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 |
|---|---|---|---|---|
| Lactic acid CPT 83605 | not published | not published | $10.07 – $12.38 | 16 |
| Lactoferrin fecal qualitative CPT 83630 | $187.00 | $187.00 | $17.14 – $21.08 | 16 |
| Lactoferrin fecal quant CPT 83631 | $500.00 | $500.00 | $17.09 – $21.00 | 16 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $152.24 – $191.65 | 16 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $33.62 – $93.78 | 4 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.24 – $0.24 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $32.82 – $105.87 | 4 |
| Laryngeal function studies CPT 92520 | not published | not published | $92.25 – $98.71 | 13 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $22.36 – $25.52 | 3 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $122.26 – $165.50 | 16 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $255.58 – $321.73 | 16 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $79.90 – $100.58 | 16 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $74.81 – $94.17 | 16 |
| Lead capillary CPT 83655 | not published | not published | $10.54 – $12.96 | 16 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $348.71 – $438.97 | 16 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $2.13 – $2.68 | 16 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.39 – $1.75 | 16 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $2.13 – $2.68 | 16 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,746.10 – $2,198.03 | 16 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,287.08 – $1,620.20 | 16 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,105.48 – $1,391.60 | 16 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,754.32 – $2,208.38 | 16 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $17.45 – $21.45 | 16 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $36.34 – $44.68 | 16 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,491.61 – $1,877.68 | 16 |
| Leishmania antibody CPT 86717 | not published | not published | $10.66 – $13.11 | 16 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $123.87 – $155.93 | 16 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $123.87 – $155.93 | 16 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $2.98 – $10.18 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $149.16 – $634.53 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.04 – $11.12 | 16 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $146.45 – $452.57 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,419.75 – $4,674.26 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $401.48 – $401.48 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $187.63 – $1,872.68 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $44.52 – $151.13 | 4 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $5.30 – $5.30 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | $73.00 | $73.00 | $0.24 – $1.01 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.08 – $0.21 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $78.00 | $78.00 | $0.04 – $0.11 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $477.00 | $477.00 | $11.53 – $14.18 | 16 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $0.88 – $5.72 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $1,028.52 – $1,028.52 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $14.00 | $14.00 | $6.17 – $15.85 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.13 – $0.13 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $515.00 | $515.00 | $0.01 – $0.03 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $343.00 | $343.00 | $12.78 – $15.72 | 16 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $207.73 – $261.50 | 16 |
| Lift heel adj small gl60404sm HCPCS L3332 | not published | not published | $75.18 – $94.64 | 16 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $38.91 – $48.98 | 16 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $577.03 – $726.38 | 16 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $3,111.05 – $3,111.05 | 1 |
| Limited ankle motion ea jnt HCPCS L2200 | not published | not published | $46.44 – $58.45 | 16 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $448.29 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $397.79 | 2 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $132.71 – $167.06 | 16 |
| Lincomycin injection HCPCS J2010 | not published | not published | $5.30 – $14.31 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $1,915.00 | $1,915.00 | $2.95 – $7.26 | 4 |
| Lipase CPT 83690 | $193.00 | $193.00 | $5.99 – $7.37 | 16 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $29.47 – $36.23 | 16 |
| Lipoprotein blood quant CPT 83704 | $423.00 | $423.00 | $29.75 – $36.58 | 16 |
| Lipoprotein direct measurement hdl CPT 83718 | $224.00 | $224.00 | $7.12 – $8.76 | 16 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.14 – $11.24 | 16 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $29.75 – $36.58 | 16 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $438,975.70 – $1,489,833.29 | 4 |
| Listeria monocytogenes CPT 86723 | $265.00 | $265.00 | $11.47 – $14.11 | 16 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $164.75 – $207.39 | 16 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $66.09 – $83.19 | 16 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $515.58 – $649.02 | 16 |
| Lithium therapeutic drug level CPT 80178 | $215.00 | $215.00 | $5.75 – $7.07 | 16 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $153.32 – $188.52 | 16 |
| Liver elastography 91200 CPT 91200 | not published | not published | $313.99 – $313.99 | 1 |
| Liver Function Test CPT 80076 | $696.00 | $696.00 | $7.11 – $8.74 | 16 |
| Liver imaging CPT 78201 | not published | not published | $83.24 – $1,101.15 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $97.13 – $1,101.15 | 2 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $95.80 – $848.52 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $111.46 – $848.52 | 2 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $2,900.23 – $3,650.87 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1,214.00 | $1,214.00 | $0.79 – $2.76 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $180.20 – $586.23 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $115.03 – $144.80 | 16 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.33 – $3.74 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $51.47 – $64.79 | 16 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $79.46 – $100.02 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $4,271.00 | $4,271.00 | $246.78 – $401.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,476.00 | $3,476.00 | $236.81 – $828.27 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $3,942.00 | $3,942.00 | $195.87 – $245.18 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $8,133.00 | $8,133.00 | $445.52 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $7,498.00 | $7,498.00 | $347.23 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,808.00 | $6,808.00 | $289.26 – $517.79 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,877.00 | $1,877.00 | $45.34 – $245.18 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $402.73 – $430.92 | 13 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $42.14 – $42.14 | 1 |
| Lso corset front HCPCS L0972 | not published | not published | $117.97 – $148.51 | 16 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $55.39 – $69.73 | 16 |
| Lso full corset HCPCS L0976 | not published | not published | $156.19 – $196.61 | 16 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $165.12 – $207.86 | 16 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,344.72 – $1,692.76 | 16 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $784.34 – $987.34 | 16 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $106.94 – $134.62 | 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.