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 |
|---|---|---|---|---|
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $294.07 | 13 |
| Mopath procedure level 6 CPT 81405 | $491.00 | $491.00 | $301.35 – $322.44 | 13 |
| Mopath procedure level 7 CPT 81406 | $739.00 | $739.00 | $282.88 – $302.68 | 13 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $905.51 | 13 |
| Mopath procedure level 9 CPT 81408 | $4,553.00 | $4,553.00 | $2,000.00 – $2,140.00 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.94 – $8.06 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.64 – $17.94 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $8.35 – $35.78 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $634.53 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $486.00 | $486.00 | $291.26 – $1,239.02 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $149.16 – $634.53 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $544.82 – $1,736.76 | 4 |
| Mouth piece HCPCS A4617 | not published | not published | $3.76 – $4.73 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $200.41 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $149.16 – $634.53 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $365.16 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $149.16 – $634.53 | 2 |
| Mpl gene analysis common variants CPT 81338 | $243.00 | $243.00 | $150.33 – $160.85 | 13 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $17.45 – $21.45 | 16 |
| M.pneumon dna quant CPT 87582 | not published | not published | $263.35 – $323.80 | 16 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $237.20 – $237.20 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $208.89 – $672.82 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $205.63 – $665.75 | 5 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $828.27 – $828.27 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $517.79 – $517.79 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $828.27 – $828.27 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $208.34 – $668.12 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $209.96 – $672.03 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $828.27 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | $7,353.00 | $7,353.00 | $517.79 – $517.79 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $348.56 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $329.11 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $828.27 – $828.27 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without cont, abd HCPCS C8901 | $2,728.00 | $2,728.00 | $517.79 – $517.79 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $9,357.00 | $9,357.00 | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $7,353.00 | $7,353.00 | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $828.27 | 1 |
| Mr elastography CPT 76391 | not published | not published | $211.46 – $517.79 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $721.90 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $655.36 – $1,086.50 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $659.18 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $279.53 – $517.79 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $408.83 – $639.07 | 2 |
| MRI breast without cont bi CPT 77047 | $6,808.00 | $6,808.00 | $309.04 – $517.79 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.94 – $635.92 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $455.54 – $517.79 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $507.20 – $828.27 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $584.13 – $1,609.16 | 2 |
| MRI chest without contrast CPT 71550 | $6,808.00 | $6,808.00 | $280.90 – $517.79 | 2 |
| MRI chest without & w/contrast CPT 71552 | $7,673.00 | $7,673.00 | $438.37 – $828.27 | 2 |
| MRI chest w IV cont CPT 71551 | $7,214.00 | $7,214.00 | $335.80 – $1,609.16 | 2 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,344.88 – $1,692.96 | 16 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $360.78 – $360.78 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $517.79 – $586.58 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $297.28 – $297.28 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $806.39 – $806.39 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $313.36 – $828.27 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $262.45 – $517.79 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $418.80 – $828.27 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $7,214.00 | $7,214.00 | $260.96 – $517.79 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $7,774.00 | $7,774.00 | $417.30 – $828.27 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $7,214.00 | $7,214.00 | $314.82 – $828.27 | 2 |
| MRI tmj CPT 70336 | $7,214.00 | $7,214.00 | $282.23 – $517.79 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $265.40 – $517.79 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $420.25 – $828.27 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $316.31 – $828.27 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | $7,214.00 | $7,214.00 | $828.27 – $828.27 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $401.74 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | $7,214.00 | $7,214.00 | $828.27 – $828.27 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $828.27 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | $218.00 | $218.00 | $117.16 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | $228.00 | $228.00 | $145.67 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $232.49 – $232.49 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $148.00 | $148.00 | $117.45 – $133.65 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $25.00 | $25.00 | $48.33 – $55.10 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $146.71 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $182.03 – $182.03 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $228.23 | 13 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $408.42 | 13 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $361.37 | 13 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $254.66 | 13 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $686.78 | 13 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $329.56 | 13 |
| Mthfr gene analy common variants CPT 81291 | $1,098.00 | $1,098.00 | $65.34 – $69.91 | 13 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.39 – $28.76 | 16 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $37.28 – $45.84 | 16 |
| Mucin synovial fluid CPT 83872 | $102.00 | $102.00 | $5.10 – $6.27 | 16 |
| Mucopolysaccharides CPT 83864 | $904.00 | $904.00 | $24.80 – $30.50 | 16 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.06 – $16.05 | 16 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,811.50 – $4,798.01 | 16 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $662.91 – $834.49 | 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.