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 |
|---|---|---|---|---|
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $3.81 – $4.57 | 3 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $2.99 – $3.59 | 3 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $164.91 – $164.91 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $1,102.00 | $1,102.00 | $0.70 – $2.15 | 4 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.19 – $8.37 | 4 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $30.09 – $120.58 | 4 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $2,685.92 | 15 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $7,696.51 | 15 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $3,334.12 | 15 |
| Oncology colorectal scr CPT 81528 | not published | not published | $390.74 – $544.49 | 18 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $620.02 | 15 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $189.99 | 15 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $3,071.97 | 15 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $813.20 | 15 |
| Oncology tissue of origin CPT 81504 | $3,726.00 | $3,726.00 | $520.00 – $556.40 | 15 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $4,012.50 | 15 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $688.76 – $959.79 | 18 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $278.74 | 15 |
| Oncoprotein dcp CPT 83951 | not published | not published | $49.45 – $68.92 | 18 |
| Oncoprotein her-2/neu CPT 83950 | $1,369.00 | $1,369.00 | $49.45 – $68.92 | 18 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $2,172.10 | 15 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $4,144.11 | 15 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $3,852.00 | 15 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $8,320.32 | 15 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $124.00 | $124.00 | $0.07 – $0.24 | 4 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $639.90 | 2 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $110.75 – $251.89 | 2 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $114.52 – $245.18 | 2 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $81.45 – $245.18 | 2 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $655.00 – $655.00 | 1 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $49.20 – $211.07 | 2 |
| Oral aprepitant HCPCS J8501 | not published | not published | $2.28 – $7.34 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $26.82 – $26.82 | 1 |
| Oral everolimus HCPCS J7527 | not published | not published | $1.52 – $3.13 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $9.20 – $12.82 | 18 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $49.40 – $49.40 | 1 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $59.44 – $59.44 | 1 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $306.76 – $1,007.50 | 4 |
| Organic acids total quant ea spec CPT 83918 | $538.00 | $538.00 | $18.12 – $25.25 | 18 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $32.08 – $114.11 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $21.40 – $75.45 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $196.00 | $196.00 | $9.25 – $16.93 | 4 |
| Orthopantogram CPT 70355 | not published | not published | $33.86 – $182.03 | 2 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $93.97 – $294.84 | 4 |
| Osmolality blood CPT 83930 | $359.00 | $359.00 | $5.08 – $7.07 | 18 |
| Osmolality urine CPT 83935 | $359.00 | $359.00 | $5.24 – $7.30 | 18 |
| Ot evaluation high complexity patient/family CPT 97167 | $734.00 | $734.00 | $74.69 – $95.52 | 18 |
| Ot evaluation low complexity patient/family CPT 97165 | $734.00 | $734.00 | $74.69 – $95.52 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $734.00 | $734.00 | $74.69 – $95.52 | 18 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $17.76 – $24.75 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | not published | not published | $37.16 – $47.84 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | not published | not published | $34.06 – $44.01 | 18 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | not published | not published | $20.18 – $26.52 | 18 |
| Ot re-evaluation patient/family CPT 97168 | $475.00 | $475.00 | $51.57 – $65.17 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | not published | not published | $25.68 – $33.52 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $207.00 | $207.00 | $15.43 – $22.59 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $216.00 | $216.00 | $16.16 – $21.39 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | not published | not published | $21.39 – $27.79 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | not published | not published | $23.79 – $31.27 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | not published | not published | $23.77 – $30.97 | 18 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $291.21 – $291.21 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $9.75 – $13.59 | 18 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | not published | not published | $0.48 – $1.51 | 4 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | not published | not published | $0.04 – $0.13 | 4 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $6.20 – $6.20 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $124.00 | $124.00 | $7.13 – $7.13 | 1 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $414.25 – $414.25 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $737.34 – $737.34 | 1 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $137.00 – $146.59 | 15 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | not published | not published | $0.10 – $0.27 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $9.79 – $21.68 | 4 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $676.50 – $723.86 | 15 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $301.35 – $322.44 | 15 |
| Palifermin injection HCPCS J2425 | not published | not published | $25.49 – $97.07 | 4 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $270.38 – $336.92 | 4 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $3,819.98 – $3,819.98 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $11.05 – $40.04 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $1,157.39 – $1,157.39 | 1 |
| Palonosetron hcl HCPCS J2469 | $1,149.00 | $1,149.00 | $0.38 – $0.93 | 4 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $185.00 | $185.00 | $10.41 – $29.92 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $123.69 – $460.23 | 4 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $124.00 | $124.00 | $23.03 – $23.03 | 1 |
| Papaverin hcl injection HCPCS J2440 | not published | not published | $121.74 – $121.74 | 1 |
| Parathormone (pth) intact CPT 83970 | $969.00 | $969.00 | $31.70 – $44.17 | 18 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,939.00 | $1,939.00 | $247.14 – $1,101.15 | 2 |
| Parathyroid planar imaging CPT 78070 | $1,497.00 | $1,497.00 | $127.06 – $848.52 | 2 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $188.77 – $848.52 | 2 |
| Paricalcitol HCPCS J2501 | $180.00 | $180.00 | $0.61 – $2.57 | 4 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | not published | not published | $1.91 – $21.01 | 4 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $152.32 – $653.45 | 2 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $152.32 – $653.45 | 2 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $43.26 – $185.59 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $50.75 – $217.72 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $195.84 – $272.90 | 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.