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 |
|---|---|---|---|---|
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $2.98 – $10.26 | 4 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $58.14 – $212.90 | 4 |
| #cf-97variants CPT 81220 | not published | not published | $427.39 – $595.56 | 18 |
| Cftr gene dup/delet variants CPT 81222 | $4,126.00 | $4,126.00 | $334.06 – $465.52 | 18 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $129.58 – $180.56 | 18 |
| Cftr gene known fam variants CPT 81221 | $4,126.00 | $4,126.00 | $74.65 – $104.03 | 18 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $149.16 – $639.90 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $12.28 – $17.11 | 18 |
| Chest 2 vws w oblique CPT 71048 | $1,391.00 | $1,391.00 | $51.27 – $245.18 | 2 |
| Chest apical lordotic proj CPT 71047 | $1,678.00 | $1,678.00 | $44.50 – $182.03 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $12,107.00 | $12,107.00 | $200.37 – $401.74 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $10,914.00 | $10,914.00 | $187.46 – $401.74 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $9,926.00 | $9,926.00 | $172.42 – $245.18 | 2 |
| Chest X-ray CPT 71046 | $1,710.00 | $1,710.00 | $35.03 – $182.03 | 2 |
| Chest X-ray (single view) CPT 71045 | $1,203.00 | $1,203.00 | $29.12 – $182.03 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $111.81 – $401.74 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $221.98 | 15 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $279.05 | 15 |
| Chlamydia culture CPT 87110 | $453.00 | $453.00 | $15.05 – $20.97 | 18 |
| Chlamydia trachomatis ag if CPT 87270 | $286.00 | $286.00 | $9.20 – $12.82 | 18 |
| Chlamydia type CPT 87140 | not published | not published | $4.28 – $5.96 | 18 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $15.40 – $21.45 | 18 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $32.89 – $45.84 | 18 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $32.66 – $32.66 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | $124.00 | $124.00 | $133.19 – $133.19 | 1 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $54.88 – $54.88 | 1 |
| Chloride CPT 82435 | $261.00 | $261.00 | $3.53 – $4.92 | 18 |
| Chloride 24 hour urine CPT 82436 | $261.00 | $261.00 | $4.42 – $6.15 | 18 |
| Chloroprocaine hcl injection HCPCS J2401 | $124.00 | $124.00 | $0.03 – $0.11 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.45 – $1.54 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $196.00 | $196.00 | $24.36 – $154.04 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $124.00 | $124.00 | $21.78 – $62.99 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | not published | not published | $45.05 – $45.05 | 1 |
| Cholesterol CPT 82465 | $269.00 | $269.00 | $3.34 – $4.65 | 18 |
| Cholesterol (Lipid) Test CPT 80061 | $492.00 | $492.00 | $10.28 – $14.33 | 18 |
| Choline c-11 HCPCS A9515 | not published | not published | $6,668.54 – $6,668.54 | 1 |
| Cholinesterase CPT 82480 | $341.00 | $341.00 | $6.04 – $8.42 | 18 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $13.69 – $40.81 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $26.73 – $37.25 | 18 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $29.95 – $41.73 | 18 |
| Chromatography CPT 83021 | $193.00 | $193.00 | $13.87 – $19.32 | 18 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $9.13 – $12.72 | 18 |
| Chromo high res and frag x - sendout CPT 81243 | $1,153.00 | $1,153.00 | $57.04 – $61.03 | 15 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $133.34 – $185.82 | 18 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $132.97 – $185.29 | 18 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $96.36 – $134.27 | 18 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $132.97 – $185.29 | 18 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $115.40 – $160.81 | 18 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $202.97 – $282.84 | 18 |
| Chromosome analysis 50-100 CPT 88248 | $2,138.00 | $2,138.00 | $132.97 – $185.29 | 18 |
| Chromosome analys placenta CPT 88267 | not published | not published | $144.80 – $201.77 | 18 |
| Chromosome banding study CPT 88283 | not published | not published | $52.67 – $73.40 | 18 |
| Chromosome count additional CPT 88285 | not published | not published | $20.66 – $28.79 | 18 |
| Chromosome karyotype study CPT 88280 | not published | not published | $25.70 – $35.81 | 18 |
| Chromosome study additional CPT 88289 | $339.00 | $339.00 | $26.44 – $36.84 | 18 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.57 – $13.33 | 18 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $47.22 – $65.81 | 18 |
| Cidofovir injection HCPCS J0740 | not published | not published | $391.37 – $1,389.87 | 4 |
| Cilastatin sodium injection HCPCS J0743 | $207.00 | $207.00 | $5.50 – $18.82 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $414,876.75 – $1,557,271.36 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.62 – $2.62 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $65.80 – $245.18 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $48.73 – $48.73 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.58 – $5.30 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $90.05 – $90.05 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.15 – $5.59 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $329.51 – $352.58 | 15 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $7.65 – $19.66 | 4 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $20.36 – $24.43 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.21 – $5.06 | 4 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $12.01 – $38.08 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $12.15 – $45.66 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.29 – $17.12 | 18 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $14.54 – $20.26 | 18 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $15.68 – $21.85 | 18 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $14.54 – $20.26 | 18 |
| Clot factor xii hageman CPT 85280 | $863.00 | $863.00 | $14.86 – $20.70 | 18 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $7.00 – $9.75 | 18 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $12.55 – $17.48 | 18 |
| Clotting assay whole blood CPT 85396 | not published | not published | $19.89 – $85.33 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $10.80 – $15.05 | 18 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $6.76 – $9.42 | 18 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $15.02 – $20.93 | 18 |
| Cmv ig IV CPT 90291 | not published | not published | $5,754.40 – $5,754.40 | 1 |
| Cmv pcr-sendout CPT 87496 | $1,507.00 | $1,507.00 | $26.95 – $37.55 | 18 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $146.59 | 15 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $1.90 – $6.94 | 4 |
| Coagulation time activated teg CPT 85347 | $637.00 | $637.00 | $3.29 – $4.58 | 18 |
| Coagulation time lee & white CPT 85345 | not published | not published | $3.60 – $5.02 | 18 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.45 – $4.80 | 18 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $2.65 – $2.65 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $336.92 – $451.40 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $6.20 – $8.63 | 18 |
| Cold agglutinin titer CPT 86157 | $337.00 | $337.00 | $6.19 – $8.62 | 18 |
| Colistimethate sodium inj HCPCS J0770 | $320.00 | $320.00 | $8.96 – $32.01 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $55.03 – $200.74 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | not published | not published | $3.00 – $9.99 | 18 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $336.92 – $1,447.44 | 4 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $345.00 | $345.00 | $149.16 – $639.90 | 2 |
| Compatibility test each unit electronic CPT 86923 | $402.00 | $402.00 | $149.16 – $639.90 | 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.