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 |
|---|---|---|---|---|
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $21.55 – $72.27 | 4 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $44.93 – $155.24 | 4 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $10.02 – $10.02 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $52.82 – $188.73 | 4 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $395.21 – $1,523.94 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $74.28 – $264.92 | 4 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $254.59 – $254.59 | 1 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $107.99 – $365.83 | 4 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $18.53 – $316.12 | 4 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $99.40 – $99.40 | 1 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $34.76 – $105.81 | 4 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $7.30 – $25.81 | 4 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $215.26 – $215.26 | 1 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $28.09 – $28.09 | 1 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.34 – $9.31 | 4 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $2.90 – $11.10 | 4 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $1.30 – $3.95 | 4 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $6.28 – $40.62 | 4 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $4,937.63 – $19,183.35 | 4 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $60.80 – $194.30 | 4 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $9.11 – $32.17 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $91.82 – $91.82 | 1 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.68 – $9.30 | 4 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $243.08 – $243.08 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | $55.00 | $55.00 | $0.49 – $1.91 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.07 – $3.76 | 4 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.60 – $5.94 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.32 – $0.90 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.53 – $2.01 | 4 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $9.75 – $35.22 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $33,267.33 – $33,267.33 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $75.58 – $75.58 | 1 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $34.53 – $34.53 | 1 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $5.72 – $5.72 | 1 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $1,431.21 – $1,431.21 | 1 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $107.17 – $107.17 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $13.30 – $47.89 | 4 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $3.13 – $3.13 | 1 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $46.07 – $174.18 | 4 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $14.04 – $48.15 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $59.80 – $201.98 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $13.60 – $50.43 | 4 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $253.90 – $946.10 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $30.48 – $108.49 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $24.32 – $91.64 | 4 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.35 – $5.19 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $27.98 – $101.73 | 4 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $264.42 – $978.67 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.04 – $0.13 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $3.52 – $3.52 | 1 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.02 – $0.08 | 4 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $23.48 – $23.48 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $98.59 – $328.04 | 4 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $154.68 – $154.68 | 1 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $116.50 – $424.03 | 4 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $4.48 – $14.81 | 4 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $145.81 – $520.01 | 4 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $13.51 – $49.24 | 4 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $7.71 – $26.82 | 4 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $2,629.53 – $9,977.22 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.19 – $9.57 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $3.05 – $11.10 | 4 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $114.48 – $114.48 | 1 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $65.40 – $65.40 | 1 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $31.40 – $31.40 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $18.46 – $66.36 | 4 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $4.73 – $5.68 | 3 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $4.91 – $5.89 | 3 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.34 – $0.34 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $1.00 – $2.28 | 4 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.63 – $5.88 | 4 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $36.06 – $101.12 | 4 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $333.74 – $1,232.86 | 4 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $742.24 – $742.24 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $179.35 – $179.35 | 1 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $166.74 – $166.74 | 1 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $10.71 – $39.91 | 4 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $36.17 – $126.80 | 4 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $393.43 – $1,404.21 | 4 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $66.25 – $66.25 | 1 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $88.96 – $88.96 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $1,993.60 – $7,464.44 | 4 |
| Insemination of oocytes CPT 89268 | not published | not published | $149.16 – $639.90 | 2 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $30.54 – $36.65 | 3 |
| Insitu hybridization auto CPT 88367 | $1,420.00 | $1,420.00 | $291.26 – $1,249.51 | 2 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $291.26 – $1,249.51 | 2 |
| Insitu hybridization manual CPT 88368 | not published | not published | $291.26 – $1,249.51 | 2 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $109.56 – $470.01 | 2 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $1,785.00 | $1,785.00 | $149.16 – $639.90 | 2 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,033.81 – $3,775.64 | 4 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $15.82 – $15.82 | 1 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $1.87 – $8.48 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $127.16 – $177.20 | 18 |
| Insulin tolerance panel CPT 80434 | not published | not published | $218.86 – $304.98 | 18 |
| Insulin tolerance panel CPT 80435 | not published | not published | $79.09 – $110.21 | 18 |
| Insulin total CPT 83525 | $475.00 | $475.00 | $8.77 – $12.23 | 18 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,120.76 – $7,500.88 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $336.92 – $336.92 | 1 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $92.94 – $92.94 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | $162.00 | $162.00 | $34.53 – $34.53 | 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.