LEWISGALE HOSPITAL-ALLEGHANY
1 Alleghany Reg Hospital LN, LOW MOOR, VA · HCA Virginia · · NPI 1538100029
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $25.48 – $42.46 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $933.00 | $933.00 | $19.85 – $33.07 | 17 |
| 17-ketosteroids CPT 83586 | $247.00 | $247.00 | $11.13 – $18.56 | 17 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $31.25 – $52.08 | 17 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $198.11 – $198.11 | 1 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $352.04 – $352.04 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,169.24 – $1,169.24 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | not published | not published | $48.30 – $48.30 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $624.00 | $624.00 | $9.71 – $16.17 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $89.00 | $89.00 | $19.19 – $108.33 | 2 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $50.11 – $57.18 | 3 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $53.72 – $61.30 | 3 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $56.98 – $65.03 | 3 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $45.74 – $52.20 | 3 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $50.11 – $57.18 | 3 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $50.11 – $57.18 | 3 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $56.98 – $65.03 | 3 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $67.29 – $76.79 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $36.87 – $118.64 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $10.46 – $17.41 | 17 |
| Abciximab injection HCPCS J0130 | not published | not published | $1,528.60 – $1,528.60 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $347.40 – $6,438.74 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $6,723.00 | $6,723.00 | $331.10 – $401.74 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $5,970.00 | $5,970.00 | $301.59 – $401.74 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $5,311.00 | $5,311.00 | $245.18 – $282.44 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $17,073.00 | $17,073.00 | $523.49 – $828.27 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $12,825.00 | $12,825.00 | $408.55 – $828.27 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $11,289.00 | $11,289.00 | $343.29 – $517.79 | 2 |
| Abdominal Ultrasound (complete) CPT 76700 | $3,061.27 | $3,061.27 | $193.26 – $245.18 | 2 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,545.08 | $1,545.08 | $141.45 – $245.18 | 2 |
| Abl1 gene CPT 81170 | not published | not published | $300.00 – $435.00 | 14 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $7.68 – $23.32 | 4 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.04 – $0.16 | 4 |
| Acetaminophen level CPT 80143 | $624.00 | $624.00 | $16.22 – $27.03 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $1,007.00 | $1,007.00 | $16.20 – $67.81 | 4 |
| Acetone qualitative CPT 82009 | $230.00 | $230.00 | $3.94 – $6.55 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $34.00 | $34.00 | $10.49 – $17.47 | 17 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.69 – $17.82 | 17 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $2,151.00 | $2,151.00 | $0.38 – $0.98 | 4 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $7.17 – $22.42 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $114.30 – $183.28 | 16 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $90.02 – $144.62 | 16 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | not published | not published | $13.86 – $15.82 | 16 |
| Acth stimulation panel CPT 80402 | not published | not published | $75.68 – $126.09 | 17 |
| Acth stimulation panel CPT 80406 | not published | not published | $68.10 – $113.48 | 17 |
| Acute hepatitis panel CPT 80074 | $856.00 | $856.00 | $41.45 – $69.06 | 17 |
| Acute venous thrombus image CPT 78456 | not published | not published | $237.19 – $2,938.37 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $766.00 | $766.00 | $0.03 – $0.32 | 4 |
| #acylcarnitineprfl CPT 82017 | $1,782.00 | $1,782.00 | $14.68 – $24.46 | 17 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.35 – $23.91 | 17 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.33 – $1.40 | 4 |
| Adenovirus ag ia CPT 87301 | $403.00 | $403.00 | $10.43 – $17.37 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $11.20 – $18.66 | 17 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $18.94 – $31.55 | 17 |
| Adh-sendout CPT 84588 | $690.00 | $690.00 | $29.54 – $49.21 | 17 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $1.40 – $1.40 | 1 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $24.11 – $27.52 | 3 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $15.91 – $18.16 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $21.00 – $21.00 | 1 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $13.58 – $15.50 | 3 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $34.94 – $111.80 | 4 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $175.83 – $2,938.37 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $0.62 – $0.71 | 3 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $76.79 – $82.17 | 13 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $7,800.06 – $7,800.06 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $2,042,143.00 – $2,042,143.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $328.00 | $328.00 | $17.45 – $29.07 | 17 |
| #afb mycobacteria suscep. #1 CPT 87190 | $435.00 | $435.00 | $6.36 – $10.60 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $742.00 | $742.00 | $100.39 – $167.27 | 17 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $198.65 | 14 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $398.50 | 14 |
| Aflibercept injection HCPCS J0178 | not published | not published | $676.48 – $2,024.34 | 4 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $68.21 – $68.21 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $189.41 – $610.35 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $174.00 | $174.00 | $6.77 – $11.28 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $45.12 – $140.66 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $18.05 – $56.26 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $1,132.00 | $1,132.00 | $45.12 – $140.66 | 4 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.03 – $28.14 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.54 – $49.21 | 17 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $221.00 | $221.00 | $5.03 – $8.38 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $245.00 | $245.00 | $4.31 – $7.18 | 17 |
| Albuterol ipratrop non-comp HCPCS J7620 | $5.00 | $5.00 | $0.16 – $0.53 | 4 |
| Albuterol non-comp con HCPCS J7611 | $5.00 | $5.00 | $0.15 – $0.69 | 4 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.19 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $545.00 | $545.00 | $17.27 – $25.04 | 14 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $8,848.01 – $8,848.01 | 1 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $109.22 – $181.97 | 17 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,075.27 – $6,484.82 | 4 |
| Alkaline phosphatase CPT 84075 | $380.00 | $380.00 | $4.50 – $7.51 | 17 |
| Allergen alpha lactalbumin ige CPT 86008 | $120.00 | $120.00 | $15.61 – $26.00 | 17 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.54 – $7.57 | 17 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $6.94 – $11.56 | 17 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $70.35 – $336.92 | 4 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $86.85 – $336.92 | 4 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $20.80 – $336.92 | 4 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $134.58 – $336.92 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $336.92 – $336.92 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $109.17 – $336.92 | 4 |
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.