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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $369.00 | $369.00 | $0.09 – $0.27 | 4 |
| Dpyd gene common variants CPT 81232 | not published | not published | $174.81 – $187.05 | 15 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $37.86 – $336.92 | 4 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.11 – $3.58 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $128.00 | $128.00 | $6.43 – $19.03 | 4 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $9.40 – $336.92 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $9.01 – $336.92 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $6.82 – $336.92 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $37.34 – $336.92 | 4 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $336.92 – $336.92 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $336.92 – $336.92 | 1 |
| Drug assay caffeine CPT 80155 | $676.00 | $676.00 | $29.62 – $41.27 | 18 |
| Drug assay posaconazole CPT 80187 | $501.00 | $501.00 | $20.82 – $29.01 | 18 |
| Drug assay rufinamide CPT 80210 | not published | not published | $20.82 – $29.01 | 18 |
| Drug assay vedolizumab CPT 80280 | $327.00 | $327.00 | $29.62 – $41.27 | 18 |
| Drug assay voriconazole CPT 80285 | not published | not published | $20.82 – $29.01 | 18 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $14.31 – $19.94 | 18 |
| Drug of abuse screen urine CPT 80305 | $327.00 | $327.00 | $9.68 – $13.48 | 18 |
| Drug screen quant tiagabine CPT 80199 | $676.00 | $676.00 | $20.82 – $29.01 | 18 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $152.60 – $212.65 | 18 |
| Drug test def 1-7 classes HCPCS G0480 | $513.00 | $513.00 | $87.86 – $122.44 | 18 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $189.60 – $264.20 | 18 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $120.24 – $167.55 | 18 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $66.49 | 15 |
| Drug test prsmv instrmnt CPT 80306 | $501.00 | $501.00 | $13.16 – $18.34 | 18 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $47.71 – $66.49 | 18 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $13.81 – $19.24 | 18 |
| Ductogram sgl duct CPT 77053 | not published | not published | $58.27 – $517.79 | 2 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $336.92 – $336.92 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $62.90 – $228.62 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $50.10 – $245.18 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $423.48 – $1,536.34 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $102.47 – $122.97 | 3 |
| Ecg/review interpret only CPT 93272 | not published | not published | $14.50 – $17.41 | 3 |
| Echo exam of eye CPT 76516 | not published | not published | $79.12 – $245.18 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $106.35 – $245.18 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $113.18 – $182.03 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $14.32 – $55.51 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $276.33 – $1,086.50 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $138.22 – $517.79 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $96.01 – $245.18 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $82.66 – $245.18 | 2 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $121.46 – $517.79 | 2 |
| Echograp trans r pros study CPT 76873 | not published | not published | $245.18 – $267.30 | 2 |
| Echo guidance radiotherapy CPT 76965 | $2,887.00 | $2,887.00 | $104.63 – $104.63 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $57.04 – $57.04 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $320.87 – $595.01 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $119.95 – $119.95 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $224.55 – $224.55 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $112.29 – $112.29 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $112.29 – $112.29 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.72 – $13.55 | 18 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $10,532.00 | $10,532.00 | $33.61 – $119.33 | 4 |
| Edetate calcium disodium inj HCPCS J0600 | $452.00 | $452.00 | $4,845.02 – $16,455.65 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.87 – $0.87 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $15.87 – $30.30 | 18 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $65.92 – $125.80 | 18 |
| E equine encephalitis igg CPT 86652 | not published | not published | $10.13 – $14.11 | 18 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $24.29 – $85.38 | 4 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $347.30 | 15 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $829.00 | $829.00 | $26.95 – $37.55 | 18 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $15.03 – $20.94 | 18 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $8.69 – $10.43 | 3 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $8.38 – $11.33 | 18 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $61.45 – $107.45 | 18 |
| Electrolyte panel CPT 80051 | $470.00 | $470.00 | $5.38 – $7.50 | 18 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $7.61 – $11.84 | 18 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $656.15 – $2,814.88 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $14.05 – $19.57 | 18 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $30.58 – $30.58 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $220.45 – $826.64 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $5.80 – $21.31 | 4 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $137.23 – $499.58 | 4 |
| Embolization s&i CPT 75894 | not published | not published | $437.56 – $437.56 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $149.16 – $639.90 | 2 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $10.13 – $14.11 | 18 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $10.13 – $14.11 | 18 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $10.13 – $14.11 | 18 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $73.74 | 15 |
| Endo cath bile duct s&i CPT 74328 | not published | not published | $84.48 – $84.48 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $85.71 – $85.71 | 1 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $26.11 – $31.33 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | not published | not published | $143.02 – $217.34 | 18 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $27.48 – $97.31 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.87 – $0.87 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $0.39 – $1.40 | 4 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $713.00 | $713.00 | $9.20 – $12.82 | 18 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $12.29 – $17.12 | 18 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $10.30 – $14.36 | 18 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $33.81 – $47.11 | 18 |
| Enzyme histochemistry CPT 88319 | $781.00 | $781.00 | $656.15 – $2,814.88 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $41.14 – $150.55 | 4 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,448.56 – $2,619.96 | 15 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $7.95 – $7.95 | 1 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $3.66 – $3.66 | 1 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $1.14 – $1.14 | 1 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $2.94 – $2.94 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.22 – $5.22 | 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.