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 |
|---|---|---|---|---|
| Compatibility test each unit immediate spin technique CPT 86920 | $345.00 | $345.00 | $149.16 – $639.90 | 2 |
| Compatibility test incubate CPT 86921 | $345.00 | $345.00 | $149.16 – $639.90 | 2 |
| Complement antigen each component c3 CPT 86160 | not published | not published | $9.22 – $12.84 | 18 |
| Complement fixation each CPT 86171 | not published | not published | $7.69 – $10.71 | 18 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $12,186.00 | $12,186.00 | $412.25 – $801.97 | 2 |
| Concentration infection agents any type CPT 87015 | not published | not published | $5.13 – $7.15 | 18 |
| Congo red blood test HCPCS P2029 | not published | not published | $3.80 – $5.30 | 18 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,128.00 | $1,128.00 | $287.17 – $1,038.16 | 4 |
| Consultation pathology during surgery CPT 88329 | $545.00 | $545.00 | $33.84 – $145.17 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $509.00 | $509.00 | $656.15 – $2,814.88 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $368.00 | $368.00 | $24.08 – $103.30 | 2 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $1,898.00 | $1,898.00 | $149.16 – $639.90 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $1,788.00 | $1,788.00 | $49.76 – $213.47 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $368.00 | $368.00 | $33.84 – $145.17 | 2 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $149.16 – $639.90 | 2 |
| Contact lens fitting ou CPT 92310 | not published | not published | $34.45 – $41.34 | 3 |
| Contrast baths charges CPT 97034 | not published | not published | $10.06 – $15.40 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $216.89 – $6,438.74 | 2 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $81.52 – $6,438.74 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $179.87 – $10,733.33 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $51.20 – $401.74 | 2 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $98.04 – $828.27 | 2 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $170.12 – $828.27 | 2 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $190.96 – $1,609.16 | 2 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $87.40 – $828.27 | 2 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $99.28 – $828.27 | 2 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $110.20 – $828.27 | 2 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $94.40 – $828.27 | 2 |
| Coombs direct CPT 86880 | not published | not published | $5.39 – $5.77 | 15 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $121.00 | $121.00 | $5.72 – $6.12 | 15 |
| Coombs indirect titer reference CPT 86886 | $172.00 | $172.00 | $5.18 – $5.54 | 15 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,322.00 | $1,322.00 | $1,574.84 – $1,574.84 | 1 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $3,773.60 – $3,773.60 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,123.50 | 15 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $58.62 – $251.48 | 2 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $25.05 – $34.90 | 18 |
| Cortisol total am CPT 82533 | not published | not published | $12.52 – $17.44 | 18 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,256.00 | $1,256.00 | $25.05 – $54.72 | 4 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $17.51 – $26.19 | 18 |
| Covid-19 lab test non-cdc HCPCS U0002 | $77.00 | $77.00 | $39.40 – $54.90 | 18 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $53.90 – $75.11 | 18 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $10.00 – $13.94 | 18 |
| C-peptide CPT 84681 | $382.00 | $382.00 | $15.98 – $22.27 | 18 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $700.65 – $700.65 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $5,082.59 – $5,082.59 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $107.04 – $1,101.15 | 2 |
| C-reactive protein CPT 86140 | $279.00 | $279.00 | $3.97 – $5.54 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $391.00 | $391.00 | $9.95 – $13.86 | 18 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $8.17 – $11.38 | 18 |
| Creatine isoforms CPT 82554 | not published | not published | $9.11 – $12.70 | 18 |
| Creatine kinase CPT 82550 | $349.00 | $349.00 | $5.00 – $6.97 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $981.00 | $981.00 | $10.28 – $14.33 | 18 |
| Creatine kinase mb CPT 82553 | $475.00 | $475.00 | $8.87 – $12.36 | 18 |
| Creatine - sendout CPT 82540 | not published | not published | $3.56 – $4.96 | 18 |
| Creatinine CPT 82565 | $261.00 | $261.00 | $3.93 – $5.48 | 18 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $3.97 – $5.54 | 18 |
| Creatinine clearance urine CPT 82575 | $485.00 | $485.00 | $7.27 – $10.12 | 18 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $22.43 – $31.25 | 18 |
| Crh stimulation panel CPT 80412 | not published | not published | $615.53 – $857.73 | 18 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $97.13 – $343.41 | 4 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.22 – $2.41 | 4 |
| Crotalidae poly immune fab HCPCS J0840 | $14,428.00 | $14,428.00 | $1,316.86 – $4,840.28 | 4 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $156.00 | $156.00 | $10.86 – $15.13 | 18 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $656.15 – $2,814.88 | 2 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $149.16 – $639.90 | 2 |
| Cryopreservation sperm CPT 89259 | not published | not published | $149.16 – $639.90 | 2 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $213.47 | 2 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $11.06 – $15.42 | 18 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $9.20 – $12.82 | 18 |
| Crystal identification light microscopy CPT 89060 | $216.00 | $216.00 | $5.63 – $7.84 | 18 |
| Csf leakage imaging CPT 78650 | not published | not published | $82.79 – $2,938.37 | 2 |
| Csf ventriculography CPT 78635 | not published | not published | $98.01 – $1,101.15 | 2 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $146.59 | 15 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $294.07 | 15 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $198.16 | 15 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $129.26 – $129.26 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $6,426.00 | $6,426.00 | $289.76 – $401.74 | 2 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $6,975.00 | $6,975.00 | $381.45 – $401.74 | 2 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $302.36 – $401.74 | 2 |
| Cta neck without &/or w/contrast CPT 70498 | $5,669.00 | $5,669.00 | $279.77 – $401.74 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $12,008.00 | $12,008.00 | $351.50 – $828.27 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | not published | not published | $290.96 – $401.74 | 2 |
| CT Angiogram of the Head CPT 70496 | $6,517.00 | $6,517.00 | $279.77 – $401.74 | 2 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $386.08 – $401.74 | 2 |
| CT angio pelvis CPT 72191 | $5,585.00 | $5,585.00 | $287.36 – $401.74 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $287.36 – $401.74 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $39.73 – $182.03 | 2 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $165.38 – $403.20 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $245.18 – $386.67 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $401.74 – $403.15 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $1,486.98 – $1,486.98 | 1 |
| CT guidance for needle placement CPT 77012 | not published | not published | $203.46 – $203.46 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | not published | not published | $189.42 – $189.42 | 1 |
| CT guid parench tis ablat CPT 77013 | not published | not published | $614.86 – $614.86 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $93.27 – $182.03 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $401.74 – $412.94 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $280.42 – $401.74 | 2 |
| CT limited or localized follow-up study CPT 76380 | $3,522.00 | $3,522.00 | $155.53 – $182.03 | 2 |
| CT lower extremity w/contrast (both sides) CPT 73701 | not published | not published | $186.26 – $401.74 | 2 |
| CT lower extremity without contrast (both sides) CPT 73700 | not published | not published | $161.84 – $245.18 | 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.