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 |
|---|---|---|---|---|
| Mayo estriol CPT 82677 | $378.00 | $378.00 | $21.05 – $25.87 | 16 |
| Mayo estrone CPT 82679 | $676.00 | $676.00 | $21.71 – $26.70 | 16 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $383.00 | $383.00 | $14.22 – $17.48 | 16 |
| Mayo everolimus therapeutic drug level CPT 80169 | $295.00 | $295.00 | $11.95 – $14.69 | 16 |
| Mayo factor ii CPT 85210 | $831.00 | $831.00 | $11.30 – $13.89 | 16 |
| Mayo factor v CPT 85220 | $814.00 | $814.00 | $15.36 – $18.89 | 16 |
| Mayo factor vii CPT 85230 | $704.00 | $704.00 | $15.58 – $19.15 | 16 |
| Mayo factor viii vw factor antigen CPT 85246 | $731.00 | $731.00 | $19.97 – $24.55 | 16 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $1,269.00 | $1,269.00 | $19.97 – $24.55 | 16 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $555.00 | $555.00 | $19.97 – $24.55 | 16 |
| Mayo factor x CPT 85260 | $878.00 | $878.00 | $15.58 – $19.15 | 16 |
| Mayo factor xi CPT 85270 | $878.00 | $878.00 | $15.58 – $19.15 | 16 |
| Mayo fat/lipids feces quantitative CPT 82710 | $343.00 | $343.00 | $14.62 – $17.98 | 16 |
| Mayo fbl culture fungi blood CPT 87103 | $190.00 | $190.00 | $17.81 – $21.89 | 16 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $70.01 – $86.09 | 16 |
| Mayo ffspg allergen clam igg CPT 86001 | $119.00 | $119.00 | $6.81 – $8.37 | 16 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $12.58 – $15.47 | 16 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $627.00 | $627.00 | $18.86 – $23.19 | 16 |
| Mayo hemosiderin qualitative urine CPT 83070 | $159.00 | $159.00 | $4.13 – $5.08 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $1,014.00 | $1,014.00 | $30.54 – $37.55 | 16 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $1,176.00 | $1,176.00 | $30.54 – $37.55 | 16 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $646.00 | $646.00 | $12.00 – $14.76 | 16 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $666.00 | $666.00 | $22.46 – $27.62 | 16 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $256.00 | $256.00 | $7.73 – $9.51 | 16 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $647.00 | $647.00 | $11.76 – $14.47 | 16 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $681.00 | $681.00 | $23.65 – $29.07 | 16 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | not published | not published | $15.03 – $18.48 | 16 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | not published | not published | $13.05 – $16.04 | 16 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | not published | not published | $18.11 – $22.27 | 16 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $18.11 – $22.27 | 16 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $37.55 | 13 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $13.98 – $17.19 | 16 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $36.00 | $36.00 | $10.43 – $12.82 | 16 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $400.00 | $400.00 | $30.54 – $37.55 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $755.00 | $755.00 | $30.54 – $37.55 | 16 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $906.00 | $906.00 | $30.54 – $37.55 | 16 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $37.55 | 13 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $917.00 | $917.00 | $37.28 – $45.84 | 16 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $696.00 | $696.00 | $72.19 – $77.24 | 13 |
| Mayo infliximab therapeutic drug level CPT 80230 | $557.00 | $557.00 | $33.57 – $41.27 | 16 |
| Mayo inhab inhibin a CPT 86336 | $881.00 | $881.00 | $13.57 – $16.68 | 16 |
| Mayo insft insulin free CPT 83527 | $256.00 | $256.00 | $11.27 – $13.86 | 16 |
| Mayo insulin antibodies CPT 86337 | $286.00 | $286.00 | $18.63 – $22.91 | 16 |
| Mayo iodine CPT 83789 | not published | not published | $20.98 – $25.80 | 16 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $381.00 | $381.00 | $23.60 – $29.01 | 16 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $437.00 | $437.00 | $23.60 – $29.01 | 16 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $163.00 | $163.00 | $11.53 – $14.18 | 16 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $302.00 | $302.00 | $11.13 – $13.69 | 16 |
| Mayo legionella antibody CPT 86713 | $361.00 | $361.00 | $13.31 – $16.37 | 16 |
| Mayo leptospira antibody igm CPT 86720 | $319.00 | $319.00 | $14.10 – $17.33 | 16 |
| Mayo lipoprotein electrophoresis CPT 83700 | $602.00 | $602.00 | $9.80 – $12.05 | 16 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $13.48 – $16.57 | 16 |
| Mayo manganese CPT 83785 | $564.00 | $564.00 | $23.19 – $28.52 | 16 |
| Mayo metanephrines plasma CPT 83835 | $1,014.00 | $1,014.00 | $14.74 – $18.13 | 16 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $1,021.00 | $1,021.00 | $10.49 – $12.89 | 16 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $629.00 | $629.00 | $16.01 – $19.69 | 16 |
| Mayo microsomal antibody liver-kidney CPT 86376 | not published | not published | $12.66 – $15.57 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | not published | not published | $16.22 – $19.94 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | not published | not published | $137.00 – $146.59 | 13 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $198.16 | 13 |
| Mayo muramidase CPT 85549 | $246.00 | $246.00 | $16.32 – $20.06 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $2,243.00 | $2,243.00 | $16.01 – $19.69 | 16 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $233.00 | $233.00 | $15.71 – $19.31 | 16 |
| Mayo myoglobin CPT 83874 | not published | not published | $11.25 – $13.82 | 16 |
| Mayo nickel CPT 83885 | not published | not published | $21.33 – $26.23 | 16 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $18.45 – $22.69 | 16 |
| Mayo organic acids qualitative each specimen CPT 83919 | $746.00 | $746.00 | $14.31 – $17.60 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $280.00 | $280.00 | $12.57 – $15.46 | 16 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $1,287.00 | $1,287.00 | $10.03 – $12.34 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $13.08 – $16.08 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $10.49 – $12.89 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $362.00 | $362.00 | $30.54 – $37.55 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $513.00 | $513.00 | $15.65 – $19.24 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $363.00 | $363.00 | $11.98 – $14.72 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $1,260.00 | $1,260.00 | $7.34 – $9.03 | 16 |
| Mayo pregnenolone CPT 84140 | $754.00 | $754.00 | $17.99 – $22.12 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $380.00 | $380.00 | $14.43 – $17.75 | 16 |
| Mayo proinsulin CPT 84206 | $186.00 | $186.00 | $23.23 – $28.56 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $246.00 | $246.00 | $16.01 – $19.68 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $16.01 – $19.69 | 16 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $631.00 | $631.00 | $11.63 – $14.30 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $702.00 | $702.00 | $31.82 – $39.13 | 16 |
| Mayo renin CPT 84244 | $816.00 | $816.00 | $19.13 – $23.53 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $15.51 – $19.08 | 16 |
| Mayo selenium CPT 84255 | $423.00 | $423.00 | $22.22 – $27.32 | 16 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $13.49 – $16.59 | 16 |
| Mayo serotonin CPT 84260 | $577.00 | $577.00 | $26.96 – $33.15 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $16.84 – $20.70 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $564.00 | $564.00 | $11.95 – $14.69 | 16 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $176.00 | $176.00 | $92.03 – $98.47 | 13 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $3.71 – $4.57 | 16 |
| Mayo tau phosphorylated 217 each CPT 84393 | $564.00 | $564.00 | $128.92 – $137.94 | 13 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $223.54 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $578.00 | $578.00 | $22.17 – $27.25 | 16 |
| Mayo tgrp testosterone total CPT 84403 | not published | not published | $22.46 – $27.62 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $19.29 – $23.72 | 16 |
| Mayo thyroglobulin CPT 84432 | $324.00 | $324.00 | $13.97 – $17.18 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.86 – $10.89 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $10.78 – $13.26 | 16 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $442.00 | $442.00 | $44.63 – $54.87 | 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.