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 |
|---|---|---|---|---|
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $146.59 | 15 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $93.44 – $143.06 | 2 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $23.36 – $23.36 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $97.32 – $185.87 | 2 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $10.65 – $185.87 | 2 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $76.78 – $107.00 | 18 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $727.00 | $727.00 | $47.59 – $66.32 | 18 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1,393.18 – $1,393.18 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $3,434.27 – $3,434.27 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $2,055.13 – $2,055.13 | 1 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $2,121.64 – $2,121.64 | 1 |
| Tc-99m disofenin HCPCS A9510 | $3,614.00 | $3,614.00 | $163.74 – $163.74 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $2,475.44 – $2,475.44 | 1 |
| Tc-99m exametazime diag HCPCS A9521 | $2,570.00 | $2,570.00 | $2,458.43 – $2,458.43 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $870.79 – $870.79 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $3,614.00 | $3,614.00 | $288.56 – $288.56 | 1 |
| Tc-99m maa HCPCS A9540 | $3,614.00 | $3,614.00 | $80.53 – $80.53 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $3,614.00 | $3,614.00 | $300.67 – $300.67 | 1 |
| Tc-99m medronate HCPCS A9503 | $3,614.00 | $3,614.00 | $170.82 – $170.82 | 1 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $2,102.17 – $2,102.17 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $138.09 – $138.09 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $3,614.00 | $3,614.00 | $76.11 – $76.11 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $55.76 – $55.76 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3,614.00 | $3,614.00 | $31.85 – $31.85 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $3,614.00 | $3,614.00 | $105.34 – $105.34 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,340.00 | $1,340.00 | $1,194.04 – $1,194.04 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1,748.81 – $1,748.81 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,614.00 | $3,614.00 | $1,991.21 – $1,991.21 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $309.79 – $309.79 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $36.08 – $50.27 | 18 |
| T cells absolute cd 4 count CPT 86361 | $577.00 | $577.00 | $20.57 – $28.65 | 18 |
| T cells total count CPT 86359 | $725.00 | $725.00 | $28.97 – $40.37 | 18 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $161.07 – $588.86 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $5.32 – $19.53 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $68.00 | $68.00 | $23.26 – $27.91 | 3 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $503.94 – $503.94 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $259.58 – $259.58 | 1 |
| Temozolomide HCPCS J8700 | not published | not published | $0.29 – $1.43 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $7.81 – $27.56 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $22.74 – $53.85 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $121.84 – $495.47 | 4 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $20.66 – $29.48 | 18 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $312.00 | $312.00 | $1.06 – $6.55 | 4 |
| Teriparatide injection HCPCS J3110 | not published | not published | $207.76 – $207.76 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $198.16 | 15 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.61 – $6.43 | 18 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.47 – $6.23 | 18 |
| Test for urine cystines CPT 82615 | not published | not published | $7.33 – $10.22 | 18 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $114.18 – $848.52 | 2 |
| Testosterone response panel CPT 80414 | not published | not published | $39.65 – $55.25 | 18 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.52 – $5.49 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $33.84 – $145.17 | 2 |
| Test urine for lactose CPT 83633 | not published | not published | $8.64 – $12.04 | 18 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.26 – $14.30 | 18 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.44 – $4.78 | 18 |
| Tetanus ig im CPT 90389 | not published | not published | $2,084.99 – $2,084.99 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | $5,545.00 | $5,545.00 | $431.82 – $1,559.63 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $13.33 – $47.22 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $146.59 | 15 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $812.70 | 15 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $3,123.97 | 15 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $639.76 | 15 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $639.90 | 2 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $639.90 | 2 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $639.90 | 2 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $213.47 | 2 |
| Theophylline therapeutic drug level CPT 80198 | $482.00 | $482.00 | $10.86 – $15.13 | 18 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $35.00 | $35.00 | $26.44 – $33.88 | 18 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $30.00 | $30.00 | $23.05 – $29.30 | 18 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $360.23 – $401.74 | 2 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $103.52 – $589.03 | 4 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $66.68 – $376.23 | 4 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $43.21 – $245.22 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $44.00 | $44.00 | $1.32 – $4.80 | 4 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $102.16 – $102.16 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $183.79 – $220.55 | 3 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $53.64 – $182.03 | 2 |
| Thrombin time CPT 85670 | $228.00 | $228.00 | $4.43 – $6.17 | 18 |
| Thrombin time titer CPT 85675 | not published | not published | $5.26 – $7.33 | 18 |
| Thrombomodulin CPT 85337 | not published | not published | $13.26 – $18.48 | 18 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $7.39 – $10.30 | 18 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $4.96 – $6.92 | 18 |
| Thromboxane urine CPT 84431 | not published | not published | $26.96 – $37.57 | 18 |
| Thyroglobulin antibody CPT 86800 | $359.00 | $359.00 | $12.22 – $17.02 | 18 |
| Thyroid imaging CPT 78013 | $3,564.00 | $3,564.00 | $58.21 – $848.52 | 2 |
| Thyroid met imaging CPT 78015 | not published | not published | $108.31 – $848.52 | 2 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $112.05 – $848.52 | 2 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $132.83 – $1,101.15 | 2 |
| Thyroid met uptake CPT 78020 | not published | not published | $91.04 – $91.04 | 1 |
| Thyroid (TSH) Test CPT 84443 | $458.00 | $458.00 | $12.90 – $17.98 | 18 |
| Thyroid Ultrasound CPT 76536 | $3,089.00 | $3,089.00 | $92.17 – $245.18 | 2 |
| Thyroid uptake measurement CPT 78012 | $3,850.00 | $3,850.00 | $30.29 – $848.52 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,559.03 – $5,632.95 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $38.71 – $53.94 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $419.00 | $419.00 | $11.35 – $15.81 | 18 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.22 – $1.48 | 4 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $2.66 – $9.14 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $434,078.25 – $1,501,307.95 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $11,159.45 | $11,159.45 | $141.49 – $519.59 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $51.33 – $51.33 | 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.