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 |
|---|---|---|---|---|
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $2,786.05 – $2,786.05 | 1 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.31 – $5.30 | 16 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $108.51 – $1,101.15 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $372.06 – $468.36 | 16 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.38 – $10.26 | 4 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $483.85 – $609.08 | 16 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $629.92 – $792.96 | 16 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $152.98 – $192.58 | 16 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $65.89 – $212.90 | 4 |
| #cf-97variants CPT 81220 | $1,036.00 | $1,036.00 | $484.37 – $595.56 | 16 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $378.61 – $465.52 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $146.85 – $180.56 | 16 |
| Cftr gene known fam variants CPT 81221 | $769.00 | $769.00 | $84.60 – $104.03 | 16 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $192.92 – $242.86 | 16 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $149.16 – $634.53 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.91 – $17.11 | 16 |
| Chest 2 vws w oblique CPT 71048 | $2,670.00 | $2,670.00 | $62.05 – $245.18 | 2 |
| Chest apical lordotic proj CPT 71047 | $1,781.00 | $1,781.00 | $53.86 – $182.03 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $5,416.00 | $5,416.00 | $242.50 – $401.74 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $4,606.00 | $4,606.00 | $226.88 – $401.74 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $4,506.00 | $4,506.00 | $208.67 – $245.18 | 2 |
| Chest X-ray CPT 71046 | $1,187.00 | $1,187.00 | $42.39 – $182.03 | 2 |
| Chest X-ray (single view) CPT 71045 | $772.00 | $772.00 | $35.24 – $182.03 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $135.32 – $401.74 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $221.98 | 13 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $279.05 | 13 |
| Chlamydia culture CPT 87110 | $261.00 | $261.00 | $17.06 – $20.97 | 16 |
| Chlamydia trachomatis ag if CPT 87270 | $215.00 | $215.00 | $10.43 – $12.82 | 16 |
| Chlamydia type CPT 87140 | not published | not published | $4.84 – $5.96 | 16 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $17.45 – $21.45 | 16 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $37.28 – $45.84 | 16 |
| Chlnggrphy intraop addl s&i CPT 74301 | $772.00 | $772.00 | $39.52 – $39.52 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | $329.00 | $329.00 | $133.19 – $133.19 | 1 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $54.88 – $54.88 | 1 |
| Chloride CPT 82435 | $324.00 | $324.00 | $4.00 – $4.92 | 16 |
| Chloride 24 hour urine CPT 82436 | $380.00 | $380.00 | $5.01 – $6.15 | 16 |
| Chloroprocaine hcl injection HCPCS J2401 | $96.00 | $96.00 | $0.03 – $0.11 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.51 – $1.54 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $27.61 – $154.04 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $429.00 | $429.00 | $24.68 – $62.99 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,747.00 | $1,747.00 | $54.53 – $54.53 | 1 |
| Cholesterol CPT 82465 | $129.00 | $129.00 | $3.78 – $4.65 | 16 |
| Cholesterol (Lipid) Test CPT 80061 | $529.00 | $529.00 | $11.65 – $14.33 | 16 |
| Choline c-11 HCPCS A9515 | not published | not published | $6,668.54 – $6,668.54 | 1 |
| Cholinesterase CPT 82480 | $190.00 | $190.00 | $6.85 – $8.42 | 16 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $15.51 – $40.81 | 4 |
| Chrom analysis CPT 88273 | $681.00 | $681.00 | $30.29 – $37.25 | 16 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $33.94 – $41.73 | 16 |
| Chromatography CPT 83021 | $917.00 | $917.00 | $15.72 – $19.32 | 16 |
| Chromogenic substrate assay CPT 85130 | $816.00 | $816.00 | $10.34 – $12.72 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | $652.00 | $652.00 | $57.04 – $61.03 | 13 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $151.12 – $185.82 | 16 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $150.70 – $185.29 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $109.21 – $134.27 | 16 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $150.70 – $185.29 | 16 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $130.79 – $160.81 | 16 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $230.04 – $282.84 | 16 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $150.70 – $185.29 | 16 |
| Chromosome analys placenta CPT 88267 | not published | not published | $164.10 – $201.77 | 16 |
| Chromosome banding study CPT 88283 | not published | not published | $59.70 – $73.40 | 16 |
| Chromosome count additional CPT 88285 | not published | not published | $23.42 – $28.79 | 16 |
| Chromosome karyotype study CPT 88280 | not published | not published | $29.13 – $35.81 | 16 |
| Chromosome study additional CPT 88289 | $424.00 | $424.00 | $29.96 – $36.84 | 16 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $10.85 – $13.33 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $53.52 – $65.81 | 16 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,268.99 – $1,597.44 | 16 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $7,442.09 – $9,368.28 | 16 |
| Cidofovir injection HCPCS J0740 | not published | not published | $443.56 – $1,389.87 | 4 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $182.90 – $230.24 | 16 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.24 – $18.82 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $470,193.65 – $1,557,271.36 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.62 – $2.62 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $79.63 – $245.18 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $58.97 – $58.97 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $919.00 | $919.00 | $1.78 – $5.30 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $90.05 – $90.05 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.43 – $5.59 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,128.00 | $1,128.00 | $329.51 – $352.58 | 13 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.67 – $19.66 | 4 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $23.08 – $26.34 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.37 – $5.06 | 4 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $268.32 – $337.77 | 16 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $13.61 – $38.08 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $13.77 – $45.66 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $13.92 – $17.12 | 16 |
| Clot factor fletcher fact CPT 85292 | $86.00 | $86.00 | $16.47 – $20.26 | 16 |
| Clot factor viii reltd antgn CPT 85244 | $1,036.00 | $1,036.00 | $17.77 – $21.85 | 16 |
| Clot factor wght kininogen CPT 85293 | $86.00 | $86.00 | $16.47 – $20.26 | 16 |
| Clot factor xii hageman CPT 85280 | $863.00 | $863.00 | $16.84 – $20.70 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | $27.00 | $27.00 | $7.93 – $9.75 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $627.00 | $627.00 | $14.22 – $17.48 | 16 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.89 – $84.61 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.18 – $2.74 | 16 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.80 – $2.27 | 16 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.24 – $15.05 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.66 – $9.42 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $528.00 | $528.00 | $17.03 – $20.93 | 16 |
| Cmv ig IV CPT 90291 | not published | not published | $5,754.40 – $5,754.40 | 1 |
| Cmv pcr-sendout CPT 87496 | $1,137.00 | $1,137.00 | $30.54 – $37.55 | 16 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $146.59 | 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.