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 |
|---|---|---|---|---|
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $159.00 | $159.00 | $0.17 – $0.58 | 4 |
| Home health care supervision CPT 99374 | not published | not published | $32.38 – $38.86 | 3 |
| Home health care supervision CPT 99375 | not published | not published | $51.42 – $61.70 | 3 |
| Homocysteine CPT 83090 | $868.00 | $868.00 | $13.76 – $19.17 | 18 |
| Homogenization tissue CPT 87176 | $119.00 | $119.00 | $4.51 – $6.29 | 18 |
| Homovanillic acid (hva) CPT 83150 | $322.00 | $322.00 | $17.21 – $23.98 | 18 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $130.78 | 15 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $130.78 | 15 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $26.95 – $37.55 | 18 |
| Hpv low-risk types CPT 87623 | $349.00 | $349.00 | $26.95 – $37.55 | 18 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $31.14 – $43.39 | 18 |
| H pylori ag ia CPT 87339 | not published | not published | $12.29 – $17.12 | 18 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $51.72 – $72.08 | 18 |
| H pylori (c-13) breath CPT 83013 | $917.00 | $917.00 | $51.72 – $72.08 | 18 |
| H pylori drug admin CPT 83014 | not published | not published | $6.04 – $8.41 | 18 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $1,395.23 | 15 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $625.84 | 15 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $625.84 | 15 |
| Hsv dna dir probe CPT 87528 | not published | not published | $15.40 – $21.45 | 18 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $294.07 | 15 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $146.59 | 15 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $15.98 – $22.27 | 18 |
| Human ig IV CPT 90283 | not published | not published | $250.56 – $250.56 | 1 |
| Human ig sc CPT 90284 | not published | not published | $64.08 – $64.08 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $5,555.00 | $5,555.00 | $4.53 – $4.53 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $24.13 – $84.30 | 4 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.38 – $1.33 | 4 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $428.00 | $428.00 | $0.27 – $0.95 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $144.00 | $144.00 | $3.30 – $11.63 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | not published | not published | $126.78 – $126.78 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | not published | not published | $575.87 – $575.87 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $15.43 – $58.46 | 4 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.11 – $0.37 | 4 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.03 | 4 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $13.32 – $34.45 | 4 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $5.30 – $5.30 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $592.00 | $592.00 | $13.75 – $19.15 | 18 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $13.13 – $46.75 | 4 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $24.78 – $24.78 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.81 – $10.89 | 18 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $358.41 – $358.41 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $246.70 – $246.70 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $299.00 – $470.26 | 4 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $242.13 – $242.13 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $338.52 – $338.52 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.18 – $48.57 | 4 |
| Hysterosalpingography s&i CPT 74740 | not published | not published | $61.81 – $517.79 | 2 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $171.33 – $205.60 | 3 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $6,141.38 – $6,141.38 | 1 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $3,677.51 – $3,677.51 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $2,748.00 | $2,748.00 | $320.41 – $320.41 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $1,721.55 – $1,721.55 | 1 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $1,243.01 – $1,243.01 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $2,525.48 – $2,525.48 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $242.00 | $242.00 | $63.79 – $63.79 | 1 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $55.04 – $55.04 | 1 |
| I131 max 100uci HCPCS A9531 | not published | not published | $11.50 – $11.50 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $1,857.86 – $1,857.86 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $10.30 – $14.36 | 18 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $26.95 – $37.55 | 18 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.89 – $19.36 | 18 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $68.00 | $68.00 | $34.77 – $48.45 | 18 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $16.66 – $34.82 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,619.96 | 15 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.23 – $8.43 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $3,155.00 | $3,155.00 | $526.05 – $526.05 | 1 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.99 – $832.55 | 4 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $32.63 – $106.13 | 4 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $395,716.50 – $1,478,916.58 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $213.47 | 2 |
| Idh1 common variants CPT 81120 | $477.00 | $477.00 | $193.25 – $206.78 | 15 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $316.50 | 15 |
| Idursulfase injection HCPCS J1743 | not published | not published | $406.93 – $1,478.97 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $78.51 | 15 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $18.46 – $65.83 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $221.82 | 15 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $73.35 | 15 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $211.85 | 15 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $315.14 | 15 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $184.82 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | not published | $65.25 – $279.92 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $291.26 – $1,249.51 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | not published | not published | $149.16 – $639.90 | 2 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $35.46 – $35.46 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $42.06 | 15 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $39.32 – $39.32 | 1 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $111.57 – $421.14 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $41.63 – $154.50 | 4 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $50.41 – $60.50 | 3 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $126.10 – $151.32 | 3 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $146.75 – $176.10 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $68.95 – $98.37 | 18 |
| Immune complex assay CPT 86332 | not published | not published | $18.71 – $26.08 | 18 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $33.85 – $125.32 | 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.