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 |
|---|---|---|---|---|
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $95.77 – $95.77 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $458.72 – $458.72 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $8,953.79 – $8,953.79 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,594.05 – $1,594.05 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $26,901.69 – $26,901.69 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $9.10 – $103.22 | 4 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $11.58 – $16.14 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $87.40 – $87.40 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $461.15 – $461.15 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $1,050.25 – $1,050.25 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.31 – $1.06 | 4 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.11 – $0.40 | 4 |
| Io radiation tx management CPT 77469 | not published | not published | $926.12 – $926.12 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $11,443.00 – $11,443.00 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $135.16 – $495.31 | 4 |
| Ipratropium bromide non-comp HCPCS J7644 | $25.00 | $25.00 | $0.27 – $1.06 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.23 – $4.74 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $4,441.00 | $4,441.00 | $48.96 – $174.79 | 4 |
| Iron CPT 83540 | not published | not published | $4.96 – $6.92 | 18 |
| Iron binding capacity CPT 83550 | $296.00 | $296.00 | $6.71 – $9.35 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $12.92 – $47.91 | 4 |
| Iron stain peripheral blood CPT 85536 | $461.00 | $461.00 | $5.28 – $7.36 | 18 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $677.00 | $677.00 | $0.18 – $0.64 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $33.84 – $145.17 | 2 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $59.14 – $223.40 | 4 |
| Ivc venogram s&i CPT 75825 | not published | not published | $179.53 – $6,438.74 | 2 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $148.07 – $848.52 | 2 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $79.15 – $401.74 | 2 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $79.15 – $401.74 | 2 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $102.16 – $370.95 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | $969.00 | $969.00 | $185.20 – $198.16 | 15 |
| John cunningham antibody CPT 86711 | not published | not published | $12.97 – $18.07 | 18 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $336.92 – $336.92 | 1 |
| Ketogenic steroids fract CPT 83582 | $293.00 | $293.00 | $11.88 – $16.55 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $6.27 – $8.74 | 18 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.38 – $0.87 | 4 |
| Kidney function study CPT 78725 | not published | not published | $59.37 – $848.52 | 2 |
| Kidney imaging morphology CPT 78700 | not published | not published | $69.95 – $848.52 | 2 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $220.22 – $1,101.15 | 2 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $151.41 – $1,101.15 | 2 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | not published | not published | $118.89 – $245.18 | 2 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $133.61 | 15 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $17.44 – $336.92 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $346.04 – $828.27 | 2 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $262.56 – $1,609.16 | 2 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $219.30 – $517.79 | 2 |
| Knee X-ray CPT 73564 | not published | not published | $38.70 – $245.18 | 2 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $74.58 – $106.40 | 18 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $100.97 – $144.05 | 18 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $678.96 – $968.65 | 18 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $225.30 – $321.43 | 18 |
| Kras gene addl variants CPT 81276 | $3,373.00 | $3,373.00 | $148.39 – $206.78 | 18 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $148.39 – $206.78 | 18 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $4,046.36 – $4,046.36 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.32 – $0.93 | 4 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $4.63 – $6.46 | 18 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $1.72 – $6.31 | 4 |
| Lactic acid CPT 83605 | $349.00 | $349.00 | $8.89 – $12.38 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | $836.00 | $836.00 | $15.13 – $21.08 | 18 |
| Lactoferrin fecal quant CPT 83631 | $836.00 | $836.00 | $15.08 – $21.00 | 18 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $29.66 – $93.78 | 4 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.24 – $0.24 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $28.96 – $105.87 | 4 |
| Laryngeal function studies CPT 92520 | not published | not published | $92.25 – $98.71 | 15 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $19.73 – $23.68 | 3 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $107.88 – $165.50 | 18 |
| Lead capillary CPT 83655 | not published | not published | $9.30 – $12.96 | 18 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $15.40 – $21.45 | 18 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $32.06 – $44.68 | 18 |
| Leishmania antibody CPT 86717 | not published | not published | $9.40 – $13.11 | 18 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $2.63 – $10.18 | 4 |
| Leukacyte transfusion CPT 86950 | not published | not published | $149.16 – $639.90 | 2 |
| Leukocyte phagocytosis CPT 86344 | $679.00 | $679.00 | $7.98 – $11.12 | 18 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $4,196.00 | $4,196.00 | $129.22 – $452.57 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,252.72 – $4,674.26 | 4 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $401.48 – $401.48 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $165.56 – $1,872.68 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.29 – $151.13 | 4 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $5.30 – $5.30 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.21 – $1.01 | 4 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.07 – $0.21 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $215.00 | $215.00 | $0.04 – $0.11 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $676.00 | $676.00 | $10.18 – $14.18 | 18 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $0.77 – $5.72 | 4 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $1,028.52 – $1,028.52 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $633.00 | $633.00 | $5.45 – $15.85 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.13 – $0.13 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $213.00 | $213.00 | $0.01 – $0.03 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $553.00 | $553.00 | $11.28 – $15.72 | 18 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $3,111.05 – $3,111.05 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $105.38 – $452.08 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $93.51 – $401.16 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $4.68 – $14.31 | 4 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $1,171.00 | $1,171.00 | $2.60 – $7.26 | 4 |
| Lipase CPT 83690 | $370.00 | $370.00 | $5.29 – $7.37 | 18 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $26.00 – $36.23 | 18 |
| Lipoprotein blood quant CPT 83704 | $388.00 | $388.00 | $26.25 – $36.58 | 18 |
| Lipoprotein direct measurement hdl CPT 83718 | $353.00 | $353.00 | $6.29 – $8.76 | 18 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $8.06 – $11.24 | 18 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $26.25 – $36.58 | 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.