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 |
|---|---|---|---|---|
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $78.14 – $98.37 | 16 |
| Immune complex assay CPT 86332 | not published | not published | $21.21 – $35.34 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $38.36 – $125.32 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $499.00 | $499.00 | $68.86 – $209.06 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $40.85 – $125.58 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $316.60 – $316.60 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $396.00 | $396.00 | $18.11 – $30.17 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $396.00 | $396.00 | $18.11 – $30.17 | 17 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.25 – $37.08 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $10.43 – $17.37 | 17 |
| Immunodiffusion nes CPT 86329 | not published | not published | $12.22 – $20.37 | 17 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $43.38 – $43.38 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $664.00 | $664.00 | $19.44 – $32.39 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $1,031.00 | $1,031.00 | $81.30 – $458.94 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $291.26 – $1,644.16 | 2 |
| Immunoglobulin assay CPT 86023 | not published | not published | $10.85 – $18.07 | 17 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $71.42 – $81.50 | 3 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $791.66 – $791.66 | 1 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $36.67 – $114.56 | 4 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $12,713.03 – $12,713.03 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $2,923.45 – $2,923.45 | 1 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $4,585.27 – $4,585.27 | 1 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $10,893.22 – $10,893.22 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $5,862.00 | $5,862.00 | $2,203.37 – $2,203.37 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $6,684.00 | $6,684.00 | $1,975.89 – $1,975.89 | 1 |
| In-111 pentetreotide HCPCS A9572 | $10,838.00 | $10,838.00 | $5,302.49 – $5,302.49 | 1 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $4,442.43 – $4,442.43 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $810.13 – $810.13 | 1 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $4.53 – $13.91 | 4 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $24.65 – $24.65 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $75.11 | 13 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $113.43 – $189.01 | 17 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $13.06 – $21.75 | 17 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $12.30 – $20.49 | 17 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $224.04 – $373.30 | 17 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $224.04 – $373.30 | 17 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $1,049.00 | $1,049.00 | $112.02 – $186.66 | 17 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $3,114.00 | $3,114.00 | $224.04 – $373.30 | 17 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $98.00 | $98.00 | $28.52 – $47.52 | 17 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $30.71 – $51.17 | 17 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $14.40 – $24.00 | 17 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $10.43 – $17.37 | 17 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $15.98 – $26.62 | 17 |
| Infect ag if influenza a CPT 87276 | not published | not published | $13.98 – $23.30 | 17 |
| Infect ag if influenza b CPT 87275 | not published | not published | $10.66 – $17.76 | 17 |
| Infect ag if legionella pneumophila CPT 87278 | $1,247.00 | $1,247.00 | $13.57 – $22.62 | 17 |
| Infect ag if nos ea CPT 87299 | not published | not published | $14.01 – $23.35 | 17 |
| Infect ag if pneumocystis carinii CPT 87281 | $600.00 | $600.00 | $10.43 – $17.37 | 17 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $11.68 – $19.46 | 17 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $46.53 – $77.53 | 17 |
| Infect ag na hep b amp CPT 87516 | $1,104.00 | $1,104.00 | $30.54 – $50.88 | 17 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $37.28 – $62.12 | 17 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $30.54 – $50.88 | 17 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $83.37 – $138.91 | 17 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $44.65 – $74.40 | 17 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $113.00 | $113.00 | $51.17 – $65.00 | 16 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,348.00 | $1,348.00 | $362.69 – $604.33 | 17 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $425.25 – $708.56 | 17 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $22.69 – $37.80 | 17 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $152.47 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $255.00 | $255.00 | $10.43 – $17.37 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $11.68 – $19.46 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $35.00 | $35.00 | $12.03 – $20.04 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $230.00 | $230.00 | $10.43 – $17.37 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $1,198.00 | $1,198.00 | $12.51 – $20.85 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $208.00 | $208.00 | $8.99 – $14.98 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $8.99 – $14.98 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $20.95 – $34.92 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $10.43 – $17.37 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $300.00 | $300.00 | $10.43 – $17.37 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $240.00 | $240.00 | $10.43 – $17.37 | 17 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $387.00 | $387.00 | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $32.44 – $54.04 | 17 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,042.00 | $1,042.00 | $362.69 – $604.33 | 17 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $1,535.00 | $1,535.00 | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $778.00 | $778.00 | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $1,421.00 | $1,421.00 | $36.27 – $60.44 | 17 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $358.00 | $358.00 | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $76.00 | $76.00 | $44.65 – $74.40 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $124.12 – $206.81 | 17 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $124.12 – $206.81 | 17 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $38.00 | $38.00 | $30.54 – $50.88 | 17 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $176.00 | $176.00 | $70.18 – $75.09 | 13 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $192.00 | $192.00 | $76.77 – $82.14 | 13 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $727.35 | 13 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $561.00 | $561.00 | $362.69 – $604.33 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $111.64 – $186.02 | 17 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $228.86 – $381.34 | 17 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $37.28 – $62.12 | 17 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $2,381.00 | $2,381.00 | $37.28 – $62.12 | 17 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $1,179.00 | $1,179.00 | $37.28 – $62.12 | 17 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,573.00 | $1,573.00 | $74.06 – $123.39 | 17 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $124.12 – $206.81 | 17 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $25.94 – $85.91 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $16.79 – $63.10 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $13.52 – $64.18 | 4 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $25.43 – $42.37 | 17 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $70.97 – $260.12 | 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.