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 |
|---|---|---|---|---|
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.07 – $8.45 | 17 |
| Potassium serum/plasma/whole blood CPT 84132 | $181.00 | $181.00 | $4.14 – $6.90 | 17 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $198.65 | 14 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $196.61 – $196.61 | 1 |
| Pq dr cath chg w cont s&i CPT 75984 | not published | not published | $190.31 – $190.31 | 1 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $317.70 – $1,040.71 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $275.71 – $275.71 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $99.78 – $106.76 | 13 |
| Prealbumin CPT 84134 | $276.00 | $276.00 | $12.70 – $21.16 | 17 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $12.53 – $14.30 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $46.00 | $46.00 | $0.41 – $2.44 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $13.10 – $21.82 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $2,101.00 | $2,101.00 | $243.54 – $245.18 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,483.00 | $1,483.00 | $239.93 – $245.18 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $67.29 – $76.79 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $280.90 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $393.00 | $393.00 | $149.16 – $842.01 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $136.00 | $136.00 | $33.84 – $191.03 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $393.00 | $393.00 | $149.16 – $842.01 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $136.00 | $136.00 | $33.84 – $191.03 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $393.00 | $393.00 | $291.26 – $1,644.16 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $16.13 – $18.41 | 3 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $32.57 – $37.17 | 3 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $48.70 – $55.58 | 3 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $65.66 – $74.93 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $437.00 | $437.00 | $241.69 – $913.00 | 4 |
| Procalcitonin CPT 84145 | $1,017.00 | $1,017.00 | $23.69 – $39.47 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $93.00 | $93.00 | $2.48 – $6.68 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $2.07 – $2.07 | 1 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $115.54 – $336.92 | 4 |
| Progesterone CPT 84144 | $328.00 | $328.00 | $18.16 – $30.25 | 17 |
| Prolactin CPT 84146 | $357.00 | $357.00 | $16.86 – $28.10 | 17 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $20.51 – $23.41 | 3 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.77 – $0.77 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.81 – $10.52 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.08 – $0.24 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $170.00 | $170.00 | $29.12 – $29.12 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $291.26 – $1,644.16 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.19 – $4.16 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $38.02 | 14 |
| Protein c activity CPT 85303 | not published | not published | $12.04 – $20.07 | 17 |
| Protein c concentrate HCPCS J2724 | not published | not published | $12.77 – $39.78 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $491.00 | $491.00 | $9.35 – $15.57 | 17 |
| Protein s total CPT 85305 | $326.00 | $326.00 | $10.11 – $16.83 | 17 |
| Protein total 24 hour urine CPT 84156 | $380.00 | $380.00 | $3.20 – $5.32 | 17 |
| Protein total body fluid CPT 84157 | not published | not published | $3.48 – $5.80 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $380.00 | $380.00 | $3.20 – $5.32 | 17 |
| Protein western blot tissue CPT 88371 | not published | not published | $22.23 – $32.23 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $5.54 – $5.54 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $435.00 | $435.00 | $3.43 – $5.71 | 17 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.47 – $14.12 | 17 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $85.39 – $91.37 | 13 |
| PSA (Prostate) Test CPT 84153 | $343.00 | $343.00 | $16.01 – $26.67 | 17 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $11.96 – $13.65 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $523.00 | $523.00 | $15.76 – $17.98 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $11.68 – $13.33 | 16 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $11.96 – $13.65 | 16 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $435.00 | 14 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $870.00 | 14 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $67.57 | 14 |
| Pt evaluation high complexity patient/family CPT 97163 | $1,405.00 | $1,405.00 | $82.48 – $94.13 | 16 |
| Pt evaluation low complexity patient/family CPT 97161 | $1,164.00 | $1,164.00 | $82.48 – $94.13 | 16 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $1,306.00 | $1,306.00 | $82.48 – $94.13 | 16 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $16.67 – $19.02 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $290.00 | $290.00 | $56.89 – $64.92 | 16 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $34.54 – $39.42 | 16 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $415.00 | $415.00 | $10.30 – $11.76 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $24.24 – $27.66 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $335.00 | $335.00 | $25.00 – $28.53 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $25.87 – $29.53 | 16 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $7,975.00 | 14 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $115.24 – $848.52 | 2 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $85.14 – $336.92 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $62.51 – $336.92 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $112.00 | $112.00 | $10.68 – $41.23 | 4 |
| Pyruvate CPT 84210 | not published | not published | $12.60 – $21.00 | 17 |
| Pyruvate kinase CPT 84220 | $549.00 | $549.00 | $8.21 – $13.69 | 17 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $35.60 – $35.60 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $13,284.00 | $13,284.00 | $194.73 – $1,101.15 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $170.81 – $848.52 | 2 |
| Quest t3 uptake CPT 84479 | $414.00 | $414.00 | $5.63 – $9.38 | 17 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $312.46 – $312.46 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $933.97 – $933.97 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $204.98 – $636.34 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $246.42 – $741.87 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $627.68 – $627.68 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $170.15 – $170.15 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $75.34 – $553.56 | 4 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $91.57 – $91.57 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $203.31 – $203.31 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $312.61 – $312.61 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $133.58 – $1,013.72 | 4 |
| Radiesse injection HCPCS Q2026 | not published | not published | $925.35 – $925.35 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $2,180.26 – $2,180.26 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $139.48 – $455.59 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $4,035.00 | $4,035.00 | $184.32 – $2,938.37 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,743.00 | $4,743.00 | $232.62 – $2,938.37 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $417.34 – $2,938.37 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $5,532.00 | $5,532.00 | $253.59 – $2,938.37 | 2 |
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.