Dickenson Community Hospital
Clintwood, VA · Critical Access Hospital
Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $418.83 | $1,821 | 0.5× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $377.43 | $1,641 | 0.4× |
| Colonoscopy with biopsy (45380) | $474.95 | $2,065 | 0.4× |
| CT head/brain without contrast (70450) | $521.87 | $2,269 | 5.1× |
| MRI brain without contrast (70551) | $593.63 | $2,581 | 2.5× |
| MRI brain without and with contrast (70553) | $656.19 | $2,853 | 1.9× |
| X-ray lower spine, 4+ views (72110) | $67.85 | $295 | 0.7× |
| MRI lumbar spine without contrast (72148) | $593.63 | $2,581 | 2.5× |
| CT pelvis with contrast (72193) | $605.36 | $2,632 | 3.5× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$593.63–$603.52 | $2,581–$2,624 | varies |
| CT abdomen and pelvis with contrast (74177) | $549.24 | $2,388 | 1.6× |
| Ultrasound, abdomen complete (76700) | $99.82 | $434 | 1.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $99.82 | $434 | 1.0× |
| Ultrasound, transvaginal (76830) | $99.82 | $434 | 1.0× |
| Mammography, one breast (diagnostic) (77065) | $72.68 | $316 | 0.8× |
| Mammography, both breasts (diagnostic) (77066) | $83.95 | $365 | 0.8× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$69.23–$72.68 | $301–$316 | varies |
| Basic metabolic panel (80048) | $14.26 | $62 | 1.7× |
| Comprehensive metabolic panel (80053) | $17.25 | $75 | 1.6× |
| Obstetric panel (80055) | $70.61 | $307 | 1.5× |
| Lipid panel (80061) | $23.23 | $101 | 1.7× |
| Renal function panel (80069) | $14.49 | $63 | 1.7× |
| Hepatic function panel (80076) | $13.57 | $59 | 1.7× |
| Urinalysis, non-automated, without microscopy (81002) | $4.37 | $19 | 1.3× |
| PSA, total (84153) | $31.74 | $138 | 1.7× |
| Thyroid stimulating hormone (TSH) (84443) | $28.98 | $126 | 1.7× |
| CBC with automated differential (85025) | $13.34 | $58 | 1.7× |
| CBC, automated (85027) | $11.04 | $48 | 1.7× |
| Prothrombin time (PT) (85610) | $6.67 | $29 | 1.6× |
| Partial thromboplastin time (PTT) (85730) | $10.35 | $45 | 1.7× |
| Psychotherapy, 30 minutes (90832) range across 2 matching MRF lines |
$43.47–$67.62 | $189–$294 | varies |
| Psychotherapy, 45 minutes (90834) range across 2 matching MRF lines |
$43.93–$68.77 | $191–$299 | varies |
| Psychotherapy, 60 minutes (90837) range across 2 matching MRF lines |
$48.76–$76.13 | $212–$331 | varies |
| Family psychotherapy, without patient (50 min) (90846) range across 2 matching MRF lines |
$75.67–$117.76 | $329–$512 | varies |
| Family psychotherapy, with patient (50 min) (90847) range across 2 matching MRF lines |
$80.04–$124.89 | $348–$543 | varies |
| Group psychotherapy (90853) range across 2 matching MRF lines |
$48.76–$76.13 | $212–$331 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $30.36 | $132 | 1.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $38.64 | $168 | 0.3× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $50.14 | $218 | 0.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $64.17 | $279 | 0.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 201 codes with posted prices and Medicare benchmarks
- Lab & pathology: 817 codes with posted prices and Medicare benchmarks
- Visits & medical services: 124 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 370 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 49 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 5.4 MB) ↓ — captured 2026-08-30
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.