – $110.98 | 5 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $242.65 | $1,055.00 | $58.85 – $110.98 | 5 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $158.93 | $691.00 | $30.46 – $110.98 | 5 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $158.93 | $691.00 | $50.09 – $110.98 | 5 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $439.99 | $1,913.00 | $170.76 – $887.49 | 5 |
| Echocardiography doppler color flow mapping CPT 93325 | $110.17 | $479.00 | $66.54 – $206.11 | 5 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $465.06 | $2,022.00 | $501.02 – $887.49 | 5 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $172.04 | $748.00 | $74.73 – $887.49 | 5 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $284.05 | $1,235.00 | $501.02 – $887.49 | 5 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $101.43 | $441.00 | $35.42 – $887.49 | 5 |
| Echo tee guidance CPT 93355 | $318.78 | $1,386.00 | $853.36 – $887.49 | 5 |
| Echo transesophageal CPT 93315 | $287.73 | $1,251.00 | $176.31 – $887.49 | 5 |
| Echo transthoracic CPT 93303 | $439.99 | $1,913.00 | $147.80 – $887.49 | 5 |
| Echo transthoracic CPT 93304 | $205.85 | $895.00 | $80.23 – $887.49 | 5 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $405.72 | $1,764.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $405.72 | $1,764.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $454.48 | $1,976.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $290.72 | $1,264.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $363.63 | $1,581.00 | $14,465.65 – $15,044.28 | 5 |
| E equine encephalitis igg CPT 86652 | $12.19 | $53.00 | $13.19 – $28.87 | 6 |
| Egd remove foreign body CPT 43247 | $377.43 | $1,641.00 | $298.53 – $1,899.63 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $60.49 | $263.00 | $31.58 – $90.76 | 6 |
| Elec stim unattend for press HCPCS G0281 | $23.46 | $102.00 | $11.50 – $359.25 | 5 |
| Electrical stimulation/unattended 97014 CPT 97014 | $15.41 | $67.00 | $46.00 – $52.97 | 5 |
| Electrolyte panel CPT 80051 | $11.50 | $50.00 | $7.01 – $15.16 | 6 |
| Encephalitis, california igg/igm CPT 86651 | $12.19 | $53.00 | $13.19 – $28.87 | 6 |
| Encephalitis, st louis igg/igm CPT 86653 | $12.19 | $53.00 | $13.19 – $28.87 | 6 |
| Encephalitis, western equine igg/igm CPT 86654 | $23.00 | $100.00 | $13.19 – $28.87 | 6 |
| Endoluminal bx biliary tree CPT 47543 | $825.47 | $3,589.00 | $10,347.66 – $10,761.57 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | $80.73 | $351.00 | $46.00 – $350.29 | 5 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $744.51 | $3,237.00 | $202.66 – $3,613.84 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $279.06 | $1,213.29 | $1.04 – $15.69 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | $586.96 | $2,552.00 | $2,552.00 – $7,658.05 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $694.83 | $3,021.00 | $707.41 – $3,662.90 | 5 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $178.71 | $777.00 | $155.27 – $3,662.90 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $694.83 | $3,021.00 | $387.11 – $3,662.90 | 5 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $178.71 | $777.00 | $119.30 – $3,662.90 | 5 |
| Epilepsy gen seq alys panel CPT 81419 | $3,083.61 | $13,407.00 | $2,203.70 – $5,397.47 | 6 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $65.62 | $285.30 | $0.84 – $0.84 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $22.54 | $98.00 | $13.12 – $28.87 | 6 |
| Epstein barr nuclear antigen antibody CPT 86664 | $13.80 | $60.00 | $15.29 – $33.92 | 6 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $29.90 | $130.00 | $16.90 – $39.70 | 6 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $562.45 | $2,445.45 | $3.03 – $82.84 | 6 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $318.70 | $1,385.64 | $17.35 – $22.30 | 2 |
| ER Visit (level 1, minor) CPT 99281 | $66.93 | $291.00 | $259.62 – $291.00 | 2 |
| ER Visit (level 2) CPT 99282 | $92.46 | $402.00 | $402.00 – $402.00 | 2 |
| ER Visit (level 3) CPT 99283 | $201.02 | $874.00 | $624.00 – $840.46 | 2 |
| ER Visit (level 4) CPT 99284 | $294.63 | $1,281.00 | $1,281.00 – $1,281.00 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $447.58 | $1,946.00 | $1,833.58 – $1,834.00 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $224.92 | $977.91 | $10.15 – $113.73 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $18.63 | $81.00 | $16.29 – $31.67 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $21.85 | $95.00 | $30.65 – $37.15 | 2 |
| Established Patient Office Visit (level 3) CPT 99213 | $35.42 | $154.00 | $43.80 – $60.21 | 2 |
| Established Patient Office Visit (level 4) CPT 99214 | $40.71 | $177.00 | $66.94 – $69.21 | 2 |
| Established Patient Office Visit (level 5) CPT 99215 | $45.31 | $197.00 | $77.03 – $103.22 | 2 |
| Estradiol total CPT 82670 | $47.84 | $208.00 | $19.88 – $61.35 | 6 |
| Estrogens total-sendout CPT 82672 | $37.26 | $162.00 | $19.88 – $47.64 | 6 |
| Ethylene glycol -sendout CPT 82693 | $24.61 | $107.00 | $14.90 – $33.20 | 6 |
| Euglobulin lysis CPT 85360 | $14.49 | $63.00 | $8.41 – $18.77 | 6 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $110.63 | $481.00 | $82.11 – $216.53 | 6 |
| Event monitor CPT 93270 | $242.65 | $1,055.00 | $39.24 – $76.86 | 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.