Supplies, drugs & other prices at Bon Secours Rappahannock General Hospital

Kilmarnock, VA · every code in this section with a posted price and a Medicare benchmark.

21 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,co (C8923) $1,540.20 $2,567 2.0×
Admin influenza virus vac (G0008) $22.80 $38 0.5×
Alveolus clsd reduc stblz te (D7771) $5,521.80 $9,203 1.7×
Chemo extend iv infus w/pump (G0498) $1,159.80 $1,933 3.6×
Colon ca scrn not hi rsk ind (G0121) $2,580.91 $4,301.52 2.8×
Colorectal scrn; hi risk ind (G0105) $2,546.28 $4,243.80 2.8×
Direct refer hospital observ (G0379) $687 $1,145 1.2×
Drug test def 1-7 classes (G0480) $98.40 $164 0.9×
Elec stim other than wound (G0283) $37.80 $63 3.0×
Hepb screen high risk indiv (G0499) $84.60 $141 3.0×
Home sleep test/type 2 porta (G0398) $261.60 $436 1.2×
Home sleep test/type 3 porta (G0399) $261.60 $436 1.2×
Home sleep test/type 4 porta (G0400) $504 $840 2.4×
Hopd mntl hlt, 15-29 min (C7900) $53.40 $89 1.5×
Hopd mntl hlt, 30-60 min (C7901) $166.80 $278 1.7×
Hopd mntl hlt, grp (C7903) $53.40 $89 1.5×
Psa screening (G0103) $58.20 $97 3.0×
Tomosynthesis, mammo (G0279) $15.60 $26 1.2×
Tooth reimplantation (D7270) $1,510.20 $2,517 2.4×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $10,500 $17,500 3.0×
Tte w or wo fol wcon,doppler (C8929) $1,839 $3,065 2.4×