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 |
|---|---|---|---|---|
| Mayo selenium CPT 84255 | $275.00 | $275.00 | $22.22 – $37.02 | 17 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $13.49 – $22.47 | 17 |
| Mayo serotonin CPT 84260 | $391.00 | $391.00 | $26.96 – $44.92 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $16.84 – $28.06 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $418.00 | $418.00 | $11.95 – $19.91 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $861.00 | $861.00 | $92.03 – $98.47 | 13 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $3.71 – $6.19 | 17 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $137.94 | 13 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $302.93 | 14 |
| Mayo tgrp testosterone free CPT 84402 | $478.00 | $478.00 | $22.17 – $36.93 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $483.00 | $483.00 | $22.46 – $37.42 | 17 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $323.00 | $323.00 | $19.29 – $32.15 | 17 |
| Mayo thyroglobulin CPT 84432 | $418.00 | $418.00 | $13.97 – $23.29 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $8.86 – $14.76 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $10.78 – $17.97 | 17 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $353.00 | $353.00 | $44.63 – $74.36 | 17 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $794.00 | $794.00 | $12.32 – $20.53 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $11.78 – $19.63 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $1,667.00 | $1,667.00 | $30.74 – $51.23 | 17 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $300.00 | $300.00 | $17.61 – $29.35 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $14.85 – $24.74 | 17 |
| Mayo vitamin k CPT 84597 | $856.00 | $856.00 | $11.94 – $19.89 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $337.00 | $337.00 | $11.53 – $19.21 | 17 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $57.00 | 14 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $6.00 – $6.85 | 3 |
| Md service required for pmd HCPCS G0372 | not published | not published | $6.00 – $6.85 | 3 |
| Mecasermin injection HCPCS J2170 | not published | not published | $1,226.92 – $1,226.92 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $346.96 – $346.96 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $217.50 | 14 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $765.41 | 14 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $174.00 | 14 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $285.46 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $1.27 – $1.27 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $12.40 – $12.40 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $223.49 – $336.92 | 4 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $116.01 – $336.92 | 4 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $22.36 – $90.37 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $154.85 – $336.92 | 4 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $221,874.56 – $221,874.56 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $143.58 – $336.92 | 4 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $61.05 – $336.92 | 4 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $53.80 – $336.92 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $207.91 – $800.51 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $8.62 – $21.60 | 4 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $20.35 – $20.35 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $25.96 – $84.51 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.37 – $1.01 | 4 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $336.92 – $336.92 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.16 – $4.51 | 4 |
| Metabolic Blood Panel (Basic) CPT 80048 | $681.00 | $681.00 | $7.36 – $12.27 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $1,250.00 | $1,250.00 | $9.19 – $15.31 | 17 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $11.95 – $19.91 | 17 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.39 – $5.04 | 4 |
| Methadone injection HCPCS J1230 | not published | not published | $17.77 – $46.91 | 4 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.41 – $12.03 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $112.00 | $112.00 | $0.17 – $0.40 | 4 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $2.19 – $6.84 | 4 |
| Methotrexate therapeutic drug level CPT 80204 | $261.00 | $261.00 | $33.57 – $55.93 | 17 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $25.68 – $25.68 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $26.00 – $26.00 | 1 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $140.00 | $140.00 | $18.10 – $56.60 | 4 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $5.57 – $5.57 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $36.00 | $36.00 | $0.20 – $0.37 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.09 – $0.32 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.21 – $0.69 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $85.00 | $85.00 | $0.96 – $2.86 | 4 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $203.00 | $203.00 | $0.32 – $0.32 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $449.00 | $449.00 | $0.03 – $0.08 | 4 |
| Metyrapone panel CPT 80436 | not published | not published | $79.33 – $132.18 | 17 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $180.73 | 14 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.24 – $0.66 | 4 |
| Microalbumin urine screen CPT 82044 | not published | not published | $5.42 – $9.03 | 17 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $34.96 – $58.25 | 17 |
| Microdissection laser CPT 88380 | not published | not published | $78.86 – $445.16 | 2 |
| Microdissection manual CPT 88381 | $2,217.00 | $2,217.00 | $180.05 – $1,016.38 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $19.57 – $32.60 | 17 |
| Microsatellite instability CPT 81301 | $1,141.00 | $1,141.00 | $348.56 – $505.41 | 14 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.11 – $0.37 | 4 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $122.00 | $122.00 | $0.14 – $0.48 | 4 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $173.04 – $245.18 | 2 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $82.00 | $82.00 | $1.33 – $3.58 | 4 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $7.08 – $7.08 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $58.28 – $336.92 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $57.86 – $188.60 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $4,819.80 | 14 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $21.76 – $69.17 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $266.05 – $858.36 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $23.54 – $81.83 | 4 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $278.86 | 14 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $293.48 | 14 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $979.33 | 14 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $331.00 – $479.95 | 14 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.63 – $22.40 | 16 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.93 – $5.63 | 16 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $182.03 – $309.01 | 2 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $26.65 – $28.52 | 13 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $54.71 | 17 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.14 – $17.73 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $9.65 – $30.08 | 4 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $564.09 – $1,496.64 | 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.