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 |
|---|---|---|---|---|
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $387,331.50 – $1,489,833.29 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $10.13 – $14.11 | 18 |
| Lithium therapeutic drug level CPT 80178 | $351.00 | $351.00 | $5.08 – $7.07 | 18 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $135.28 – $188.52 | 18 |
| Liver elastography 91200 CPT 91200 | not published | not published | $313.99 – $313.99 | 1 |
| Liver Function Test CPT 80076 | $573.00 | $573.00 | $6.27 – $8.74 | 18 |
| Liver imaging CPT 78201 | not published | not published | $68.78 – $1,101.15 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $80.25 – $1,101.15 | 2 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $79.15 – $848.52 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $92.10 – $848.52 | 2 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $22.00 | $22.00 | $0.70 – $2.76 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $159.00 – $586.23 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $1.18 – $3.74 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $57.77 – $82.41 | 18 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $13,746.00 | $13,746.00 | $203.91 – $401.74 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $10,036.00 | $10,036.00 | $195.67 – $828.27 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $9,606.00 | $9,606.00 | $161.84 – $245.18 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $13,226.00 | $13,226.00 | $368.12 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $10,276.00 | $10,276.00 | $286.91 – $828.27 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $10,204.00 | $10,204.00 | $239.01 – $517.79 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $2,660.00 | $2,660.00 | $37.46 – $245.18 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $402.73 – $430.92 | 15 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $42.14 – $42.14 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $62.18 – $88.70 | 18 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $829.25 – $1,183.07 | 18 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $120.02 – $171.23 | 18 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $212.53 – $303.21 | 18 |
| L/s ratio fetal lung CPT 83661 | $897.00 | $897.00 | $16.88 – $23.53 | 18 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $141.55 – $3,947.38 | 2 |
| Lumizyme injection HCPCS J0221 | not published | not published | $151.18 – $549.58 | 4 |
| Lung perfusion imaging CPT 78580 | $4,622.00 | $4,622.00 | $117.68 – $848.52 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $378.00 | $378.00 | $153.78 – $558.57 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $30.93 – $113.34 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $850.04 – $850.04 | 1 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $648.00 | $648.00 | $687.20 – $687.20 | 1 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $15.40 – $21.45 | 18 |
| Lymphatics/lymph node imaging CPT 78195 | $2,185.00 | $2,185.00 | $186.33 – $1,101.15 | 2 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $28.07 – $39.12 | 18 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $37.65 – $52.46 | 18 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $145.52 – $202.78 | 18 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $36.54 – $50.92 | 18 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $151.27 – $1,218.65 | 2 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $188.63 – $3,163.82 | 2 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $131.56 – $6,438.74 | 2 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $177.33 – $6,438.74 | 2 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $11.50 – $40.02 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $34.45 | 2 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.28 – $4.57 | 18 |
| Macroscopic exam parasite CPT 87169 | $243.00 | $243.00 | $3.31 – $4.61 | 18 |
| Magnesium CPT 83735 | not published | not published | $5.15 – $7.17 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.37 – $1.09 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $256.59 – $517.79 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $10.13 – $14.11 | 18 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $1.69 – $2.03 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $3.13 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.89 – $5.42 | 18 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $36.40 – $142.44 | 4 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $133.39 – $190.30 | 18 |
| Mastoids complete CPT 70130 | not published | not published | $55.97 – $245.18 | 2 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $64.76 – $336.92 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,801.68 – $6,801.68 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $16.13 – $336.92 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.95 – $37.55 | 18 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.96 – $29.20 | 18 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.89 – $45.84 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $414.00 | $414.00 | $11.10 – $15.47 | 18 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $11.76 – $16.39 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $621.00 | $621.00 | $11.76 – $16.39 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $518.00 | $518.00 | $29.62 – $41.27 | 18 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $468.00 | $468.00 | $11.35 – $15.81 | 18 |
| Mayo alpha 1 antitrypsin CPT 82103 | $269.00 | $269.00 | $10.32 – $14.38 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $584.00 | $584.00 | $11.58 – $16.14 | 18 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $130.14 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $91.66 – $98.08 | 15 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $146.59 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,864.00 | $2,864.00 | $1,160.00 – $1,241.20 | 15 |
| Mayo androstenedione CPT 82157 | $732.00 | $732.00 | $22.48 – $31.33 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $11.21 – $15.62 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $1,062.00 | $1,062.00 | $8.30 – $11.57 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $11.56 – $16.10 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $717.00 | $717.00 | $23.69 – $33.02 | 18 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $26.95 – $37.55 | 18 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $7.81 – $10.89 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $154.98 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $785.00 | $785.00 | $214.62 – $229.64 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $225.00 | $225.00 | $9.91 – $13.80 | 18 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $10.13 – $14.11 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | not published | not published | $6.86 – $9.56 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $482.00 | $482.00 | $10.44 – $14.55 | 18 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $713.00 | $713.00 | $12.95 – $18.05 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $723.00 | $723.00 | $20.57 – $28.65 | 18 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $93.85 – $130.78 | 18 |
| Mayo ceruloplasmin CPT 82390 | $349.00 | $349.00 | $8.25 – $11.49 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | not published | not published | $10.85 – $15.11 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $9.89 – $13.78 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $9.07 – $12.65 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | not published | not published | $9.73 – $13.57 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $1,212.00 | $1,212.00 | $89.45 – $124.64 | 18 |
| Mayo chromium CPT 82495 | $461.00 | $461.00 | $15.57 – $21.70 | 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.