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 |
|---|---|---|---|---|
| Mopath procedure level 7 CPT 81406 | $12,651.00 | $12,651.00 | $282.88 – $302.68 | 15 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $905.51 | 15 |
| Mopath procedure level 9 CPT 81408 | $4,939.00 | $4,939.00 | $2,000.00 – $2,140.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.47 – $8.06 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.98 – $17.94 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $7.37 – $35.78 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $639.90 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $485.00 | $485.00 | $291.26 – $1,249.51 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $149.16 – $639.90 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $480.72 – $1,736.76 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $202.10 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $149.16 – $639.90 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $368.25 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $149.16 – $639.90 | 2 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $160.85 | 15 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $15.40 – $21.45 | 18 |
| M.pneumon dna quant CPT 87582 | not published | not published | $232.37 – $323.80 | 18 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $237.20 – $237.20 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $184.31 – $672.82 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $181.44 – $665.75 | 5 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $828.27 – $828.27 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $517.79 – $517.79 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $828.27 – $828.27 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $183.83 – $668.12 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $185.26 – $672.03 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $828.27 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $517.79 – $517.79 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $288.01 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $271.94 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | $5,060.00 | $5,060.00 | $828.27 – $828.27 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without cont, abd HCPCS C8901 | $5,060.00 | $5,060.00 | $517.79 – $517.79 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $11,006.00 | $11,006.00 | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $828.27 | 1 |
| Mr elastography CPT 76391 | not published | not published | $174.72 – $517.79 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $596.49 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $541.51 – $1,086.50 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $544.67 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $230.97 – $517.79 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $337.80 – $639.07 | 2 |
| MRI breast without cont bi CPT 77047 | not published | not published | $255.35 – $517.79 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $369.29 – $635.92 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $376.40 – $517.79 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $419.09 – $828.27 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $482.65 – $1,609.16 | 2 |
| MRI chest without contrast CPT 71550 | $7,743.00 | $7,743.00 | $232.10 – $517.79 | 2 |
| MRI chest without & w/contrast CPT 71552 | $9,857.00 | $9,857.00 | $362.22 – $828.27 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $277.47 – $1,609.16 | 2 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $298.11 – $298.11 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $484.67 – $517.79 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $245.63 – $245.63 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $666.30 – $666.30 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $258.92 – $828.27 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $216.86 – $517.79 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $346.04 – $828.27 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $7,536.00 | $7,536.00 | $215.62 – $517.79 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $9,706.00 | $9,706.00 | $344.81 – $828.27 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $7,452.00 | $7,452.00 | $260.13 – $828.27 | 2 |
| MRI tmj CPT 70336 | not published | not published | $233.20 – $517.79 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $219.30 – $517.79 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $347.25 – $828.27 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $261.36 – $828.27 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $828.27 – $828.27 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $401.74 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $828.27 – $828.27 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $828.27 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | $218.00 | $218.00 | $96.80 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | $228.00 | $228.00 | $120.36 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $192.10 – $192.10 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $148.00 | $148.00 | $97.04 – $133.65 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $25.00 | $25.00 | $39.94 – $55.10 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | $598.00 | $598.00 | $121.22 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $182.03 – $182.03 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $228.23 | 15 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $408.42 | 15 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $361.37 | 15 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $254.66 | 15 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $686.78 | 15 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $329.56 | 15 |
| Mthfr gene analy common variants CPT 81291 | $1,016.00 | $1,016.00 | $65.34 – $69.91 | 15 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $20.64 – $28.76 | 18 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $32.89 – $45.84 | 18 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.50 – $6.27 | 18 |
| Mucopolysaccharides CPT 83864 | $734.00 | $734.00 | $21.88 – $30.50 | 18 |
| Mucormycosis antibody CPT 86732 | not published | not published | $11.52 – $16.05 | 18 |
| Mumps antibody igg CPT 86735 | not published | not published | $10.02 – $13.96 | 18 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $37.04 – $51.62 | 18 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $15.40 – $21.45 | 18 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $32.89 – $45.84 | 18 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.11 – $0.40 | 4 |
| Mycophenolic acid HCPCS J7518 | $28.00 | $28.00 | $0.29 – $0.85 | 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.