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 |
|---|---|---|---|---|
| Target gsa panel organ/hmtlmph neop CPT 81455 | $6,434.00 | $6,434.00 | $2,919.60 – $4,233.42 | 14 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $597.91 – $866.97 | 14 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,335.15 – $4,151.46 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.31 – $0.66 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $198.65 | 14 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $211.59 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $143.94 – $185.87 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $15.74 – $185.87 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $121.00 | $121.00 | $87.02 – $145.00 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $576.00 | $576.00 | $53.94 – $89.87 | 17 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1,393.18 – $1,393.18 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $3,434.27 – $3,434.27 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $2,055.13 – $2,055.13 | 1 |
| Tc-99m depreotide HCPCS A9536 | $5,384.00 | $5,384.00 | $2,121.64 – $2,121.64 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $163.74 – $163.74 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $2,475.44 – $2,475.44 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $6,224.00 | $6,224.00 | $2,458.43 – $2,458.43 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $870.79 – $870.79 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $2,561.00 | $2,561.00 | $288.56 – $288.56 | 1 |
| Tc-99m maa HCPCS A9540 | $2,332.00 | $2,332.00 | $80.53 – $80.53 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $2,561.00 | $2,561.00 | $300.67 – $300.67 | 1 |
| Tc-99m medronate HCPCS A9503 | $1,881.00 | $1,881.00 | $170.82 – $170.82 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $2,561.00 | $2,561.00 | $2,102.17 – $2,102.17 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $138.09 – $138.09 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $2,561.00 | $2,561.00 | $76.11 – $76.11 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $2,561.00 | $2,561.00 | $55.76 – $55.76 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.00 | $3.00 | $31.85 – $31.85 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $2,561.00 | $2,561.00 | $105.34 – $105.34 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $2,718.00 | $2,718.00 | $1,194.04 – $1,194.04 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,748.81 – $1,748.81 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $2,561.00 | $2,561.00 | $1,991.21 – $1,991.21 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $309.79 – $309.79 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $862.00 | $862.00 | $40.88 – $68.12 | 17 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $23.31 – $38.83 | 17 |
| T cells total count CPT 86359 | $549.00 | $549.00 | $32.84 – $54.71 | 17 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $182.55 – $588.86 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.03 – $19.53 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $26.36 – $30.08 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $745.34 – $745.34 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $383.92 – $383.92 | 1 |
| Temozolomide HCPCS J8700 | not published | not published | $0.32 – $1.43 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $8.85 – $27.56 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $25.77 – $53.85 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $138.09 – $495.47 | 4 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $23.42 – $29.48 | 16 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $93.00 | $93.00 | $1.20 – $6.55 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $207.76 – $207.76 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $268.54 | 14 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.23 – $8.71 | 17 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.07 – $8.44 | 17 |
| Test for urine cystines CPT 82615 | not published | not published | $8.31 – $13.85 | 17 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $168.88 – $848.52 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $44.94 – $74.88 | 17 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.72 – $5.49 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $191.03 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $9.79 – $16.31 | 17 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.63 – $19.37 | 17 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.89 – $6.48 | 17 |
| Tetanus ig im CPT 90389 | not published | not published | $2,084.99 – $2,084.99 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $1,663.00 | $1,663.00 | $489.40 – $1,559.63 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $15.10 – $47.22 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $198.65 | 14 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $1,101.32 | 14 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $4,233.42 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $866.97 | 14 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $842.01 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $842.01 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $842.01 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $280.90 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $469.00 | $469.00 | $12.31 – $20.50 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $29.96 – $34.19 | 16 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $26.13 – $29.82 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $401.74 – $532.79 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $117.32 – $871.20 | 4 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $75.57 – $556.46 | 4 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $48.98 – $362.69 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.00 | $35.00 | $1.50 – $4.80 | 4 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $102.16 – $102.16 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $208.29 – $237.70 | 3 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $79.33 – $182.03 | 2 |
| Thrombin time CPT 85670 | $391.00 | $391.00 | $5.02 – $8.37 | 17 |
| Thrombin time titer CPT 85675 | not published | not published | $5.96 – $9.93 | 17 |
| Thrombomodulin CPT 85337 | not published | not published | $15.03 – $25.04 | 17 |
| Thromboplastin inhibition CPT 85705 | $211.00 | $211.00 | $8.38 – $13.96 | 17 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $5.63 – $9.38 | 17 |
| Thromboxane urine CPT 84431 | not published | not published | $30.56 – $50.91 | 17 |
| Thyroglobulin antibody CPT 86800 | $457.00 | $457.00 | $13.85 – $23.07 | 17 |
| Thyroid imaging CPT 78013 | not published | not published | $86.09 – $848.52 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $160.19 – $848.52 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $165.73 – $848.52 | 2 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $196.46 – $1,101.15 | 2 |
| Thyroid met uptake CPT 78020 | not published | not published | $134.64 – $134.64 | 1 |
| Thyroid (TSH) Test CPT 84443 | $552.00 | $552.00 | $14.62 – $24.36 | 17 |
| Thyroid Ultrasound CPT 76536 | $1,812.00 | $1,812.00 | $136.32 – $245.18 | 2 |
| Thyroid uptake measurement CPT 78012 | $5,184.00 | $5,184.00 | $44.80 – $848.52 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,766.90 – $5,632.95 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $43.87 – $73.09 | 17 |
| Thyroxine binding globulin (tbg) CPT 84442 | $279.00 | $279.00 | $12.86 – $21.43 | 17 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.26 – $1.48 | 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.