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 |
|---|---|---|---|---|
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $25.84 – $25.84 | 1 |
| Trichinella antibody CPT 86784 | $1,014.00 | $1,014.00 | $10.93 – $13.44 | 16 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $13.30 – $16.36 | 16 |
| Triglycerides CPT 84478 | not published | not published | $5.00 – $6.14 | 16 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $4.58 – $14.36 | 4 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.78 – $1.78 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $42.53 – $152.64 | 4 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $400.89 – $1,227.48 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $557.58 – $685.58 | 16 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,466.80 | 13 |
| Troponin quantitative CPT 84484 | not published | not published | $10.85 – $13.34 | 16 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $336.92 – $336.92 | 1 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $62.13 – $78.22 | 16 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $51.37 – $64.67 | 16 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $138.59 – $174.46 | 16 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $87.79 – $110.51 | 16 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $13.69 – $17.23 | 16 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $56.98 – $71.73 | 16 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.94 – $9.99 | 16 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $57.51 – $72.40 | 16 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.07 – $0.09 | 16 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.38 – $1.73 | 16 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $517.77 – $651.78 | 16 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $314.76 – $359.20 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $187.05 | 13 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $372.96 – $372.96 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $206.78 | 13 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.50 – $4.30 | 16 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $58.36 – $185.98 | 4 |
| Ue triple control harness HCPCS L6677 | not published | not published | $303.04 – $381.48 | 16 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $250.38 | 13 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $696.00 | $696.00 | $108.26 – $245.18 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $11.05 – $245.18 | 2 |
| Ultrasound breast complete CPT 76641 | not published | not published | $142.47 – $245.18 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $132.49 – $182.03 | 2 |
| Ultrasound chest CPT 76604 | $2,038.00 | $2,038.00 | $116.83 – $245.18 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $1,074.00 | $1,074.00 | $92.64 – $245.18 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $80.83 – $245.18 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $101.86 – $101.86 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $608.00 | $608.00 | $123.14 – $245.18 | 2 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $124.02 – $245.18 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $146.71 – $245.18 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $1,986.00 | $1,986.00 | $155.48 – $245.18 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | $373.00 | $373.00 | $57.27 – $57.27 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $132.95 – $132.95 | 1 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $202.94 – $202.94 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $427.98 – $427.98 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $1,133.00 | $1,133.00 | $143.88 – $182.03 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $121.11 – $182.03 | 2 |
| Ultrasound joint complete left CPT 76881 | $1,311.00 | $1,311.00 | $48.33 – $245.18 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $307.00 | $307.00 | $135.40 – $245.18 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $71.98 – $240.48 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $182.74 – $182.74 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $93.05 – $93.05 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $2,746.00 | $2,746.00 | $383.77 – $517.79 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $873.00 | $873.00 | $172.64 – $245.18 | 2 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $1,311.00 | $1,311.00 | $129.75 – $245.18 | 2 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,354.00 | $1,354.00 | $149.70 – $245.18 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $134.82 – $245.18 | 2 |
| Ultrasound retroperitoneal limited CPT 76775 | $2,215.00 | $2,215.00 | $114.33 – $245.18 | 2 |
| Ultrasound scrotum and contents CPT 76870 | $2,340.00 | $2,340.00 | $125.39 – $245.18 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | $813.00 | $813.00 | $245.18 – $268.06 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | $994.00 | $994.00 | $362.40 – $362.40 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $2,854.00 | $2,854.00 | $136.86 – $245.18 | 2 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $314.82 – $401.74 | 2 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $166.32 – $166.32 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.74 – $9.30 | 16 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $12,267.03 – $15,442.03 | 16 |
| Unlisted CT procedure CPT 76497 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.76 – $211.68 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.76 – $211.68 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted misc path test CPT 89240 | $133.00 | $133.00 | $49.76 – $211.68 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $211.68 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.76 – $211.68 | 2 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $24.67 – $104.95 | 2 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $182.03 – $182.03 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $848.52 – $848.52 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,673.00 | $7,673.00 | $445.52 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $7,214.00 | $7,214.00 | $347.23 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $6,808.00 | $6,808.00 | $287.76 – $517.79 | 2 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $356.81 – $449.16 | 16 |
| Urea nitrogen CPT 84520 | not published | not published | $3.43 – $4.23 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $199.00 | $199.00 | $4.84 – $5.95 | 16 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.26 – $7.70 | 16 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.46 – $5.49 | 16 |
| Ureteral reflux study CPT 78740 | not published | not published | $114.79 – $848.52 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $2,539.00 | $2,539.00 | $64.83 – $517.79 | 2 |
| Urethrocystography void s&i CPT 74455 | $2,847.00 | $2,847.00 | $66.33 – $517.79 | 2 |
| Uric acid blood CPT 84550 | $294.00 | $294.00 | $3.94 – $4.84 | 16 |
| Uric acid urine CPT 84560 | not published | not published | $4.42 – $5.44 | 16 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.09 – $5.03 | 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.