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 |
|---|---|---|---|---|
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.71 – $17.85 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.56 – $14.27 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.51 – $10.85 | 17 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $39.99 – $50.66 | 16 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $84.90 – $108.67 | 16 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $59.89 – $75.38 | 16 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.35 – $10.58 | 17 |
| Ghs urine, hydroxproline total CPT 83505 | $456.00 | $456.00 | $21.15 – $35.23 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $414.00 | $414.00 | $12.80 – $21.33 | 17 |
| Giardia ag if CPT 87269 | not published | not published | $11.84 – $19.73 | 17 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $12.81 – $21.34 | 17 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $222.61 – $517.79 | 2 |
| Gi inhouse confirmation CPT 87045 | $617.00 | $617.00 | $8.21 – $13.69 | 17 |
| Gi protein loss CPT 78282 | not published | not published | $77.51 – $848.52 | 2 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $146.62 | 14 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $89.20 | 14 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $50.75 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $4.63 – $15.08 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,299.00 | $1,299.00 | $162.15 – $436.88 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $127.87 – $379.61 | 4 |
| Glucagon plasma - sendout CPT 82943 | $1,332.00 | $1,332.00 | $12.44 – $20.72 | 17 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.09 – $66.80 | 17 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $43.95 – $73.22 | 17 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.46 – $25.77 | 17 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.13 – $6.89 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.26 – $8.77 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.86 – $4.76 | 17 |
| Glucose blood quantitative CPT 82947 | $301.00 | $301.00 | $3.42 – $5.70 | 17 |
| Glucose body fluid CPT 82945 | $261.00 | $261.00 | $3.42 – $5.70 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $11.20 – $18.66 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $63.00 | $63.00 | $3.41 – $5.68 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.43 – $1.01 | 4 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $36.28 – $36.28 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.15 – $30.82 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $396.00 | $396.00 | $16.17 – $26.94 | 17 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $129.15 – $215.19 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $343.00 | $343.00 | $16.12 – $26.85 | 17 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $599.37 – $2,060.38 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $25.81 – $336.92 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $336.92 – $1,024.29 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $54.08 – $336.92 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $336.92 – $336.92 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $5,293.38 – $5,293.38 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $55.60 – $336.92 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $89.64 – $336.92 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $115.91 – $336.92 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $44.02 – $336.92 | 4 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $336.92 – $336.92 | 1 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $336.92 – $336.92 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $336.92 – $336.92 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $31.88 – $336.92 | 4 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $156.48 – $156.48 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.22 – $0.40 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.27 – $15.27 | 13 |
| Group train without patient HCPCS G0543 | not published | not published | $7.40 – $8.45 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.69 – $22.82 | 17 |
| Growth hormone panel CPT 80428 | not published | not published | $58.05 – $96.72 | 17 |
| Growth hormone panel CPT 80430 | not published | not published | $112.55 – $187.53 | 17 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $109.62 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $204.43 – $4,034.23 | 2 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $7.18 | 14 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $337.00 | $337.00 | $3.92 – $10.44 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $225.00 | $225.00 | $0.66 – $1.93 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $31.50 | 2 |
| Hand X-ray CPT 73130 | not published | not published | $44.95 – $182.03 | 2 |
| Haptoglobin quantitative CPT 83010 | $357.00 | $357.00 | $10.95 – $18.24 | 17 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $870.00 | 14 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $293.48 | 14 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $544.11 | 14 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $470.64 | 14 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $253.47 | 14 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $293.48 | 14 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $544.11 | 14 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.45 – $14.08 | 17 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $277.21 – $401.74 | 2 |
| Hcg free betachain test CPT 84704 | not published | not published | $13.30 – $22.17 | 17 |
| Hcg qualitative CPT 84703 | $515.00 | $515.00 | $6.54 – $10.90 | 17 |
| Hcg quantitative CPT 84702 | not published | not published | $13.10 – $21.82 | 17 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $357.10 – $407.52 | 3 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $538.00 | $538.00 | $258.45 – $258.45 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $230.64 – $1,101.15 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $848.52 – $848.52 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $118.85 – $848.52 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $219.36 – $1,101.15 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $365.94 – $2,938.37 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $530.40 – $530.40 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $1,037.18 – $1,037.18 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $1,460.97 – $1,460.97 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $285.08 – $285.08 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $383.92 – $383.92 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $7,793.00 | $7,793.00 | $301.59 – $401.74 | 2 |
| Head CT scan (with contrast) CPT 70460 | $6,789.00 | $6,789.00 | $268.53 – $401.74 | 2 |
| Head CT scan (without contrast) CPT 70450 | $5,902.00 | $5,902.00 | $203.26 – $245.18 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $985.38 | 14 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $2,356.25 | 14 |
| Heart first pass add-on CPT 78496 | not published | not published | $104.22 – $104.22 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $347.81 – $1,101.15 | 2 |
| Heart image spect CPT 78494 | not published | not published | $281.58 – $848.52 | 2 |
| Heart infarct image CPT 78466 | not published | not published | $162.32 – $848.52 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $190.21 – $1,101.15 | 2 |
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.