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 |
|---|---|---|---|---|
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.38 – $10.26 | 4 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $65.89 – $212.90 | 4 |
| #cf-97variants CPT 81220 | $4,169.00 | $4,169.00 | $484.37 – $807.07 | 17 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $378.61 – $630.85 | 17 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $146.85 – $244.69 | 17 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $84.60 – $140.97 | 17 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $149.16 – $842.01 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.91 – $23.19 | 17 |
| Chest 2 vws w oblique CPT 71048 | $2,136.00 | $2,136.00 | $75.83 – $245.18 | 2 |
| Chest apical lordotic proj CPT 71047 | not published | not published | $65.82 – $182.03 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $7,325.00 | $7,325.00 | $296.36 – $401.74 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $6,995.00 | $6,995.00 | $277.26 – $401.74 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $6,248.00 | $6,248.00 | $245.18 – $255.02 | 2 |
| Chest X-ray CPT 71046 | $1,294.00 | $1,294.00 | $51.81 – $182.03 | 2 |
| Chest X-ray (single view) CPT 71045 | $1,063.00 | $1,063.00 | $43.07 – $182.03 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $165.37 – $401.74 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $300.82 | 14 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $378.15 | 14 |
| Chlamydia culture CPT 87110 | $704.00 | $704.00 | $17.06 – $28.42 | 17 |
| Chlamydia trachomatis ag if CPT 87270 | $229.00 | $229.00 | $10.43 – $17.37 | 17 |
| Chlamydia type CPT 87140 | $19.00 | $19.00 | $4.84 – $8.08 | 17 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $17.45 – $29.07 | 17 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $37.28 – $62.12 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | $656.00 | $656.00 | $48.30 – $48.30 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $133.19 – $133.19 | 1 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $54.88 – $54.88 | 1 |
| Chloride CPT 82435 | $261.00 | $261.00 | $4.00 – $6.67 | 17 |
| Chloride 24 hour urine CPT 82436 | $261.00 | $261.00 | $5.01 – $8.34 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $114.00 | $114.00 | $0.03 – $0.11 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.51 – $1.54 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $27.61 – $154.04 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $82.00 | $82.00 | $24.68 – $62.99 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $2,272.00 | $2,272.00 | $66.64 – $66.64 | 1 |
| Cholesterol CPT 82465 | $352.00 | $352.00 | $3.78 – $6.31 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $778.00 | $778.00 | $11.65 – $19.42 | 17 |
| Choline c-11 HCPCS A9515 | not published | not published | $6,668.54 – $6,668.54 | 1 |
| Cholinesterase CPT 82480 | $165.00 | $165.00 | $6.85 – $11.41 | 17 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $15.51 – $40.81 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $30.29 – $50.47 | 17 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $33.94 – $56.55 | 17 |
| Chromatography CPT 83021 | $419.00 | $419.00 | $15.72 – $26.19 | 17 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.34 – $17.24 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $82.71 | 14 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $151.12 – $251.81 | 17 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $150.70 – $251.10 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $2,278.00 | $2,278.00 | $109.21 – $181.96 | 17 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $150.70 – $251.10 | 17 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $130.79 – $217.92 | 17 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $230.04 – $383.29 | 17 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $150.70 – $251.10 | 17 |
| Chromosome analys placenta CPT 88267 | not published | not published | $164.10 – $273.43 | 17 |
| Chromosome banding study CPT 88283 | not published | not published | $59.70 – $99.47 | 17 |
| Chromosome count additional CPT 88285 | not published | not published | $23.42 – $39.02 | 17 |
| Chromosome karyotype study CPT 88280 | $258.00 | $258.00 | $29.13 – $48.53 | 17 |
| Chromosome study additional CPT 88289 | not published | not published | $29.96 – $49.92 | 17 |
| Chronic urticaria - sendout CPT 86343 | $593.00 | $593.00 | $10.85 – $18.07 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $53.52 – $89.17 | 17 |
| Cidofovir injection HCPCS J0740 | not published | not published | $443.56 – $1,389.87 | 4 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.24 – $18.82 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $470,193.65 – $1,557,271.36 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.62 – $2.62 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $97.31 – $245.18 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $72.07 – $72.07 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.78 – $5.30 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $90.05 – $90.05 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.43 – $5.59 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $824.00 | $824.00 | $329.51 – $477.79 | 14 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.67 – $19.66 | 4 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $23.08 – $26.34 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.37 – $5.06 | 4 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $13.61 – $38.08 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $1,325.00 | $1,325.00 | $13.77 – $45.66 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $13.92 – $23.20 | 17 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $16.47 – $27.45 | 17 |
| Clot factor viii reltd antgn CPT 85244 | $934.00 | $934.00 | $17.77 – $29.61 | 17 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $16.47 – $27.45 | 17 |
| Clot factor xii hageman CPT 85280 | $1,079.00 | $1,079.00 | $16.84 – $28.06 | 17 |
| Clot factor xiii fibrin scrn CPT 85291 | $1,007.00 | $1,007.00 | $7.93 – $13.21 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $317.00 | $317.00 | $14.22 – $23.69 | 17 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.89 – $112.28 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.24 – $20.40 | 17 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.66 – $12.76 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $478.00 | $478.00 | $17.03 – $28.36 | 17 |
| Cmv ig IV CPT 90291 | not published | not published | $5,754.40 – $5,754.40 | 1 |
| Cmv pcr-sendout CPT 87496 | $2,372.00 | $2,372.00 | $30.54 – $50.88 | 17 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $198.65 | 14 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.15 – $6.94 | 4 |
| Coagulation time activated teg CPT 85347 | not published | not published | $3.72 – $6.21 | 17 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.08 – $6.80 | 17 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.91 – $6.51 | 17 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.65 – $2.65 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $336.92 – $486.50 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.02 – $11.70 | 17 |
| Cold agglutinin titer CPT 86157 | $414.00 | $414.00 | $7.01 – $11.69 | 17 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $10.15 – $32.01 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $62.37 – $200.74 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $81.00 | $81.00 | $3.00 – $12.80 | 17 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $336.92 – $1,560.02 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $592.00 | $592.00 | $149.16 – $842.01 | 2 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $149.16 – $842.01 | 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.