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 |
|---|---|---|---|---|
| Pq dr cath chg w cont s&i CPT 75984 | $1,363.00 | $1,363.00 | $128.67 – $128.67 | 1 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $280.33 – $1,040.71 | 4 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $487.00 | $487.00 | $275.71 – $275.71 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $103.86 – $111.13 | 15 |
| Prealbumin CPT 84134 | $281.00 | $281.00 | $11.21 – $15.61 | 18 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $11.05 – $13.27 | 3 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $22.00 | $22.00 | $0.36 – $2.44 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $11.56 – $16.10 | 18 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $3,880.00 | $3,880.00 | $164.66 – $245.18 | 2 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | not published | not published | $162.22 – $245.18 | 2 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $59.38 – $71.25 | 3 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $213.47 | 2 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $123.00 | $123.00 | $149.16 – $639.90 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $125.00 | $125.00 | $33.84 – $145.17 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | $220.00 | $220.00 | $149.16 – $639.90 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $125.00 | $125.00 | $33.84 – $145.17 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | $369.00 | $369.00 | $291.26 – $1,249.51 | 2 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $14.23 – $17.08 | 3 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $28.74 – $34.49 | 3 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $42.97 – $51.57 | 3 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $57.94 – $69.53 | 3 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $213.25 – $913.00 | 4 |
| Procalcitonin CPT 84145 | $861.00 | $861.00 | $20.90 – $29.13 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $124.00 | $124.00 | $2.19 – $6.68 | 4 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $25.00 | $25.00 | $2.07 – $2.07 | 1 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $101.95 – $336.92 | 4 |
| Progesterone CPT 84144 | $645.00 | $645.00 | $16.02 – $22.32 | 18 |
| Prolactin CPT 84146 | $769.00 | $769.00 | $14.88 – $20.74 | 18 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $18.10 – $21.72 | 3 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.77 – $0.77 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.48 – $10.52 | 4 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.07 – $0.24 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $124.00 | $124.00 | $29.12 – $29.12 | 1 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $291.26 – $1,249.51 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.05 – $4.16 | 4 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $28.06 | 15 |
| Protein c activity CPT 85303 | $839.00 | $839.00 | $10.63 – $14.81 | 18 |
| Protein c concentrate HCPCS J2724 | not published | not published | $11.27 – $39.78 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $458.00 | $458.00 | $8.25 – $11.49 | 18 |
| Protein s total CPT 85305 | $443.00 | $443.00 | $8.92 – $12.42 | 18 |
| Protein total 24 hour urine CPT 84156 | $286.00 | $286.00 | $2.82 – $3.93 | 18 |
| Protein total body fluid CPT 84157 | not published | not published | $3.07 – $4.28 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $252.00 | $252.00 | $2.82 – $3.93 | 18 |
| Protein western blot tissue CPT 88371 | not published | not published | $22.23 – $23.79 | 15 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $5.54 – $5.54 | 1 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $483.00 | $483.00 | $3.02 – $4.22 | 18 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.48 – $10.42 | 18 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $89.71 – $95.99 | 15 |
| PSA (Prostate) Test CPT 84153 | $458.00 | $458.00 | $14.12 – $19.68 | 18 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | not published | not published | $10.55 – $14.16 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $463.00 | $463.00 | $13.90 – $18.30 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | not published | not published | $10.30 – $13.86 | 18 |
| Pt application of modality traction mechanical CPT 97012 | not published | not published | $10.55 – $13.85 | 18 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $300.00 – $321.00 | 15 |
| Pten gene full sequence CPT 81321 | $4,364.00 | $4,364.00 | $600.00 – $642.00 | 15 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $49.86 | 15 |
| Pt evaluation high complexity patient/family CPT 97163 | $753.00 | $753.00 | $72.78 – $92.96 | 18 |
| Pt evaluation low complexity patient/family CPT 97161 | $753.00 | $753.00 | $72.78 – $92.96 | 18 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $753.00 | $753.00 | $72.78 – $92.96 | 18 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $14.71 – $17.65 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $470.00 | $470.00 | $50.20 – $64.22 | 18 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | not published | not published | $30.48 – $39.07 | 18 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $9.09 – $12.28 | 18 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | not published | not published | $21.39 – $27.79 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $22.06 – $28.46 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $22.83 – $29.68 | 18 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $5,788.27 | 15 |
| Pulmonary vent imaging CPT 78579 | $4,622.00 | $4,622.00 | $77.92 – $848.52 | 2 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $75.13 – $336.92 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $55.16 – $336.92 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $124.00 | $124.00 | $9.43 – $41.23 | 4 |
| Pyruvate CPT 84210 | $269.00 | $269.00 | $11.12 – $15.49 | 18 |
| Pyruvate kinase CPT 84220 | not published | not published | $7.25 – $10.10 | 18 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $24.07 – $24.07 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $131.66 – $1,101.15 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $115.49 – $848.52 | 2 |
| Quest t3 uptake CPT 84479 | $324.00 | $324.00 | $4.96 – $6.92 | 18 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $312.46 – $312.46 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $933.97 – $933.97 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $180.86 – $636.34 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $217.43 – $741.87 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $627.68 – $627.68 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $115.04 – $115.04 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $66.47 – $374.27 | 4 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $61.92 – $61.92 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $137.46 – $137.46 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $211.36 – $211.36 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $117.86 – $685.39 | 4 |
| Radiesse injection HCPCS Q2026 | not published | not published | $925.35 – $925.35 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,474.11 – $1,474.11 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $752.00 | $752.00 | $123.07 – $455.59 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,686.00 | $3,686.00 | $124.62 – $2,938.37 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,633.00 | $4,633.00 | $157.28 – $2,938.37 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $282.17 – $2,938.37 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $4,684.00 | $4,684.00 | $171.46 – $2,938.37 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $106.32 – $848.52 | 2 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $74.72 – $74.72 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $55.03 – $200.29 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $14.79 – $23.40 | 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.