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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $287.57 – $401.74 | 2 |
| CT neck soft tissue w/contrast CPT 70491 | $5,979.00 | $5,979.00 | $327.70 – $401.74 | 2 |
| CT neck soft tissue without contrast CPT 70490 | $5,075.00 | $5,075.00 | $245.18 – $305.10 | 2 |
| CT neck soft tissue without & w/contrast CPT 70492 | $6,129.00 | $6,129.00 | $381.13 – $401.74 | 2 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $5,441.00 | $5,441.00 | $299.76 – $401.74 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $4,798.00 | $4,798.00 | $268.53 – $401.74 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $4,891.00 | $4,891.00 | $245.18 – $305.10 | 2 |
| CT scan for localization CPT 77011 | not published | not published | $311.14 – $311.14 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $12,372.00 | $12,372.00 | $478.75 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $11,341.00 | $11,341.00 | $432.17 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $10,162.00 | $10,162.00 | $412.06 – $517.79 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $7,559.00 | $7,559.00 | $289.40 – $401.74 | 2 |
| CT thoracic spine without contrast CPT 72128 | $6,856.00 | $6,856.00 | $239.37 – $245.18 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $545.00 | $545.00 | $182.03 – $255.02 | 2 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $301.59 – $401.74 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $275.48 – $828.27 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $239.37 – $245.18 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $287.57 – $401.74 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $842.01 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $842.01 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $7.03 – $11.72 | 17 |
| Culture afb any source CPT 87116 | $545.00 | $545.00 | $9.40 – $15.66 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $435.00 | $435.00 | $7.03 – $11.72 | 17 |
| Culture anaerobic except blood CPT 87075 | $507.00 | $507.00 | $8.24 – $13.73 | 17 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $8.41 – $14.01 | 17 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $106.35 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $8.21 – $13.69 | 17 |
| Culture body fluid CPT 87070 | not published | not published | $7.51 – $12.50 | 17 |
| Culture fungi definitive id mold CPT 87107 | $118.00 | $118.00 | $8.98 – $14.96 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $545.00 | $545.00 | $8.98 – $14.96 | 17 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $7.32 – $12.19 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $356.00 | $356.00 | $6.71 – $11.18 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $37.00 | $37.00 | $12.72 – $21.18 | 17 |
| Culture mycoplasma any source CPT 87109 | $699.00 | $699.00 | $13.40 – $22.32 | 17 |
| Culture of specimen by kit CPT 87084 | not published | not published | $23.55 – $39.25 | 17 |
| Culture quantitative aerobic other source CPT 87071 | $129.00 | $129.00 | $8.61 – $14.34 | 17 |
| Culture screening strep group a CPT 87081 | not published | not published | $5.77 – $9.61 | 17 |
| Culture type pulse field gel CPT 87152 | not published | not published | $6.73 – $11.22 | 17 |
| Culture typing added method CPT 87158 | $20.00 | $20.00 | $6.73 – $11.22 | 17 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.90 – $18.15 | 17 |
| Culture typing immunologic CPT 87147 | $105.00 | $105.00 | $4.50 – $7.51 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $189.76 – $316.19 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $30.54 – $50.88 | 17 |
| Culture urine each isolate CPT 87088 | $75.00 | $75.00 | $7.04 – $11.73 | 17 |
| Culture virus isolation CPT 87250 | not published | not published | $17.03 – $28.36 | 17 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $12.46 – $20.76 | 17 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $82.00 | $82.00 | $0.57 – $1.70 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $1,022.00 | $1,022.00 | $11.27 – $18.78 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.68 – $1.56 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.97 – $4.82 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $60.69 – $195.25 | 4 |
| Cyclosporine 2 hour CPT 80158 | $437.00 | $437.00 | $15.71 – $26.17 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.63 – $1.40 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $1.72 – $4.80 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $282.56 – $336.92 | 4 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $336.92 – $431.40 | 4 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $291.36 – $422.47 | 14 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $253.47 | 14 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $653.82 | 14 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $253.47 | 14 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $253.47 | 14 |
| Cystatin c CPT 82610 | not published | not published | $16.12 – $26.85 | 17 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $1,737.56 | 17 |
| Cystine urine quantitative CPT 82131 | not published | not published | $20.00 – $33.32 | 17 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $1,703.00 | $1,703.00 | $77.51 – $828.27 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.69 – $2.23 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $1,042.48 – $1,737.01 | 17 |
| Cytogenetics 25-99 CPT 88274 | $180.00 | $180.00 | $36.88 – $61.45 | 17 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $35.42 – $59.02 | 17 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $1,682.00 | 14 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $1,305.00 | 14 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $1,993.65 | 13 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $10.43 – $17.37 | 17 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $275.00 | $275.00 | $12.52 – $20.87 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $513.00 | $513.00 | $14.66 – $24.43 | 17 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $11.68 – $19.46 | 17 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,540.21 – $4,792.07 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $26.13 – $43.54 | 17 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.73 – $191.08 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $22.07 – $36.79 | 17 |
| Cytopath c/v automated CPT 88147 | not published | not published | $44.00 – $73.31 | 17 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $24.05 – $40.08 | 17 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $15.83 – $25.75 | 17 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $12.75 – $21.24 | 17 |
| Cytopath c/v manual CPT 88150 | not published | not published | $15.15 – $25.75 | 17 |
| Cytopath c/v redo CPT 88153 | not published | not published | $20.91 – $34.84 | 17 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $20.05 – $33.41 | 17 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.67 – $139.26 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $137.00 | $137.00 | $49.76 – $280.90 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $23.15 – $38.58 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $17.63 – $29.38 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $68.00 | $68.00 | $33.84 – $191.03 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $54.00 | $54.00 | $33.84 – $191.03 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $33.00 | $33.00 | $7.33 – $41.38 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $94.00 | $94.00 | $149.16 – $842.01 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $105.00 | $105.00 | $49.76 – $280.90 | 2 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $139.26 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $49.76 – $280.90 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $149.00 | $149.00 | $24.67 – $139.26 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $15.15 – $25.75 | 17 |
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.