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Critical Access HospitalVoluntary Non-Profit - Private

Dickenson Community Hospital

Ballad Health ยท Clintwood, VA

312 Hospital Drive, Clintwood, VA 24228(276) 926-0300

35

In-network payers

505

Disclosed rate categories

25

Beds

About this hospital

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 Accepted

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneDean Health Plan

Prices for common services

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

CT abdomen and pelvis with contrast

CPT 74177

$316 - $2,274

from 4 insurers ยท median $859

Aetna$316
Insurer A*$456
Insurer B*$1,262
Insurer C*$2,274
Medicare $356Nearby hospitals $51069% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$9,784 - $42,593

from 2 insurers ยท median $26,188

UnitedHealthcare$9,784
Insurer A*$42,593
Medicare $10,860

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$9,784 - $24,749

from 2 insurers ยท median $17,267

Blue Cross$24,749
Insurer A*$9,784
Medicare $6,176

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,891 - $5,002

from 2 insurers ยท median $3,446

Blue Cross$5,002
Insurer A*$1,891
Medicare $1,223

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$235 - $1,822

from 4 insurers ยท median $1,089

Cigna$357
Insurer A*$235
Insurer B*$1,822
Insurer C*$1,822
Medicare $558Nearby hospitals $1,037In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$9,784 - $24,749

from 2 insurers ยท median $17,267

Blue Cross$24,749
Insurer A*$9,784
Medicare $6,176

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$119 - $456

from 3 insurers ยท median $392

Aetna$119
Insurer A*$392
Insurer B*$456
Medicare $107Nearby hospitals $122222% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$410 - $5,002

from 3 insurers ยท median $1,891

Blue Cross$5,002
Insurer A*$410
Insurer B*$1,891
Medicare $1,223Nearby hospitals $1,811In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$725 - $1,891

from 3 insurers ยท median $1,563

Blue Cross$1,563
Insurer A*est.$725
Insurer B*$1,891
Medicare $927Nearby hospitals $1,6716% below nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Tonsillectomy and adenoidectomy, patient under age 12

CPT 42820

$3,865 - $25,094

from 2 insurers ยท median $14,479

Blue Cross$25,094
Insurer A*$3,865
Medicare $6,048

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of an ovary or fallopian tube

CPT 58661

$9,784 - $24,749

from 2 insurers ยท median $17,267

UnitedHealthcare$9,784
Insurer A*$24,749
Medicare $6,176

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$191 - $2,161

from 4 insurers ยท median $655

Aetna$191
Insurer A*$456
Insurer B*$854
Insurer C*$2,161
Medicare $244Nearby hospitals $41857% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$24 - $281

from 4 insurers ยท median $206

Aetna$24
Insurer A*est.$130
Insurer B*$281
Insurer C*$281
Medicare $89Nearby hospitals $13948% above nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic removal of pelvic lesions

CPT 58662

$9,784 - $24,749

from 2 insurers ยท median $17,267

UnitedHealthcare$9,784
Insurer A*$24,749
Medicare $6,176

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$88 - $255

from 4 insurers ยท median $156

Cigna$188
Insurer A*$88
Insurer B*$125
Insurer C*$255
Medicare $92Nearby hospitals $13120% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$598 - $9,042

from 3 insurers ยท median $3,865

Blue Cross$9,042
Insurer A*$598
Insurer B*$3,865
Medicare $2,358

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic radical prostatectomy

CPT 55866

$11,045 - $42,593

from 2 insurers ยท median $26,819

Blue Cross$42,593
Insurer A*$11,045
Medicare $10,860

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$556 - $2,717

from 4 insurers ยท median $1,061

Aetna$556
Insurer A*$861
Insurer B*$1,262
Insurer C*$2,717
Medicare $356Nearby hospitals $63368% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$323 - $2,388

from 4 insurers ยท median $556

Aetna$323
Insurer A*$456
Insurer B*$657
Insurer C*$2,388
Medicare $179Nearby hospitals $48116% above nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Arthroscopic ACL reconstruction

CPT 29888

$9,784 - $30,129

from 2 insurers ยท median $19,957

UnitedHealthcare$9,784
Insurer A*$30,129
Medicare $7,413

Typical for a hospital with this service line

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$9,784 - $30,129

from 2 insurers ยท median $19,957

UnitedHealthcare$9,784
Insurer A*$30,129
Medicare $7,413

Typical for a hospital with this service line

Urology

Shock-wave treatment of kidney stones

CPT 50590

$9,784 - $14,714

from 2 insurers ยท median $12,249

Blue Cross$14,714
Insurer A*$9,784
Medicare $3,601

Typical for a hospital with this service line

Medicine & Surgery

Arthroscopic knee meniscectomy

CPT 29881

$5,979 - $13,684

from 2 insurers ยท median $9,832

Blue Cross$13,684
Insurer A*$5,979
Medicare $3,343

Typical for a hospital with this service line

Gynecology

Sling surgery for stress urinary incontinence

CPT 57288

$7,485 - $20,195

from 2 insurers ยท median $13,840

UnitedHealthcare$7,485
Insurer A*$20,195
Medicare $5,111

Typical for a hospital with this service line

How the insurers pay at Dickenson Community Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
394%
44
Insurer B*9
187%
62
Insurer C*23
158%
32
Insurer D*10
84%
52

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.

Location

312 Hospital Drive, Clintwood, VA 24228

(276) 926-0300

Get directions

Frequently asked questions

About Dickenson Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Dickenson Community Hospital?

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.

How much does a CT scan cost at Dickenson Community Hospital?

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.

How much does a colonoscopy cost at Dickenson Community Hospital?

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.

How much does a mammogram cost at Dickenson Community Hospital?

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.

How many beds does Dickenson Community Hospital have?

Dickenson Community Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Dickenson Community Hospital and what is its phone number?

Dickenson Community Hospital is located at 312 Hospital Drive, Clintwood, VA 24228. Its main phone number is (276) 926-0300.

What is Dickenson Community Hospital's CCN (Medicare provider number)?

Dickenson Community Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 491303.

What is Dickenson Community Hospital's NPI number?

The National Provider Identifier (NPI) on file for Dickenson Community Hospital is 1285685727.

What health system is Dickenson Community Hospital part of?

Dickenson Community Hospital is affiliated with Ballad Health.

Which insurance plans are in network at Dickenson Community Hospital?

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.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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