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 |
|---|---|---|---|---|
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.27 – $0.27 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $1,033.00 | $1,033.00 | $1.65 – $5.86 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $62.87 – $193.37 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $172.00 | $172.00 | $4.18 – $6.97 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $459.00 | $459.00 | $2.33 – $2.33 | 1 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,439.48 | 13 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,279.54 | 13 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,518.71 | 13 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,119.59 | 13 |
| Somatropin injection HCPCS J2941 | not published | not published | $436.99 – $436.99 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,198.82 | 13 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $959.65 | 13 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $66.49 – $66.49 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $104.22 – $104.22 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $208.44 – $208.44 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $241.40 – $241.40 | 1 |
| Specific gravity body fluid CPT 84315 | $149.00 | $149.00 | $2.86 – $4.76 | 17 |
| Specimen fat stain CPT 89125 | not published | not published | $5.12 – $8.53 | 17 |
| Speech evaluation complex CPT 70371 | not published | not published | $212.86 – $517.79 | 2 |
| Sperm antibody test CPT 89325 | not published | not published | $9.28 – $15.47 | 17 |
| Sperm evaluation test CPT 89329 | not published | not published | $17.05 – $28.41 | 17 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $280.90 | 2 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $280.90 | 2 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $280.90 | 2 |
| Spleen imaging CPT 78185 | not published | not published | $80.91 – $848.52 | 2 |
| Split blood or products CPT 86985 | not published | not published | $149.16 – $842.01 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $149.16 – $842.01 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $10,987.80 – $10,987.80 | 1 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $938.37 – $1,070.85 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $201.26 – $229.68 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $145.82 – $166.40 | 3 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $254.33 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $302.00 | $302.00 | $89.91 – $116.11 | 16 |
| Staph a dna amp probe CPT 87640 | $240.00 | $240.00 | $30.54 – $50.88 | 17 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $64.46 – $81.15 | 16 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $64.46 – $81.15 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $83.86 – $108.84 | 16 |
| Stem cells total count CPT 86367 | not published | not published | $67.69 – $112.78 | 17 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $296.15 – $2,194.99 | 4 |
| St evaluate speech sound production CPT 92522 | $288.00 | $288.00 | $91.47 – $118.46 | 16 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $596.00 | $596.00 | $188.22 – $240.43 | 16 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $874.00 | $874.00 | $74.75 – $96.56 | 16 |
| St evaluation swallow function CPT 92610 | $380.00 | $380.00 | $70.19 – $89.92 | 16 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $149.16 – $842.01 | 2 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $291.26 – $1,644.16 | 2 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $149.16 – $842.01 | 2 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $149.16 – $842.01 | 2 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $14.31 – $18.02 | 16 |
| Strep a ag ia CPT 87430 | $418.00 | $418.00 | $14.63 – $24.37 | 17 |
| Strep a dna dir probe CPT 87650 | not published | not published | $17.45 – $29.07 | 17 |
| Strep a dna quant CPT 87652 | not published | not published | $36.34 – $60.55 | 17 |
| Strep b assay w/optic CPT 87802 | $230.00 | $230.00 | $11.08 – $18.46 | 17 |
| Strep b dna amp probe CPT 87653 | not published | not published | $30.54 – $50.88 | 17 |
| Streptokinase antibody CPT 86590 | not published | not published | $11.02 – $18.36 | 17 |
| Streptomycin injection HCPCS J3000 | not published | not published | $21.75 – $89.78 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $464.68 – $464.68 | 1 |
| Str markers spec anal addl CPT 81266 | not published | not published | $304.81 – $441.97 | 14 |
| Str markers specimen anal CPT 81265 | not published | not published | $233.07 – $337.95 | 14 |
| St treatment speech individual CPT 92507 | $212.00 | $212.00 | $63.21 – $80.80 | 16 |
| St treatment swallow dysfunction/oral CPT 92526 | $333.00 | $333.00 | $69.73 – $89.25 | 16 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $4.11 – $4.11 | 1 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.03 – $16.72 | 17 |
| Sugars single quant CPT 84378 | not published | not published | $10.03 – $16.72 | 17 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $195.00 | $195.00 | $0.05 – $0.11 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $502.18 – $502.18 | 1 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.06 – $3.85 | 16 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $24.71 – $31.10 | 16 |
| Supprelin la implant HCPCS J9226 | not published | not published | $38,430.20 – $114,441.15 | 4 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $50.11 – $57.18 | 3 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $43.40 – $49.53 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $36.00 | $36.00 | $24.67 – $139.26 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $103.00 | $103.00 | $24.67 – $139.26 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $105.00 | $105.00 | $49.76 – $280.90 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $154.00 | $154.00 | $49.76 – $280.90 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $223.00 | $223.00 | $291.26 – $1,644.16 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $316.00 | $316.00 | $656.15 – $3,703.97 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $336.92 – $336.92 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.13 – $6.89 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $124.00 | $124.00 | $4.13 – $6.89 | 17 |
| Susceptibility mic per plate CPT 87186 | not published | not published | $7.53 – $12.54 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $17.00 | $17.00 | $5.78 – $9.63 | 17 |
| Svc venogram s&i CPT 75827 | not published | not published | $268.68 – $3,163.82 | 2 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $49.76 – $280.90 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $7.17 – $8.27 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $7.86 – $20.03 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $114.00 | $114.00 | $3.82 – $6.38 | 17 |
| T3 (triiodothyronine) free CPT 84481 | $317.00 | $317.00 | $14.74 – $24.56 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $266.00 | $266.00 | $12.34 – $20.56 | 17 |
| T4 (thyroxine) free CPT 84439 | $445.00 | $445.00 | $7.85 – $13.08 | 17 |
| T4 (thyroxine) total CPT 84436 | $414.00 | $414.00 | $5.98 – $9.96 | 17 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.48 – $1.56 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.54 – $4.96 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.16 – $0.53 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $216.80 – $695.49 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $1,396.00 | $1,396.00 | $11.95 – $19.91 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $11.84 – $37.74 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $59.82 – $195.94 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $59.50 – $198.54 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $58.22 – $336.92 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,326.00 | $3,326.00 | $759.53 – $1,101.32 | 14 |
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.