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 |
|---|---|---|---|---|
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $39.62 – $182.03 | 2 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $41.44 – $245.18 | 2 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $44.95 – $182.03 | 2 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $39.62 – $182.03 | 2 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $728.00 | $728.00 | $68.92 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $728.00 | $728.00 | $55.41 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $728.00 | $728.00 | $72.38 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $728.00 | $728.00 | $75.83 – $245.18 | 2 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $46.68 – $182.03 | 2 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $41.44 – $182.03 | 2 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $84.67 – $245.18 | 2 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $41.44 – $182.03 | 2 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $48.45 – $182.03 | 2 |
| X-ray knee ap standing bilateral CPT 73565 | $792.00 | $792.00 | $43.22 – $182.03 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $39.62 – $182.03 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $55.41 – $245.18 | 2 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,712.00 | $1,712.00 | $65.42 – $245.18 | 2 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,634.00 | $1,634.00 | $74.10 – $245.18 | 2 |
| X-ray male genital tract CPT 74440 | not published | not published | $93.71 – $517.79 | 2 |
| X-ray mandible complete > 4 views CPT 70110 | $903.00 | $903.00 | $60.59 – $245.18 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $46.68 – $182.03 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $640.00 | $640.00 | $43.12 – $182.03 | 2 |
| X-ray neck soft tissue CPT 70360 | $903.00 | $903.00 | $44.85 – $182.03 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $352.00 | $352.00 | $43.07 – $182.03 | 2 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $108.39 – $517.79 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $53.74 – $182.03 | 2 |
| X-ray pelvis 1-2 views CPT 72170 | $984.00 | $984.00 | $43.12 – $245.18 | 2 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $63.69 – $245.18 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $128.09 – $828.27 | 2 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $53.63 – $182.03 | 2 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,112.00 | $1,112.00 | $69.23 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $65.32 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,547.00 | $1,547.00 | $77.51 – $245.18 | 2 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $865.00 | $865.00 | $53.53 – $245.18 | 2 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,023.00 | $1,023.00 | $43.12 – $182.03 | 2 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $46.78 – $245.18 | 2 |
| X-ray sella turcica CPT 70240 | not published | not published | $46.57 – $182.03 | 2 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $37.89 – $182.03 | 2 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,327.00 | $1,327.00 | $53.63 – $182.03 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $123.37 – $1,086.50 | 2 |
| X-ray skull < 4 views CPT 70250 | $1,089.00 | $1,089.00 | $44.85 – $245.18 | 2 |
| X-ray skull > 4 views complete CPT 70260 | $1,089.00 | $1,089.00 | $67.55 – $245.18 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $139.72 – $245.18 | 2 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $2,928.00 | $2,928.00 | $192.80 – $401.74 | 2 |
| X-ray small intestine follow-through study CPT 74248 | $3,491.00 | $3,491.00 | $165.37 – $165.37 | 1 |
| X-ray spine single view CPT 72020 | not published | not published | $39.62 – $182.03 | 2 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $701.00 | $701.00 | $53.63 – $182.03 | 2 |
| X-ray sternum > 2 views CPT 71120 | $1,063.00 | $1,063.00 | $48.30 – $182.03 | 2 |
| X-ray surgical specimen CPT 76098 | $1,598.00 | $1,598.00 | $75.83 – $1,086.50 | 2 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | not published | not published | $127.53 – $401.74 | 2 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,271.00 | $1,271.00 | $58.87 – $182.03 | 2 |
| X-ray thoracic spine 2 views CPT 72070 | $1,069.00 | $1,069.00 | $50.08 – $245.18 | 2 |
| X-ray thoracic spine 3 views CPT 72072 | $1,257.00 | $1,257.00 | $53.53 – $245.18 | 2 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $747.00 | $747.00 | $51.91 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $1,493.00 | $1,493.00 | $65.42 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $2,112.00 | $2,112.00 | $77.61 – $245.18 | 2 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $39.62 – $182.03 | 2 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $32.66 – $182.03 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $3,754.00 | $3,754.00 | $215.45 – $401.74 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $3,632.00 | $3,632.00 | $195.19 – $401.74 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $43.22 – $182.03 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $139.67 – $401.74 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $48.53 – $55.38 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $2,841.15 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $11.24 – $18.72 | 17 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.27 – $4.21 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $11.47 – $19.13 | 17 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $150,585.06 – $150,585.06 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $60.77 – $336.92 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $8.24 – $28.01 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.28 – $4.00 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $44.65 – $74.40 | 17 |
| Zika virus igm antibody CPT 86794 | not published | not published | $14.66 – $24.43 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $1,942.00 | $1,942.00 | $4.40 – $24.25 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.06 – $19.13 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $89.23 – $89.23 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $8.09 – $13.46 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $378.84 – $378.84 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $280.21 | 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.