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 |
|---|---|---|---|---|
| Buprenorphine hydrochloride HCPCS J0592 | $154.00 | $154.00 | $3.13 – $11.16 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $3.34 – $3.34 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,443.92 – $5,296.10 | 4 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,443.92 – $5,296.10 | 4 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.09 – $2.36 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $154.00 | $154.00 | $3.52 – $14.68 | 4 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $54.20 – $201.03 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $47.91 – $173.92 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $9.22 – $12.84 | 18 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $51,496.00 | $51,496.00 | $166.28 – $611.62 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $48.57 – $48.57 | 1 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $17.35 – $64.02 | 4 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $146.59 | 15 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $905.51 | 15 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $198.16 | 15 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $5.38 – $5.38 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $57.40 – $217.51 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $312.00 | $312.00 | $3,797.98 – $3,797.98 | 1 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $61.71 – $86.00 | 18 |
| Calcium 24 hour urine CPT 82340 | $315.00 | $315.00 | $4.63 – $6.45 | 18 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.08 – $0.08 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $194.33 | $194.33 | $0.08 – $0.08 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $124.00 | $124.00 | $0.04 – $0.08 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $187.00 | $187.00 | $0.06 – $0.24 | 4 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $30.10 – $30.10 | 1 |
| Calcium infusion test CPT 82331 | not published | not published | $10.25 – $14.27 | 18 |
| Calcium ionized CPT 82330 | $470.00 | $470.00 | $10.51 – $14.64 | 18 |
| Calcium total CPT 82310 | not published | not published | $3.96 – $5.52 | 18 |
| Calculi urinary-sendout CPT 82360 | $623.00 | $623.00 | $9.88 – $13.77 | 18 |
| Calculus analysis qual CPT 82355 | not published | not published | $8.89 – $12.39 | 18 |
| Calprotectin fecal CPT 83993 | $1,304.00 | $1,304.00 | $15.08 – $21.00 | 18 |
| Campylobacter antibody CPT 86625 | not published | not published | $10.07 – $14.04 | 18 |
| Canakinumab injection HCPCS J0638 | not published | not published | $102.42 – $391.51 | 4 |
| Candida dna CPT 87480 | not published | not published | $15.40 – $21.45 | 18 |
| Candida dna quant CPT 87482 | not published | not published | $42.80 – $59.64 | 18 |
| Candida skin test CPT 86485 | not published | not published | $24.67 – $105.83 | 2 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $511.69 – $1,739.73 | 4 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.05 – $0.11 | 4 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.54 – $9.06 | 4 |
| Carbamazepine free CPT 80157 | not published | not published | $10.18 – $14.18 | 18 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $14.31 – $19.94 | 18 |
| Carbamazepine total therapeutic drug level CPT 80156 | $65.00 | $65.00 | $11.19 – $15.59 | 18 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $176.83 – $646.04 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $341.00 | $341.00 | $13.87 – $19.32 | 18 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.22 – $5.89 | 18 |
| Carbon dioxide CPT 82374 | not published | not published | $3.75 – $5.22 | 18 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.20 – $7.76 | 4 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $421.00 | $421.00 | $36.31 – $36.31 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $384.00 | $384.00 | $9.46 – $13.18 | 18 |
| Carcinoembryonic ag (cea) CPT 82378 | $669.00 | $669.00 | $14.56 – $20.29 | 18 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $474.17 – $1,086.50 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $213.25 – $2,938.37 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $158.51 – $2,938.37 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $6,156.00 | $6,156.00 | $220.98 – $2,938.37 | 2 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $122.63 – $848.52 | 2 |
| Cardiolipin antibody iga CPT 86147 | not published | not published | $19.54 – $27.23 | 18 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,487.83 – $3,466.80 | 18 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $39.73 – $39.73 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $38.71 – $57.02 | 18 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $19.04 – $27.99 | 18 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $38.89 – $147.37 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $625.84 | 15 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $625.84 | 15 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $109.20 – $616.44 | 4 |
| Carotene CPT 82380 | $376.00 | $376.00 | $7.08 – $9.87 | 18 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.50 – $10.12 | 4 |
| Catecholamines,fractionated, urine CPT 82382 | $482.00 | $482.00 | $20.96 – $29.21 | 18 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $13.40 – $16.08 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $3.00 – $9.99 | 18 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $77.61 – $77.61 | 1 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $5.96 – $8.31 | 18 |
| CBC without platelet HCPCS G0307 | not published | not published | $4.96 – $6.92 | 18 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $13.82 – $19.26 | 18 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $221.82 | 15 |
| Cdna analysis for variants CPT 81403 | not published | not published | $185.20 – $198.16 | 15 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $258.83 | 15 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.62 – $2.20 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $0.90 – $2.31 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $19.48 – $19.48 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $3.76 – $12.56 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $2.99 – $11.24 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.20 – $3.90 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $75.38 – $277.48 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.37 – $1.22 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.51 – $5.43 | 4 |
| #celiac hla-dq2 CPT 81377 | $769.00 | $769.00 | $72.74 – $101.37 | 18 |
| #celiac hla-dq8 CPT 81383 | $769.00 | $769.00 | $83.80 – $116.77 | 18 |
| Cell count body fluid CPT 89050 | not published | not published | $3.62 – $5.05 | 18 |
| Cell count w differential body fluid CPT 89051 | not published | not published | $4.30 – $5.99 | 18 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $10.04 – $13.98 | 18 |
| Cell enumeration & id CPT 86152 | not published | not published | $192.56 – $268.33 | 18 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $60.03 – $336.92 | 4 |
| Cell function assay w/stim CPT 86352 | not published | not published | $104.32 – $145.37 | 18 |
| Cell marker study CPT 88182 | not published | not published | $49.76 – $213.47 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $21.69 – $76.03 | 4 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $2,786.05 – $2,786.05 | 1 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.80 – $5.30 | 18 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $89.66 – $1,101.15 | 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.