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 |
|---|---|---|---|---|
| X-ray mandible complete > 4 views CPT 70110 | $1,725.00 | $1,725.00 | $49.58 – $245.18 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | $1,008.00 | $1,008.00 | $38.19 – $182.03 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,037.00 | $1,037.00 | $35.28 – $182.03 | 2 |
| X-ray neck soft tissue CPT 70360 | $975.00 | $975.00 | $36.70 – $182.03 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $907.00 | $907.00 | $35.24 – $182.03 | 2 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $88.69 – $517.79 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $43.97 – $182.03 | 2 |
| X-ray pelvis 1-2 views CPT 72170 | $1,483.00 | $1,483.00 | $35.28 – $245.18 | 2 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $52.12 – $245.18 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $3,018.00 | $3,018.00 | $104.81 – $828.27 | 2 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $43.89 – $182.03 | 2 |
| X-ray ribs 3 views bilateral CPT 71110 | $2,473.00 | $2,473.00 | $56.65 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $53.45 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $2,884.00 | $2,884.00 | $63.42 – $245.18 | 2 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,398.00 | $1,398.00 | $43.80 – $245.18 | 2 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,525.00 | $1,525.00 | $35.28 – $182.03 | 2 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $38.28 – $245.18 | 2 |
| X-ray sella turcica CPT 70240 | not published | not published | $38.11 – $182.03 | 2 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $31.00 – $182.03 | 2 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,781.00 | $1,781.00 | $43.89 – $182.03 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $100.95 – $1,086.50 | 2 |
| X-ray skull < 4 views CPT 70250 | $1,124.00 | $1,124.00 | $36.70 – $245.18 | 2 |
| X-ray skull > 4 views complete CPT 70260 | $2,394.00 | $2,394.00 | $55.27 – $245.18 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $114.33 – $245.18 | 2 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $1,997.00 | $1,997.00 | $157.76 – $401.74 | 2 |
| X-ray small intestine follow-through study CPT 74248 | $2,737.00 | $2,737.00 | $135.32 – $135.32 | 1 |
| X-ray spine single view CPT 72020 | not published | not published | $32.42 – $182.03 | 2 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $1,008.00 | $1,008.00 | $43.89 – $182.03 | 2 |
| X-ray sternum > 2 views CPT 71120 | $1,180.00 | $1,180.00 | $39.52 – $182.03 | 2 |
| X-ray surgical specimen CPT 76098 | $1,002.00 | $1,002.00 | $62.05 – $1,086.50 | 2 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,422.00 | $2,422.00 | $104.36 – $401.74 | 2 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,375.00 | $1,375.00 | $48.17 – $182.03 | 2 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $40.98 – $245.18 | 2 |
| X-ray thoracic spine 3 views CPT 72072 | $1,568.00 | $1,568.00 | $43.80 – $245.18 | 2 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $1,525.00 | $1,525.00 | $42.47 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $1,601.00 | $1,601.00 | $53.53 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,435.00 | $1,435.00 | $63.50 – $245.18 | 2 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $32.42 – $182.03 | 2 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $26.72 – $182.03 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $2,714.00 | $2,714.00 | $176.30 – $401.74 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $2,235.00 | $2,235.00 | $159.72 – $401.74 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $35.37 – $182.03 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $114.29 – $401.74 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $48.53 – $55.38 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $2,841.15 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | $259.00 | $259.00 | $11.24 – $13.81 | 16 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.27 – $4.21 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $11.47 – $14.11 | 16 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $150,585.06 – $150,585.06 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $60.77 – $336.92 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.24 – $28.01 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.28 – $4.00 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $44.65 – $54.90 | 16 |
| Zika virus igm antibody CPT 86794 | not published | not published | $14.66 – $18.03 | 16 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.52 – $1.92 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $186.00 | $186.00 | $4.40 – $24.25 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.06 – $19.13 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $89.23 – $89.23 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $8.09 – $13.46 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $378.84 – $378.84 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $206.78 | 13 |
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.