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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $360.00 | $360.00 | $0.10 – $0.27 | 4 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $253.47 | 14 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $42.91 – $336.92 | 4 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.26 – $3.58 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $183.00 | $183.00 | $7.28 – $19.03 | 4 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $10.65 – $336.92 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $10.21 – $336.92 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $7.73 – $336.92 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $42.32 – $336.92 | 4 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $336.92 – $336.92 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $33.57 – $55.93 | 17 |
| Drug assay posaconazole CPT 80187 | not published | not published | $23.60 – $39.31 | 17 |
| Drug assay rufinamide CPT 80210 | not published | not published | $23.60 – $39.31 | 17 |
| Drug assay vedolizumab CPT 80280 | $97.00 | $97.00 | $33.57 – $55.93 | 17 |
| Drug assay voriconazole CPT 80285 | not published | not published | $23.60 – $39.31 | 17 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.22 – $27.03 | 17 |
| Drug of abuse screen urine CPT 80305 | $931.00 | $931.00 | $10.96 – $18.27 | 17 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $23.60 – $39.31 | 17 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $172.95 – $288.17 | 17 |
| Drug test def 1-7 classes HCPCS G0480 | $1,009.00 | $1,009.00 | $99.58 – $165.92 | 17 |
| Drug test def 22+ classes HCPCS G0483 | $903.00 | $903.00 | $214.88 – $358.03 | 17 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $136.27 – $227.06 | 17 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $90.10 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $931.00 | $931.00 | $14.92 – $24.85 | 17 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $931.00 | $931.00 | $54.08 – $90.10 | 17 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $15.65 – $26.07 | 17 |
| Ductogram sgl duct CPT 77053 | not published | not published | $86.19 – $517.79 | 2 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $336.92 – $336.92 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $71.29 – $228.62 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $74.10 – $245.18 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $479.94 – $1,536.34 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $116.14 – $132.53 | 3 |
| Ecg/review interpret only CPT 93272 | not published | not published | $16.44 – $18.76 | 3 |
| Echo exam of eye CPT 76516 | not published | not published | $117.02 – $245.18 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $157.30 – $245.18 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $167.40 – $182.03 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $21.18 – $55.51 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $408.71 – $1,086.50 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $204.43 – $517.79 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $142.01 – $245.18 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $122.25 – $245.18 | 2 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $179.64 – $517.79 | 2 |
| Echograp trans r pros study CPT 76873 | not published | not published | $245.18 – $395.35 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $154.76 – $154.76 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $84.36 – $84.36 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $474.58 – $595.01 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $177.41 – $177.41 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $332.12 – $332.12 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $166.08 – $166.08 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $166.08 – $166.08 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $11.02 – $18.36 | 17 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $38.09 – $119.33 | 4 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $5,491.03 – $16,455.65 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.87 – $0.87 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $17.99 – $28.82 | 16 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $74.71 – $119.44 | 16 |
| E equine encephalitis igg CPT 86652 | $414.00 | $414.00 | $11.47 – $19.13 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $27.52 – $85.38 | 4 |
| Egfr gene com variants CPT 81235 | $1,698.00 | $1,698.00 | $324.58 – $470.64 | 14 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $829.00 | $829.00 | $30.54 – $50.88 | 17 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $17.03 – $28.38 | 17 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $9.85 – $11.24 | 3 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $9.49 – $10.83 | 16 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $69.64 – $98.90 | 16 |
| Electrolyte panel CPT 80051 | $545.00 | $545.00 | $6.10 – $10.16 | 17 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $8.63 – $11.18 | 16 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $656.15 – $3,703.97 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $15.92 – $26.52 | 17 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $30.58 – $30.58 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $249.85 – $826.64 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $6.57 – $21.31 | 4 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $155.53 – $499.58 | 4 |
| Embolization s&i CPT 75894 | not published | not published | $647.17 – $647.17 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $149.16 – $842.01 | 2 |
| Encephalitis, california igg/igm CPT 86651 | $414.00 | $414.00 | $11.47 – $19.13 | 17 |
| Encephalitis, st louis igg/igm CPT 86653 | $414.00 | $414.00 | $11.47 – $19.13 | 17 |
| Encephalitis, western equine igg/igm CPT 86654 | $414.00 | $414.00 | $11.47 – $19.13 | 17 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $99.93 | 14 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $124.94 – $124.94 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $126.77 – $126.77 | 1 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $29.59 – $33.77 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $162.09 – $210.34 | 16 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $31.14 – $97.31 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.87 – $0.87 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.44 – $1.40 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $10.43 – $17.37 | 17 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $13.92 – $23.20 | 17 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $11.68 – $19.46 | 17 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $38.32 – $63.84 | 17 |
| Enzyme histochemistry CPT 88319 | not published | not published | $656.15 – $3,703.97 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $46.63 – $150.55 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $3,550.41 | 14 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $7.95 – $7.95 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $3.66 – $3.66 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.14 – $1.14 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $2.94 – $2.94 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.38 – $5.22 | 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.