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 |
|---|---|---|---|---|
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $58.56 – $517.79 | 2 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.02 – $0.05 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $398.50 | 14 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $198.65 | 14 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $398.50 | 14 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $268.54 | 14 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $84.81 | 14 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $870.00 | 14 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $253.47 | 14 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $544.11 | 14 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $268.00 | $268.00 | $60.18 – $60.18 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $131.52 – $131.52 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.22 – $0.74 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.27 – $3.87 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.10 – $0.27 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,011.00 | $1,011.00 | $12.50 – $39.09 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $1,084.00 | $1,084.00 | $18.33 – $30.55 | 17 |
| Galactokinase - sendout CPT 82759 | not published | not published | $18.69 – $31.15 | 17 |
| Galactose transferase test CPT 82776 | not published | not published | $10.22 – $17.02 | 17 |
| Galectin-3 CPT 82777 | not published | not published | $38.50 – $64.16 | 17 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $9.57 – $9.57 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $963.28 – $963.28 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $1,457.84 – $1,457.84 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,268.08 – $1,268.08 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $960.63 – $960.63 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $412.15 – $1,361.73 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $276.98 – $474.18 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $41.56 – $132.29 | 4 |
| Gammaglobulin iga CPT 82784 | not published | not published | $8.09 – $13.49 | 17 |
| Gammaglobulin ige CPT 82785 | $310.00 | $310.00 | $14.32 – $23.87 | 17 |
| Gamma glutamyltransferase CPT 82977 | $435.00 | $435.00 | $6.26 – $10.44 | 17 |
| Gammagraft HCPCS Q4111 | not published | not published | $6.46 – $336.92 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $48.86 – $169.41 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $41.10 – $130.06 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $27.28 – $88.83 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.54 – $50.88 | 17 |
| Gardner vag dna quant CPT 87512 | not published | not published | $36.34 – $60.55 | 17 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.84 – $9.73 | 17 |
| Gastric emptying imag study CPT 78265 | not published | not published | $230.99 – $848.52 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $245.11 – $1,101.15 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $138.00 – $848.52 | 2 |
| Gastrin test CPT 82938 | not published | not published | $15.39 – $25.65 | 17 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $161.92 – $848.52 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $35.14 – $40.10 | 3 |
| Gated heart multiple CPT 78473 | not published | not published | $350.91 – $848.52 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $68.51 | 14 |
| Gefitinib oral HCPCS J8565 | not published | not published | $771.15 – $771.15 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $457.71 – $1,399.33 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.50 – $1.78 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.53 – $9.51 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $198.15 – $636.45 | 4 |
| General health panel CPT 80050 | $1,535.00 | $1,535.00 | $45.36 – $256.06 | 5 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $3,550.41 | 14 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,034.29 – $3,389.59 | 17 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,378.30 – $7,295.24 | 17 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,358.28 – $3,929.43 | 17 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.10 – $5.75 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $14.25 – $23.75 | 17 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.36 – $12.61 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.53 – $14.22 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $14.89 – $24.81 | 17 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | not published | not published | $102.26 – $148.28 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $12.52 – $20.87 | 17 |
| Ghs bleeding time (ivy) CPT 85002 | $403.00 | $403.00 | $4.19 – $6.99 | 17 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $438.00 | $438.00 | $30.54 – $50.88 | 17 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $31.70 – $33.92 | 13 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $690.00 | $690.00 | $13.23 – $22.05 | 17 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.22 – $7.03 | 17 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.08 – $10.12 | 17 |
| Ghs fish cytogen CPT 88271 | not published | not published | $18.64 – $31.06 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $44.55 – $74.23 | 17 |
| Ghs hcv amplificaiton CPT 87521 | $1,060.00 | $1,060.00 | $30.54 – $50.88 | 17 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $19.99 – $33.31 | 17 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $814.00 | $814.00 | $13.48 – $22.46 | 17 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.24 – $13.73 | 17 |
| Ghs histoplasma antigen CPT 87385 | $1,157.00 | $1,157.00 | $11.53 – $19.21 | 17 |
| Ghs HIV antibody CPT 86703 | $317.00 | $317.00 | $11.93 – $19.88 | 17 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $92.37 – $153.90 | 17 |
| Ghs immun0electrophoresis CPT 86320 | $899.00 | $899.00 | $26.04 – $43.38 | 17 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $11.20 – $18.66 | 17 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $229.00 | $229.00 | $7.48 – $12.47 | 17 |
| Ghs mbp CPT 83873 | $438.00 | $438.00 | $14.97 – $24.94 | 17 |
| Ghs o2 saturation CPT 82810 | not published | not published | $8.50 – $14.17 | 17 |
| Ghs ot dds rom CPT 95851 | not published | not published | $19.76 – $27.40 | 16 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $18.45 – $23.23 | 16 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $34.00 – $42.71 | 16 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $50.77 – $57.94 | 16 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $124.08 | 2 |
| Ghs phenylketonurid CPT 84030 | $306.00 | $306.00 | $4.79 – $7.97 | 17 |
| Ghs plt ct-manual CPT 85032 | $308.00 | $308.00 | $3.75 – $6.25 | 17 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $24.67 – $139.26 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $181.00 | $181.00 | $8.41 – $14.01 | 17 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.88 – $8.13 | 17 |
| Ghs protoporphyrins fract CPT 84202 | $491.00 | $491.00 | $12.49 – $20.81 | 17 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $10.66 – $17.76 | 17 |
| Ghs quinidine CPT 80194 | $276.00 | $276.00 | $12.71 – $21.17 | 17 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $13.83 – $23.04 | 17 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.75 – $6.25 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $341.00 | $341.00 | $12.10 – $20.17 | 17 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.71 – $6.19 | 17 |
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.