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 |
|---|---|---|---|---|
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.53 – $2.04 | 4 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $5.30 – $20.06 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $148.00 | $148.00 | $5.31 – $20.51 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $0.95 – $3.23 | 4 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $0.95 – $3.23 | 4 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $12.06 – $41.47 | 4 |
| Epstein barr early antigen antibody CPT 86663 | $283.00 | $283.00 | $10.07 – $14.04 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $349.00 | $349.00 | $11.74 – $16.36 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $13.93 – $19.41 | 18 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $9.33 – $9.33 | 1 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $14.49 – $54.33 | 4 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $97.04 – $97.04 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $89.06 – $192.42 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $718.00 | $718.00 | $6.88 – $24.27 | 4 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $124.00 | $124.00 | $49.47 – $59.36 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.31 – $1.09 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.56 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $101.41 – $101.41 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $117.68 – $848.52 | 2 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $302.38 – $362.86 | 3 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $179.00 – $214.80 | 3 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $314.02 – $376.83 | 3 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $366.29 – $439.55 | 3 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $123.70 – $148.45 | 3 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $197.89 – $237.47 | 3 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $703.20 – $843.84 | 3 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $606.24 – $727.49 | 3 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $212.06 – $254.47 | 3 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $303.02 – $363.63 | 3 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $179.00 – $214.80 | 3 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $316.99 – $380.38 | 3 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $215.61 – $258.73 | 3 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $465.17 – $558.20 | 3 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $10.17 – $12.20 | 3 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $10.59 – $12.71 | 3 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $5.90 – $7.08 | 3 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $10.38 – $12.46 | 3 |
| Estradiol total CPT 82670 | $740.00 | $740.00 | $21.45 – $29.90 | 18 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $5.47 – $19.74 | 4 |
| Estrogens total-sendout CPT 82672 | $781.00 | $781.00 | $16.66 – $23.22 | 18 |
| Etanercept injection HCPCS J1438 | not published | not published | $3,242.65 – $3,242.65 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $373.27 – $1,370.26 | 4 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $495.82 – $495.82 | 1 |
| Ethylene glycol -sendout CPT 82693 | $322.00 | $322.00 | $11.44 – $15.94 | 18 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $4,055.64 – $4,055.64 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.80 – $2.76 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $57.34 – $229.99 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $96.53 – $279.47 | 4 |
| Euglobulin lysis CPT 85360 | $534.00 | $534.00 | $6.46 – $9.00 | 18 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $89.87 – $131.93 | 18 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.97 – $11.11 | 18 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $322.00 | $322.00 | $75.34 – $104.98 | 18 |
| Evaluation of speech fluency 92521 CPT 92521 | $714.00 | $714.00 | $97.14 – $143.69 | 18 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $16.03 – $19.23 | 3 |
| Evok oa screening qual CPT 92558 | not published | not published | $15.31 – $18.37 | 3 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.58 – $3.83 | 15 |
| Exome re-evaluation CPT 81417 | not published | not published | $245.72 – $342.40 | 18 |
| Exome sequence analysis CPT 81415 | not published | not published | $3,670.32 – $5,114.60 | 18 |
| Exome sequence analysis CPT 81416 | not published | not published | $9,214.20 – $12,840.00 | 18 |
| Extended culture of oocytes CPT 89272 | not published | not published | $656.15 – $2,814.88 | 2 |
| External chromosome analysis 20-25 cells CPT 88264 | not published | not published | $111.04 – $154.73 | 18 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $126.70 – $152.04 | 3 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $53.00 | $53.00 | $24.67 – $105.83 | 2 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $110.38 – $153.81 | 18 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $13.77 – $19.19 | 18 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $187.68 | 15 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $302.68 | 15 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $1,142.71 – $1,142.71 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $4,837.95 – $4,837.95 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $854.02 – $854.02 | 1 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $716.96 – $716.96 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $642.00 | 15 |
| Facial bones <3 CPT 70140 | $1,708.00 | $1,708.00 | $33.93 – $182.03 | 2 |
| Factor ix CPT 85250 | $945.00 | $945.00 | $14.62 – $20.37 | 18 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $2.66 – $9.54 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.24 – $4.51 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $3.88 – $14.10 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.03 – $3.63 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.24 – $12.06 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.22 – $4.61 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.39 – $4.85 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.79 – $6.23 | 4 |
| Factor viii CPT 85240 | $1,018.00 | $1,018.00 | $13.75 – $19.15 | 18 |
| Factor viii HCPCS J7190 | not published | not published | $0.84 – $2.94 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $1.74 – $6.55 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $0.89 – $2.99 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.58 – $5.72 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.17 – $4.21 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.05 – $4.11 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.42 – $8.56 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $7.86 – $28.51 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $13.00 – $49.18 | 4 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $83.00 | $83.00 | $0.01 – $0.03 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $21.67 – $82.95 | 4 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $39.18 | 15 |
| Fat/lipids feces qualitative CPT 82705 | $228.00 | $228.00 | $3.92 – $5.46 | 18 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $14.41 – $20.08 | 18 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.50 – $4.88 | 18 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $47.95 – $171.27 | 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.