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 |
|---|---|---|---|---|
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $2,944.00 | $2,944.00 | $223.32 – $223.32 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $113.72 – $113.72 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $468.99 – $517.79 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $210.98 – $245.18 | 2 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $1,545.00 | $1,545.00 | $158.57 – $245.18 | 2 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | not published | not published | $182.95 – $245.18 | 2 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $164.76 – $245.18 | 2 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,944.00 | $1,944.00 | $139.72 – $245.18 | 2 |
| Ultrasound scrotum and contents CPT 76870 | $1,997.00 | $1,997.00 | $153.23 – $245.18 | 2 |
| Ultrasound spinal canal and contents CPT 76800 | not published | not published | $245.18 – $327.60 | 2 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $442.89 – $442.89 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $2,070.00 | $2,070.00 | $167.25 – $245.18 | 2 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $384.73 – $401.74 | 2 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $203.26 – $203.26 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $6.74 – $8.73 | 16 |
| Unlisted CT procedure CPT 76497 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $49.76 – $280.90 | 2 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $49.76 – $280.90 | 2 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted misc path test CPT 89240 | not published | not published | $49.76 – $280.90 | 2 |
| Unlisted mr procedure CPT 76498 | not published | not published | $182.03 – $182.03 | 1 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $49.76 – $280.90 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $848.52 – $848.52 | 1 |
| Unlisted surgical path px CPT 88399 | not published | not published | $49.76 – $280.90 | 2 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $24.67 – $139.26 | 2 |
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $182.03 – $182.03 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $848.52 – $848.52 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $17,753.00 | $17,753.00 | $544.47 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $424.35 – $828.27 | 2 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $11,850.00 | $11,850.00 | $351.67 – $517.79 | 2 |
| Urea nitrogen CPT 84520 | not published | not published | $3.43 – $5.73 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $154.00 | $154.00 | $4.84 – $8.06 | 17 |
| Urea nitrogen clearance CPT 84545 | $129.00 | $129.00 | $6.26 – $10.44 | 17 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.46 – $7.44 | 17 |
| Ureteral reflux study CPT 78740 | not published | not published | $140.28 – $848.52 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $79.23 – $517.79 | 2 |
| Urethrocystography void s&i CPT 74455 | $1,170.00 | $1,170.00 | $81.06 – $517.79 | 2 |
| Uric acid blood CPT 84550 | $356.00 | $356.00 | $3.94 – $6.55 | 17 |
| Uric acid urine CPT 84560 | not published | not published | $4.42 – $7.37 | 17 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.09 – $6.82 | 17 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.65 – $4.42 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.89 – $3.15 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $229.00 | $229.00 | $2.76 – $4.60 | 17 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $1.95 – $3.26 | 17 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $40.17 – $40.17 | 1 |
| Urine Culture Test CPT 87086 | $418.00 | $418.00 | $7.02 – $11.70 | 17 |
| Urine pregnancy test CPT 81025 | $515.00 | $515.00 | $7.49 – $12.48 | 17 |
| Urine screen for bacteria CPT 81007 | not published | not published | $26.09 – $43.47 | 17 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.00 – $12.80 | 14 |
| Urography, antegrade CPT 74425 | $1,170.00 | $1,170.00 | $122.30 – $828.27 | 2 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $119.36 – $401.74 | 2 |
| Use 1st target lesion CPT 76982 | not published | not published | $145.06 – $245.18 | 2 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $10.89 – $33.10 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $1,080.43 – $1,080.43 | 1 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $137.40 – $428.37 | 4 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $125.00 – $389.71 | 4 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $132.52 – $446.18 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $74.61 – $251.22 | 4 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $55.72 – $173.50 | 4 |
| Vaccine dtap < 7 years im CPT 90700 | $149.48 | $149.48 | $27.02 – $98.16 | 4 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $93.36 – $351.66 | 4 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $57.66 – $208.53 | 4 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $141.19 – $529.81 | 4 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $108.18 – $374.37 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $27.55 – $99.69 | 4 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $11.97 – $43.25 | 4 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $61.34 – $194.88 | 4 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $119.32 – $449.49 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $35.13 – $113.98 | 4 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $83.21 – $83.21 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $63.88 – $199.15 | 4 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $353.00 | $353.00 | $59.82 – $199.15 | 4 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $150.93 – $470.53 | 4 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $143.00 | $143.00 | $26.92 – $87.98 | 4 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,579.04 | $1,579.04 | $277.16 – $1,046.11 | 4 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $300.06 – $300.06 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $323.00 | $323.00 | $70.97 – $260.12 | 4 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $70.97 – $260.12 | 4 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $81.00 | $81.00 | $18.58 – $58.49 | 4 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.00 – $61.53 | 4 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $31.32 – $131.18 | 4 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $9.29 – $29.23 | 4 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $213.65 – $798.76 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $171.43 – $717.99 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $562.81 – $562.81 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $152.59 – $561.54 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $85.77 – $310.42 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $250.62 – $917.96 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $409.00 | $409.00 | $113.45 – $353.70 | 4 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $219.29 – $683.30 | 4 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $221.98 – $713.67 | 4 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $265.96 – $829.19 | 4 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $38.42 – $151.63 | 4 |
| Vaccine rabies im CPT 90675 | $3,970.00 | $3,970.00 | $270.02 – $847.34 | 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.