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 |
|---|---|---|---|---|
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $152.32 – $859.85 | 2 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $244.20 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $286.48 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $221.95 – $369.82 | 17 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $278.71 – $912.26 | 4 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $477.79 | 14 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $23,009.92 – $75,323.76 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $16.98 – $325.53 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $114.11 – $352.58 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $139.06 – $429.27 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $213.56 – $390.19 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $95.97 – $262.01 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $139.53 – $337.16 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,030.52 – $9,987.35 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $192.89 – $598.77 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $5,654.00 | $5,654.00 | $289.40 – $401.74 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $5,375.00 | $5,375.00 | $275.48 – $401.74 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $4,849.00 | $4,849.00 | $245.18 – $256.69 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $17,073.00 | $17,073.00 | $523.49 – $828.27 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $410.38 – $828.27 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $7,710.00 | $7,710.00 | $345.12 – $517.79 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,501.00 | $2,501.00 | $167.25 – $245.18 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,545.00 | $1,545.00 | $122.40 – $245.18 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $50.45 – $158.28 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $3.20 – $9.51 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $14.76 – $51.73 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $22.93 – $84.72 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $92.00 | $92.00 | $0.66 – $2.07 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $26.55 – $26.55 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.64 – $0.64 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $67.58 – $435.71 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.58 – $72.58 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $96.09 – $96.09 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,272.42 – $6,723.32 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $35.60 – $106.56 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $111.74 – $1,086.50 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $210.22 – $848.52 | 2 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.78 – $1.78 | 1 |
| Pertussis ag if CPT 87265 | $143.00 | $143.00 | $10.43 – $17.37 | 17 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $13.80 – $45.08 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $53.54 – $161.54 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $565.29 – $3,330.77 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $573.77 – $3,330.77 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $344.76 – $3,330.77 | 2 |
| Pet image full body CPT 78813 | not published | not published | $456.81 – $3,330.77 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $355.23 – $2,938.37 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $446.60 – $3,330.77 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $508.20 – $3,330.77 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,277.74 – $1,458.12 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $15.74 – $26.45 | 16 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $22.06 – $36.80 | 16 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $8.10 – $14.46 | 16 |
| Ph body fluid CPT 83986 | not published | not published | $3.12 – $5.19 | 17 |
| Phencyclidine (pcp) CPT 83992 | $431.00 | $431.00 | $41.52 – $234.38 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $25.02 – $77.06 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $276.00 | $276.00 | $13.31 – $22.18 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $2,714.00 | $2,714.00 | $381.90 – $1,114.48 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 4 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $258.48 – $258.48 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.44 – $1.59 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $437.00 | $437.00 | $11.53 – $19.21 | 17 |
| Phosphorus CPT 84100 | not published | not published | $4.12 – $6.87 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $105.00 | $105.00 | $5.03 – $8.38 | 17 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $280.90 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $149.16 – $842.01 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $139.26 | 2 |
| Phys review of motion tests CPT 96004 | not published | not published | $85.82 – $97.93 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.08 – $7.45 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $918.20 – $918.20 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $398.50 | 14 |
| Pinworm exam CPT 87172 | $245.00 | $245.00 | $3.71 – $6.19 | 17 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.71 – $6.19 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.95 – $2.89 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $504.28 – $840.25 | 17 |
| Placental lactogen CPT 83632 | not published | not published | $17.59 – $29.32 | 17 |
| Plasma volume multiple CPT 78111 | not published | not published | $53.63 – $2,938.37 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $39.36 – $2,938.37 | 2 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $21.68 – $36.12 | 17 |
| Platelet automated CPT 85049 | $261.00 | $261.00 | $3.90 – $6.50 | 17 |
| Platelet survival CPT 78191 | not published | not published | $122.45 – $848.52 | 2 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $422.47 | 14 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.23 – $81.25 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $300.60 | 14 |
| Pmp22 gene dup/delet CPT 81324 | $2,191.00 | $2,191.00 | $758.36 – $1,099.62 | 14 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $1,115.89 | 14 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $67.57 | 14 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $295.07 | 14 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $980.92 | 14 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $479.95 | 14 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $36.64 – $206.83 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $562.00 | $562.00 | $22.69 – $37.80 | 17 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $112.82 – $362.44 | 4 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $9.15 – $15.24 | 17 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $64,205.31 – $64,205.31 | 1 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $61.55 – $77.48 | 16 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $61.55 – $77.48 | 16 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $21.75 – $36.25 | 17 |
| Potassium 24 hour urine CPT 84133 | $181.00 | $181.00 | $4.11 – $6.86 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.18 – $0.32 | 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.