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 |
|---|---|---|---|---|
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $42.56 – $114.72 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | $959.00 | $959.00 | $8.76 – $27.43 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $2,109.00 | $2,109.00 | $19.81 – $54.91 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.51 – $1.56 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.33 – $3.52 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $281.40 | 13 |
| Amylase CPT 82150 | not published | not published | $5.64 – $6.93 | 16 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $151.50 – $151.50 | 1 |
| Ana ds-dna CPT 86226 | $215.00 | $215.00 | $10.54 – $12.96 | 16 |
| Analysis gene f2 20210g>a variant CPT 81240 | $1,014.00 | $1,014.00 | $57.16 – $70.29 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $930.00 | $930.00 | $63.85 – $78.51 | 16 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $211.68 | 2 |
| Analysis tumor CPT 88358 | not published | not published | $149.16 – $634.53 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $544.00 | $544.00 | $30.54 – $37.55 | 16 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $13.10 – $16.10 | 16 |
| Androstanediol CPT 82154 | not published | not published | $25.09 – $30.85 | 16 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $74.02 – $74.02 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $17.86 – $21.96 | 16 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.40 – $1.35 | 4 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $17,884.85 – $22,513.87 | 16 |
| Ankle X-ray CPT 73610 | not published | not published | $35.28 – $182.03 | 2 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $2,388.15 – $3,006.26 | 16 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $58.96 – $67.29 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $64.03 – $73.07 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $64.50 – $73.60 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $78.13 – $89.16 | 3 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $5.64 – $7.50 | 16 |
| Anora (draw only) CPT 99001 | not published | not published | $6.63 – $28.20 | 2 |
| Anterior asis pad HCPCS L1250 | not published | not published | $84.60 – $106.50 | 16 |
| Anterior swing band HCPCS L2335 | not published | not published | $259.73 – $326.95 | 16 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $86.39 – $108.74 | 16 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $244.15 – $307.35 | 16 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $307.56 – $307.56 | 1 |
| Antibody CPT 86744 | not published | not published | $13.91 – $17.11 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $11.21 – $13.78 | 16 |
| Antibody elution rbc reference CPT 86860 | $976.00 | $976.00 | $149.16 – $634.53 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $256.00 | $256.00 | $16.84 – $20.70 | 16 |
| Antibody htlv-i CPT 86687 | not published | not published | $7.91 – $9.73 | 16 |
| Antibody htlv-ii CPT 86688 | not published | not published | $12.18 – $14.98 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $15.99 – $19.66 | 16 |
| Antibody id rbc panel CPT 86870 | $839.00 | $839.00 | $291.26 – $1,239.02 | 2 |
| Antibody influenza virus CPT 86710 | not published | not published | $11.79 – $14.50 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $11.20 – $13.77 | 16 |
| Antibody screen rbc CPT 86850 | $378.00 | $378.00 | $9.77 – $10.45 | 13 |
| Antibody tetanus CPT 86774 | not published | not published | $12.88 – $15.84 | 16 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.23 – $3.95 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.02 – $3.29 | 4 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.04 – $6.47 | 4 |
| Anti mog serum - sendout CPT 86362 | $642.00 | $642.00 | $10.49 – $12.89 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $259.00 | $259.00 | $10.49 – $12.89 | 16 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $10.49 – $12.89 | 16 |
| Antinuclear antibodies CPT 86038 | $415.00 | $415.00 | $10.52 – $12.94 | 16 |
| Antinuclear antibodies titer CPT 86039 | $43.00 | $43.00 | $9.72 – $11.94 | 16 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $13.98 – $17.19 | 16 |
| Antistreptolysin o screen CPT 86063 | $540.00 | $540.00 | $5.02 – $6.17 | 16 |
| Antistreptolysin o titer CPT 86060 | $612.00 | $612.00 | $6.35 – $7.81 | 16 |
| Antithrombin iii activity CPT 85300 | $259.00 | $259.00 | $10.31 – $12.68 | 16 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $3.35 – $10.73 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $3,719.85 – $14,066.01 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $798.45 – $2,675.84 | 4 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $964.73 – $1,214.43 | 16 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $539.28 | 13 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,444.70 | 13 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $214.00 | 13 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $834.60 | 13 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $299.60 | 13 |
| Apl(pml-rara) quant - sendout CPT 81315 | $363.00 | $363.00 | $207.31 – $221.82 | 13 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $114.27 – $114.27 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $131.00 | $131.00 | $5.11 – $6.77 | 16 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $9.76 – $11.65 | 16 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $1,957.10 – $1,957.10 | 1 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $1,489.59 – $1,489.59 | 1 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $1,129.68 – $1,129.68 | 1 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $858.75 – $858.75 | 1 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $100.08 – $114.21 | 3 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $254.39 – $254.39 | 1 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $28.76 – $37.80 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.45 – $4.53 | 4 |
| #aptt mix-1:1 incubated CPT 87532 | $105.00 | $105.00 | $30.54 – $37.55 | 16 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $667.00 | $667.00 | $12.05 – $40.37 | 16 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $121.81 – $121.81 | 1 |
| Aquaporin-4 antibody cba each CPT 86052 | $100.00 | $100.00 | $10.49 – $12.89 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | $1,781.00 | $1,781.00 | $10.03 – $12.34 | 16 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $30.74 – $35.41 | 16 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $14.70 – $17.34 | 16 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $336.92 – $336.92 | 1 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $41.51 – $52.25 | 16 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $32.39 – $40.78 | 16 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $32.39 – $40.78 | 16 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.59 – $1.91 | 4 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $12.59 – $12.59 | 1 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.14 – $3.84 | 4 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.81 – $1.62 | 4 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $4.82 – $4.82 | 1 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.14 – $3.84 | 4 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.81 – $1.62 | 4 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $146.59 | 13 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $322.44 | 13 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $198.16 | 13 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $2.77 – $8.85 | 4 |
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.