▸ Hospital · VA · CCN 490117
Carilion Tazewell Community Hospital
388 BEN BOLT AVE, TAZEWELL, VA, 490117
Compliance grade
A
100/100
Procedures tracked
117
of 209 target codes
Payers
20
with negotiated rates
Rates published
28,775
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 20 | $500 | $175 | $7.43 | $280.43 | $480 |
| ED visit level 2 | CPT | 99282 | 20 | $800 | $280 | $27.21 | $448.68 | $810.55 |
| ED visit level 3 | CPT | 99283 | 20 | $1,320 | $462 | $46.1 | $740.32 | $1,441.05 |
| ED visit level 4 | CPT | 99284 | 20 | $2,178 | $762.3 | $78.56 | $1,221.53 | $2,202.76 |
| ED visit level 5 | CPT | 99285 | 20 | $3,315 | $1,160.25 | $113.84 | $1,859.22 | $3,182.4 |
| Critical care, first hour | CPT | 99291 | 20 | $4,156 | $1,454.6 | $189.62 | $2,330.9 | $4,360.64 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 20 | $2,282 | $798.7 | $88.01 | $1,171.81 | $2,190.72 |
| CT head with contrast | CPT | 70460 | 20 | $2,940 | $1,029 | $123.1 | $1,509.69 | $2,822.4 |
| CT head with and without contrast | CPT | 70470 | 20 | $3,604 | $1,261.4 | $144.16 | $1,850.66 | $3,459.84 |
| CT neck with contrast | CPT | 70491 | 20 | $2,904 | $1,016.4 | $153.07 | $1,491.21 | $2,787.84 |
| MRI brain without contrast | CPT | 70551 | 20 | $5,634 | $1,971.9 | $163.33 | $2,893.06 | $5,408.64 |
| MRI brain with contrast | CPT | 70552 | 20 | $5,887 | $2,060.45 | $225.15 | $3,022.98 | $5,651.52 |
| MRI brain with and without contrast | CPT | 70553 | 20 | $6,565 | $2,297.75 | $265.11 | $3,371.13 | $6,302.4 |
| Chest X-ray single view | CPT | 71045 | 20 | $364 | $127.4 | $20.79 | $211.9 | $459.41 |
| Chest X-ray 2 views | CPT | 71046 | 20 | $415 | $145.25 | $27.26 | $232.76 | $459.41 |
| Chest X-ray 3 views | CPT | 71047 | 20 | $415 | $145.25 | $34.29 | $232.76 | $459.41 |
| CT chest without contrast | CPT | 71250 | 20 | $2,482 | $868.7 | $91.78 | $1,274.51 | $2,382.72 |
| CT chest with contrast | CPT | 71260 | 20 | $2,939 | $1,028.65 | $138.77 | $1,509.18 | $2,821.44 |
| CT chest with and without contrast | CPT | 71270 | 20 | $3,924 | $1,373.4 | $153.99 | $2,014.98 | $3,767.04 |
| MRI chest without contrast | CPT | 71550 | 20 | $4,159 | $1,455.65 | $209.48 | $2,135.65 | $3,992.64 |
| MRI chest with and without contrast | CPT | 71552 | 20 | $5,679 | $1,987.65 | $306.29 | $2,916.17 | $5,451.84 |
| Lumbosacral spine X-ray | CPT | 72100 | 20 | $917 | $320.95 | $32.4 | $500.53 | $880.32 |
| CT cervical spine without contrast | CPT | 72125 | 20 | $2,869 | $1,004.15 | $91.78 | $1,473.23 | $2,754.24 |
| CT thoracic spine without contrast | CPT | 72128 | 20 | $2,071 | $724.85 | $91.78 | $1,063.46 | $1,988.16 |
| CT lumbar spine without contrast | CPT | 72131 | 20 | $2,933 | $1,026.55 | $91.78 | $1,506.1 | $2,815.68 |
| MRI cervical spine without contrast | CPT | 72141 | 20 | $5,988 | $2,095.8 | $158.74 | $3,074.84 | $5,748.48 |
| MRI thoracic spine without contrast | CPT | 72146 | 20 | $3,510 | $1,228.5 | $158.47 | $1,802.39 | $3,369.6 |
| MRI lumbar spine without contrast | CPT | 72148 | 20 | $5,762 | $2,016.7 | $159.28 | $2,958.79 | $5,531.52 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 20 | $6,706 | $2,347.1 | $225.43 | $3,443.53 | $6,437.76 |
| MRI cervical spine with and without contrast | CPT | 72156 | 20 | $7,940 | $2,779 | $266.46 | $4,077.19 | $7,622.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 20 | $8,111 | $2,838.85 | $265.91 | $4,165 | $7,786.56 |
| CT pelvis without contrast | CPT | 72192 | 20 | $2,001 | $700.35 | $91.78 | $1,027.52 | $1,920.96 |
| CT pelvis with contrast | CPT | 72193 | 20 | $4,247 | $1,486.45 | $153.99 | $2,180.84 | $4,077.12 |
| Shoulder X-ray | CPT | 73030 | 20 | $632 | $221.2 | $28.35 | $354.46 | $606.72 |
| Humerus X-ray | CPT | 73060 | 20 | $538 | $188.3 | $25.92 | $301.74 | $516.48 |
| Hand X-ray 3 views | CPT | 73130 | 20 | $853 | $298.55 | $30.24 | $450.63 | $818.88 |
| MRI upper extremity joint without contrast | CPT | 73221 | 20 | $5,053 | $1,768.55 | $169 | $2,594.72 | $4,850.88 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 20 | $6,615 | $2,315.25 | $306.29 | $3,396.81 | $6,350.4 |
| Knee X-ray 1-2 views | CPT | 73560 | 20 | $703 | $246.05 | $27.81 | $394.28 | $674.88 |
| Ankle X-ray 3 views | CPT | 73610 | 20 | $638 | $223.3 | $29.7 | $357.82 | $612.48 |
| MRI lower extremity joint without contrast | CPT | 73721 | 20 | $4,969 | $1,739.15 | $168.73 | $2,551.58 | $4,770.24 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 20 | $6,926 | $2,424.1 | $306.29 | $3,556.5 | $6,648.96 |
| CT abdomen without contrast | CPT | 74150 | 20 | $2,407 | $842.45 | $91.78 | $1,236 | $2,310.72 |
| CT abdomen with contrast | CPT | 74160 | 20 | $3,285 | $1,149.75 | $153.99 | $1,686.85 | $3,153.6 |
| CT abdomen with and without contrast | CPT | 74170 | 20 | $3,523 | $1,233.05 | $153.99 | $1,809.06 | $3,382.08 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 20 | $3,787 | $1,325.45 | $151.99 | $1,944.63 | $3,635.52 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 20 | $4,406 | $1,542.1 | $252.15 | $2,262.48 | $4,229.76 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 20 | $6,154 | $2,153.9 | $282.93 | $3,160.08 | $5,907.84 |
| MRI abdomen without contrast | CPT | 74181 | 20 | $3,251 | $1,137.85 | $163.06 | $1,669.39 | $3,120.96 |
| MRI abdomen with and without contrast | CPT | 74183 | 20 | $5,684 | $1,989.4 | $281.57 | $2,918.74 | $5,456.64 |
| Abdominal ultrasound complete | CPT | 76700 | 20 | $2,552 | $893.2 | $91.78 | $1,310.46 | $2,449.92 |
| Abdominal ultrasound limited | CPT | 76705 | 20 | $1,603 | $561.05 | $70.46 | $823.14 | $1,538.88 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 20 | $1,128 | $394.8 | $87.74 | $579.23 | $1,082.88 |
| Obstetric ultrasound first trimester | CPT | 76801 | 20 | $889 | $311.15 | $91.78 | $492.83 | $853.44 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 20 | $1,155 | $404.25 | $91.78 | $593.1 | $1,108.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 20 | $1,232 | $431.2 | $161.74 | $690.97 | $1,259.57 |
| Transvaginal ultrasound | CPT | 76830 | 20 | $1,356 | $474.6 | $91.78 | $696.31 | $1,301.76 |
| Pelvic ultrasound complete | CPT | 76856 | 20 | $1,807 | $632.45 | $91.78 | $927.9 | $1,734.72 |
| Scrotal ultrasound | CPT | 76870 | 20 | $1,696 | $593.6 | $80.99 | $870.9 | $1,628.16 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $653 | $228.55 | $114.31 | $414.66 | $626.88 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $820 | $287 | $144.71 | $520.7 | $787.2 |
| Screening mammography bilateral | CPT | 77067 | 19 | $634 | $221.9 | $116.75 | $402.59 | $608.64 |
| EKG tracing only | CPT | 93005 | 20 | $298 | $104.3 | $5.13 | $167.14 | $311.42 |
| Transthoracic echocardiogram complete | CPT | 93306 | 20 | $2,806 | $982.1 | $157.99 | $1,573.75 | $2,884.55 |
| Transthoracic echocardiogram | CPT | 93307 | 20 | $2,483 | $869.05 | $109.92 | $1,275.02 | $2,383.68 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 18 | $38,868 | $13,604 | $4,904 | $24,390 | $44,297 |
| COPD w MCC | MS-DRG | 190 | 18 | $25,387 | $8,885.51 | $4,904 | $15,930 | $33,005 |
| COPD w CC | MS-DRG | 191 | 18 | $23,868 | $8,353.73 | $4,904 | $14,977 | $26,057 |
| COPD w/o CC/MCC | MS-DRG | 192 | 18 | $18,372 | $6,430.29 | $4,904 | $11,529 | $21,714 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 18 | $25,282 | $8,848.69 | $4,904 | $15,864 | $26,925 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 18 | $14,820 | $5,187 | $4,904 | $9,299.55 | $19,977 |
| AMI discharged alive w MCC | MS-DRG | 280 | 18 | $27,862 | $9,751.7 | $4,904 | $17,483 | $39,954 |
| AMI discharged alive w CC | MS-DRG | 281 | 18 | $12,591 | $4,406.68 | $4,904 | $8,866.18 | $18,240 |
| Heart failure & shock w MCC | MS-DRG | 291 | 18 | $25,400 | $8,890.08 | $4,904 | $15,939 | $40,822 |
| Heart failure & shock w CC | MS-DRG | 292 | 18 | $27,178 | $9,512.36 | $4,904 | $17,054 | $32,137 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 18 | $16,306 | $5,706.93 | $4,904 | $11,569 | $32,137 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 18 | $20,614 | $7,214.73 | $4,904 | $12,935 | $19,789 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 18 | $21,092 | $7,382.13 | $4,904 | $13,235 | $20,248 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 18 | $24,350 | $8,522.5 | $4,904 | $15,280 | $23,376 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 18 | $22,316 | $7,810.55 | $4,904 | $14,003 | $23,451 |
| Kidney/UTI w MCC | MS-DRG | 689 | 18 | $28,910 | $10,118 | $4,904 | $18,141 | $37,348 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 18 | $27,205 | $9,521.77 | $4,904 | $17,071 | $26,117 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 18 | $36,972 | $12,940 | $4,904 | $23,200 | $49,508 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 18 | $26,632 | $9,321.21 | $4,904 | $16,712 | $27,794 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $363 | $127.05 | $8.04 | $230.51 | $348.48 |
| General health panel | CPT | 80050 | 19 | $940 | $329 | $7.94 | $596.9 | $902.4 |
| Electrolyte panel | CPT | 80051 | 19 | $274 | $95.9 | $6.66 | $173.99 | $263.04 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $487 | $170.45 | $10.03 | $309.25 | $467.52 |
| Lipid panel | CPT | 80061 | 19 | $219 | $76.65 | $12.72 | $139.07 | $210.24 |
| Renal function panel | CPT | 80069 | 19 | $258 | $90.3 | $8.25 | $163.83 | $247.68 |
| Hepatic function panel | CPT | 80076 | 19 | $492 | $172.2 | $7.76 | $312.42 | $472.32 |
| Urinalysis non-automated | CPT | 81002 | 19 | $35 | $12.25 | $2.81 | $22.23 | $33.6 |
| Urinalysis automated | CPT | 81003 | 19 | $70 | $24.5 | $2.14 | $44.45 | $67.2 |
| Glucose quantitative | CPT | 82947 | 19 | $89 | $31.15 | $3.73 | $56.52 | $85.44 |
| Hemoglobin A1c | CPT | 83036 | 19 | $89 | $31.15 | $9.22 | $56.52 | $85.44 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $279 | $97.65 | $15.96 | $177.17 | $267.84 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $146 | $51.1 | $7.38 | $92.71 | $140.16 |
| Complete blood count without differential | CPT | 85027 | 19 | $146 | $51.1 | $6.15 | $92.71 | $140.16 |
| Urine culture bacterial | CPT | 87086 | 19 | $161 | $56.35 | $7.67 | $102.24 | $154.56 |
| Urine culture identification | CPT | 87088 | 19 | $113 | $39.55 | $7.69 | $71.76 | $108.48 |
| Tissue exam by pathologist level IV | CPT | 88305 | 20 | $564 | $197.4 | $45.75 | $289.62 | $541.44 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $260 | $91 | $50.09 | $165.1 | $249.6 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $350 | $122.5 | $77.75 | $222.25 | $336 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $450 | $157.5 | $116.51 | $285.75 | $432 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $585 | $204.75 | $153.76 | $371.48 | $561.6 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $131 | $45.85 | $16.2 | $83.19 | $125.76 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $175 | $61.25 | $39.34 | $111.13 | $168 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $225 | $78.75 | $63.4 | $142.88 | $216 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 19 | $300 | $105 | $89.32 | $190.5 | $288 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 19 | $390 | $136.5 | $125.53 | $247.65 | $374.4 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 20 | $3,323 | $1,163.05 | $119.31 | $1,863.71 | $4,787.98 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 20 | $3,323 | $1,163.05 | $119.31 | $1,863.71 | $4,787.98 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 20 | $3,231 | $1,130.85 | $96.47 | $1,812.11 | $4,909.28 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 20 | $3,231 | $1,130.85 | $96.47 | $1,812.11 | $4,909.28 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | $3,231 | $1,130.85 | $96.47 | $1,812.11 | $4,909.28 |
| Colonoscopy with biopsy | CPT | 45380 | 20 | $4,179 | $1,462.65 | $350.68 | $2,343.79 | $6,317.07 |
| Colonoscopy with polyp removal | CPT | 45385 | 20 | $4,179 | $1,462.65 | $367.16 | $2,343.79 | $6,317.07 |
Payer mix (top 20)
| Payer | Codes covered | Median rate |
|---|---|---|
| vhn - ultra | 117 | $1,660.98 |
| vhn - plus | 117 | $2,062.83 |
| vhn - secondary payors | 117 | $2,545.05 |
| Aetna | 117 | $780.79 |
| Anthem BCBS | 117 | $496.71 |
| Cigna | 117 | $1,754.76 |
| connecticare | 117 | $1,875.3 |
| gateway - tier 1 | 117 | $2,545.05 |
| gateway - tier 2 | 117 | $2,143.2 |
| gateway - tier 3 | 117 | $1,473.45 |
| Humana | 117 | $184.43 |
| integrated health plan | 117 | $2,277.15 |
| national provider network | 117 | $2,571.84 |
| sentara health plan | 117 | $257.3 |
| UnitedHealthcare | 117 | $660.31 |
| vhn | 117 | $2,143.2 |
| vhn - link | 117 | $2,411.1 |
| First Health | 98 | $127.56 |
| corvel | 98 | $110.17 |
| allcare | 89 | $222.85 |