CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$316 - $2,274
from 4 insurers ยท median $859
Typical for a hospital with this service line
Ballad Health ยท Clintwood, VA
35
In-network payers
505
Disclosed rate categories
25
Beds
Dickenson Community Hospital is a 25-bed voluntary non-profit - private hospital in Clintwood, VA, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 505 disclosed rate categories.
CCN (Medicare provider number)
491303
NPI
1285685727
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Dickenson Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$316 - $2,274
from 4 insurers ยท median $859
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,784 - $42,593
from 2 insurers ยท median $26,188
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$9,784 - $24,749
from 2 insurers ยท median $17,267
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,891 - $5,002
from 2 insurers ยท median $3,446
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$235 - $1,822
from 4 insurers ยท median $1,089
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$9,784 - $24,749
from 2 insurers ยท median $17,267
Typical for a hospital with this service line
CT imaging
CPT 70450
$119 - $456
from 3 insurers ยท median $392
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$410 - $5,002
from 3 insurers ยท median $1,891
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$725 - $1,891
from 3 insurers ยท median $1,563
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,865 - $25,094
from 2 insurers ยท median $14,479
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,784 - $24,749
from 2 insurers ยท median $17,267
Typical for a hospital with this service line
CT imaging
CPT 74176
$191 - $2,161
from 4 insurers ยท median $655
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$24 - $281
from 4 insurers ยท median $206
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,784 - $24,749
from 2 insurers ยท median $17,267
Typical for a hospital with this service line
Mammography
CPT 77067
$88 - $255
from 4 insurers ยท median $156
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$598 - $9,042
from 3 insurers ยท median $3,865
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$11,045 - $42,593
from 2 insurers ยท median $26,819
Typical for a hospital with this service line
MRI imaging
CPT 70553
$556 - $2,717
from 4 insurers ยท median $1,061
Typical for a hospital with this service line
CT imaging
CPT 71275
$323 - $2,388
from 4 insurers ยท median $556
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$9,784 - $30,129
from 2 insurers ยท median $19,957
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$9,784 - $30,129
from 2 insurers ยท median $19,957
Typical for a hospital with this service line
Urology
CPT 50590
$9,784 - $14,714
from 2 insurers ยท median $12,249
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$5,979 - $13,684
from 2 insurers ยท median $9,832
Typical for a hospital with this service line
Gynecology
CPT 57288
$7,485 - $20,195
from 2 insurers ยท median $13,840
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 394% | 4 | 4 |
| Insurer B* | 9 | 187% | 6 | 2 |
| Insurer C* | 23 | 158% | 3 | 2 |
| Insurer D* | 10 | 84% | 5 | 2 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Dickenson Community Hospital.
312 Hospital Drive, Clintwood, VA 24228
(276) 926-0300
About Dickenson Community Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Dickenson Community Hospital range from $556 to $2,717 across 4 insurers. Aetna's rate is $556. The median at nearby comparable hospitals is $633. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Dickenson Community Hospital range from $316 to $2,274 across 4 insurers. Aetna's rate is $316. The median at nearby comparable hospitals is $510. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Dickenson Community Hospital range from $1,891 to $5,002 across 2 insurers. Blue Cross Blue Shield's rate is $5,002. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Dickenson Community Hospital range from $88 to $255 across 4 insurers. Cigna's rate is $188. The median at nearby comparable hospitals is $131. What a patient pays depends on their plan's deductible, coinsurance and network status.
Dickenson Community Hospital has 25 beds. Facility type: Critical Access Hospital.
Dickenson Community Hospital is located at 312 Hospital Drive, Clintwood, VA 24228. Its main phone number is (276) 926-0300.
Dickenson Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 491303.
The National Provider Identifier (NPI) on file for Dickenson Community Hospital is 1285685727.
Dickenson Community Hospital is affiliated with Ballad Health.
Dickenson Community Hospital lists 35 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
505 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers