Bon Secours Mercy Health · Kilmarnock, VA
26
In-network payers
194
Disclosed rate categories
35
Beds
3
Care quality
Rappahannock General Hospital is a 35-bed voluntary non-profit - private hospital in Kilmarnock, VA, affiliated with Bon Secours Mercy Health. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 194 disclosed rate categories.
CCN (Medicare provider number)
491308
NPI
1699125526
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
35
Care Quality
3
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 Rappahannock General 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
$784 - $3,096
from 4 insurers · median $2,048
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,873 - $5,321
from 3 insurers · median $3,848
Typical for a hospital with this service line
CT imaging
CPT 70450
$293 - $810
from 4 insurers · median $752
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,580 - $4,730
from 4 insurers · median $3,517
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,320 - $4,966
from 4 insurers · median $3,602
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$993 - $1,558
from 4 insurers · median $1,405
Typical for a hospital with this service line
Mammography
CPT 77067
$369 - $784
from 3 insurers · median $385
Typical for a hospital with this service line
CT imaging
CPT 74176
$781 - $1,981
from 4 insurers · median $1,113
Typical for a hospital with this service line
MRI imaging
CPT 70553
$784 - $4,095
from 4 insurers · median $2,530
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$270 - $767
from 4 insurers · median $326
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,017 - $10,650
from 4 insurers · median $7,005
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,444 - $3,380
from 4 insurers · median $3,352
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$2,524 - $3,865
from 4 insurers · median $2,719
Typical for a hospital with this service line
CT imaging
CPT 71275
$538 - $1,207
from 4 insurers · median $865
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$20,344 - $43,846
from 2 insurers · median $32,095
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70551
$781 - $1,989
from 4 insurers · median $1,639
Typical for a hospital with this service line
Gynecology
CPT 58571
$24,137
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$784 - $4,095
from 4 insurers · median $2,530
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$15,047
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 743
$12,256 - $27,596
from 2 insurers · median $19,926
Hospital reports inpatient surgical services to CMS
MRI imaging
CPT 72148
$781 - $1,902
from 4 insurers · median $1,185
Typical for a hospital with this service line
Ultrasound
CPT 76705
$293 - $784
from 4 insurers · median $398
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$11 - $121
from 4 insurers · median $112
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$270 - $767
from 4 insurers · median $345
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* | 20 | 513% | 20 | 0 |
| Insurer B* | 19 | 408% | 9 | 9 |
| Insurer C* | 22 | 371% | 7 | 6 |
| Insurer D* | 23 | 294% | 1 | 20 |
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 Rappahannock General Hospital.
101 Harris Drive, Kilmarnock, VA 22482
(804) 435-8000
The nearest hospitals of similar type and size. Their rates are compared with Rappahannock General Hospital for the same insurers and services above.
Vidant Chowan Hospital
▼ Rates typically 7% lower than Rappahannock General Hospital (22 services)
Bertie Memorial Hospital
▲ Rates typically 20% higher than Rappahannock General Hospital (22 services)
Washington Regional Medical Center
▲ Rates typically 17% higher than Rappahannock General Hospital (7 services)
The Outer Banks Hospital
▼ Rates typically 67% lower than Rappahannock General Hospital (22 services)
Page Memorial Hospital
▲ Rates typically 24% higher than Rappahannock General Hospital (23 services)
Jefferson Medical Center - Wvu Medicine
▲ Rates typically 47% higher than Rappahannock General Hospital (22 services)
Shenandoah Memorial Hospital
Dickenson Community Hospital
Carilion Giles Community Hospital
About Rappahannock General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Rappahannock General Hospital range from $784 to $4,095 across 4 insurers. Aetna's rate is $4,095. The median at nearby comparable hospitals is $2,467. 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 Rappahannock General Hospital range from $784 to $3,096 across 4 insurers. Aetna's rate is $3,096. The median at nearby comparable hospitals is $2,437. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Rappahannock General Hospital range from $2,580 to $4,730 across 4 insurers. Blue Cross Blue Shield's rate is $3,613. The median at nearby comparable hospitals is $1,849. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Rappahannock General Hospital range from $369 to $784 across 3 insurers. Cigna's rate is $784. The median at nearby comparable hospitals is $331. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Rappahannock General Hospital range from $20,344 to $43,846 across 2 insurers. Blue Cross Blue Shield's rate is $20,344. The median at nearby comparable hospitals is $49,838. What a patient pays depends on their plan's deductible, coinsurance and network status.
Rappahannock General Hospital has 35 beds. Facility type: Critical Access Hospital.
Rappahannock General Hospital is located at 101 Harris Drive, Kilmarnock, VA 22482. Its main phone number is (804) 435-8000.
Rappahannock General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 491308.
The National Provider Identifier (NPI) on file for Rappahannock General Hospital is 1699125526.
Rappahannock General Hospital is affiliated with Bon Secours Mercy Health.
Rappahannock General Hospital lists 26 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.
194 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.
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{
"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