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 |
|---|---|---|---|---|
| Thyroid uptake measurement CPT 78012 | not published | not published | $36.66 – $848.52 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,766.90 – $5,632.95 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $43.87 – $53.94 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | $294.00 | $294.00 | $12.86 – $15.81 | 16 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $54.25 – $68.29 | 16 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,062.23 – $2,595.98 | 16 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.26 – $1.48 | 4 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,351.96 – $6,737.17 | 16 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.02 – $9.14 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $491,955.35 – $1,501,307.95 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $160.35 – $519.59 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $51.33 – $51.33 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $130.80 – $160.82 | 16 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $122.47 – $150.58 | 16 |
| Tissue culture tumor CPT 88239 | not published | not published | $128.38 – $157.85 | 16 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $397.00 | $397.00 | $3.71 – $4.57 | 16 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.03 – $12.34 | 16 |
| Tl-201 thallium diag per mci HCPCS A9505 | $373.00 | $373.00 | $126.56 – $126.56 | 1 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $909.29 – $1,144.63 | 16 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $783.04 – $985.71 | 16 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,023.47 – $1,288.37 | 16 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,273.04 – $1,602.53 | 16 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $514.98 – $648.27 | 16 |
| Tlso corset front HCPCS L0970 | not published | not published | $131.34 – $165.34 | 16 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $228.96 – $288.23 | 16 |
| Tlso full corset HCPCS L0974 | not published | not published | $175.19 – $220.53 | 16 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $368.36 – $463.70 | 16 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $256.79 – $323.25 | 16 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $488.01 – $614.32 | 16 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $327.19 – $411.88 | 16 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $622.73 – $783.90 | 16 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,615.51 – $2,033.64 | 16 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,023.47 – $1,288.37 | 16 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,735.82 – $2,185.09 | 16 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,390.83 – $1,750.81 | 16 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $288.43 – $363.08 | 16 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $353.61 – $445.13 | 16 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $158.44 – $158.44 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.36 – $5.49 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.58 – $33.05 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $14.03 – $17.26 | 16 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.00 – $14.87 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.43 – $20.06 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $84.00 | $84.00 | $12.72 – $14.51 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $84.00 | $84.00 | $19.47 – $25.34 | 16 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.08 – $3.31 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.17 – $331.49 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $33.23 – $106.56 | 4 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $138.32 – $174.12 | 16 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $120.25 – $151.37 | 16 |
| Total Hip Replacement CPT 27130 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total tau CPT 84394 | $293.00 | $293.00 | $128.92 – $137.94 | 13 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $508.01 – $639.50 | 16 |
| Tot estradiol response panel CPT 80415 | not published | not published | $48.64 – $59.80 | 16 |
| Toxoplasma antibody igg CPT 86777 | $293.00 | $293.00 | $12.52 – $15.40 | 16 |
| Toxoplasma antibody igm CPT 86778 | $293.00 | $293.00 | $12.54 – $15.42 | 16 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $686.78 | 13 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $329.56 | 13 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $352.58 | 13 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $187.05 | 13 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $309.26 – $1,036.34 | 4 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $8.39 – $10.56 | 16 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.82 – $1.04 | 16 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $93.78 – $118.05 | 16 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.64 – $7.09 | 16 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $4.33 – $5.46 | 16 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $17.19 – $19.61 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $233.00 | $233.00 | $44.57 – $61.18 | 16 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | not published | not published | $0.34 – $0.34 | 1 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $154.27 – $154.27 | 1 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $8.15 – $10.03 | 16 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.37 – $5.37 | 16 |
| Transcutaneous methb CPT 88741 | not published | not published | $8.15 – $10.03 | 16 |
| Transferrin CPT 84466 | $343.00 | $343.00 | $11.10 – $13.65 | 16 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $5.22 – $6.57 | 16 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.85 – $2.33 | 16 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $102.43 – $128.95 | 16 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $77.82 – $97.96 | 16 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $77.82 – $97.96 | 16 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $102.43 – $128.95 | 16 |
| Trapezius sling HCPCS L1070 | not published | not published | $114.80 – $144.51 | 16 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $621.00 | $621.00 | $64.34 – $194.72 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $23.72 – $136.32 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $21.19 – $24.18 | 4 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.86 – $4.86 | 16 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $53.06 | 13 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $117.50 – $379.00 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $10.60 – $13.03 | 16 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $11.53 – $14.17 | 16 |
| Treprostinil injection HCPCS J3285 | not published | not published | $48.31 – $144.37 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $646.34 – $2,098.75 | 4 |
| Trg gene rearrangement anal CPT 81342 | $760.00 | $760.00 | $201.50 – $215.61 | 13 |
| Trh stimulation panel CPT 80439 | not published | not published | $58.49 – $71.91 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $60.00 | $60.00 | $0.74 – $1.96 | 4 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $21.27 – $64.90 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.87 – $0.87 | 1 |
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.