Lonesome Pine Hospital
Lonesome Pine Hospital in Big Stone Gap, VA publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1990 HOLTON AVE., BIG STONE GAP, VA 24219 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W CON | $559.65 | $3,731.00 | 85% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W CON | $559.65 | $3,731.00 | 85% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $531.75 | $3,545.00 | 85% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST | $531.75 | $3,545.00 | 85% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CON | $617.10 | $4,114.00 | 85% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CON | $617.10 | $4,114.00 | 85% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $85.50 | $570.00 | 85% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $85.50 | $570.00 | 85% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCL CAD UNILAT | $74.10 | $494.00 | 85% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCL CAD UNILAT | $74.10 | $494.00 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOW EXT WO CON | $604.95 | $4,033.00 | 85% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOW EXT WO CON | $604.95 | $4,033.00 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR JOINT LOW EXT WOW CON | $668.55 | $4,457.00 | 85% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR JOINT LOW EXT WOW CON | $668.55 | $4,457.00 | 85% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CON | $604.95 | $4,033.00 | 85% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CON | $604.95 | $4,033.00 | 85% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN WOW CON | $668.55 | $4,457.00 | 85% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN WOW CON | $668.55 | $4,457.00 | 85% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CON | $604.95 | $4,033.00 | 85% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WO CON | $604.95 | $4,033.00 | 85% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREG COMP >14 WKS SNGL GEST | $101.55 | $677.00 | 85% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREG COMP >14 WKS SNGL GEST | $101.55 | $677.00 | 85% |
| Screening mammogram, both breasts CPT 77067 HC SCREEN MAMMO INCL CAD | $74.10 | $494.00 | 85% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCREEN MAMMO INCL CAD | $74.10 | $494.00 | 85% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4 PARA ATTENDED | $548.85 | $3,659.00 | 85% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4 PARA ATTENDED | $548.85 | $3,659.00 | 85% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $101.55 | $677.00 | 85% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $101.55 | $677.00 | 85% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE | $101.55 | $677.00 | 85% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE | $101.55 | $677.00 | 85% |
| X-ray of the lower back, 4 or more views CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $69.30 | $462.00 | 85% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC DX SPINE LUMBAR MIN 4 VIEWS | $69.30 | $462.00 | 85% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL (CA TOTAL) | $14.40 | $96.00 | 85% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL (CA TOTAL) | $14.40 | $96.00 | 85% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $23.40 | $156.00 | 85% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $23.40 | $156.00 | 85% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC WITH AUTO DIFF | $13.50 | $90.00 | 85% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH AUTO DIFF | $13.50 | $90.00 | 85% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD CT COMPLETE AUTOMATED | $11.40 | $76.00 | 85% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD CT COMPLETE AUTOMATED | $11.40 | $76.00 | 85% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $17.70 | $118.00 | 85% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL | $17.70 | $118.00 | 85% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $14.70 | $98.00 | 85% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $14.70 | $98.00 | 85% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $13.65 | $91.00 | 85% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $13.65 | $91.00 | 85% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $71.85 | $479.00 | 85% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $71.85 | $479.00 | 85% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $32.25 | $215.00 | 85% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE | $32.25 | $215.00 | 85% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPEC ANTIGEN TOTAL REF | $32.25 | $215.00 | 85% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPEC ANTIGEN TOTAL REF | $32.25 | $215.00 | 85% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT THROMBOPLASTIN TIME PARTIAL | $10.50 | $70.00 | 85% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT THROMBOPLASTIN TIME PARTIAL | $10.50 | $70.00 | 85% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME | $6.90 | $46.00 | 85% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME | $6.90 | $46.00 | 85% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE TSH | $29.40 | $196.00 | 85% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE TSH | $29.40 | $196.00 | 85% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W MICROSCOPY | $5.70 | $38.00 | 85% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W MICROSCOPY | $5.70 | $38.00 | 85% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICROSCOPY | $3.90 | $26.00 | 85% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICROSCOPY | $3.90 | $26.00 | 85% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINE DIP WO MICROSCOPY | $4.35 | $29.00 | 85% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINE DIP WO MICROSCOPY | $4.35 | $29.00 | 85% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $484.05 | $3,227.00 | 85% |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | $484.05 | $3,227.00 | 85% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC POST-CATARACT LASER SURGERY | $251.55 | $1,677.00 | 85% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC POST-CATARACT LASER SURGERY | $251.55 | $1,677.00 | 85% |
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W/LV | $2,405.40 | $16,036.00 | 85% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W/LV | $2,405.40 | $16,036.00 | 85% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | 85% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ LUMBAR/SACRAL W IMG GUID | $447.90 | $2,986.00 | 85% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ LUMBAR/SACRAL W/O IMG GUID | $323.40 | $2,156.00 | 85% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ LUMBAR/SACRAL W/O IMG GUID | $323.40 | $2,156.00 | 85% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | 85% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL | $179.40 | $1,196.00 | 85% |
| Prostate biopsy CPT 55700 HC BX PROSTATE NDL/PUNCH SNG/MULTI ANY APPR | $390.30 | $2,602.00 | 85% |
| Prostate biopsy inpatient CPT 55700 HC BX PROSTATE NDL/PUNCH SNG/MULTI ANY APPR | $390.30 | $2,602.00 | 85% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W BIOPSY SINGLE OR MULTIPLE | $384.60 | $2,564.00 | 85% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W BIOPSY SINGLE OR MULTIPLE | $384.60 | $2,564.00 | 85% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD TRANSORAL DX INCL BRUSH/WASH | $426.60 | $2,844.00 | 85% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD TRANSORAL DX INCL BRUSH/WASH | $426.60 | $2,844.00 | 85% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY THERAPY W PT PRESENT 50 MIN | $81.45 | $543.00 | 85% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY THERAPY W PT PRESENT 50 MIN | $81.45 | $543.00 | 85% |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY THERAPY W/O PT PRESENT 50 MIN | $76.80 | $512.00 | 85% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY THERAPY W/O PT PRESENT 50 MIN | $76.80 | $512.00 | 85% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $49.65 | $331.00 | 85% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $49.65 | $331.00 | 85% |
| New patient office visit, about 30 minutes CPT 99203 HC NEW VISIT LEVEL 3 | $39.15 | $261.00 | 85% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW VISIT LEVEL 3 | $39.15 | $261.00 | 85% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | 85% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW VISIT LEVEL 4 | $51.00 | $340.00 | 85% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW VISIT LEVEL 5 | $65.55 | $437.00 | 85% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW VISIT LEVEL 5 | $65.55 | $437.00 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC PROC EA 15MIN | $30.90 | $206.00 | 85% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC PROC EA 15MIN | $30.90 | $206.00 | 85% |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC WELLNESS - 18-39YRS | $70.35 | $469.00 | 85% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC WELLNESS - 18-39YRS | $70.35 | $469.00 | 85% |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC WELLNESS - 40-64YRS | $73.20 | $488.00 | 85% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC WELLNESS - 40-64YRS | $73.20 | $488.00 | 85% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN | $44.10 | $294.00 | 85% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W PT 30 MIN | $44.10 | $294.00 | 85% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN | $44.85 | $299.00 | 85% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PT 45 MIN | $44.85 | $299.00 | 85% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN | $49.65 | $331.00 | 85% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY W PT 60 MIN | $49.65 | $331.00 | 85% |
Source file: https://www.balladhealth.org/sites/default/files/2026-03/621636465_lonesome-pine-hospital_standardcharges.zip