LEWISGALE HOSPITAL-MONTGOMERY
1145 W Main St, CHRISTIANSBURG, VA · HCA Virginia · · NPI 1275570376
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $162.09 – $217.34 | 16 |
| Endoskeletal axial rotation HCPCS L5984 | not published | not published | $596.24 – $750.56 | 16 |
| Endoskel knee-shin mnl lock HCPCS L5810 | not published | not published | $519.77 – $654.31 | 16 |
| Endoskel posit rotat unit HCPCS L5926 | not published | not published | $596.24 – $750.56 | 16 |
| Energy storing foot HCPCS L5976 | not published | not published | $582.77 – $733.60 | 16 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $31.14 – $97.31 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.87 – $0.87 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.44 – $1.40 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $613.00 | $613.00 | $10.43 – $12.82 | 16 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $13.92 – $17.12 | 16 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $11.68 – $14.36 | 16 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $38.32 – $47.11 | 16 |
| Enzyme histochemistry CPT 88319 | $746.00 | $746.00 | $656.15 – $2,791.26 | 2 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $464.01 – $584.11 | 16 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $149.36 – $188.02 | 16 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $46.63 – $150.55 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,619.96 | 13 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $7.95 – $7.95 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $3.66 – $3.66 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.14 – $1.14 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $2.94 – $2.94 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.38 – $5.22 | 4 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.60 – $2.04 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $6.01 – $20.06 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.02 – $20.51 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.07 – $3.23 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.07 – $3.23 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $13.67 – $41.47 | 4 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $11.42 – $14.04 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $408.00 | $408.00 | $13.30 – $16.36 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $15.78 – $19.41 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $9.33 – $9.33 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $16.42 – $54.33 | 4 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $117.45 – $117.45 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $100.94 – $192.42 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $855.00 | $855.00 | $7.80 – $24.27 | 4 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $178.00 | $178.00 | $53.42 – $63.98 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $247.00 | $247.00 | $0.35 – $1.09 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.24 – $0.56 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $122.73 – $122.73 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $142.43 – $848.52 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $342.70 – $391.08 | 3 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $202.87 – $231.51 | 3 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $355.89 – $406.14 | 3 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $415.13 – $473.74 | 3 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $140.20 – $159.99 | 3 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $224.27 – $255.93 | 3 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $796.96 – $909.47 | 3 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $687.07 – $784.07 | 3 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $240.33 – $274.26 | 3 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $343.43 – $391.91 | 3 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $202.87 – $231.51 | 3 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $359.25 – $409.97 | 3 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $244.36 – $278.86 | 3 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $527.19 – $601.61 | 3 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $11.53 – $13.15 | 3 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $12.00 – $13.70 | 3 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $6.69 – $7.63 | 3 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $11.76 – $13.42 | 3 |
| Estradiol total CPT 82670 | $1,109.00 | $1,109.00 | $24.31 – $29.90 | 16 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $6.21 – $19.74 | 4 |
| Estrogens total-sendout CPT 82672 | $400.00 | $400.00 | $18.89 – $23.22 | 16 |
| Etanercept injection HCPCS J1438 | not published | not published | $3,242.65 – $3,242.65 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $423.04 – $1,370.26 | 4 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $495.82 – $495.82 | 1 |
| Ethylene glycol -sendout CPT 82693 | $245.00 | $245.00 | $12.96 – $15.94 | 16 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $4,055.64 – $4,055.64 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $24.00 | $24.00 | $0.91 – $2.76 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $64.99 – $229.99 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $109.40 – $279.47 | 4 |
| Euglobulin lysis CPT 85360 | $325.00 | $325.00 | $7.32 – $9.00 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $101.86 – $131.93 | 16 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.04 – $11.11 | 16 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $346.00 | $346.00 | $85.38 – $104.98 | 16 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $110.09 – $143.69 | 16 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $18.16 – $20.73 | 3 |
| Evok oa screening qual CPT 92558 | not published | not published | $17.35 – $19.80 | 3 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,259.90 – $1,586.00 | 16 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $850.14 – $1,070.18 | 16 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $278.45 – $350.52 | 16 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $195.57 – $246.19 | 16 |
| Exhaled breath condensate CPT 83987 | $168.00 | $168.00 | $3.58 – $3.83 | 13 |
| Exome re-evaluation CPT 81417 | not published | not published | $278.48 – $342.40 | 16 |
| Exome sequence analysis CPT 81415 | not published | not published | $4,159.70 – $5,114.60 | 16 |
| Exome sequence analysis CPT 81416 | not published | not published | $10,442.76 – $12,840.00 | 16 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $748.22 – $941.88 | 16 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $601.59 – $757.29 | 16 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $540.65 – $680.58 | 16 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $1,117.29 – $1,406.47 | 16 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | not published | not published | $651.32 – $819.90 | 16 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $221.42 – $278.72 | 16 |
| Extended culture of oocytes CPT 89272 | not published | not published | $656.15 – $2,791.26 | 2 |
| Extended steel shank HCPCS L2360 | not published | not published | $50.53 – $63.61 | 16 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $3.85 – $4.85 | 16 |
| Extension per extension per HCPCS L2760 | not published | not published | $59.35 – $74.71 | 16 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $125.84 – $154.73 | 16 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $143.59 – $163.86 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $53.00 | $53.00 | $24.67 – $104.95 | 2 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| External recharg sys extern HCPCS L8695 | not published | not published | $17.00 – $21.40 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.