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 |
|---|---|---|---|---|
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $62.51 – $336.92 | 4 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $700.98 – $882.41 | 16 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $16,605.35 – $20,903.20 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $10.68 – $41.23 | 4 |
| Pyruvate CPT 84210 | $259.00 | $259.00 | $12.60 – $15.49 | 16 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.21 – $10.10 | 16 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $352.51 – $443.75 | 16 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $29.13 – $29.13 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $159.34 – $1,101.15 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $139.77 – $848.52 | 2 |
| Quest t3 uptake CPT 84479 | $300.00 | $300.00 | $5.63 – $6.92 | 16 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $570.71 – $718.42 | 16 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $312.46 – $312.46 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $933.97 – $933.97 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $204.98 – $636.34 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $246.42 – $741.87 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $627.68 – $627.68 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $139.23 – $139.23 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $75.34 – $452.96 | 4 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $74.93 – $74.93 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $166.36 – $166.36 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $255.80 – $255.80 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $133.58 – $829.50 | 4 |
| Radiesse injection HCPCS Q2026 | not published | not published | $925.35 – $925.35 | 1 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $5,383.08 – $6,776.35 | 16 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $826.34 – $1,040.22 | 16 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,784.05 – $1,784.05 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $139.48 – $455.59 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $5,273.00 | $5,273.00 | $150.82 – $2,938.37 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $190.34 – $2,938.37 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $341.50 – $2,938.37 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,657.00 | $4,657.00 | $207.51 – $2,938.37 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $128.67 – $848.52 | 2 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $90.43 – $90.43 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $62.36 – $200.29 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $16.76 – $23.40 | 16 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $76.85 – $173.42 | 4 |
| Rapid Strep Test CPT 87880 | $280.00 | $280.00 | $14.38 – $17.69 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $314.89 – $1,015.93 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $187.27 – $595.72 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $1,417.96 – $1,417.96 | 1 |
| Rbc count only automated CPT 85041 | $193.00 | $193.00 | $2.63 – $3.23 | 16 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.48 – $9.20 | 16 |
| Rbc osmotic fragility CPT 85555 | $1,214.00 | $1,214.00 | $6.50 – $7.99 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $270.22 – $1,149.52 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Red cell mass multiple CPT 78121 | not published | not published | $62.34 – $1,101.15 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $37.90 – $848.52 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $100.20 – $848.52 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $100.20 – $848.52 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $1,223.00 | $1,223.00 | $3.75 – $7.10 | 4 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $195.80 – $246.47 | 16 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,982.00 | $1,982.00 | $5.40 – $18.29 | 4 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $20.04 – $22.87 | 3 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $17.29 – $19.73 | 3 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $6.23 – $14.32 | 16 |
| Removable insert each HCPCS L6691 | not published | not published | $454.10 – $571.64 | 16 |
| Removable soft interface le HCPCS K0672 | not published | not published | $86.44 – $108.82 | 16 |
| Remove cva lumen obstruct CPT 75902 | not published | not published | $75.43 – $75.43 | 1 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $231.12 – $231.12 | 1 |
| Renal cyst study s&i CPT 74470 | not published | not published | $104.27 – $1,086.50 | 2 |
| Renal function panel CPT 80069 | $774.00 | $774.00 | $7.56 – $9.29 | 16 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $299.23 – $6,438.74 | 2 |
| Renin stimulation panel CPT 80416 | not published | not published | $182.16 – $223.97 | 16 |
| Renin stimulation panel CPT 80417 | not published | not published | $38.28 – $47.07 | 16 |
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $34.57 – $43.52 | 16 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $23.99 – $30.20 | 16 |
| Replace elbow joint CPT 24363 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $17.49 – $22.02 | 16 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $310.41 – $390.75 | 16 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $397.71 – $500.65 | 16 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $403.24 – $507.61 | 16 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $402.42 – $506.57 | 16 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $261.12 – $328.70 | 16 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $320.40 – $403.33 | 16 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $493.51 – $621.24 | 16 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $274.88 – $346.03 | 16 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $916.76 – $1,154.04 | 16 |
| Replace socket above knee HCPCS L5701 | not published | not published | $3,719.18 – $4,681.80 | 16 |
| Replace socket below knee HCPCS L5700 | not published | not published | $2,997.92 – $3,773.85 | 16 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $493.14 – $620.78 | 16 |
| Replace socket hip HCPCS L5702 | not published | not published | $4,687.49 – $5,900.72 | 16 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $655.51 – $825.17 | 16 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.33 – $0.42 | 16 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $2,323.18 – $2,924.47 | 16 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $1,651.32 – $2,078.72 | 16 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,346.17 – $4,212.24 | 16 |
| Repl cushions for jaw motion HCPCS E1701 | not published | not published | $12.26 – $15.43 | 16 |
| Repl girdle milwaukee orth HCPCS L4000 | not published | not published | $1,344.61 – $1,692.62 | 16 |
| Repl leath cuff kafo-afo cal HCPCS L4110 | not published | not published | $88.00 – $110.78 | 16 |
| Repl leath cuff kafo prox th HCPCS L4100 | not published | not published | $116.83 – $147.07 | 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.