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Acute Care Hospital

Lonesome Pine Hospital

Big Stone Gap, Virginia · Wise County · Emergency services listed

Lonesome Pine Hospital is an acute care hospital at 1990 Holton Avenue East, Big Stone Gap, VA 24219. Phone: (276) 523-3111. It has an emergency department. Medicare overall rating: 4 of 5 stars (CMS, October 2026).

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

Summary

Lonesome Pine Hospital is an acute care hospital in Big Stone Gap, Virginia. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 11 services, specialties and programs. Medicare lists 278 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(276) 523‑3111 Directions Website Medicare profile
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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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
278Doctors and clinicians
11Services listed

Quick answers

Does Lonesome Pine Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lonesome Pine Hospital. In a medical emergency, call 911.
Where is Lonesome Pine Hospital?
1990 Holton Avenue East, Big Stone Gap, VA 24219, in Wise County, Virginia.
What is the phone number of Lonesome Pine Hospital?
(276) 523-3111, as listed by Medicare (CMS).
What is the Medicare star rating of Lonesome Pine Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Lonesome Pine Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Lonesome Pine Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.1887; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Programs and centers[4]

  • Family practice residency program (Big Stone Gap)
  • Family practice residency program (Big Stone Gap), affiliated with LMU DeBusk College of Osteopathic Medicine

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingBallad Health hospitals: regular visitors 6 a.m.-10 p.m. daily; quiet hours 10 p.m.-6 a.m. ICU, ER and other units have their own rules[7]
Interpreters and languagesFree interpreters: video remote, on-site (ASL, Spanish, Mandarin) and phone in about 200 languages; written Spanish translation[8]
Patient portalMyChart

Recognition[4][6]

  • Top 10% in the Nation, Medical Excellence in Sepsis Care (CareChex by Quantros, 2024)
  • Top 10% in the Nation, Medical Excellence in Major Bowel Procedures (CareChex by Quantros, 2024)

Doctors and clinicians (278)

278 doctors and other clinicians list Lonesome Pine 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 (278)

And 254 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 Big Stone Gap

Hospitals in Wise 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 →

Hospice providers

All hospice providers 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 Lonesome Pine 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.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital68%National average: 71%
Nurses “always” communicated well85%National average: 80%
Doctors “always” communicated well81%National average: 80%
“Always” got help as soon as they wanted71%National average: 64%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean75%National average: 73%
Completed surveys524Response rate: 17%

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

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from 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: heart failure patients12.7%
Deaths within 30 days: pneumonia patients17.4%
Deaths within 30 days: COPD patients9.3%
Deaths within 30 days: stroke patients14%
Serious complications (patient safety indicator PSI-90)1.11No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Complications after hip or knee replacement

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)16.1%
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure22.5%
Readmitted within 30 days: pneumonia17.6%
Readmitted within 30 days: COPD20.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted 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)126 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)66%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Lonesome Pine Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.1887Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9202Fewer readmissions than expected
Pneumonia1.0454More readmissions than expected
COPD (chronic lung disease)1.0015More readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score24.44 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)3.33 out of 100
Safety (infections and sepsis care)70.00 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100
No result publishedPerson and community engagement (patient survey) (not reported, or too few cases)

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.00Same as the national median hospital

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 62 common services exactly as Lonesome Pine 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Show the prices of 62 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 $261 $39.15 $47.56 – $261
New patient office visit (about 30–44 minutes): 10 of 20 insurance plan rates
  • AETNA — AETNA: $111.45
  • BLUE CROSS — ANTHEM EXCHANGE: $115
  • BLUE CROSS — ANTHEM HMO: $115
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $115
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $77.03
  • BLUE CROSS — BLUE CROSS P NETWORK: $115
  • BLUE CROSS — BLUE CROSS S NETWORK: $115
  • BLUE CROSS — TENNCARE BLUE CARE: $261
  • BLUE CROSS — TENNCARE BLUE SELECT: $261
  • CIGNA HEALTHCARE — CIGNA HMO: $108.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 4 $340 $51 $65.21 – $340
New patient office visit (about 45–59 minutes): 10 of 20 insurance plan rates
  • AETNA — AETNA: $145.18
  • BLUE CROSS — ANTHEM EXCHANGE: $173.60
  • BLUE CROSS — ANTHEM HMO: $173.60
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $173.60
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.04
  • BLUE CROSS — BLUE CROSS P NETWORK: $173.60
  • BLUE CROSS — BLUE CROSS S NETWORK: $173.60
  • BLUE CROSS — TENNCARE BLUE CARE: $340
  • BLUE CROSS — TENNCARE BLUE SELECT: $340
  • CIGNA HEALTHCARE — CIGNA HMO: $141.78
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 5 $437 $65.55 $88.26 – $437
New patient office visit (about 60–74 minutes): 10 of 20 insurance plan rates
  • AETNA — AETNA: $186.60
  • BLUE CROSS — ANTHEM EXCHANGE: $231.44
  • BLUE CROSS — ANTHEM HMO: $231.44
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $231.44
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $143.16
  • BLUE CROSS — BLUE CROSS P NETWORK: $231.44
  • BLUE CROSS — BLUE CROSS S NETWORK: $231.44
  • BLUE CROSS — TENNCARE BLUE CARE: $437
  • BLUE CROSS — TENNCARE BLUE SELECT: $437
  • CIGNA HEALTHCARE — CIGNA HMO: $182.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC VISIT LEVEL 3 EST $242 $36.30 $36.06 – $242
Established patient office visit (about 20–29 minutes): 10 of 20 insurance plan rates
  • AETNA — AETNA: $103.33
  • BLUE CROSS — ANTHEM EXCHANGE: $93.48
  • BLUE CROSS — ANTHEM HMO: $93.48
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $93.48
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $43.80
  • BLUE CROSS — BLUE CROSS P NETWORK: $93.48
  • BLUE CROSS — BLUE CROSS S NETWORK: $93.48
  • BLUE CROSS — TENNCARE BLUE CARE: $242
  • BLUE CROSS — TENNCARE BLUE SELECT: $242
  • CIGNA HEALTHCARE — CIGNA HMO: $100.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC VISIT LEVEL 4 EST $278 $41.70 $47.56 – $278
Established patient office visit (about 30–39 minutes): 10 of 20 insurance plan rates
  • AETNA — AETNA: $118.71
  • BLUE CROSS — ANTHEM EXCHANGE: $133.10
  • BLUE CROSS — ANTHEM HMO: $133.10
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $133.10
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $66.94
  • BLUE CROSS — BLUE CROSS P NETWORK: $133.10
  • BLUE CROSS — BLUE CROSS S NETWORK: $133.10
  • BLUE CROSS — TENNCARE BLUE CARE: $278
  • BLUE CROSS — TENNCARE BLUE SELECT: $278
  • CIGNA HEALTHCARE — CIGNA HMO: $115.93
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HC WELLNESS - 18-39YRS $469 $70.35 $47.66 – $469
Preventive checkup, new patient, age 18–39: 10 of 15 insurance plan rates
  • AETNA — AETNA: $200.26
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $100.81
  • BLUE CROSS — TENNCARE BLUE CARE: $469
  • BLUE CROSS — TENNCARE BLUE SELECT: $469
  • CIGNA HEALTHCARE — CIGNA HMO: $195.57
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $217.62
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $195.57
  • CIGNA HEALTHCARE — CIGNA PPO: $195.57
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $422.10
  • MEDCOST — MEDCOST VHN: $223.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HC WELLNESS - 40-64YRS $488 $73.20 $57.70 – $488
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates
  • AETNA — AETNA: $208.38
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.11
  • BLUE CROSS — TENNCARE BLUE CARE: $488
  • BLUE CROSS — TENNCARE BLUE SELECT: $488
  • CIGNA HEALTHCARE — CIGNA HMO: $203.50
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $226.43
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $203.50
  • CIGNA HEALTHCARE — CIGNA PPO: $203.50
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $439.20
  • MEDCOST — MEDCOST VHN: $232.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 3 $1,365 $204.75 $50 – $1,365
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • AETNA — AETNA: $582.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $274.33
  • AETNA — AETNA HEALTHCARE MEDICARE: $266.34
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $266.34
  • AMBETTER — AMBETTER: $580.62
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $266.34
  • BLUE CROSS — ANTHEM EXCHANGE: $878.02
  • BLUE CROSS — ANTHEM HMO: $1,018.36
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $274.33
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $1,197.35
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 4 $2,002 $300.30 $50 – $2,002
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • AETNA — AETNA: $854.85
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $419.33
  • AETNA — AETNA HEALTHCARE MEDICARE: $407.12
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $407.12
  • AMBETTER — AMBETTER: $887.51
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $407.12
  • BLUE CROSS — ANTHEM EXCHANGE: $1,342.13
  • BLUE CROSS — ANTHEM HMO: $1,556.64
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $419.33
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $1,830.24
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 5 $3,041 $456.15 $50 – $3,041
Emergency room visit (high): 10 of 39 insurance plan rates
  • AETNA — AETNA: $1,298.51
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $598.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $581.05
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $581.05
  • AMBETTER — AMBETTER: $1,266.69
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $581.05
  • BLUE CROSS — ANTHEM EXCHANGE: $1,915.51
  • BLUE CROSS — ANTHEM HMO: $2,221.67
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $598.48
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $2,612.16

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) $96 $14.40 $4.23 – $96
Basic metabolic panel (blood test): 10 of 45 insurance plan rates
  • AETNA — AETNA: $40.99
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.71
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.46
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.46
  • AMBETTER — AMBETTER: $18.44
  • AMERIGROUP — AMERIGROUP: $4.23
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.46
  • BLUE CROSS — ANTHEM EXCHANGE: $8.46
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL $118 $17.70 $5.28 – $118
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates
  • AETNA — AETNA: $50.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $10.88
  • AETNA — AETNA HEALTHCARE MEDICARE: $10.56
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $10.56
  • AMBETTER — AMBETTER: $23.02
  • AMERIGROUP — AMERIGROUP: $5.28
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $10.56
  • BLUE CROSS — ANTHEM EXCHANGE: $10.56
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRIC PANEL $479 $71.85 $9.79 – $479
Obstetric blood test panel: 10 of 45 insurance plan rates
  • AETNA — AETNA: $204.53
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $49.24
  • AETNA — AETNA HEALTHCARE MEDICARE: $47.81
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $47.81
  • AMBETTER — AMBETTER: $104.23
  • AMERIGROUP — AMERIGROUP: $23.91
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $47.81
  • BLUE CROSS — ANTHEM EXCHANGE: $47.81
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $156 $23.40 $6.70 – $156
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates
  • AETNA — AETNA: $66.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $13.79
  • AETNA — AETNA HEALTHCARE MEDICARE: $13.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $13.39
  • AMBETTER — AMBETTER: $29.19
  • AMERIGROUP — AMERIGROUP: $6.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $13.39
  • BLUE CROSS — ANTHEM EXCHANGE: $13.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $98 $14.70 $4.34 – $98
Kidney function panel: 10 of 45 insurance plan rates
  • AETNA — AETNA: $41.85
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.94
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.68
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.68
  • AMBETTER — AMBETTER: $18.92
  • AMERIGROUP — AMERIGROUP: $4.34
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.68
  • BLUE CROSS — ANTHEM EXCHANGE: $8.68
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL $91 $13.65 $4.09 – $91
Liver function panel: 10 of 45 insurance plan rates
  • AETNA — AETNA: $38.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.42
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.17
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.17
  • AMBETTER — AMBETTER: $17.81
  • AMERIGROUP — AMERIGROUP: $4.09
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.17
  • BLUE CROSS — ANTHEM EXCHANGE: $8.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.79
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W MICROSCOPY $38 $5.70 $1.59 – $38
Urine test (automated, with microscope): 10 of 45 insurance plan rates
  • AETNA — AETNA: $16.23
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.27
  • AETNA — AETNA HEALTHCARE MEDICARE: $3.17
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3.17
  • AMBETTER — AMBETTER: $6.91
  • AMERIGROUP — AMERIGROUP: $1.59
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.17
  • BLUE CROSS — ANTHEM EXCHANGE: $3.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.18
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINE DIP WO MICROSCOPY $29 $4.35 $1.74 – $29
Urine test (manual, without microscope): 10 of 45 insurance plan rates
  • AETNA — AETNA: $12.38
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.58
  • AETNA — AETNA HEALTHCARE MEDICARE: $3.48
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3.48
  • AMBETTER — AMBETTER: $7.59
  • AMERIGROUP — AMERIGROUP: $1.74
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.48
  • BLUE CROSS — ANTHEM EXCHANGE: $3.48
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.18
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO WO MICROSCOPY $26 $3.90 $1.13 – $26
Urine test (automated, without microscope): 10 of 45 insurance plan rates
  • AETNA — AETNA: $11.10
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $2.32
  • AETNA — AETNA HEALTHCARE MEDICARE: $2.25
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $2.25
  • AMBETTER — AMBETTER: $4.91
  • AMERIGROUP — AMERIGROUP: $1.13
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $2.25
  • BLUE CROSS — ANTHEM EXCHANGE: $2.25
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.18
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPEC ANTIGEN TOTAL REF $215 $32.25 $9.20 – $215
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates
  • AETNA — AETNA: $91.81
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $13.18
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $18.94
  • AETNA — AETNA HEALTHCARE MEDICARE: $18.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $18.39
  • AMBETTER — AMBETTER: $40.09
  • AMERIGROUP — AMERIGROUP: $9.20
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $18.39
  • BLUE CROSS — ANTHEM EXCHANGE: $18.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $13.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE TSH $196 $29.40 $8.40 – $196
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates
  • AETNA — AETNA: $83.69
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.47
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $17.30
  • AETNA — AETNA HEALTHCARE MEDICARE: $16.80
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $16.80
  • AMBETTER — AMBETTER: $36.62
  • AMERIGROUP — AMERIGROUP: $8.40
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $16.80
  • BLUE CROSS — ANTHEM EXCHANGE: $16.80
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $14.33
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC WITH AUTO DIFF $90 $13.50 $3.89 – $90
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates
  • AETNA — AETNA: $38.43
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.51
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8
  • AETNA — AETNA HEALTHCARE MEDICARE: $7.77
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $7.77
  • AMBETTER — AMBETTER: $16.94
  • AMERIGROUP — AMERIGROUP: $3.89
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $7.77
  • BLUE CROSS — ANTHEM EXCHANGE: $7.77
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.45
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC BLOOD CT COMPLETE AUTOMATED $76 $11.40 $3.24 – $76
Complete blood count (CBC), automated: 10 of 45 insurance plan rates
  • AETNA — AETNA: $32.45
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.51
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.66
  • AETNA — AETNA HEALTHCARE MEDICARE: $6.47
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $6.47
  • AMBETTER — AMBETTER: $14.10
  • AMERIGROUP — AMERIGROUP: $3.24
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.47
  • BLUE CROSS — ANTHEM EXCHANGE: $6.47
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PT PROTHROMBIN TIME $46 $6.90 $2.15 – $46
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates
  • AETNA — AETNA: $19.64
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.82
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $4.42
  • AETNA — AETNA HEALTHCARE MEDICARE: $4.29
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $4.29
  • AMBETTER — AMBETTER: $9.35
  • AMERIGROUP — AMERIGROUP: $2.15
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $4.29
  • BLUE CROSS — ANTHEM EXCHANGE: $4.29
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT THROMBOPLASTIN TIME PARTIAL $70 $10.50 $3.01 – $70
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates
  • AETNA — AETNA: $29.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.82
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.19
  • AETNA — AETNA HEALTHCARE MEDICARE: $6.01
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $6.01
  • AMBETTER — AMBETTER: $13.10
  • AMERIGROUP — AMERIGROUP: $3.01
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.01
  • BLUE CROSS — ANTHEM EXCHANGE: $6.01
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.78

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 $3,545 $531.75 $95.95 – $3,545
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,513.72
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $424.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $105.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $102
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $102
  • AMBETTER — AMBETTER: $222.37
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $102
  • BLUE CROSS — ANTHEM EXCHANGE: $336.27
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $420.22
  • BLUE CROSS — ANTHEM HMO: $390.01
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MR BRAIN WOW CON $4,457 $668.55 $267.02 – $4,457
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,903.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $533.31
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $350.60
  • AETNA — AETNA HEALTHCARE MEDICARE: $340.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $340.39
  • AMBETTER — AMBETTER: $742.05
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $340.39
  • BLUE CROSS — ANTHEM EXCHANGE: $1,122.13
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $528.19
  • BLUE CROSS — ANTHEM HMO: $1,301.49
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC DX CHEST 2 VIEWS $462 $69.30 $31.06 – $462
Chest X-ray, 2 views: 10 of 44 insurance plan rates
  • AETNA — AETNA: $197.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $73.56
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $87.46
  • AETNA — AETNA HEALTHCARE MEDICARE: $84.91
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $84.91
  • AMBETTER — AMBETTER: $185.10
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $84.91
  • BLUE CROSS — ANTHEM EXCHANGE: $279.91
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $72.85
  • BLUE CROSS — ANTHEM HMO: $324.65
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 $462 $69.30 $37.74 – $462
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates
  • AETNA — AETNA: $197.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $73.56
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $105.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $102
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $102
  • AMBETTER — AMBETTER: $222.37
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $102
  • BLUE CROSS — ANTHEM EXCHANGE: $336.27
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $72.85
  • BLUE CROSS — ANTHEM HMO: $390.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MR SPINE LUMBAR WO CON $4,033 $604.95 $169.21 – $4,033
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,722.09
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $317.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $239.78
  • AETNA — AETNA HEALTHCARE MEDICARE: $232.80
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $232.80
  • AMBETTER — AMBETTER: $507.50
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $232.80
  • BLUE CROSS — ANTHEM EXCHANGE: $767.45
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $314.09
  • BLUE CROSS — ANTHEM HMO: $890.11
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W CON $4,114 $617.10 $150.25 – $4,114
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,756.68
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $424.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $176.27
  • AETNA — AETNA HEALTHCARE MEDICARE: $171.14
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $171.14
  • AMBETTER — AMBETTER: $373.08
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $171.14
  • BLUE CROSS — ANTHEM EXCHANGE: $564.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $420.22
  • BLUE CROSS — ANTHEM HMO: $654.35
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 $4,033 $604.95 $169.21 – $4,033
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,722.09
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $317.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $239.78
  • AETNA — AETNA HEALTHCARE MEDICARE: $232.80
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $232.80
  • AMBETTER — AMBETTER: $507.50
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $232.80
  • BLUE CROSS — ANTHEM EXCHANGE: $767.45
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $314.09
  • BLUE CROSS — ANTHEM HMO: $890.11
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 $4,099 $614.85 $169.21 – $4,099
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,750.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $475.71
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $529.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $513.65
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $513.65
  • AMBETTER — AMBETTER: $1,119.75
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $513.65
  • BLUE CROSS — ANTHEM EXCHANGE: $1,693.30
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $471.14
  • BLUE CROSS — ANTHEM HMO: $1,963.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W CON $3,731 $559.65 $237.47 – $3,731
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,593.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $424.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $350.60
  • AETNA — AETNA HEALTHCARE MEDICARE: $340.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $340.39
  • AMBETTER — AMBETTER: $742.05
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $340.39
  • BLUE CROSS — ANTHEM EXCHANGE: $1,122.13
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $420.22
  • BLUE CROSS — ANTHEM HMO: $1,301.49
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE $677 $101.55 $48.16 – $677
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $218.50
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $105.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $102
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $102
  • AMBETTER — AMBETTER: $222.37
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $102
  • BLUE CROSS — ANTHEM EXCHANGE: $336.27
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $216.40
  • BLUE CROSS — ANTHEM HMO: $390.01
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREG COMP >14 WKS SNGL GEST $677 $101.55 $48.16 – $677
Pregnancy ultrasound (after the first trimester): 10 of 44 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $132.24
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $105.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $102
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $102
  • AMBETTER — AMBETTER: $222.37
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $102
  • BLUE CROSS — ANTHEM EXCHANGE: $336.27
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $130.97
  • BLUE CROSS — ANTHEM HMO: $390.01
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON OB $677 $101.55 $48.16 – $677
Transvaginal ultrasound: 10 of 44 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $144.22
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $105.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $102
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $102
  • AMBETTER — AMBETTER: $222.37
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $102
  • BLUE CROSS — ANTHEM EXCHANGE: $336.27
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $142.83
  • BLUE CROSS — ANTHEM HMO: $390.01
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD UNILAT $494 $74.10 $48.06 – $494
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $87.16
  • AETNA — AETNA HEALTHCARE MEDICARE: $84.62
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $84.62
  • AMBETTER — AMBETTER: $184.47
  • AMERIGROUP — AMERIGROUP: $78.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $84.62
  • BLUE CROSS — ANTHEM EXCHANGE: $84.62
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $61.39
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO UNILAT INCL CAD $494 $74.10 $48.06 – $494
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $87.16
  • AETNA — AETNA HEALTHCARE MEDICARE: $84.62
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $84.62
  • AMBETTER — AMBETTER: $184.47
  • AMERIGROUP — AMERIGROUP: $78.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $84.62
  • BLUE CROSS — ANTHEM EXCHANGE: $84.62
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $61.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD BILAT $570 $85.50 $61.38 – $570
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • AETNA — AETNA: $243.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $111.74
  • AETNA — AETNA HEALTHCARE MEDICARE: $108.49
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $108.49
  • AMBETTER — AMBETTER: $236.51
  • AMERIGROUP — AMERIGROUP: $100.90
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $108.49
  • BLUE CROSS — ANTHEM EXCHANGE: $108.49
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $61.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO BILAT INCL CAD $570 $85.50 $61.38 – $570
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates
  • AETNA — AETNA: $243.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $111.74
  • AETNA — AETNA HEALTHCARE MEDICARE: $108.49
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $108.49
  • AMBETTER — AMBETTER: $236.51
  • AMERIGROUP — AMERIGROUP: $100.90
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $108.49
  • BLUE CROSS — ANTHEM EXCHANGE: $108.49
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $61.39
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO INCL CAD $494 $74.10 $50.76 – $494
Screening mammogram, both breasts: 10 of 45 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $92.23
  • AETNA — AETNA HEALTHCARE MEDICARE: $89.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $89.54
  • AMBETTER — AMBETTER: $195.20
  • AMERIGROUP — AMERIGROUP: $83.27
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $89.54
  • BLUE CROSS — ANTHEM EXCHANGE: $89.54
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $61.39
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC SCREEN MAMMO INCL CAD UNILAT $469 $70.35 $30.69 – $469
Screening mammogram, both breasts: 10 of 45 insurance plan rates
  • AETNA — AETNA: $200.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $30.99
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $92.23
  • AETNA — AETNA HEALTHCARE MEDICARE: $89.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $89.54
  • AMBETTER — AMBETTER: $195.20
  • AMERIGROUP — AMERIGROUP: $83.27
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $89.54
  • BLUE CROSS — ANTHEM EXCHANGE: $89.54
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $30.69

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC LEFT HEART CATH W/LV $16,036 $2,405.40 $2,062 – $16,036
Left heart catheterization (diagnostic): 10 of 44 insurance plan rates
  • AETNA — AETNA: $6,847.37
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3,274.57
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3,258
  • AETNA — AETNA HEALTHCARE MEDICARE: $3,163.10
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3,163.10
  • AMBETTER — AMBETTER: $6,895.56
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3,163.10
  • BLUE CROSS — ANTHEM EXCHANGE: $10,427.57
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3,243.08
  • BLUE CROSS — ANTHEM HMO: $12,094.24
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP RT ATRIAL VENT WO INDUCTIO $7,615 $1,142.25 $390.63 – $16,589.83
Heart rhythm study (electrophysiology evaluation): 10 of 44 insurance plan rates
  • AETNA — AETNA: $3,251.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9,019.87
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $7,615
  • AETNA — AETNA HEALTHCARE MEDICARE: $7,610.01
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $7,610.01
  • AMBETTER — AMBETTER: $16,589.83
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $7,610.01
  • BLUE CROSS — ANTHEM EXCHANGE: $7,615
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $7,615
  • BLUE CROSS — ANTHEM HMO: $7,615
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EPS/AFIB ABLATION $26,884 $4,032.60 $1,571 – $55,595.04
Heart rhythm study with ablation for atrial fibrillation: 10 of 44 insurance plan rates
  • AETNA — AETNA: $11,479.47
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $22,504
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $26,267.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $25,502.31
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $25,502.31
  • AMBETTER — AMBETTER: $55,595.04
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $25,502.31
  • BLUE CROSS — ANTHEM EXCHANGE: $26,884
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $22,287.62
  • BLUE CROSS — ANTHEM HMO: $26,884
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOMNOGRAPHY 4 PARA ATTENDED $3,659 $548.85 $397.29 – $3,659
Sleep study (overnight, in a sleep lab): 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,562.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,014.78
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $863
  • AETNA — AETNA HEALTHCARE MEDICARE: $837.86
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $837.86
  • AMBETTER — AMBETTER: $1,826.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $837.86
  • BLUE CROSS — ANTHEM EXCHANGE: $2,762.10
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,005.02
  • BLUE CROSS — ANTHEM HMO: $3,203.58

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 $206 $30.90 $26.72 – $206
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates
  • AETNA — AETNA: $87.96
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $46.79
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $29.59
  • AETNA — AETNA HEALTHCARE MEDICARE: $28.73
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $28.73
  • AMBETTER — AMBETTER: $62.63
  • AMERIGROUP — AMERIGROUP: $26.72
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $28.73
  • BLUE CROSS — ANTHEM EXCHANGE: $28.73
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $46.34
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEX 20 MIN $492 $73.80 $46 – $492
Physical therapy evaluation (low complexity): 10 of 45 insurance plan rates
  • AETNA — AETNA: $210.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $308.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.89
  • AETNA — AETNA HEALTHCARE MEDICARE: $96.98
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $96.98
  • AMBETTER — AMBETTER: $211.42
  • AMERIGROUP — AMERIGROUP: $90.19
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $96.98
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $305.34
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEX 30 MIN $519 $77.85 $46 – $519
Physical therapy evaluation (moderate complexity): 10 of 45 insurance plan rates
  • AETNA — AETNA: $221.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $308.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.89
  • AETNA — AETNA HEALTHCARE MEDICARE: $96.98
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $96.98
  • AMBETTER — AMBETTER: $211.42
  • AMERIGROUP — AMERIGROUP: $90.19
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $96.98
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $305.34
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEX 45 MIN $545 $81.75 $46 – $545
Physical therapy evaluation (high complexity): 10 of 45 insurance plan rates
  • AETNA — AETNA: $232.72
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $308.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.89
  • AETNA — AETNA HEALTHCARE MEDICARE: $96.98
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $96.98
  • AMBETTER — AMBETTER: $211.42
  • AMERIGROUP — AMERIGROUP: $90.19
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $96.98
  • BLUE CROSS — ANTHEM EXCHANGE: $96.98
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $305.34
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 30 MIN $294 $44.10 $41.43 – $377.53
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates
  • AETNA — AETNA: $125.54
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $171.72
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $178.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $173.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $173.18
  • AMBETTER — AMBETTER: $377.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.18
  • BLUE CROSS — ANTHEM EXCHANGE: $294
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $170.06
  • BLUE CROSS — ANTHEM HMO: $294
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 45 MIN $299 $44.85 $55.08 – $377.53
Psychotherapy, 45 minutes: 10 of 41 insurance plan rates
  • AETNA — AETNA: $127.67
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $193.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $178.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $173.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $173.18
  • AMBETTER — AMBETTER: $377.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.18
  • BLUE CROSS — ANTHEM EXCHANGE: $299
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $191.40
  • BLUE CROSS — ANTHEM HMO: $299
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 60 MIN $331 $49.65 $55.08 – $377.53
Psychotherapy, 60 minutes: 10 of 41 insurance plan rates
  • AETNA — AETNA: $141.34
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $193.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $178.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $173.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $173.18
  • AMBETTER — AMBETTER: $377.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.18
  • BLUE CROSS — ANTHEM EXCHANGE: $331
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $191.40
  • BLUE CROSS — ANTHEM HMO: $331
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC FAMILY THERAPY W/O PT PRESENT 50 MIN $512 $76.80 $63.62 – $512
Family psychotherapy, without the patient: 10 of 41 insurance plan rates
  • AETNA — AETNA: $218.62
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $205
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $178.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $173.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $173.18
  • AMBETTER — AMBETTER: $377.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.18
  • BLUE CROSS — ANTHEM EXCHANGE: $512
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $203.03
  • BLUE CROSS — ANTHEM HMO: $512
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY THERAPY W PT PRESENT 50 MIN $543 $81.45 $63.62 – $543
Family psychotherapy, with the patient: 10 of 41 insurance plan rates
  • AETNA — AETNA: $231.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $205
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $178.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $173.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $173.18
  • AMBETTER — AMBETTER: $377.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.18
  • BLUE CROSS — ANTHEM EXCHANGE: $543
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $203.03
  • BLUE CROSS — ANTHEM HMO: $543
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP PSYCHOTHERAPY $331 $49.65 $26.52 – $336.50
Group psychotherapy: 10 of 41 insurance plan rates
  • AETNA — AETNA: $141.34
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $333.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $102.09
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.12
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.12
  • AMBETTER — AMBETTER: $216.08
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $99.12
  • BLUE CROSS — ANTHEM EXCHANGE: $326.77
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $330.10
  • BLUE CROSS — ANTHEM HMO: $331

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 $2,844 $426.60 $106 – $2,844
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates
  • AETNA — AETNA: $1,214.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,329.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $911.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $884.93
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $884.93
  • AMBETTER — AMBETTER: $1,929.15
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $884.93
  • BLUE CROSS — ANTHEM EXCHANGE: $2,844
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,316.48
  • BLUE CROSS — ANTHEM HMO: $2,844
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC EGD W BIOPSY SINGLE OR MULTIPLE $2,564 $384.60 $106 – $2,564
Upper GI endoscopy with biopsy: 10 of 40 insurance plan rates
  • AETNA — AETNA: $1,094.83
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,329.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $911.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $884.93
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $884.93
  • AMBETTER — AMBETTER: $1,929.15
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $884.93
  • BLUE CROSS — ANTHEM EXCHANGE: $2,564
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,316.48
  • BLUE CROSS — ANTHEM HMO: $2,564
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $3,227 $484.05 $697 – $3,227
Colonoscopy with biopsy: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,377.93
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,320.90
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,202.57
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,167.54
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,167.54
  • AMBETTER — AMBETTER: $2,545.25
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,167.54
  • BLUE CROSS — ANTHEM EXCHANGE: $3,227
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,308.20
  • BLUE CROSS — ANTHEM HMO: $3,227
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC BX PROSTATE NDL/PUNCH SNG/MULTI ANY APPR $2,602 $390.30 $96.26 – $2,602
Prostate biopsy: 10 of 17 insurance plan rates
  • AETNA — AETNA: $1,111.05
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $2,270.08
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $2,248.25
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $96.26
  • BLUE CROSS — TENNCARE BLUE CARE: $2,602
  • BLUE CROSS — TENNCARE BLUE SELECT: $2,602
  • CIGNA HEALTHCARE — CIGNA HMO: $1,085.03
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $1,207.33
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $1,085.03
  • CIGNA HEALTHCARE — CIGNA PPO: $1,085.03
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ LUMBAR/SACRAL W IMG GUID $2,986 $447.90 $390 – $2,986
Spinal injection, lower back (epidural), with imaging guidance: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,275.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,009.47
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $709.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $688.72
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $688.72
  • AMBETTER — AMBETTER: $1,501.40
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $688.72
  • BLUE CROSS — ANTHEM EXCHANGE: $2,270.45
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $999.76
  • BLUE CROSS — ANTHEM HMO: $2,633.35
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL $1,196 $179.40 $211.82 – $1,881.27
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
  • AETNA — AETNA: $510.69
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,009.47
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $888.86
  • AETNA — AETNA HEALTHCARE MEDICARE: $862.97
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $862.97
  • AMBETTER — AMBETTER: $1,881.27
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $862.97
  • BLUE CROSS — ANTHEM EXCHANGE: $1,196
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $999.76
  • BLUE CROSS — ANTHEM HMO: $1,196
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC BILAT 1 LEVEL $2,352 $352.80 $211.82 – $2,821.90
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates
  • AETNA — AETNA: $1,004.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,514.20
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,333.28
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,294.45
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,294.45
  • AMBETTER — AMBETTER: $2,821.90
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,294.45
  • BLUE CROSS — ANTHEM EXCHANGE: $2,352
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,499.64
  • BLUE CROSS — ANTHEM HMO: $2,352
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC REVISE MEDIAN N/CARPAL TUNNEL SURG $6,035 $905.25 $375.46 – $6,035
Carpal tunnel release: 10 of 44 insurance plan rates
  • AETNA — AETNA: $2,576.95
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,801.24
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,962.40
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,905.24
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,905.24
  • AMBETTER — AMBETTER: $4,153.43
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,905.24
  • BLUE CROSS — ANTHEM EXCHANGE: $6,035
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,783.92
  • BLUE CROSS — ANTHEM HMO: $6,035
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC POST-CATARACT LASER SURGERY $1,677 $251.55 $390 – $1,677
Laser treatment of clouding after cataract surgery: 10 of 44 insurance plan rates
  • AETNA — AETNA: $716.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $761.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $552.72
  • AETNA — AETNA HEALTHCARE MEDICARE: $536.62
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $536.62
  • AMBETTER — AMBETTER: $1,169.84
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $536.62
  • BLUE CROSS — ANTHEM EXCHANGE: $1,677
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $753.82
  • BLUE CROSS — ANTHEM HMO: $1,677

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $121.76 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $92,918.57
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 90% (a percentage in the contract, not a dollar amount)
  • MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount)
  • SENTARA HEALTH — SENTARA HEALTH: 36.57% (a percentage in the contract, not a dollar amount)

Source: Lonesome Pine 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 typeAcute Care Hospital
Address1990 Holton Avenue East, Big Stone Gap, VA 24219
CountyWise County
StateVirginia
Phone(276) 523‑3111
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number490114
Name in Medicare recordsLONESOME PINE 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. Lonesome Pine Hospital | a Ballad Health Hospital in Big Stone Gap, VA — balladhealth.org
  2. Search for hospital | Ballad Health (location listing, 1990 Holton Avenue, Big Stone Gap, VA 24219) — balladhealth.org
  3. Awards and Accreditations at Ballad Health | Ballad Health — balladhealth.org
  4. Hospital Visiting Hours & Information | Ballad Health — balladhealth.org
  5. Interpreter Services & Communication Assistance | Ballad Health — balladhealth.org