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 |
|---|---|---|---|---|
| Nuclear rx IV admin CPT 79101 | $1,134.00 | $1,134.00 | $234.07 – $561.65 | 2 |
| Nuclear Stress Test (Heart) CPT 78452 | $11,893.00 | $11,893.00 | $315.61 – $2,938.37 | 2 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $262.66 – $561.65 | 2 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $431.20 – $542.81 | 16 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $311.76 | 13 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $78.75 – $336.92 | 4 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $3,408.30 – $3,408.30 | 1 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $737,362.50 – $737,362.50 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $63.93 – $216.32 | 4 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $65.14 – $80.10 | 16 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $73.06 | 16 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $24.67 – $104.95 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $238.97 – $245.18 | 2 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $121.11 – $121.11 | 1 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $49.14 – $157.20 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.50 – $1.75 | 4 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $1,473.00 | $1,473.00 | $173.90 – $527.80 | 4 |
| Ocular function screen CPT 99172 | not published | not published | $59.99 – $68.46 | 3 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $4.32 – $4.93 | 3 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $3.39 – $3.87 | 3 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $164.91 – $164.91 | 1 |
| Offset knee joint each HCPCS L2390 | not published | not published | $109.56 – $137.91 | 16 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $152.83 – $192.39 | 16 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $118.48 | $118.48 | $0.79 – $2.15 | 4 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.48 – $8.37 | 4 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $34.10 – $120.58 | 4 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $2,685.92 | 13 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $7,696.51 | 13 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $3,334.12 | 13 |
| Oncology colorectal scr CPT 81528 | not published | not published | $442.83 – $544.49 | 16 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $620.02 | 13 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $189.99 | 13 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $3,071.97 | 13 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $813.20 | 13 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $556.40 | 13 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $4,012.50 | 13 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $780.60 – $959.79 | 16 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $278.74 | 13 |
| Oncoprotein dcp CPT 83951 | not published | not published | $56.05 – $68.92 | 16 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $56.05 – $68.92 | 16 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $2,172.10 | 13 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $4,144.11 | 13 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $3,852.00 | 13 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $8,320.32 | 13 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $178.00 | $178.00 | $0.08 – $0.24 | 4 |
| One way chest drain valve HCPCS A7040 | not published | not published | $47.80 – $60.18 | 16 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $634.53 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $134.03 – $251.89 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $138.60 – $245.18 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $98.58 – $245.18 | 2 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $655.00 – $655.00 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $49.20 – $209.30 | 2 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.58 – $7.34 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $26.82 – $26.82 | 1 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.72 – $3.13 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.43 – $12.82 | 16 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $49.40 – $49.40 | 1 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $59.44 – $59.44 | 1 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $347.66 – $1,007.50 | 4 |
| Organic acids total quant ea spec CPT 83918 | $954.00 | $954.00 | $20.54 – $25.25 | 16 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $36.35 – $114.11 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $3,761.00 | $3,761.00 | $24.25 – $75.45 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $10.48 – $16.93 | 4 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $25.43 – $32.01 | 16 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | not published | not published | $267.93 – $337.27 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | not published | not published | $464.01 – $584.11 | 16 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | not published | not published | $1,189.80 – $1,497.74 | 16 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | not published | not published | $651.34 – $819.92 | 16 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | not published | not published | $251.31 – $316.36 | 16 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | not published | not published | $298.06 – $375.21 | 16 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $98.06 – $123.45 | 16 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | not published | not published | $251.31 – $316.36 | 16 |
| Orthopantogram CPT 70355 | not published | not published | $40.98 – $182.03 | 2 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $29.83 – $37.55 | 16 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $51.88 – $65.31 | 16 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $32.39 – $40.78 | 16 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $29.83 – $37.55 | 16 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $42.78 – $53.85 | 16 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $132.82 – $167.20 | 16 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | not published | not published | $394.94 – $497.16 | 16 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $106.50 – $294.84 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | not published | not published | $346.99 – $436.80 | 16 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | not published | not published | $920.23 – $1,158.40 | 16 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $32.39 – $40.78 | 16 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $23.36 – $29.40 | 16 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $86.92 – $109.42 | 16 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $66.14 – $83.26 | 16 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $9.05 – $11.40 | 16 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $54.46 – $68.55 | 16 |
| Osmolality blood CPT 83930 | $300.00 | $300.00 | $5.75 – $7.07 | 16 |
| Osmolality urine CPT 83935 | $193.00 | $193.00 | $5.93 – $7.30 | 16 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.44 – $3.07 | 16 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $50.32 – $63.34 | 16 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $3.31 – $4.16 | 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.