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 |
|---|---|---|---|---|
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $55.34 – $59.21 | 15 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $42.49 – $45.46 | 15 |
| Rubella antibody igg CPT 86762 | not published | not published | $11.05 – $15.40 | 18 |
| Rubeola ag if CPT 87283 | not published | not published | $46.69 – $65.06 | 18 |
| Rubeola antibody igg CPT 86765 | not published | not published | $9.89 – $13.78 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $329.51 – $352.58 | 15 |
| Russell viper venom diluted CPT 85613 | $436.00 | $436.00 | $7.36 – $10.25 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $704.18 – $981.28 | 18 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $26.85 – $98.00 | 4 |
| Safety plan interven HCPCS G0560 | not published | not published | $26.03 – $31.24 | 3 |
| Salivary gland function exam CPT 78232 | not published | not published | $64.04 – $848.52 | 2 |
| Salivary gland imaging CPT 78230 | not published | not published | $73.28 – $848.52 | 2 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $71.08 – $848.52 | 2 |
| Salmonella antibody CPT 86768 | not published | not published | $10.13 – $14.11 | 18 |
| Sargramostim injection HCPCS J2820 | $402.00 | $402.00 | $44.91 – $163.64 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.22 – $80.56 | 18 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $121.16 – $508.59 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $53.00 | $53.00 | $35.33 – $67.91 | 18 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $211.00 | $211.00 | $53.97 – $75.21 | 18 |
| Sbrt management CPT 77435 | not published | not published | $2,244.29 – $2,244.29 | 1 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $13.96 – $19.84 | 18 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $94.29 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $24.53 – $34.18 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $33.77 – $47.05 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $20.34 – $28.34 | 18 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $20.77 – $28.94 | 18 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $15.55 – $21.68 | 18 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $94.29 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $13.86 – $19.31 | 18 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $21.71 – $30.25 | 18 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $35.59 – $49.59 | 18 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $18.49 – $25.77 | 18 |
| Screening Mammogram CPT 77067 | not published | not published | $66.07 – $99.12 | 18 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $94.29 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $458.00 | $458.00 | $14.83 – $20.66 | 18 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $13.96 – $19.84 | 18 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $1.98 – $2.38 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $204.00 | $204.00 | $2.07 – $2.89 | 18 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $7,697.35 – $7,697.35 | 1 |
| Semen analysis HCPCS G0027 | not published | not published | $4.99 – $6.96 | 18 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $9.25 – $12.89 | 18 |
| Semen analysis w/count CPT 89310 | $243.00 | $243.00 | $6.61 – $9.21 | 18 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $205.44 | 15 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $3.55 – $3.55 | 1 |
| Serpina1 gene CPT 81332 | $877.00 | $877.00 | $43.65 – $46.71 | 15 |
| Set radiation therapy field CPT 77280 | not published | not published | $130.42 – $130.42 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $196.42 – $196.42 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $287.67 – $287.67 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.27 – $0.27 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.82 – $0.82 | 1 |
| Sex chromatin identification CPT 88130 | not published | not published | $13.81 – $19.24 | 18 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.13 – $8.55 | 18 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $206.78 | 15 |
| Shigella antibody CPT 86771 | not published | not published | $18.79 – $26.19 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $347.25 – $828.27 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $262.56 – $1,609.16 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $220.50 – $517.79 | 2 |
| Shoulder X-ray CPT 73030 | not published | not published | $31.56 – $182.03 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $81.39 – $245.18 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $9.38 – $13.08 | 18 |
| Sialography s&i CPT 70390 | not published | not published | $60.61 – $517.79 | 2 |
| Sickling rbc CPT 85660 | $144.00 | $144.00 | $4.23 – $5.90 | 18 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $924.00 | $924.00 | $107.44 – $291.84 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $38.70 – $245.18 | 2 |
| Sinus CT scan (with and without contrast) CPT 70488 | $11,082.00 | $11,082.00 | $203.91 – $401.74 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $10,824.00 | $10,824.00 | $181.56 – $401.74 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $9,019.00 | $9,019.00 | $138.66 – $245.18 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $185.06 – $6,438.74 | 2 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $131.02 – $186.92 | 18 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $42,762.82 – $144,170.89 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.85 – $2.57 | 4 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $88.22 – $230.84 | 4 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $24.67 – $105.83 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $3,369.26 – $3,369.26 | 1 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $174.81 – $187.05 | 15 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $68.42 – $97.62 | 18 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $22.74 – $27.29 | 3 |
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $65.03 – $78.03 | 3 |
| Slp pure tone screening CPT 92551 | not published | not published | $9.02 – $10.82 | 3 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $56.03 – $67.23 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $8,373.47 – $8,373.47 | 1 |
| Small animal inoculation CPT 87003 | not published | not published | $12.93 – $18.02 | 18 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $257.58 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | not published | not published | $4.14 – $5.77 | 18 |
| Smear gram stain CPT 87205 | not published | not published | $3.28 – $4.57 | 18 |
| Smear nasal eosinophil CPT 89190 | $243.00 | $243.00 | $4.45 – $6.20 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $4.60 – $6.41 | 18 |
| Smear wet mount CPT 87210 | not published | not published | $4.47 – $6.23 | 18 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $322.44 | 15 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $198.16 | 15 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $50.29 | 15 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $54.64 | 15 |
| Sodium 24 hour urine CPT 84300 | $281.00 | $281.00 | $3.88 – $5.41 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $203.00 | $203.00 | $1.85 – $5.27 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $203.00 | $203.00 | $0.93 – $3.42 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.46 – $1.75 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.27 – $0.27 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $376.00 | $376.00 | $1.46 – $5.86 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $55.47 – $193.37 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $228.00 | $228.00 | $3.69 – $5.15 | 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.