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Critical Access Hospital

Lee County Community Hospital

Pennington Gap, Virginia · Lee County · Emergency services listed

Lee County Community Hospital is a critical access hospital at 127 Health Care Drive, Pennington Gap, VA 24277. Phone: (276) 299-5000. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Lee County Community Hospital is a critical access hospital in Pennington Gap, Virginia. Medicare data lists emergency services. Its official website lists 12 services, specialties and programs. Medicare lists 43 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(276) 299‑5000 Directions Website Medicare profile
Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
43Doctors and clinicians
12Services listed

Quick answers

Does Lee County Community Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lee County Community Hospital. In a medical emergency, call 911.
Where is Lee County Community Hospital?
127 Health Care Drive, Pennington Gap, VA 24277, in Lee County, Virginia.
What is the phone number of Lee County Community Hospital?
(276) 299-5000, as listed by Medicare (CMS).
What is the Medicare star rating of Lee County Community Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5]

  • Emergency care
  • Imaging and radiology (X-ray, CT)
  • Outpatient cardiology
  • Respiratory therapy
  • Inpatient physical therapy
  • Telemedicine (including pediatric care)

Treatments[4]

  • Pulmonary function testing

Procedures[4]

Programs and centers[4]

  • Inpatient care unit
  • Mobile health screenings
  • Care coordination

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (43)

43 doctors and other clinicians list Lee County Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (43)

And 19 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Pennington Gap

Hospitals in Lee County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Lee County Community Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 1091%National average: 72%
Would definitely recommend the hospital84%National average: 71%
Nurses “always” communicated well91%National average: 80%
Doctors “always” communicated well92%National average: 80%
“Always” got help as soon as they wanted87%National average: 64%
Staff “always” explained medicines before giving them79%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean81%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys94Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: pneumonia patients13.5%
Not reported to MedicareDeaths within 30 days: heart attack patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)15.4%
Readmitted within 30 days: heart failure20.7%
Readmitted within 30 days: pneumonia17.4%
Readmitted within 30 days: COPD20%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)110 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)67%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in VirginiaBest hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Lee County Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 50 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 3 $168 $38.64 $36.96 – $168
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates
  • AETNA — AETNA: $168
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $36.96
  • AETNA — AETNA HEALTHCARE MEDICARE: $36.96
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $36.96
  • AMBETTER — AMBETTER: $36.96
  • AMERIGROUP — AMERIGROUP: $168
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $36.96
  • BLUE CROSS — ANTHEM EXCHANGE: $115
  • BLUE CROSS — ANTHEM HMO: $115
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $38.07
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 4 $218 $50.14 $47.96 – $218
New patient office visit (about 45–59 minutes): 10 of 39 insurance plan rates
  • AETNA — AETNA: $218
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $47.96
  • AETNA — AETNA HEALTHCARE MEDICARE: $47.96
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $47.96
  • AMBETTER — AMBETTER: $47.96
  • AMERIGROUP — AMERIGROUP: $218
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $47.96
  • BLUE CROSS — ANTHEM EXCHANGE: $173.60
  • BLUE CROSS — ANTHEM HMO: $173.60
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $49.40
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 5 $279 $64.17 $61.38 – $279
New patient office visit (about 60–74 minutes): 10 of 39 insurance plan rates
  • AETNA — AETNA: $279
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $61.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $61.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $61.38
  • AMBETTER — AMBETTER: $61.38
  • AMERIGROUP — AMERIGROUP: $279
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $61.38
  • BLUE CROSS — ANTHEM EXCHANGE: $231.44
  • BLUE CROSS — ANTHEM HMO: $231.44
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $63.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC VISIT LEVEL 3 EST $154 $35.42 $33.88 – $154
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates
  • AETNA — AETNA: $154
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $33.88
  • AETNA — AETNA HEALTHCARE MEDICARE: $33.88
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $33.88
  • AMBETTER — AMBETTER: $33.88
  • AMERIGROUP — AMERIGROUP: $154
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $33.88
  • BLUE CROSS — ANTHEM EXCHANGE: $93.48
  • BLUE CROSS — ANTHEM HMO: $93.48
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $34.90
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC VISIT LEVEL 4 EST $177 $40.71 $38.94 – $177
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates
  • AETNA — AETNA: $177
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $38.94
  • AETNA — AETNA HEALTHCARE MEDICARE: $38.94
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $38.94
  • AMBETTER — AMBETTER: $38.94
  • AMERIGROUP — AMERIGROUP: $177
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $38.94
  • BLUE CROSS — ANTHEM EXCHANGE: $133.10
  • BLUE CROSS — ANTHEM HMO: $133.10
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $40.11
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 3 $874 $201.02 $51 – $874
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • AETNA — AETNA: $874
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $192.28
  • AETNA — AETNA HEALTHCARE MEDICARE: $192.28
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $192.28
  • AMBETTER — AMBETTER: $192.28
  • AMERIGROUP — AMERIGROUP: $874
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $192.28
  • BLUE CROSS — ANTHEM EXCHANGE: $840.46
  • BLUE CROSS — ANTHEM HMO: $874
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $198.05
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 4 $1,281 $294.63 $51 – $1,281
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • AETNA — AETNA: $1,281
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $281.82
  • AETNA — AETNA HEALTHCARE MEDICARE: $281.82
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $281.82
  • AMBETTER — AMBETTER: $281.82
  • AMERIGROUP — AMERIGROUP: $1,281
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $281.82
  • BLUE CROSS — ANTHEM EXCHANGE: $1,281
  • BLUE CROSS — ANTHEM HMO: $1,281
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $290.27
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 5 $1,946 $447.58 $51 – $1,946
Emergency room visit (high): 10 of 39 insurance plan rates
  • AETNA — AETNA: $1,946
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $428.12
  • AETNA — AETNA HEALTHCARE MEDICARE: $428.12
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $428.12
  • AMBETTER — AMBETTER: $428.12
  • AMERIGROUP — AMERIGROUP: $1,946
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $428.12
  • BLUE CROSS — ANTHEM EXCHANGE: $1,833.58
  • BLUE CROSS — ANTHEM HMO: $1,946
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $440.96

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL (CA TOTAL) $62 $14.26 $8.46 – $62
Basic metabolic panel (blood test): 10 of 44 insurance plan rates
  • AETNA — AETNA: $62
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $13.64
  • AETNA — AETNA HEALTHCARE MEDICARE: $13.64
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $13.64
  • AMBETTER — AMBETTER: $13.64
  • AMERIGROUP — AMERIGROUP: $62
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $13.64
  • BLUE CROSS — ANTHEM EXCHANGE: $8.46
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL $75 $17.25 $10.56 – $75
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates
  • AETNA — AETNA: $75
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $16.50
  • AETNA — AETNA HEALTHCARE MEDICARE: $16.50
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $16.50
  • AMBETTER — AMBETTER: $16.50
  • AMERIGROUP — AMERIGROUP: $75
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $16.50
  • BLUE CROSS — ANTHEM EXCHANGE: $10.56
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRIC PANEL $307 $70.61 $13.59 – $307
Obstetric blood test panel: 10 of 44 insurance plan rates
  • AETNA — AETNA: $307
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $67.54
  • AETNA — AETNA HEALTHCARE MEDICARE: $67.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $67.54
  • AMBETTER — AMBETTER: $67.54
  • AMERIGROUP — AMERIGROUP: $307
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $67.54
  • BLUE CROSS — ANTHEM EXCHANGE: $47.81
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $101 $23.23 $12.13 – $101
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates
  • AETNA — AETNA: $101
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $22.22
  • AETNA — AETNA HEALTHCARE MEDICARE: $22.22
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $22.22
  • AMBETTER — AMBETTER: $22.22
  • AMERIGROUP — AMERIGROUP: $101
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $22.22
  • BLUE CROSS — ANTHEM EXCHANGE: $13.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $63 $14.49 $8.68 – $63
Kidney function panel: 10 of 44 insurance plan rates
  • AETNA — AETNA: $63
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $13.86
  • AETNA — AETNA HEALTHCARE MEDICARE: $13.86
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $13.86
  • AMBETTER — AMBETTER: $13.86
  • AMERIGROUP — AMERIGROUP: $63
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $13.86
  • BLUE CROSS — ANTHEM EXCHANGE: $8.68
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL $59 $13.57 $8.17 – $59
Liver function panel: 10 of 44 insurance plan rates
  • AETNA — AETNA: $59
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.13
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $12.98
  • AETNA — AETNA HEALTHCARE MEDICARE: $12.98
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $12.98
  • AMBETTER — AMBETTER: $12.98
  • AMERIGROUP — AMERIGROUP: $59
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $12.98
  • BLUE CROSS — ANTHEM EXCHANGE: $8.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.59
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W MICROSCOPY $24 $5.52 $3.17 – $24
Urine test (automated, with microscope): 10 of 44 insurance plan rates
  • AETNA — AETNA: $24
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.60
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $5.28
  • AETNA — AETNA HEALTHCARE MEDICARE: $5.28
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $5.28
  • AMBETTER — AMBETTER: $5.28
  • AMERIGROUP — AMERIGROUP: $24
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $5.28
  • BLUE CROSS — ANTHEM EXCHANGE: $3.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.42
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINE DIP WO MICROSCOPY $19 $4.37 $3.26 – $19
Urine test (manual, without microscope): 10 of 44 insurance plan rates
  • AETNA — AETNA: $19
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.60
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $4.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $4.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $4.18
  • AMBETTER — AMBETTER: $4.18
  • AMERIGROUP — AMERIGROUP: $19
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $4.18
  • BLUE CROSS — ANTHEM EXCHANGE: $3.48
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.42
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO WO MICROSCOPY $17 $3.91 $2.25 – $17
Urine test (automated, without microscope): 10 of 44 insurance plan rates
  • AETNA — AETNA: $17
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.60
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.74
  • AETNA — AETNA HEALTHCARE MEDICARE: $3.74
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3.74
  • AMBETTER — AMBETTER: $3.74
  • AMERIGROUP — AMERIGROUP: $17
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.74
  • BLUE CROSS — ANTHEM EXCHANGE: $2.25
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.42
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPEC ANTIGEN TOTAL REF $138 $31.74 $18.12 – $138
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates
  • AETNA — AETNA: $138
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $18.84
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $30.36
  • AETNA — AETNA HEALTHCARE MEDICARE: $30.36
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $30.36
  • AMBETTER — AMBETTER: $30.36
  • AMERIGROUP — AMERIGROUP: $138
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $30.36
  • BLUE CROSS — ANTHEM EXCHANGE: $18.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $18.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE TSH $126 $28.98 $16.80 – $126
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates
  • AETNA — AETNA: $126
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $20.68
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $27.72
  • AETNA — AETNA HEALTHCARE MEDICARE: $27.72
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $27.72
  • AMBETTER — AMBETTER: $27.72
  • AMERIGROUP — AMERIGROUP: $126
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $27.72
  • BLUE CROSS — ANTHEM EXCHANGE: $16.80
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $19.88
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC WITH AUTO DIFF $58 $13.34 $7.77 – $58
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates
  • AETNA — AETNA: $58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.31
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $12.76
  • AETNA — AETNA HEALTHCARE MEDICARE: $12.76
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $12.76
  • AMBETTER — AMBETTER: $12.76
  • AMERIGROUP — AMERIGROUP: $58
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $12.76
  • BLUE CROSS — ANTHEM EXCHANGE: $7.77
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $8.95
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC BLOOD CT COMPLETE AUTOMATED $48 $11.04 $4.62 – $48
Complete blood count (CBC), automated: 10 of 44 insurance plan rates
  • AETNA — AETNA: $48
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.31
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $10.56
  • AETNA — AETNA HEALTHCARE MEDICARE: $10.56
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $10.56
  • AMBETTER — AMBETTER: $10.56
  • AMERIGROUP — AMERIGROUP: $48
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $10.56
  • BLUE CROSS — ANTHEM EXCHANGE: $6.47
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $8.95
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PT PROTHROMBIN TIME $29 $6.67 $4.29 – $29
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates
  • AETNA — AETNA: $29
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $6.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $6.38
  • AMBETTER — AMBETTER: $6.38
  • AMERIGROUP — AMERIGROUP: $29
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.38
  • BLUE CROSS — ANTHEM EXCHANGE: $4.29
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.63
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT THROMBOPLASTIN TIME PARTIAL $45 $10.35 $6.01 – $45
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates
  • AETNA — AETNA: $45
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $9.90
  • AETNA — AETNA HEALTHCARE MEDICARE: $9.90
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $9.90
  • AMBETTER — AMBETTER: $9.90
  • AMERIGROUP — AMERIGROUP: $45
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $9.90
  • BLUE CROSS — ANTHEM EXCHANGE: $6.01
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.63

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN WO CONTRAST $2,269 $521.87 $172.70 – $2,269
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,269
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $606.37
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $499.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $499.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $499.18
  • AMBETTER — AMBETTER: $499.18
  • AMERIGROUP — AMERIGROUP: $2,269
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $499.18
  • BLUE CROSS — ANTHEM EXCHANGE: $321.88
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $583.04
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MR BRAIN WOW CON $2,853 $656.19 $480.63 – $2,853
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,853
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $762.15
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $627.66
  • AETNA — AETNA HEALTHCARE MEDICARE: $627.66
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $627.66
  • AMBETTER — AMBETTER: $627.66
  • AMERIGROUP — AMERIGROUP: $2,853
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $627.66
  • BLUE CROSS — ANTHEM EXCHANGE: $1,074.14
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $732.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC DX CHEST 2 VIEWS $295 $67.85 $43.60 – $295
Chest X-ray, 2 views: 10 of 44 insurance plan rates
  • AETNA — AETNA: $295
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $105.12
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $64.90
  • AETNA — AETNA HEALTHCARE MEDICARE: $64.90
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $64.90
  • AMBETTER — AMBETTER: $64.90
  • AMERIGROUP — AMERIGROUP: $295
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $64.90
  • BLUE CROSS — ANTHEM EXCHANGE: $267.94
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $101.08
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC DX SPINE LUMBAR MIN 4 VIEWS $295 $67.85 $53.17 – $295
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates
  • AETNA — AETNA: $295
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $105.12
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $64.90
  • AETNA — AETNA HEALTHCARE MEDICARE: $64.90
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $64.90
  • AMBETTER — AMBETTER: $64.90
  • AMERIGROUP — AMERIGROUP: $295
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $64.90
  • BLUE CROSS — ANTHEM EXCHANGE: $295
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $101.08
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MR SPINE LUMBAR WO CON $2,581 $593.63 $304.57 – $2,581
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,581
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $453.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $567.82
  • AETNA — AETNA HEALTHCARE MEDICARE: $567.82
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $567.82
  • AMBETTER — AMBETTER: $567.82
  • AMERIGROUP — AMERIGROUP: $2,581
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $567.82
  • BLUE CROSS — ANTHEM EXCHANGE: $734.62
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $435.79
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W CON $2,632 $605.36 $270.44 – $2,632
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,632
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $606.37
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $579.04
  • AETNA — AETNA HEALTHCARE MEDICARE: $579.04
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $579.04
  • AMBETTER — AMBETTER: $579.04
  • AMERIGROUP — AMERIGROUP: $2,632
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $579.04
  • BLUE CROSS — ANTHEM EXCHANGE: $540.04
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $583.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR JOINT LOW EXT WO CON $2,581 $593.63 $304.57 – $2,581
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,581
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $453.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $567.82
  • AETNA — AETNA HEALTHCARE MEDICARE: $567.82
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $567.82
  • AMBETTER — AMBETTER: $567.82
  • AMERIGROUP — AMERIGROUP: $2,581
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $567.82
  • BLUE CROSS — ANTHEM EXCHANGE: $734.62
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $435.79
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: HC MRI JOINT LOW EXT WO CON BILATERAL $2,624 $603.52 $304.57 – $2,624
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,624
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $679.84
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $577.28
  • AETNA — AETNA HEALTHCARE MEDICARE: $577.28
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $577.28
  • AMBETTER — AMBETTER: $577.28
  • AMERIGROUP — AMERIGROUP: $2,624
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $577.28
  • BLUE CROSS — ANTHEM EXCHANGE: $1,620.87
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $653.69
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W CON $2,388 $549.24 $237.47 – $2,388
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,388
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $606.37
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $525.36
  • AETNA — AETNA HEALTHCARE MEDICARE: $525.36
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $525.36
  • AMBETTER — AMBETTER: $525.36
  • AMERIGROUP — AMERIGROUP: $2,388
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $525.36
  • BLUE CROSS — ANTHEM EXCHANGE: $1,074.14
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $583.04
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE $434 $99.82 $86.68 – $434
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates
  • AETNA — AETNA: $434
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $312.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $95.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $95.48
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $95.48
  • AMBETTER — AMBETTER: $95.48
  • AMERIGROUP — AMERIGROUP: $434
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $95.48
  • BLUE CROSS — ANTHEM EXCHANGE: $321.88
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.25
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREG COMP >14 WKS SNGL GEST $434 $99.82 $86.68 – $434
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates
  • AETNA — AETNA: $434
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $188.99
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $95.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $95.48
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $95.48
  • AMBETTER — AMBETTER: $95.48
  • AMERIGROUP — AMERIGROUP: $434
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $95.48
  • BLUE CROSS — ANTHEM EXCHANGE: $321.88
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $181.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON OB $434 $99.82 $86.68 – $434
Transvaginal ultrasound: 10 of 44 insurance plan rates
  • AETNA — AETNA: $434
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $206.10
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $95.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $95.48
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $95.48
  • AMBETTER — AMBETTER: $95.48
  • AMERIGROUP — AMERIGROUP: $434
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $95.48
  • BLUE CROSS — ANTHEM EXCHANGE: $321.88
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $198.18
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD UNILAT $316 $72.68 $69.52 – $316
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $316
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $88.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $69.52
  • AETNA — AETNA HEALTHCARE MEDICARE: $69.52
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $69.52
  • AMBETTER — AMBETTER: $69.52
  • AMERIGROUP — AMERIGROUP: $316
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $69.52
  • BLUE CROSS — ANTHEM EXCHANGE: $84.62
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $85.17
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD BILAT $365 $83.95 $80.30 – $365
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates
  • AETNA — AETNA: $365
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $88.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $80.30
  • AETNA — AETNA HEALTHCARE MEDICARE: $80.30
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $80.30
  • AMBETTER — AMBETTER: $80.30
  • AMERIGROUP — AMERIGROUP: $365
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $80.30
  • BLUE CROSS — ANTHEM EXCHANGE: $108.49
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $85.17
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO BILAT INCL CAD $365 $83.95 $80.30 – $365
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates
  • AETNA — AETNA: $365
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $88.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $80.30
  • AETNA — AETNA HEALTHCARE MEDICARE: $80.30
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $80.30
  • AMBETTER — AMBETTER: $80.30
  • AMERIGROUP — AMERIGROUP: $365
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $80.30
  • BLUE CROSS — ANTHEM EXCHANGE: $108.49
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $85.17
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO INCL CAD $316 $72.68 $69.52 – $316
Screening mammogram, both breasts: 10 of 44 insurance plan rates
  • AETNA — AETNA: $316
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $88.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $89.54
  • AETNA — AETNA HEALTHCARE MEDICARE: $89.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $89.54
  • AMBETTER — AMBETTER: $89.54
  • AMERIGROUP — AMERIGROUP: $316
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $89.54
  • BLUE CROSS — ANTHEM EXCHANGE: $89.54
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $85.17
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC SCREEN MAMMO INCL CAD UNILAT $301 $69.23 $42.59 – $301
Screening mammogram, both breasts: 10 of 44 insurance plan rates
  • AETNA — AETNA: $301
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $44.29
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $89.54
  • AETNA — AETNA HEALTHCARE MEDICARE: $89.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $89.54
  • AMBETTER — AMBETTER: $89.54
  • AMERIGROUP — AMERIGROUP: $301
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $89.54
  • BLUE CROSS — ANTHEM EXCHANGE: $89.54
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $42.59

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERAPEUTIC PROC EA 15MIN $132 $30.36 $28.73 – $132
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates
  • AETNA — AETNA: $132
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $66.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $29.04
  • AETNA — AETNA HEALTHCARE MEDICARE: $29.04
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $29.04
  • AMBETTER — AMBETTER: $29.04
  • AMERIGROUP — AMERIGROUP: $132
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $29.04
  • BLUE CROSS — ANTHEM EXCHANGE: $28.73
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $64.29
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEX 20 MIN $315 $72.45 $46 – $440.59
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates
  • AETNA — AETNA: $315
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $440.59
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $69.30
  • AETNA — AETNA HEALTHCARE MEDICARE: $69.30
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $69.30
  • AMBETTER — AMBETTER: $69.30
  • AMERIGROUP — AMERIGROUP: $315
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $69.30
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $423.64
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEX 30 MIN $332 $76.36 $46 – $440.59
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates
  • AETNA — AETNA: $332
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $440.59
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $73.04
  • AETNA — AETNA HEALTHCARE MEDICARE: $73.04
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $73.04
  • AMBETTER — AMBETTER: $73.04
  • AMERIGROUP — AMERIGROUP: $332
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $73.04
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $423.64
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEX 45 MIN $349 $80.27 $46 – $440.59
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates
  • AETNA — AETNA: $349
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $440.59
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $76.78
  • AETNA — AETNA HEALTHCARE MEDICARE: $76.78
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $76.78
  • AMBETTER — AMBETTER: $76.78
  • AMERIGROUP — AMERIGROUP: $349
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $76.78
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $423.64
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 30 MIN $189 $43.47 $41.58 – $245.40
Psychotherapy, 30 minutes: 10 of 40 insurance plan rates
  • AETNA — AETNA: $189
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $245.40
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $41.58
  • AETNA — AETNA HEALTHCARE MEDICARE: $41.58
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $41.58
  • AMBETTER — AMBETTER: $41.58
  • AMERIGROUP — AMERIGROUP: $189
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $41.58
  • BLUE CROSS — ANTHEM EXCHANGE: $189
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $235.96
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 45 MIN $191 $43.93 $42.02 – $276.19
Psychotherapy, 45 minutes: 10 of 40 insurance plan rates
  • AETNA — AETNA: $191
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $276.19
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $42.02
  • AETNA — AETNA HEALTHCARE MEDICARE: $42.02
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $42.02
  • AMBETTER — AMBETTER: $42.02
  • AMERIGROUP — AMERIGROUP: $191
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $42.02
  • BLUE CROSS — ANTHEM EXCHANGE: $191
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $265.56
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 60 MIN $212 $48.76 $46.64 – $276.19
Psychotherapy, 60 minutes: 10 of 40 insurance plan rates
  • AETNA — AETNA: $212
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $276.19
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $46.64
  • AETNA — AETNA HEALTHCARE MEDICARE: $46.64
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $46.64
  • AMBETTER — AMBETTER: $46.64
  • AMERIGROUP — AMERIGROUP: $212
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $46.64
  • BLUE CROSS — ANTHEM EXCHANGE: $212
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $265.56
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC FAMILY THERAPY W/O PT PRESENT 50 MIN $329 $75.67 $72.38 – $329
Family psychotherapy, without the patient: 10 of 40 insurance plan rates
  • AETNA — AETNA: $329
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $292.96
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $72.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $72.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $72.38
  • AMBETTER — AMBETTER: $72.38
  • AMERIGROUP — AMERIGROUP: $329
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $72.38
  • BLUE CROSS — ANTHEM EXCHANGE: $329
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $281.69
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY THERAPY W PT PRESENT 50 MIN $348 $80.04 $76.56 – $348
Family psychotherapy, with the patient: 10 of 40 insurance plan rates
  • AETNA — AETNA: $348
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $292.96
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $76.56
  • AETNA — AETNA HEALTHCARE MEDICARE: $76.56
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $76.56
  • AMBETTER — AMBETTER: $76.56
  • AMERIGROUP — AMERIGROUP: $348
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $76.56
  • BLUE CROSS — ANTHEM EXCHANGE: $348
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $281.69
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP PSYCHOTHERAPY $212 $48.76 $26.52 – $476.32
Group psychotherapy: 10 of 40 insurance plan rates
  • AETNA — AETNA: $212
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $476.32
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $46.64
  • AETNA — AETNA HEALTHCARE MEDICARE: $46.64
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $46.64
  • AMBETTER — AMBETTER: $46.64
  • AMERIGROUP — AMERIGROUP: $212
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $46.64
  • BLUE CROSS — ANTHEM EXCHANGE: $212
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $458

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC EGD TRANSORAL DX INCL BRUSH/WASH $1,821 $418.83 $171 – $1,899.63
Upper GI endoscopy (diagnostic): 10 of 43 insurance plan rates
  • AETNA — AETNA: $1,821
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,899.63
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $400.62
  • AETNA — AETNA HEALTHCARE MEDICARE: $400.62
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $400.62
  • AMBETTER — AMBETTER: $400.62
  • AMERIGROUP — AMERIGROUP: $1,821
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $400.62
  • BLUE CROSS — ANTHEM EXCHANGE: $1,821
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,826.57
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC EGD W BIOPSY SINGLE OR MULTIPLE $1,641 $377.43 $171 – $1,899.63
Upper GI endoscopy with biopsy: 10 of 43 insurance plan rates
  • AETNA — AETNA: $1,641
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,899.63
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $361.02
  • AETNA — AETNA HEALTHCARE MEDICARE: $361.02
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $361.02
  • AMBETTER — AMBETTER: $361.02
  • AMERIGROUP — AMERIGROUP: $1,641
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $361.02
  • BLUE CROSS — ANTHEM EXCHANGE: $1,641
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,826.57
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $2,065 $474.95 $454.30 – $2,065
Colonoscopy with biopsy: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,065
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,887.69
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $454.30
  • AETNA — AETNA HEALTHCARE MEDICARE: $454.30
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $454.30
  • AMBETTER — AMBETTER: $454.30
  • AMERIGROUP — AMERIGROUP: $2,065
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $454.30
  • BLUE CROSS — ANTHEM EXCHANGE: $2,065
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,815.08

Source: Lee County Community Hospital’s standard charges file (balladhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address127 Health Care Drive, Pennington Gap, VA 24277
CountyLee County
StateVirginia
Phone(276) 299‑5000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number491309
Name in Medicare recordsLEE COUNTY COMMUNITY HOSPITAL
Profile levelMedicare data + hospital website
Official websiteballadhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Lee County Community Hospital | Ballad Health — balladhealth.org
  2. Search for lee county | Ballad Health (location listing, 127 Healthcare Drive, Pennington Gap, VA 24277) — balladhealth.org