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 |
|---|---|---|---|---|
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $46.60 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $2,079.00 | $2,079.00 | $37.46 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $2,079.00 | $2,079.00 | $48.93 – $245.18 | 2 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $2,079.00 | $2,079.00 | $51.27 – $245.18 | 2 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $31.56 – $182.03 | 2 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $28.02 – $182.03 | 2 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $57.24 – $245.18 | 2 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $28.02 – $182.03 | 2 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $32.76 – $182.03 | 2 |
| X-ray knee ap standing bilateral CPT 73565 | $1,251.00 | $1,251.00 | $29.22 – $182.03 | 2 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $26.79 – $182.03 | 2 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $2,267.00 | $2,267.00 | $37.46 – $245.18 | 2 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $2,755.00 | $2,755.00 | $44.23 – $245.18 | 2 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $3,124.00 | $3,124.00 | $50.10 – $245.18 | 2 |
| X-ray male genital tract CPT 74440 | not published | not published | $63.36 – $517.79 | 2 |
| X-ray mandible complete > 4 views CPT 70110 | $2,244.00 | $2,244.00 | $40.97 – $245.18 | 2 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $31.56 – $182.03 | 2 |
| X-ray nasal bones complete > 3 views CPT 70160 | $1,501.00 | $1,501.00 | $29.15 – $182.03 | 2 |
| X-ray neck soft tissue CPT 70360 | $1,313.00 | $1,313.00 | $30.32 – $182.03 | 2 |
| X-ray nose to rectum for foreign body child CPT 76010 | $849.00 | $849.00 | $29.12 – $182.03 | 2 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $73.28 – $517.79 | 2 |
| X-ray optic foramina CPT 70190 | not published | not published | $36.33 – $182.03 | 2 |
| X-ray pelvis 1-2 views CPT 72170 | $1,869.00 | $1,869.00 | $29.15 – $245.18 | 2 |
| X-ray pelvis complete > 3 views CPT 72190 | not published | not published | $43.06 – $245.18 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | not published | not published | $86.61 – $828.27 | 2 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $36.26 – $182.03 | 2 |
| X-ray ribs 3 views bilateral CPT 71110 | $2,267.00 | $2,267.00 | $46.81 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $44.16 – $245.18 | 2 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $3,212.00 | $3,212.00 | $52.40 – $245.18 | 2 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $1,710.00 | $1,710.00 | $36.19 – $245.18 | 2 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $1,710.00 | $1,710.00 | $29.15 – $182.03 | 2 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $31.63 – $245.18 | 2 |
| X-ray sella turcica CPT 70240 | not published | not published | $31.49 – $182.03 | 2 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $25.62 – $182.03 | 2 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $2,205.00 | $2,205.00 | $36.26 – $182.03 | 2 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $83.41 – $1,086.50 | 2 |
| X-ray skull < 4 views CPT 70250 | $1,587.00 | $1,587.00 | $30.32 – $245.18 | 2 |
| X-ray skull > 4 views complete CPT 70260 | $2,253.00 | $2,253.00 | $45.67 – $245.18 | 2 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $94.47 – $245.18 | 2 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $2,780.00 | $2,780.00 | $130.35 – $401.74 | 2 |
| X-ray small intestine follow-through study CPT 74248 | $3,947.00 | $3,947.00 | $111.81 – $111.81 | 1 |
| X-ray spine single view CPT 72020 | not published | not published | $26.79 – $182.03 | 2 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $1,025.00 | $1,025.00 | $36.26 – $182.03 | 2 |
| X-ray sternum > 2 views CPT 71120 | $1,754.00 | $1,754.00 | $32.66 – $182.03 | 2 |
| X-ray surgical specimen CPT 76098 | $913.00 | $913.00 | $51.27 – $1,086.50 | 2 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $2,787.00 | $2,787.00 | $86.23 – $401.74 | 2 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $2,121.00 | $2,121.00 | $39.80 – $182.03 | 2 |
| X-ray thoracic spine 2 views CPT 72070 | not published | not published | $33.86 – $245.18 | 2 |
| X-ray thoracic spine 3 views CPT 72072 | $2,216.00 | $2,216.00 | $36.19 – $245.18 | 2 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $2,216.00 | $2,216.00 | $35.10 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $424.00 | $424.00 | $44.23 – $182.03 | 2 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $702.00 | $702.00 | $52.47 – $245.18 | 2 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $26.79 – $182.03 | 2 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $22.08 – $182.03 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $4,358.00 | $4,358.00 | $145.67 – $401.74 | 2 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $3,360.00 | $3,360.00 | $131.97 – $401.74 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $29.22 – $182.03 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $94.43 – $401.74 | 2 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $42.82 – $51.38 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $2,636.12 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | $341.00 | $341.00 | $9.92 – $13.81 | 18 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.12 – $4.21 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $10.13 – $14.11 | 18 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $150,585.06 – $150,585.06 | 1 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $53.63 – $336.92 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $7.27 – $28.01 | 4 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.13 – $4.00 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | $1,461.00 | $1,461.00 | $39.40 – $54.90 | 18 |
| Zika virus igm antibody CPT 86794 | not published | not published | $12.94 – $18.03 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $162.00 | $162.00 | $3.88 – $24.25 | 4 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $6.23 – $19.13 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $89.23 – $89.23 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,174.00 | $1,174.00 | $7.14 – $13.46 | 4 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $378.84 – $378.84 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $206.78 | 15 |
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.