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 |
|---|---|---|---|---|
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $922.20 – $922.20 | 1 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $21.16 – $22.64 | 13 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $50.47 – $54.00 | 13 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $51.13 – $54.71 | 13 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $53.26 – $56.99 | 13 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $40.78 – $43.63 | 13 |
| Rubella antibody igg CPT 86762 | not published | not published | $12.52 – $20.87 | 17 |
| Rubeola ag if CPT 87283 | not published | not published | $52.91 – $88.16 | 17 |
| Rubeola antibody igg CPT 86765 | not published | not published | $11.21 – $18.68 | 17 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $477.79 | 14 |
| Russell viper venom diluted CPT 85613 | $1,234.00 | $1,234.00 | $8.34 – $13.89 | 17 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $798.07 – $1,329.77 | 17 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $30.43 – $98.00 | 4 |
| Safety plan interven HCPCS G0560 | not published | not published | $29.50 – $33.67 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $94.72 – $848.52 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $108.39 – $848.52 | 2 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $105.14 – $848.52 | 2 |
| Salmonella antibody CPT 86768 | not published | not published | $11.47 – $19.13 | 17 |
| Sargramostim injection HCPCS J2820 | $609.00 | $609.00 | $50.90 – $163.64 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $86.82 | 17 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $137.31 – $508.59 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $52.00 | $52.00 | $35.33 – $73.19 | 17 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $211.00 | $211.00 | $61.17 – $101.92 | 17 |
| Sbrt management CPT 77435 | not published | not published | $3,319.38 – $3,319.38 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.15 – $25.75 | 17 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $124.08 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.80 – $46.31 | 17 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $38.27 – $63.76 | 17 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.05 – $38.41 | 17 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.54 – $39.22 | 17 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $17.63 – $29.38 | 17 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $124.08 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.71 – $26.17 | 17 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $24.60 – $40.99 | 17 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $40.33 – $67.21 | 17 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $20.95 – $34.92 | 17 |
| Screening Mammogram CPT 77067 | not published | not published | $74.88 – $95.81 | 16 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $124.08 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $343.00 | $343.00 | $16.80 – $28.00 | 17 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.15 – $25.75 | 17 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.24 – $2.56 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $197.00 | $197.00 | $2.35 – $3.92 | 17 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $7,697.35 – $7,697.35 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $5.65 – $9.42 | 17 |
| Semen analysis presence/motility CPT 89321 | $513.00 | $513.00 | $10.49 – $17.47 | 17 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.49 – $12.48 | 17 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $278.40 | 14 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $3.55 – $3.55 | 1 |
| Serpina1 gene CPT 81332 | $855.00 | $855.00 | $43.65 – $63.29 | 14 |
| Set radiation therapy field CPT 77280 | not published | not published | $192.90 – $192.90 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $290.52 – $290.52 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $425.47 – $425.47 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.27 – $0.27 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.82 – $0.82 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $15.65 – $26.07 | 17 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.95 – $11.59 | 17 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $280.21 | 14 |
| Shigella antibody CPT 86771 | not published | not published | $21.30 – $35.50 | 17 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $513.59 – $828.27 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $388.34 – $1,609.16 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $326.12 – $517.79 | 2 |
| Shoulder X-ray CPT 73030 | not published | not published | $46.68 – $182.03 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $120.37 – $245.18 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $10.63 – $17.72 | 17 |
| Sialography s&i CPT 70390 | not published | not published | $89.64 – $517.79 | 2 |
| Sickling rbc CPT 85660 | $232.00 | $232.00 | $4.79 – $7.99 | 17 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,178.00 | $1,178.00 | $121.77 – $291.84 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $57.24 – $245.18 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $4,040.28 | $4,040.28 | $301.59 – $401.74 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $9,256.00 | $9,256.00 | $268.53 – $401.74 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $5,793.00 | $5,793.00 | $205.09 – $245.18 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $273.71 – $6,438.74 | 2 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $148.49 – $186.92 | 16 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $48,464.53 – $144,170.89 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.97 – $2.57 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $99.99 – $230.84 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $24.67 – $139.26 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $3,369.26 – $3,369.26 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $253.47 | 14 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $77.55 – $97.62 | 16 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $25.77 – $29.41 | 3 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $73.70 – $84.10 | 3 |
| Slp pure tone screening CPT 92551 | not published | not published | $10.22 – $11.66 | 3 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $63.49 – $72.46 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $8,373.47 – $8,373.47 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $14.65 – $24.42 | 17 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $277.61 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $4.69 – $7.82 | 17 |
| Smear gram stain CPT 87205 | not published | not published | $3.71 – $6.19 | 17 |
| Smear nasal eosinophil CPT 89190 | $211.00 | $211.00 | $5.04 – $8.40 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $414.00 | $414.00 | $5.21 – $8.69 | 17 |
| Smear wet mount CPT 87210 | not published | not published | $5.07 – $8.44 | 17 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $436.96 | 14 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $268.54 | 14 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $68.15 | 14 |
| Snrpn/ube3a gene CPT 81331 | $1,328.00 | $1,328.00 | $51.07 – $74.05 | 14 |
| Sodium 24 hour urine CPT 84300 | $172.00 | $172.00 | $4.40 – $7.34 | 17 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $54.00 | $54.00 | $2.10 – $5.27 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $54.00 | $54.00 | $1.05 – $3.42 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.53 – $1.75 | 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.