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 |
|---|---|---|---|---|
| Bivalirudin HCPCS J0583 | $1,451.00 | $1,451.00 | $0.11 – $0.42 | 4 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $38.05 – $38.05 | 1 |
| Bld prd mix CPT 86965 | not published | not published | $149.16 – $639.90 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $335.00 | $335.00 | $16.17 – $61.00 | 4 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $114.21 – $433.75 | 4 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $42.06 | 15 |
| Blood clot lysis time CPT 85175 | not published | not published | $15.64 – $21.80 | 18 |
| Blood clot retraction CPT 85170 | not published | not published | $12.52 – $17.44 | 18 |
| Blood Clotting (PT/INR) Test CPT 85610 | $220.00 | $220.00 | $3.29 – $4.59 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | $279.00 | $279.00 | $4.61 – $6.43 | 18 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $5.96 – $8.31 | 18 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $220.00 | $220.00 | $4.96 – $6.92 | 18 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $5.38 – $7.49 | 18 |
| Blood Culture Test CPT 87040 | $393.00 | $393.00 | $7.93 – $11.04 | 18 |
| Blood draw capillary 36416 CPT 36416 | $48.00 | $48.00 | $3.14 – $13.47 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $480.00 | $480.00 | $60.48 – $84.28 | 18 |
| Blood gases ph venous CPT 82800 | not published | not published | $8.45 – $11.77 | 18 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $3.80 – $5.30 | 18 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $144.00 | $144.00 | $12.23 – $17.03 | 18 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $3.25 – $4.53 | 18 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $133.00 | $133.00 | $3.36 – $4.69 | 18 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $177.00 | $177.00 | $4.09 – $5.69 | 18 |
| Blood smear interpretation CPT 85060 | not published | not published | $24.77 – $106.26 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $177.00 | $177.00 | $2.92 – $4.07 | 18 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.80 – $5.30 | 18 |
| Blood typing abo CPT 86900 | $141.00 | $141.00 | $2.99 – $3.20 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $131.00 | $131.00 | $6.35 – $6.79 | 15 |
| Blood typing antigen system CPT 86911 | not published | not published | $23.03 – $98.80 | 2 |
| Blood typing paternity test CPT 86910 | not published | not published | $26.52 – $113.77 | 2 |
| Blood typing patient serum CPT 86904 | not published | not published | $16.34 – $17.48 | 15 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $99.00 | $99.00 | $3.83 – $4.10 | 15 |
| Blood typing rh (d) CPT 86901 | $158.00 | $158.00 | $2.99 – $3.20 | 15 |
| Blood typing rh phenotype complete reference CPT 86906 | $123.00 | $123.00 | $7.75 – $8.29 | 15 |
| Blood volume CPT 78122 | not published | not published | $72.39 – $1,101.15 | 2 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $336.92 – $336.92 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $2,000.00 | $2,000.00 | $32.66 – $245.18 | 2 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $132.66 – $848.52 | 2 |
| Bone/joint imaging ltd area CPT 78300 | $4,951.00 | $4,951.00 | $97.97 – $848.52 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $124.62 – $848.52 | 2 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $86.12 – $848.52 | 2 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $101.51 – $848.52 | 2 |
| Bone marrow interpretation CPT 85097 | $1,534.00 | $1,534.00 | $656.15 – $2,814.88 | 2 |
| Bone mineral dual photon CPT 78351 | not published | not published | $15.23 – $34.54 | 4 |
| Bone mineral single photon CPT 78350 | not published | not published | $48.67 – $48.67 | 1 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $72.11 – $245.18 | 2 |
| Borrelia antibody CPT 86619 | not published | not published | $10.27 – $14.32 | 18 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $13.08 – $18.22 | 18 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $26.95 – $37.55 | 18 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.88 – $7.10 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | $129.00 | $129.00 | $2.63 – $3.67 | 18 |
| Bowel imaging CPT 78290 | not published | not published | $108.27 – $848.52 | 2 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $304.66 – $434.64 | 18 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $829.25 – $1,183.07 | 18 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $737.04 – $1,051.51 | 18 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $760.82 – $1,085.44 | 18 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $681.51 – $972.29 | 18 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $513.38 – $732.42 | 18 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $130.72 – $186.49 | 18 |
| Brachytx isodose complex CPT 77318 | not published | not published | $534.50 – $534.50 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $337.36 – $337.36 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $258.37 – $258.37 | 1 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $187.68 | 15 |
| Brain flow imaging only CPT 78610 | not published | not published | $47.66 – $1,101.15 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $70.02 – $848.52 | 2 |
| Brain image 4+ views CPT 78605 | not published | not published | $86.23 – $1,101.15 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $81.45 – $848.52 | 2 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $100.27 – $1,101.15 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $14,491.00 | $14,491.00 | $236.57 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $192.10 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $7,257.00 | $7,257.00 | $192.10 – $517.79 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $13,226.00 | $13,226.00 | $366.89 – $828.27 | 2 |
| Brain MRI (with contrast) CPT 70552 | $11,138.00 | $11,138.00 | $285.71 – $828.27 | 2 |
| Brain MRI (without contrast) CPT 70551 | $10,204.00 | $10,204.00 | $236.57 – $517.79 | 2 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $500.76 | 15 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $625.13 | 15 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $401.52 | 15 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $322.44 | 15 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $302.68 | 15 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $198.08 | 15 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $401.52 | 15 |
| Brca2 gene full dup/del alys CPT 81167 | $3,556.00 | $3,556.00 | $282.88 – $302.68 | 15 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $470.80 | 15 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,556.00 | $3,556.00 | $1,401.23 – $1,952.62 | 18 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $72.50 – $101.02 | 18 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $8.49 – $11.83 | 18 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $33,252.00 | $33,252.00 | $186.70 – $711.39 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $367,049.25 – $1,297,043.03 | 4 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $7.71 – $15.38 | 18 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $15.26 – $18.32 | 3 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.87 – $0.87 | 1 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $187.68 | 15 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $12.40 – $12.40 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.89 – $2.78 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.43 – $0.95 | 4 |
| Bundled special stain group 1 microorganisms CPT 88312 | $551.00 | $551.00 | $49.76 – $213.47 | 2 |
| Bundled special stain group 2 CPT 88313 | $715.00 | $715.00 | $33.84 – $145.17 | 2 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.03 | 4 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $26.95 – $26.95 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $40.00 | $40.00 | $16.19 – $16.19 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $45.00 | $45.00 | $24.86 – $24.86 | 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.