LEWISGALE HOSPITAL-PULASKI
2400 Lee Hwy, PULASKI, VA · HCA Virginia · · NPI 1205882396
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 |
|---|---|---|---|---|
| Cytopath tbs c/v manual CPT 88164 | $303.00 | $303.00 | $13.96 – $19.84 | 18 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $32.41 – $45.18 | 18 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $13.96 – $19.84 | 18 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $60.39 – $84.16 | 18 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $22.79 – $31.76 | 18 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $291.26 – $1,249.51 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $169.00 | $169.00 | $3.38 – $10.92 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $216.60 – $816.17 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $11.68 – $41.31 | 4 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $12.03 – $39.49 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.02 – $0.08 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.16 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $17,030.00 | $17,030.00 | $39.74 – $145.91 | 4 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.19 – $8.00 | 4 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.19 – $8.00 | 4 |
| Dark field exam spec collj CPT 87164 | not published | not published | $8.25 – $11.49 | 18 |
| Dark field exam without collj CPT 87166 | not published | not published | $8.68 – $12.09 | 18 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $186.77 – $690.30 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $19.80 – $69.77 | 4 |
| Dch glucoscan CPT 82948 | not published | not published | $3.87 – $5.39 | 18 |
| Dch validity tests CPT 81002 | not published | not published | $2.67 – $3.72 | 18 |
| Deamidated gliadin antibody iga CPT 86258 | not published | not published | $9.25 – $12.89 | 18 |
| Debridement (>20 cm) charge pt CPT 97598 | not published | not published | $49.76 – $53.24 | 15 |
| Decalcification CPT 88311 | $326.00 | $326.00 | $8.72 – $37.41 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $6,732.00 | $6,732.00 | $1.33 – $1.72 | 4 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $615.00 | $615.00 | $6.16 – $22.45 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $3.27 – $11.79 | 4 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $52.47 – $209.88 | 4 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $20.86 – $78.07 | 4 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $31.74 – $137.32 | 4 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $225.13 – $336.92 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $40.96 – $336.92 | 4 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $96.06 – $336.92 | 4 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $336.92 – $1,480.49 | 4 |
| Design mlc device for imrt CPT 77338 | not published | not published | $791.78 – $791.78 | 1 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $3.37 – $9.04 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $23.79 – $33.15 | 18 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $23.05 – $32.13 | 18 |
| Detect agnt mult dna direc CPT 87800 | $519.00 | $519.00 | $33.53 – $46.73 | 18 |
| Device intraute mirena HCPCS J7298 | not published | not published | $4,046.36 – $4,046.36 | 1 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $21.79 – $26.15 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $364.00 | $364.00 | $32.66 – $182.03 | 2 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $83.01 – $261.45 | 4 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $7.18 – $7.18 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.03 – $0.05 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.07 – $0.29 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $153.93 – $542.03 | 4 |
| Dexamethasone panel CPT 80420 | not published | not published | $124.30 – $173.21 | 18 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.33 – $2.33 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,089.00 | $1,089.00 | $60.72 – $153.73 | 4 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $1,009.62 – $1,009.62 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $174.00 | $174.00 | $0.94 – $3.47 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $188.00 | $188.00 | $16.03 – $16.03 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.36 – $4.64 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $203.00 | $203.00 | $2.73 – $7.79 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $521.00 | $521.00 | $17.07 – $23.79 | 18 |
| Diabetes (HbA1c) Test CPT 83036 | $359.00 | $359.00 | $7.46 – $10.39 | 18 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $11.27 – $17.55 | 18 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $91.08 – $263.00 | 4 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $73.89 – $205.70 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,442.00 | $1,442.00 | $79.86 – $120.41 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | not published | not published | $62.67 – $93.69 | 18 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $182.03 – $182.03 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $5.23 – $8.22 | 18 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.06 – $0.19 | 4 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $4.34 – $17.73 | 4 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $9.64 – $30.02 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.74 – $0.74 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $336.00 | $336.00 | $3.66 – $25.36 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $12,744.00 | $12,744.00 | $3,726.43 – $13,692.52 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $409.00 | $409.00 | $10.20 – $14.21 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $642.00 | $642.00 | $64.31 – $151.26 | 4 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.08 – $0.08 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $2.44 – $7.51 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $536.04 – $1,985.46 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $3.76 – $3.76 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $124.00 | $124.00 | $0.49 – $1.88 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $48.68 – $48.68 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $2.88 – $22.29 | 4 |
| Disaccharidases CPT 82657 | not published | not published | $17.02 – $23.72 | 18 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $200.65 – $3,947.38 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $59.31 – $71.17 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $279.00 – $298.53 | 15 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $274.83 – $294.07 | 15 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $137.00 – $146.59 | 15 |
| Dna antibody native/double stranded CPT 86225 | $458.00 | $458.00 | $10.55 – $14.70 | 18 |
| Dna gardnerella CPT 87510 | not published | not published | $15.40 – $21.45 | 18 |
| Dna probe chlamydia CPT 87490 | $283.00 | $283.00 | $17.47 – $24.34 | 18 |
| Dna probe gc CPT 87590 | $259.00 | $259.00 | $20.64 – $28.76 | 18 |
| Dna trichomonas CPT 87660 | not published | not published | $15.40 – $21.45 | 18 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $6.11 – $21.25 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.46 – $1.72 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $38.71 – $131.86 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $9.73 – $9.73 | 1 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $151.37 – $151.37 | 1 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $170.00 | $170.00 | $0.53 – $2.12 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $40.19 – $146.17 | 4 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $180.10 – $655.72 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $2.36 – $7.37 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $6,320.00 | $6,320.00 | $112.81 – $275.63 | 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.