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 |
|---|---|---|---|---|
| Pcv21 vaccine im CPT 90684 | not published | not published | $245.92 – $912.26 | 4 |
| Pdgfra gene CPT 81314 | $813.00 | $813.00 | $329.51 – $352.58 | 15 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $20,302.88 – $75,323.76 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $14.98 – $325.53 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $100.69 – $352.58 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $122.70 – $429.27 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $188.44 – $390.19 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $13,082.00 | $13,082.00 | $84.68 – $262.01 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $123.11 – $337.16 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $2,673.99 – $9,987.35 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $170.20 – $598.77 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $12,876.00 | $12,876.00 | $195.67 – $401.74 | 2 |
| Pelvic CT scan (with contrast) CPT 72193 | $10,704.00 | $10,704.00 | $186.26 – $401.74 | 2 |
| Pelvic CT scan (without contrast) CPT 72192 | $8,864.00 | $8,864.00 | $173.55 – $245.18 | 2 |
| Pelvic MRI (with and without contrast) CPT 72197 | $13,478.00 | $13,478.00 | $353.94 – $828.27 | 2 |
| Pelvic MRI (with contrast) CPT 72196 | $7,743.00 | $7,743.00 | $277.47 – $828.27 | 2 |
| Pelvic MRI (without contrast) CPT 72195 | $5,551.00 | $5,551.00 | $233.34 – $517.79 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $3,777.00 | $3,777.00 | $113.08 – $245.18 | 2 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,198.00 | $1,198.00 | $82.76 – $245.18 | 2 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $44.51 – $158.28 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $2.83 – $9.51 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $13.03 – $51.73 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $20.23 – $84.72 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $25.00 | $25.00 | $0.58 – $2.07 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $26.55 – $26.55 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | not published | not published | $0.64 – $0.64 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $59.63 – $435.71 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $72.58 – $72.58 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $96.09 – $96.09 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,005.07 – $6,723.32 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $217.00 | $217.00 | $31.41 – $106.56 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $75.55 – $1,086.50 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $142.13 – $848.52 | 2 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.78 – $1.78 | 1 |
| Pertussis ag if CPT 87265 | $312.00 | $312.00 | $9.20 – $12.82 | 18 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $24,023.00 | $24,023.00 | $12.17 – $45.08 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $47.24 – $161.54 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $382.20 – $3,330.77 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $387.94 – $3,330.77 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | $19,021.00 | $19,021.00 | $233.10 – $3,330.77 | 2 |
| Pet image full body CPT 78813 | not published | not published | $308.85 – $3,330.77 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $240.17 – $2,938.37 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $301.95 – $3,330.77 | 2 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $343.61 – $3,330.77 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,127.41 – $1,352.90 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $13.89 – $27.49 | 18 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $19.46 – $37.87 | 18 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $7.15 – $15.01 | 18 |
| Ph body fluid CPT 83986 | not published | not published | $2.75 – $3.83 | 18 |
| Phencyclidine (pcp) CPT 83992 | $865.00 | $865.00 | $41.52 – $178.12 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $22.08 – $77.06 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $544.00 | $544.00 | $11.75 – $16.37 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | $347.00 | $347.00 | $336.98 – $1,114.48 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 4 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $258.48 – $258.48 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.39 – $1.59 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $421.00 | $421.00 | $10.18 – $14.18 | 18 |
| Phosphorus CPT 84100 | $252.00 | $252.00 | $3.64 – $5.07 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $296.00 | $296.00 | $4.44 – $6.18 | 18 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $213.47 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $149.16 – $639.90 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $105.83 | 2 |
| Phys review of motion tests CPT 96004 | not published | not published | $75.72 – $90.86 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $1.84 – $7.45 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $6,921.00 | $6,921.00 | $918.20 – $918.20 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $294.07 | 15 |
| Pinworm exam CPT 87172 | $146.00 | $146.00 | $3.28 – $4.57 | 18 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.28 – $4.57 | 18 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.84 – $2.89 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $444.95 – $620.04 | 18 |
| Placental lactogen CPT 83632 | not published | not published | $15.52 – $21.64 | 18 |
| Plasma volume multiple CPT 78111 | not published | not published | $36.26 – $2,938.37 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $26.61 – $2,938.37 | 2 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $19.13 – $26.65 | 18 |
| Platelet automated CPT 85049 | $181.00 | $181.00 | $3.44 – $4.79 | 18 |
| Platelet survival CPT 78191 | not published | not published | $82.79 – $848.52 | 2 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $311.76 | 15 |
| Plerixafor injection HCPCS J2562 | not published | not published | $18.73 – $81.25 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $221.82 | 15 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $811.45 | 15 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $823.45 | 15 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $49.86 | 15 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $217.75 | 15 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $723.86 | 15 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $354.17 | 15 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $36.64 – $157.19 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $480.00 | $480.00 | $20.02 – $27.89 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $99.55 – $362.44 | 4 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $8.07 – $11.25 | 18 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $64,205.31 – $64,205.31 | 1 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $54.31 – $77.48 | 18 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $54.31 – $77.48 | 18 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $19.19 – $26.75 | 18 |
| Potassium 24 hour urine CPT 84133 | $269.00 | $269.00 | $3.63 – $5.06 | 18 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.16 – $0.32 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.48 – $6.24 | 18 |
| Potassium serum/plasma/whole blood CPT 84132 | $228.00 | $228.00 | $3.65 – $5.09 | 18 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $146.59 | 15 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $132.93 – $132.93 | 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.