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 |
|---|---|---|---|---|
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $92.74 | 14 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $217.98 | 14 |
| Mopath procedure level 5 CPT 81404 | $2,422.00 | $2,422.00 | $274.83 – $398.50 | 14 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $436.96 | 14 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $410.18 | 14 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,227.09 | 14 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $2,900.00 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.94 – $8.06 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.64 – $17.94 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $8.35 – $35.78 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $842.01 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $946.00 | $946.00 | $291.26 – $1,644.16 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $149.16 – $842.01 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $544.82 – $1,736.76 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $265.94 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $149.16 – $842.01 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $484.57 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $149.16 – $842.01 | 2 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $217.98 | 14 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $17.45 – $29.07 | 17 |
| M.pneumon dna quant CPT 87582 | not published | not published | $263.35 – $438.80 | 17 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $237.20 – $237.20 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $208.89 – $672.82 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $205.63 – $665.75 | 5 |
| MRA chest w IV cont HCPCS C8909 | $8,001.00 | $8,001.00 | $828.27 – $828.27 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $517.79 – $517.79 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $828.27 – $828.27 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $208.34 – $668.12 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $209.96 – $672.03 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $828.27 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $517.79 – $517.79 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $425.98 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $402.21 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $828.27 – $828.27 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without cont, abd HCPCS C8901 | $11,110.00 | $11,110.00 | $517.79 – $517.79 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $11,110.00 | $11,110.00 | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $828.27 | 1 |
| Mr elastography CPT 76391 | not published | not published | $258.42 – $517.79 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $882.22 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $800.91 – $1,086.50 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $805.58 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $341.61 – $517.79 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $499.62 – $639.07 | 2 |
| MRI breast without cont bi CPT 77047 | not published | not published | $377.67 – $517.79 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $546.20 – $635.92 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $517.79 – $556.71 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $619.84 – $828.27 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $713.85 – $1,609.16 | 2 |
| MRI chest without contrast CPT 71550 | $8,001.00 | $8,001.00 | $343.29 – $517.79 | 2 |
| MRI chest without & w/contrast CPT 71552 | $16,929.00 | $16,929.00 | $535.73 – $828.27 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $410.38 – $1,609.16 | 2 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $440.91 – $440.91 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $517.79 – $716.85 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $363.30 – $363.30 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $985.48 – $985.48 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $382.96 – $828.27 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $320.74 – $517.79 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $511.81 – $828.27 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $11,182.00 | $11,182.00 | $318.91 – $517.79 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $17,024.00 | $17,024.00 | $509.98 – $828.27 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $9,198.00 | $9,198.00 | $384.73 – $828.27 | 2 |
| MRI tmj CPT 70336 | $8,001.00 | $8,001.00 | $344.91 – $517.79 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $324.34 – $517.79 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $513.59 – $828.27 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $386.56 – $828.27 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $828.27 – $828.27 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $401.74 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $828.27 – $828.27 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $828.27 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $143.18 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $178.02 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $284.12 – $284.12 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $133.65 – $143.53 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $67.00 | $67.00 | $55.10 – $59.07 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $179.29 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | $4,004.00 | $4,004.00 | $182.03 – $182.03 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $309.29 | 14 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $553.46 | 14 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $489.71 | 14 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $345.10 | 14 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $930.68 | 14 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $446.60 | 14 |
| Mthfr gene analy common variants CPT 81291 | $919.00 | $919.00 | $65.34 – $94.74 | 14 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.39 – $38.98 | 17 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $37.28 – $62.12 | 17 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.10 – $8.50 | 17 |
| Mucopolysaccharides CPT 83864 | $1,407.00 | $1,407.00 | $24.80 – $41.32 | 17 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.06 – $21.75 | 17 |
| Mumps antibody igg CPT 86735 | not published | not published | $11.36 – $18.92 | 17 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $41.98 – $69.95 | 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.