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 |
|---|---|---|---|---|
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.02 – $9.14 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $491,955.35 – $1,501,307.95 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $160.35 – $519.59 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $51.33 – $51.33 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $130.80 – $217.94 | 17 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $122.47 – $204.06 | 17 |
| Tissue culture tumor CPT 88239 | not published | not published | $128.38 – $213.90 | 17 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $266.00 | $266.00 | $3.71 – $6.19 | 17 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.03 – $16.72 | 17 |
| Tl-201 thallium diag per mci HCPCS A9505 | $2,463.00 | $2,463.00 | $126.56 – $126.56 | 1 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $291.29 – $366.68 | 16 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $312.56 – $393.46 | 16 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $407.59 – $513.09 | 16 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $158.44 – $158.44 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.36 – $5.49 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.58 – $33.05 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $14.03 – $23.39 | 17 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.00 – $14.87 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.43 – $20.06 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $82.00 | $82.00 | $12.48 – $14.51 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $82.00 | $82.00 | $19.47 – $24.59 | 16 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.08 – $3.31 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.17 – $331.49 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $33.23 – $106.56 | 4 |
| Total Hip Replacement CPT 27130 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total tau CPT 84394 | not published | not published | $128.92 – $137.94 | 13 |
| Tot estradiol response panel CPT 80415 | not published | not published | $48.64 – $81.04 | 17 |
| Toxoplasma antibody igg CPT 86777 | $434.00 | $434.00 | $12.52 – $20.87 | 17 |
| Toxoplasma antibody igm CPT 86778 | $380.00 | $380.00 | $12.54 – $20.89 | 17 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $930.68 | 14 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $446.60 | 14 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $477.79 | 14 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $253.47 | 14 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $309.26 – $1,036.34 | 4 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $17.19 – $19.61 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $44.57 – $58.82 | 16 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $305.00 | $305.00 | $0.34 – $0.34 | 1 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $188.53 – $188.53 | 1 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $8.15 – $13.59 | 17 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.37 – $7.28 | 17 |
| Transcutaneous methb CPT 88741 | not published | not published | $8.15 – $13.59 | 17 |
| Transferrin CPT 84466 | $247.00 | $247.00 | $11.10 – $18.50 | 17 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $64.34 – $194.72 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $23.72 – $136.32 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $21.19 – $24.18 | 4 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $71.91 | 14 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $117.50 – $379.00 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $10.60 – $17.66 | 17 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $11.53 – $19.20 | 17 |
| Treprostinil injection HCPCS J3285 | not published | not published | $48.31 – $144.37 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $646.34 – $2,098.75 | 4 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $292.18 | 14 |
| Trh stimulation panel CPT 80439 | not published | not published | $58.49 – $97.45 | 17 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $274.00 | $274.00 | $0.74 – $1.96 | 4 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $21.27 – $64.90 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.87 – $0.87 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $25.84 – $25.84 | 1 |
| Trichinella antibody CPT 86784 | $541.00 | $541.00 | $10.93 – $18.21 | 17 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $13.30 – $22.17 | 17 |
| Triglycerides CPT 84478 | not published | not published | $5.00 – $8.32 | 17 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $4.58 – $14.36 | 4 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.78 – $1.78 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $42.53 – $152.64 | 4 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $400.89 – $1,227.48 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $557.58 – $929.06 | 17 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,466.80 | 13 |
| Troponin quantitative CPT 84484 | $418.00 | $418.00 | $10.85 – $18.08 | 17 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $336.92 – $336.92 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $314.76 – $359.20 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $253.47 | 14 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $372.96 – $372.96 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $280.21 | 14 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.50 – $5.83 | 17 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $58.36 – $185.98 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $339.30 | 14 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $576.00 | $576.00 | $132.31 – $245.18 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $13.51 – $245.18 | 2 |
| Ultrasound breast complete CPT 76641 | not published | not published | $174.11 – $245.18 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $161.92 – $182.03 | 2 |
| Ultrasound chest CPT 76604 | $1,737.68 | $1,737.68 | $142.77 – $245.18 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $113.21 – $245.18 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $98.79 – $245.18 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $124.49 – $124.49 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | $600.00 | $600.00 | $150.49 – $245.18 | 2 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $151.56 – $245.18 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $179.29 – $245.18 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $190.01 – $245.18 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | $36.00 | $36.00 | $69.99 – $69.99 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $162.48 – $162.48 | 1 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $248.01 – $248.01 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $523.04 – $523.04 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $175.83 – $182.03 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $148.00 – $182.03 | 2 |
| Ultrasound joint complete left CPT 76881 | $1,573.00 | $1,573.00 | $59.07 – $245.18 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $256.00 | $256.00 | $165.47 – $245.18 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $87.97 – $240.48 | 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.