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 |
|---|---|---|---|---|
| Assay of troponin qual CPT 84512 | not published | not published | $7.75 – $10.80 | 18 |
| Assay of tyrosine CPT 84510 | not published | not published | $8.16 – $11.37 | 18 |
| Assay of urine sulfate CPT 84392 | $382.00 | $382.00 | $4.21 – $5.87 | 18 |
| Assay of urine urobilinogen CPT 84580 | $56.00 | $56.00 | $7.33 – $10.22 | 18 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $4.64 – $6.47 | 18 |
| Assay phosphatidylglycerol CPT 84081 | $879.00 | $879.00 | $12.68 – $17.68 | 18 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $8.24 – $11.48 | 18 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.25 – $10.10 | 18 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $15.16 – $21.12 | 18 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $69.65 – $105.96 | 18 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $193.00 | $193.00 | $3.28 – $4.57 | 18 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $27.85 – $40.91 | 18 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $656.15 – $2,814.88 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $149.16 – $639.90 | 2 |
| Ast/sgot CPT 84450 | $279.00 | $279.00 | $3.97 – $5.54 | 18 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $723.86 | 15 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $258.83 | 15 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $67.04 – $248.86 | 4 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $146.59 | 15 |
| Atomic absorption CPT 82190 | not published | not published | $12.21 – $17.01 | 18 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.08 – $0.27 | 4 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $146.59 | 15 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $146.59 | 15 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $146.59 | 15 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $146.59 | 15 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $146.59 | 15 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $146.59 | 15 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $111.21 – $133.45 | 3 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $240.95 – $289.14 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $899.50 | 15 |
| Autologous blood op salvage CPT 86891 | not published | not published | $656.15 – $2,814.88 | 2 |
| Autologous blood process CPT 86890 | not published | not published | $149.16 – $639.90 | 2 |
| Automated diff wbc count CPT 85004 | not published | not published | $4.96 – $6.92 | 18 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $362.54 – $1,555.30 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $350.68 – $1,504.42 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $374.05 – $1,604.67 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $210.41 – $902.66 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $210.41 – $902.66 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $210.41 – $902.66 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $245.65 – $1,053.84 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $257.16 – $1,103.22 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $210.41 – $902.66 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $192.96 – $827.80 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $269.03 – $1,154.14 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $72.86 – $278.22 | 4 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $147.47 – $147.47 | 1 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $377,130.75 – $1,410,309.44 | 4 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.24 – $1.22 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $25.00 | $25.00 | $0.16 – $0.91 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $671.85 – $671.85 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $199.00 | $199.00 | $1.67 – $5.41 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $34.53 – $34.53 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $1.86 – $5.91 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $131.10 – $480.90 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $40.37 – $157.70 | 4 |
| Baclofen eval charges CPT 97750 | not published | not published | $24.73 – $32.24 | 18 |
| Bacterial meningitis antigen CPT 86403 | $483.00 | $483.00 | $8.86 – $12.35 | 18 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $53.90 – $75.11 | 18 |
| Bactericidal level serum CPT 87197 | $632.00 | $632.00 | $11.54 – $16.07 | 18 |
| #bac vag cand-c. albicans naa CPT 87481 | $405.00 | $405.00 | $26.95 – $37.55 | 18 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $26.95 – $37.55 | 18 |
| Bartonella dna quant CPT 87472 | not published | not published | $32.89 – $45.84 | 18 |
| Basiliximab HCPCS J0480 | not published | not published | $3,515.74 – $12,669.84 | 4 |
| B cells total count CPT 86355 | $551.00 | $551.00 | $28.97 – $40.37 | 18 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.35 – $8.69 | 4 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $117.72 – $434.52 | 4 |
| Bcg vaccine percut CPT 90585 | not published | not published | $578.65 – $578.65 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $101.64 | 15 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $2.92 – $10.31 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $41.23 – $151.47 | 4 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $0.93 – $5.43 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $10.65 – $36.17 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $10.19 – $34.00 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $20.43 – $84.77 | 4 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $736.00 | $736.00 | $12.58 – $36.62 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $19.54 – $27.23 | 18 |
| Beta-2 microglobulin CPT 82232 | $637.00 | $637.00 | $12.43 – $17.31 | 18 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $137.94 | 15 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $137.94 | 15 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $154.00 | $154.00 | $5.14 – $18.31 | 4 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $54.55 – $195.12 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $22.37 – $63.18 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $20.21 – $68.37 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $4.88 – $4.88 | 1 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $57.47 – $79.25 | 18 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $23.21 – $31.77 | 18 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $12.95 – $18.05 | 18 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $20.41 – $28.44 | 18 |
| Bilicheck CPT 88720 | not published | not published | $3.85 – $5.37 | 18 |
| Bilirubin direct CPT 82248 | $315.00 | $315.00 | $3.85 – $5.37 | 18 |
| Bilirubin total CPT 82247 | $281.00 | $281.00 | $3.85 – $5.37 | 18 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $40.82 – $58.24 | 18 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $336.92 – $1,668.29 | 4 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $70.70 – $336.92 | 4 |
| Biofeedback, pt CPT 90901 | not published | not published | $29.19 – $39.26 | 18 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $149.16 – $639.90 | 2 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $149.16 – $639.90 | 2 |
| Biotinidase - quest CPT 82261 | $582.00 | $582.00 | $12.95 – $18.05 | 18 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $100.25 – $336.92 | 4 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $336.92 – $495.58 | 4 |
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.