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 |
|---|---|---|---|---|
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $15.15 – $25.75 | 17 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $36.74 – $61.22 | 17 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $15.15 – $25.75 | 17 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $68.44 – $114.04 | 17 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $25.83 – $43.04 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $291.26 – $1,644.16 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $3.82 – $10.92 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $245.48 – $816.17 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $13.23 – $41.31 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $13.63 – $39.49 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.08 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.16 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $45.04 – $145.91 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.48 – $8.00 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.48 – $8.00 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $9.35 – $15.57 | 17 |
| Dark field exam without collj CPT 87166 | not published | not published | $9.83 – $16.39 | 17 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $211.67 – $690.30 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $22.44 – $69.77 | 4 |
| Dch glucoscan CPT 82948 | not published | not published | $4.39 – $7.31 | 17 |
| Dch validity tests CPT 81002 | $181.00 | $181.00 | $3.03 – $5.05 | 17 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $10.49 – $17.47 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $46.67 – $49.94 | 13 |
| Decalcification CPT 88311 | $33.00 | $33.00 | $8.72 – $49.22 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.50 – $1.72 | 4 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.98 – $22.45 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.71 – $11.79 | 4 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $59.47 – $209.88 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $23.64 – $78.07 | 4 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $35.97 – $137.32 | 4 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $255.15 – $336.92 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $46.43 – $336.92 | 4 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $108.87 – $336.92 | 4 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $336.92 – $1,595.64 | 4 |
| Design mlc device for imrt CPT 77338 | not published | not published | $1,171.07 – $1,171.07 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $752.00 | $752.00 | $3.82 – $9.04 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $26.96 – $44.92 | 17 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $26.13 – $43.54 | 17 |
| Detect agnt mult dna direc CPT 87800 | $730.00 | $730.00 | $38.00 – $63.32 | 17 |
| Device intraute mirena HCPCS J7298 | not published | not published | $4,046.36 – $4,046.36 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $24.70 – $28.19 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $48.30 – $182.03 | 2 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $94.08 – $261.45 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $7.18 – $7.18 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.06 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.08 – $0.29 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $174.45 – $542.03 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $140.87 – $234.73 | 17 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.33 – $2.33 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $68.82 – $153.73 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $1,009.62 – $1,009.62 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $47.00 | $47.00 | $1.06 – $3.47 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $33.00 | $33.00 | $16.03 – $16.03 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.55 – $4.64 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $54.00 | $54.00 | $3.09 – $7.79 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $483.00 | $483.00 | $19.35 – $32.23 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $290.00 | $290.00 | $8.45 – $14.08 | 17 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $12.78 – $16.92 | 16 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $103.22 – $263.00 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $83.74 – $205.70 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,043.00 | $1,043.00 | $90.51 – $116.08 | 16 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $71.03 – $90.54 | 16 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $182.03 – $182.03 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.92 – $7.66 | 16 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $387.00 | $387.00 | $0.07 – $0.19 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $4.92 – $17.73 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $10.93 – $30.02 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.74 – $0.74 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $357.00 | $357.00 | $4.15 – $25.36 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $16,992.00 | $16,992.00 | $4,223.29 – $13,692.52 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $477.00 | $477.00 | $11.56 – $19.26 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $504.00 | $504.00 | $72.89 – $151.26 | 4 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.08 – $0.08 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $2.44 – $8.10 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $607.51 – $1,985.46 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $3.76 – $3.76 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $92.00 | $92.00 | $0.56 – $1.88 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $48.68 – $48.68 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $3.26 – $22.29 | 4 |
| Disaccharidases CPT 82657 | not published | not published | $19.29 – $32.15 | 17 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $296.77 – $3,947.38 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $67.22 – $76.71 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $404.55 | 14 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $398.50 | 14 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $198.65 | 14 |
| Dna antibody native/double stranded CPT 86225 | $261.00 | $261.00 | $11.96 – $19.92 | 17 |
| Dna gardnerella CPT 87510 | not published | not published | $17.45 – $29.07 | 17 |
| Dna probe chlamydia CPT 87490 | $358.00 | $358.00 | $19.80 – $32.99 | 17 |
| Dna probe gc CPT 87590 | not published | not published | $23.39 – $38.98 | 17 |
| Dna trichomonas CPT 87660 | not published | not published | $17.45 – $29.07 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $2,082.00 | $2,082.00 | $6.93 – $21.25 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.52 – $1.72 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $43.88 – $131.86 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $9.73 – $9.73 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $151.37 – $151.37 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $923.00 | $923.00 | $0.60 – $2.12 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $45.55 – $146.17 | 4 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $204.12 – $655.72 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.68 – $7.37 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $127.85 – $275.63 | 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.