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 |
|---|---|---|---|---|
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $39.59 – $517.79 | 2 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | not published | $0.01 – $0.05 | 4 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $274.83 – $294.07 | 15 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $137.00 – $146.59 | 15 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $274.83 – $294.07 | 15 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $185.20 – $198.16 | 15 |
| G6pc gene CPT 81250 | not published | not published | $58.49 – $62.58 | 15 |
| G6pd full gene sequence CPT 81249 | not published | not published | $600.00 – $642.00 | 15 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $174.81 – $187.05 | 15 |
| G6pd known familial variant CPT 81248 | not published | not published | $375.25 – $401.52 | 15 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $605.00 | $605.00 | $60.18 – $60.18 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $96.00 | $96.00 | $131.52 – $131.52 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.20 – $0.74 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $148.00 | $148.00 | $1.12 – $3.87 | 4 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.09 – $0.27 | 4 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1,053.00 | $1,053.00 | $11.03 – $39.09 | 4 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $1,083.00 | $1,083.00 | $16.18 – $22.54 | 18 |
| Galactokinase - sendout CPT 82759 | $1,638.00 | $1,638.00 | $16.49 – $22.98 | 18 |
| Galactose transferase test CPT 82776 | $259.00 | $259.00 | $9.02 – $12.56 | 18 |
| Galectin-3 CPT 82777 | $639.00 | $639.00 | $33.97 – $47.35 | 18 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $9.57 – $9.57 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $963.28 – $963.28 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $1,457.84 – $1,457.84 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $1,268.08 – $1,268.08 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $960.63 – $960.63 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $363.66 – $1,361.73 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $276.98 – $439.97 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $36.67 – $132.29 | 4 |
| Gammaglobulin iga CPT 82784 | not published | not published | $7.14 – $9.95 | 18 |
| Gammaglobulin ige CPT 82785 | $557.00 | $557.00 | $12.64 – $17.61 | 18 |
| Gamma glutamyltransferase CPT 82977 | $283.00 | $283.00 | $5.53 – $7.70 | 18 |
| Gammagraft HCPCS Q4111 | not published | not published | $5.70 – $336.92 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $43.11 – $169.41 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $36.26 – $130.06 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $954.00 | $954.00 | $24.07 – $88.83 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $26.95 – $37.55 | 18 |
| Gardner vag dna quant CPT 87512 | not published | not published | $32.06 – $44.68 | 18 |
| Gastric analy w/ph ea spec CPT 82930 | $129.00 | $129.00 | $5.15 – $7.18 | 18 |
| Gastric emptying imag study CPT 78265 | not published | not published | $156.18 – $848.52 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $165.72 – $1,101.15 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $93.30 – $848.52 | 2 |
| Gastrin test CPT 82938 | not published | not published | $13.58 – $18.93 | 18 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $109.48 – $848.52 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $31.01 – $37.21 | 3 |
| Gated heart multiple CPT 78473 | not published | not published | $237.26 – $848.52 | 2 |
| Gba gene CPT 81251 | not published | not published | $47.25 – $50.56 | 15 |
| Gefitinib oral HCPCS J8565 | not published | not published | $771.15 – $771.15 | 1 |
| Gel-one HCPCS J7326 | not published | not published | $403.86 – $1,399.33 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.44 – $1.78 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.23 – $9.51 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $174.84 – $636.45 | 4 |
| General health panel CPT 80050 | not published | not published | $45.36 – $194.59 | 5 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $2,448.56 – $2,619.96 | 15 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,794.96 – $2,501.29 | 18 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,863.20 – $5,383.38 | 18 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,080.84 – $2,899.65 | 18 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $1.85 – $5.75 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $12.58 – $17.53 | 18 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $4.73 – $12.61 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $7.53 – $10.50 | 18 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $384.00 | $384.00 | $13.14 – $18.31 | 18 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,386.00 | $1,386.00 | $102.26 – $109.42 | 15 |
| Ghs antibodies (torch) igm CPT 86694 | $485.00 | $485.00 | $11.05 – $15.40 | 18 |
| Ghs bleeding time (ivy) CPT 85002 | $220.00 | $220.00 | $3.70 – $5.16 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $778.00 | $778.00 | $26.95 – $37.55 | 18 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $32.54 – $34.82 | 15 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $11.68 – $16.27 | 18 |
| Ghs fat & muscle CPT 89160 | $243.00 | $243.00 | $3.73 – $5.19 | 18 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.36 – $7.47 | 18 |
| Ghs fish cytogen CPT 88271 | not published | not published | $16.45 – $22.92 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $39.31 – $54.77 | 18 |
| Ghs hcv amplificaiton CPT 87521 | $868.00 | $868.00 | $26.95 – $37.55 | 18 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $17.64 – $24.58 | 18 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $1,139.00 | $1,139.00 | $11.89 – $16.57 | 18 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $7.27 – $10.13 | 18 |
| Ghs histoplasma antigen CPT 87385 | $1,224.00 | $1,224.00 | $10.18 – $14.18 | 18 |
| Ghs HIV antibody CPT 86703 | $370.00 | $370.00 | $10.53 – $14.67 | 18 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $81.50 – $113.57 | 18 |
| Ghs immun0electrophoresis CPT 86320 | $810.00 | $810.00 | $22.97 – $32.01 | 18 |
| Ghs inhibitor screen CPT 85335 | $1,050.00 | $1,050.00 | $9.88 – $13.77 | 18 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $359.00 | $359.00 | $6.60 – $9.20 | 18 |
| Ghs mbp CPT 83873 | $769.00 | $769.00 | $13.21 – $18.40 | 18 |
| Ghs o2 saturation CPT 82810 | not published | not published | $7.50 – $10.45 | 18 |
| Ghs ot dds rom CPT 95851 | not published | not published | $17.44 – $28.45 | 18 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $16.28 – $24.08 | 18 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $30.00 – $43.86 | 18 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $44.80 – $58.04 | 18 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $94.29 | 2 |
| Ghs phenylketonurid CPT 84030 | $281.00 | $281.00 | $4.22 – $5.89 | 18 |
| Ghs plt ct-manual CPT 85032 | $264.00 | $264.00 | $3.31 – $4.61 | 18 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $24.67 – $105.83 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $279.00 | $279.00 | $7.42 – $10.34 | 18 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.30 – $6.00 | 18 |
| Ghs protoporphyrins fract CPT 84202 | $419.00 | $419.00 | $11.02 – $15.35 | 18 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $320.00 | $320.00 | $9.40 – $13.11 | 18 |
| Ghs quinidine CPT 80194 | $448.00 | $448.00 | $11.21 – $15.62 | 18 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $403.00 | $403.00 | $12.20 – $17.00 | 18 |
| Ghs reticulocyte count CPT 85044 | $195.00 | $195.00 | $3.31 – $4.61 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $359.00 | $359.00 | $10.68 – $14.88 | 18 |
| Ghs sedimentation rate CPT 85651 | $204.00 | $204.00 | $3.28 – $4.57 | 18 |
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.