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 |
|---|---|---|---|---|
| Tissue culture placenta CPT 88235 | not published | not published | $115.41 – $160.82 | 18 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $108.06 – $150.58 | 18 |
| Tissue culture tumor CPT 88239 | $1,704.00 | $1,704.00 | $113.27 – $157.85 | 18 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $218.00 | $218.00 | $3.28 – $4.57 | 18 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $8.85 – $12.34 | 18 |
| Tl-201 thallium diag per mci HCPCS A9505 | $1,179.00 | $1,179.00 | $126.56 – $126.56 | 1 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $257.02 – $366.68 | 18 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $275.79 – $393.46 | 18 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $359.64 – $513.09 | 18 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $158.44 – $158.44 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.20 – $5.49 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $11.10 – $33.05 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $12.38 – $17.26 | 18 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $4.41 – $14.87 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $5.68 – $20.06 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $73.00 | $73.00 | $11.22 – $13.76 | 18 |
| Tomosynthesis breast screen bilateral CPT 77063 | $73.00 | $73.00 | $17.18 – $25.34 | 18 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.95 – $3.31 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $93.68 – $331.49 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $29.33 – $106.56 | 4 |
| Total Hip Replacement CPT 27130 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total tau CPT 84394 | $293.00 | $293.00 | $128.92 – $137.94 | 15 |
| Tot estradiol response panel CPT 80415 | not published | not published | $42.91 – $59.80 | 18 |
| Toxoplasma antibody igg CPT 86777 | $499.00 | $499.00 | $11.05 – $15.40 | 18 |
| Toxoplasma antibody igm CPT 86778 | $592.00 | $592.00 | $11.06 – $15.42 | 18 |
| Tp53 gene full gene sequence CPT 81351 | $1,056.00 | $1,056.00 | $641.85 – $686.78 | 15 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $329.56 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $352.58 | 15 |
| Tpmt gene com vrnts CPT 81335 | $388.00 | $388.00 | $174.81 – $187.05 | 15 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $272.87 – $1,036.34 | 4 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $15.16 – $18.20 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $39.32 – $61.18 | 18 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $336.00 | $336.00 | $0.34 – $0.34 | 1 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $127.47 – $127.47 | 1 |
| Transcutaneous carboxyhb CPT 88740 | $70.00 | $70.00 | $7.19 – $10.03 | 18 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $3.85 – $5.37 | 18 |
| Transcutaneous methb CPT 88741 | not published | not published | $7.19 – $10.03 | 18 |
| Transferrin CPT 84466 | $232.00 | $232.00 | $9.79 – $13.65 | 18 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $56.77 – $194.72 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $20.93 – $136.32 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $18.70 – $22.44 | 4 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $53.06 | 15 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $103.68 – $379.00 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $9.35 – $13.03 | 18 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $10.17 – $14.17 | 18 |
| Treprostinil injection HCPCS J3285 | not published | not published | $42.62 – $144.37 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $570.30 – $2,098.75 | 4 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $215.61 | 15 |
| Trh stimulation panel CPT 80439 | not published | not published | $51.61 – $71.91 | 18 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $124.00 | $124.00 | $0.65 – $1.96 | 4 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $18.77 – $64.90 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.87 – $0.87 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $25.84 – $25.84 | 1 |
| Trichinella antibody CPT 86784 | $885.00 | $885.00 | $9.64 – $13.44 | 18 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $11.74 – $16.36 | 18 |
| Triglycerides CPT 84478 | not published | not published | $4.41 – $6.14 | 18 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $4.04 – $14.36 | 4 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.78 – $1.78 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $37.53 – $152.64 | 4 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $353.72 – $1,227.48 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $491.99 – $685.58 | 18 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,466.80 | 15 |
| Troponin quantitative CPT 84484 | $666.00 | $666.00 | $9.58 – $13.34 | 18 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $336.92 – $336.92 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $277.73 – $333.28 | 3 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $187.05 | 15 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $372.96 – $372.96 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $206.78 | 15 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.09 – $4.30 | 18 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $51.49 – $185.98 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $250.38 | 15 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $2,219.00 | $2,219.00 | $89.46 – $245.18 | 2 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $9.13 – $245.18 | 2 |
| Ultrasound breast complete CPT 76641 | not published | not published | $117.72 – $245.18 | 2 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $109.48 – $182.03 | 2 |
| Ultrasound chest CPT 76604 | $2,755.00 | $2,755.00 | $96.53 – $245.18 | 2 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $76.54 – $245.18 | 2 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $66.79 – $245.18 | 2 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $84.17 – $84.17 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $101.75 – $245.18 | 2 |
| Ultrasound encephalogram CPT 76506 | not published | not published | $102.47 – $245.18 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | not published | not published | $121.22 – $245.18 | 2 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | not published | not published | $128.47 – $245.18 | 2 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $47.32 – $47.32 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $3,111.00 | $3,111.00 | $109.85 – $109.85 | 1 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $167.68 – $167.68 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $353.63 – $353.63 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $118.89 – $182.03 | 2 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $100.07 – $182.03 | 2 |
| Ultrasound joint complete left CPT 76881 | $1,686.00 | $1,686.00 | $39.94 – $245.18 | 2 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $1,352.00 | $1,352.00 | $111.88 – $245.18 | 2 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $59.48 – $240.48 | 2 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | not published | not published | $150.99 – $150.99 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | not published | not published | $76.89 – $76.89 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $317.10 – $517.79 | 2 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | not published | not published | $142.65 – $245.18 | 2 |
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.