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 |
|---|---|---|---|---|
| Lipoprotein blood quant CPT 83704 | $544.00 | $544.00 | $29.75 – $49.58 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $545.00 | $545.00 | $7.12 – $11.88 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.14 – $15.22 | 17 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $29.75 – $49.58 | 17 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $438,975.70 – $1,489,833.29 | 4 |
| Listeria monocytogenes CPT 86723 | $36.00 | $36.00 | $11.47 – $19.13 | 17 |
| Lithium therapeutic drug level CPT 80178 | $208.00 | $208.00 | $5.75 – $9.58 | 17 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $153.32 – $255.48 | 17 |
| Liver elastography 91200 CPT 91200 | not published | not published | $313.99 – $313.99 | 1 |
| Liver Function Test CPT 80076 | $814.00 | $814.00 | $7.11 – $11.85 | 17 |
| Liver imaging CPT 78201 | not published | not published | $101.73 – $1,101.15 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $118.70 – $1,101.15 | 2 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $117.07 – $848.52 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $136.22 – $848.52 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.79 – $2.76 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $180.20 – $586.23 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.33 – $3.74 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $65.47 – $82.41 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $8,737.00 | $8,737.00 | $301.59 – $401.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,999.00 | $4,999.00 | $289.40 – $828.27 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $7,559.00 | $7,559.00 | $239.37 – $245.18 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $17,753.00 | $17,753.00 | $544.47 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $12,309.00 | $12,309.00 | $424.35 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $10,641.00 | $10,641.00 | $353.50 – $517.79 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,041.00 | $1,041.00 | $55.41 – $245.18 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $390.84 – $418.20 | 13 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $42.14 – $42.14 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $70.47 – $88.70 | 16 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $939.82 – $1,183.07 | 16 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $136.03 – $171.23 | 16 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $240.86 – $303.21 | 16 |
| L/s ratio fetal lung CPT 83661 | $552.00 | $552.00 | $19.13 – $31.89 | 17 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $209.36 – $3,947.38 | 2 |
| Lumizyme injection HCPCS J0221 | not published | not published | $171.33 – $549.58 | 4 |
| Lung perfusion imaging CPT 78580 | $2,902.00 | $2,902.00 | $174.06 – $848.52 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $174.28 – $558.57 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $35.05 – $113.34 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $850.04 – $850.04 | 1 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $687.20 – $687.20 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.45 – $29.07 | 17 |
| Lymphatics/lymph node imaging CPT 78195 | $4,866.00 | $4,866.00 | $275.59 – $1,101.15 | 2 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $31.82 – $53.01 | 17 |
| Lymphocyte transformation mitogen CPT 86353 | $984.00 | $984.00 | $42.67 – $71.09 | 17 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $164.92 – $274.79 | 17 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $41.41 – $69.01 | 17 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $223.73 – $1,218.65 | 2 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $278.99 – $3,163.82 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $194.58 – $6,438.74 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $262.28 – $6,438.74 | 2 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $13.03 – $40.02 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $45.33 | 2 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.71 – $6.19 | 17 |
| Macroscopic exam parasite CPT 87169 | $513.00 | $513.00 | $3.75 – $6.25 | 17 |
| Magnesium CPT 83735 | not published | not published | $5.83 – $9.71 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.42 – $1.09 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $379.50 – $517.79 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $11.47 – $19.13 | 17 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $1.92 – $2.19 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $3.13 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.41 – $7.35 | 17 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $41.25 – $142.44 | 4 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $151.17 – $190.30 | 16 |
| Mastoids complete CPT 70130 | not published | not published | $82.79 – $245.18 | 2 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $73.40 – $336.92 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,801.68 – $6,801.68 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $18.27 – $336.92 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $30.54 – $50.88 | 17 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $23.75 – $39.57 | 17 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $37.28 – $62.12 | 17 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $536.00 | $536.00 | $12.58 – $20.97 | 17 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $13.33 – $22.21 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $13.33 – $22.21 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $137.00 | $137.00 | $33.57 – $55.93 | 17 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $12.86 – $21.43 | 17 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $11.70 – $19.49 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $13.12 – $21.87 | 17 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $522.00 | $522.00 | $121.63 – $176.36 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,152.00 | $1,152.00 | $91.66 – $132.91 | 14 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $198.65 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,160.00 – $1,682.00 | 14 |
| Mayo androstenedione CPT 82157 | $1,256.00 | $1,256.00 | $25.48 – $42.46 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $276.00 | $276.00 | $12.71 – $21.17 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $326.00 | $326.00 | $9.41 – $15.67 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $13.10 – $21.82 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $77.00 | $77.00 | $26.85 – $44.75 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $30.54 – $50.88 | 17 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $8.86 – $14.76 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $931.00 | $931.00 | $144.84 – $210.02 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $311.20 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $326.00 | $326.00 | $11.23 – $18.70 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $11.47 – $19.13 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $7.77 – $12.95 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $34.00 | $34.00 | $11.83 – $19.72 | 17 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $491.00 | $491.00 | $14.68 – $24.46 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $23.31 – $38.83 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $106.36 – $177.22 | 17 |
| Mayo ceruloplasmin CPT 82390 | $211.00 | $211.00 | $9.35 – $15.57 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $12.29 – $20.47 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $11.21 – $18.68 | 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.