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 |
|---|---|---|---|---|
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $769.00 | $769.00 | $100.39 – $123.44 | 16 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $146.59 | 13 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $294.07 | 13 |
| Aflibercept injection HCPCS J0178 | not published | not published | $676.48 – $2,024.34 | 4 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $68.21 – $68.21 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $547.56 – $689.28 | 16 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,154.89 – $1,453.80 | 16 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $483.05 – $608.08 | 16 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $909.83 – $1,145.32 | 16 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $266.76 – $335.80 | 16 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $358.47 – $451.25 | 16 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $341.47 – $429.85 | 16 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $765.74 – $963.93 | 16 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $263.51 – $331.71 | 16 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $573.71 – $722.20 | 16 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,156.34 – $1,455.63 | 16 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $664.11 – $836.00 | 16 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $667.10 – $839.76 | 16 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $767.56 – $966.22 | 16 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $531.86 – $669.52 | 16 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,625.74 – $2,046.52 | 16 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $477.90 – $601.59 | 16 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $521.00 | $521.00 | $189.41 – $610.35 | 4 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,550.22 – $3,210.28 | 16 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,676.60 – $2,110.54 | 16 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $571.56 – $719.49 | 16 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,249.69 – $1,573.14 | 16 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $558.48 – $703.02 | 16 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $87.92 – $110.67 | 16 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $216.43 – $272.44 | 16 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $109.34 – $137.64 | 16 |
| Ak open end sach HCPCS L5321 | not published | not published | $3,420.17 – $4,305.39 | 16 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $142.86 – $179.83 | 16 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $188.78 – $237.65 | 16 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $198.03 – $249.29 | 16 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,413.31 – $1,779.11 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $129.00 | $129.00 | $6.77 – $8.32 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $45.12 – $140.66 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $18.05 – $56.26 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $292.00 | $292.00 | $45.12 – $140.66 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.03 – $28.14 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.54 – $36.32 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $193.00 | $193.00 | $5.03 – $6.18 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $129.00 | $129.00 | $4.31 – $5.30 | 16 |
| Albuterol ipratrop non-comp HCPCS J7620 | $14.00 | $14.00 | $0.16 – $0.53 | 4 |
| Albuterol non-comp con HCPCS J7611 | $87.00 | $87.00 | $0.15 – $0.69 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.19 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $17.27 – $18.48 | 13 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $8,848.01 – $8,848.01 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $109.22 – $134.28 | 16 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,075.27 – $6,484.82 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $8.92 – $11.22 | 16 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $19.92 – $25.08 | 16 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $6.39 – $8.05 | 16 |
| Alkaline phosphatase CPT 84075 | $294.00 | $294.00 | $4.50 – $5.54 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $54.00 | $54.00 | $15.61 – $19.19 | 16 |
| Allergen egg white ige CPT 86003 | $135.00 | $135.00 | $4.54 – $5.59 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $717.00 | $717.00 | $6.94 – $8.53 | 16 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $70.35 – $336.92 | 4 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $86.85 – $336.92 | 4 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $20.80 – $336.92 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $134.58 – $336.92 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $2,217.00 | $2,217.00 | $336.92 – $336.92 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $109.17 – $336.92 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $209.97 – $336.92 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $10.52 – $336.92 | 4 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $32.19 – $336.92 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.39 – $14.23 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $56.05 – $68.92 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $457.00 | $457.00 | $14.79 – $18.19 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | not published | not published | $14.59 – $17.94 | 16 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.27 – $1.27 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $77.74 – $248.65 | 4 |
| Alt/sgpt CPT 84460 | $246.00 | $246.00 | $4.62 – $5.67 | 16 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.91 – $12.22 | 4 |
| Aluminum - quest CPT 82108 | $555.00 | $555.00 | $22.18 – $27.26 | 16 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $31.74 – $36.22 | 3 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $12.29 – $14.03 | 3 |
| Amifostine HCPCS J0207 | not published | not published | $1,160.41 – $1,160.41 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $73.00 | $73.00 | $0.51 – $1.64 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.21 – $6.41 | 16 |
| Amino acid screen, urine CPT 82128 | $245.00 | $245.00 | $12.07 – $14.84 | 16 |
| Amino acid single qual CPT 82127 | not published | not published | $12.34 – $15.17 | 16 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $17.07 – $20.98 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $56.00 | $56.00 | $1.10 – $4.21 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.51 – $4.74 | 4 |
| Aminolevulinic acid delta CPT 82135 | $408.00 | $408.00 | $14.31 – $17.60 | 16 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $335.25 – $1,033.05 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $9.39 – $27.59 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.20 – $6.70 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.28 – $1.09 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $18.28 – $59.78 | 4 |
| Ammonia CPT 82140 | $294.00 | $294.00 | $12.68 – $15.59 | 16 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $336.92 – $478.50 | 4 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $336.92 – $1,156.72 | 4 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $336.92 – $2,279.42 | 4 |
| Amniotic fluid scan CPT 82143 | $704.00 | $704.00 | $8.13 – $10.00 | 16 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $336.92 – $1,953.58 | 4 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $30.98 – $30.98 | 1 |
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.