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 |
|---|---|---|---|---|
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $185.27 – $336.92 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $9.29 – $336.92 | 4 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $28.40 – $336.92 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $3.87 – $14.23 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $49.45 – $68.92 | 18 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $13.05 – $18.19 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $693.00 | $693.00 | $12.88 – $17.94 | 18 |
| Alprostadil for injection HCPCS J0270 | $1,055.00 | $1,055.00 | $1.27 – $1.27 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $68.59 – $248.65 | 4 |
| Alt/sgpt CPT 84460 | $279.00 | $279.00 | $4.07 – $5.67 | 18 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.45 – $12.22 | 4 |
| Aluminum - quest CPT 82108 | $540.00 | $540.00 | $19.57 – $27.26 | 18 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $28.01 – $33.61 | 3 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $10.85 – $13.01 | 3 |
| Amifostine HCPCS J0207 | not published | not published | $1,160.41 – $1,160.41 | 1 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $124.00 | $124.00 | $0.45 – $1.64 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $4.60 – $6.41 | 18 |
| Amino acid screen, urine CPT 82128 | $247.00 | $247.00 | $10.65 – $14.84 | 18 |
| Amino acid single qual CPT 82127 | not published | not published | $10.89 – $15.17 | 18 |
| Amino acids quant 2-5 CPT 82136 | $538.00 | $538.00 | $15.06 – $20.98 | 18 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $295.00 | $295.00 | $0.98 – $4.21 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.33 – $4.74 | 4 |
| Aminolevulinic acid delta CPT 82135 | $635.00 | $635.00 | $12.63 – $17.60 | 18 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $295.81 – $1,033.05 | 4 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $8.29 – $27.59 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $1.94 – $6.70 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.25 – $1.09 | 4 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $16.13 – $59.78 | 4 |
| Ammonia CPT 82140 | $436.00 | $436.00 | $11.19 – $15.59 | 18 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $336.92 – $443.97 | 4 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $336.92 – $1,073.25 | 4 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $336.92 – $2,114.93 | 4 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.18 – $10.00 | 18 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $336.92 – $1,812.60 | 4 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $30.98 – $30.98 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $37.55 – $114.72 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | $118.00 | $118.00 | $7.73 – $27.43 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $278.00 | $278.00 | $17.48 – $54.91 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.45 – $1.56 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.18 – $3.52 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $281.40 | 15 |
| Amylase CPT 82150 | not published | not published | $4.97 – $6.93 | 18 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $151.50 – $151.50 | 1 |
| Ana ds-dna CPT 86226 | $422.00 | $422.00 | $9.30 – $12.96 | 18 |
| Analysis gene f2 20210g>a variant CPT 81240 | $1,629.00 | $1,629.00 | $50.44 – $70.29 | 18 |
| Analysis gene f5 leiden variant CPT 81241 | $1,210.00 | $1,210.00 | $56.34 – $78.51 | 18 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $213.47 | 2 |
| Analysis tumor CPT 88358 | not published | not published | $149.16 – $639.90 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $829.00 | $829.00 | $26.95 – $37.55 | 18 |
| Anca screen with reflex to titer -quest CPT 86021 | $269.00 | $269.00 | $11.56 – $16.10 | 18 |
| Androstanediol CPT 82154 | not published | not published | $22.14 – $30.85 | 18 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $61.16 – $61.16 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $15.76 – $21.96 | 18 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.35 – $1.35 | 4 |
| Ankle X-ray CPT 73610 | not published | not published | $29.15 – $182.03 | 2 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $52.03 – $62.43 | 3 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $56.50 – $67.80 | 3 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $56.91 – $68.29 | 3 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $68.94 – $82.73 | 3 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $4.98 – $7.50 | 18 |
| Anora (draw only) CPT 99001 | not published | not published | $6.63 – $28.44 | 2 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $307.56 – $307.56 | 1 |
| Antibody CPT 86744 | not published | not published | $12.28 – $17.11 | 18 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $9.89 – $13.78 | 18 |
| Antibody elution rbc reference CPT 86860 | $286.00 | $286.00 | $149.16 – $639.90 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $1,027.00 | $1,027.00 | $14.86 – $20.70 | 18 |
| Antibody htlv-i CPT 86687 | not published | not published | $6.98 – $9.73 | 18 |
| Antibody htlv-ii CPT 86688 | not published | not published | $10.75 – $14.98 | 18 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | not published | not published | $14.11 – $19.66 | 18 |
| Antibody id rbc panel CPT 86870 | not published | not published | $291.26 – $1,249.51 | 2 |
| Antibody influenza virus CPT 86710 | not published | not published | $10.40 – $14.50 | 18 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $9.88 – $13.77 | 18 |
| Antibody screen rbc CPT 86850 | $240.00 | $240.00 | $9.77 – $10.45 | 15 |
| Antibody tetanus CPT 86774 | not published | not published | $11.36 – $15.84 | 18 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.09 – $3.95 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $0.90 – $3.29 | 4 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $1.80 – $6.47 | 4 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $9.25 – $12.89 | 18 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $9.25 – $12.89 | 18 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $9.25 – $12.89 | 18 |
| Antinuclear antibodies CPT 86038 | $522.00 | $522.00 | $9.29 – $12.94 | 18 |
| Antinuclear antibodies titer CPT 86039 | $43.00 | $43.00 | $8.57 – $11.94 | 18 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.34 – $17.19 | 18 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $4.43 – $6.17 | 18 |
| Antistreptolysin o titer CPT 86060 | $337.00 | $337.00 | $5.60 – $7.81 | 18 |
| Antithrombin iii activity CPT 85300 | $725.00 | $725.00 | $9.10 – $12.68 | 18 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $2.96 – $10.73 | 4 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $3,282.22 – $14,066.01 | 4 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $704.51 – $2,675.84 | 4 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $539.28 | 15 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $1,444.70 | 15 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $214.00 | 15 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $834.60 | 15 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $299.60 | 15 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.31 – $221.82 | 15 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $114.27 – $114.27 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $4.51 – $6.77 | 18 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $8.61 – $11.65 | 18 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $1,617.10 – $1,617.10 | 1 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $1,230.81 – $1,230.81 | 1 |
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.