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 |
|---|---|---|---|---|
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $194.43 – $401.74 | 2 |
| CT neck soft tissue w/contrast CPT 70491 | $9,976.00 | $9,976.00 | $221.56 – $401.74 | 2 |
| CT neck soft tissue without contrast CPT 70490 | $9,890.00 | $9,890.00 | $206.28 – $245.18 | 2 |
| CT neck soft tissue without & w/contrast CPT 70492 | $10,602.00 | $10,602.00 | $257.69 – $401.74 | 2 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $7,379.00 | $7,379.00 | $202.67 – $401.74 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $7,076.00 | $7,076.00 | $181.56 – $401.74 | 2 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $5,947.00 | $5,947.00 | $206.28 – $245.18 | 2 |
| CT scan for localization CPT 77011 | not published | not published | $210.37 – $210.37 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $19,520.00 | $19,520.00 | $323.69 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $16,588.00 | $16,588.00 | $292.20 – $828.27 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $15,070.00 | $15,070.00 | $278.60 – $517.79 | 2 |
| CT thoracic spine w/contrast CPT 72129 | $10,527.00 | $10,527.00 | $195.67 – $401.74 | 2 |
| CT thoracic spine without contrast CPT 72128 | $10,101.00 | $10,101.00 | $161.84 – $245.18 | 2 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $186.00 | $186.00 | $172.42 – $182.03 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $10,992.00 | $10,992.00 | $203.91 – $401.74 | 2 |
| CT upper extremity w/contrast (both sides) CPT 73201 | not published | not published | $186.26 – $828.27 | 2 |
| CT upper extremity without contrast (both sides) CPT 73200 | not published | not published | $161.84 – $245.18 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $194.43 – $401.74 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $149.16 – $639.90 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $149.16 – $639.90 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | not published | not published | $6.20 – $8.65 | 18 |
| Culture afb any source CPT 87116 | $315.00 | $315.00 | $8.29 – $11.56 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $538.00 | $538.00 | $6.20 – $8.65 | 18 |
| Culture anaerobic except blood CPT 87075 | $360.00 | $360.00 | $7.27 – $10.13 | 18 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $7.42 – $10.34 | 18 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $18.84 – $80.82 | 2 |
| Culture bact stool aero addl path ea CPT 87046 | not published | not published | $7.25 – $10.10 | 18 |
| Culture body fluid CPT 87070 | not published | not published | $6.62 – $9.22 | 18 |
| Culture fungi definitive id mold CPT 87107 | $592.00 | $592.00 | $7.93 – $11.04 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $324.00 | $324.00 | $7.93 – $11.04 | 18 |
| Culture fungi other (except blood) CPT 87102 | not published | not published | $6.46 – $9.00 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $269.00 | $269.00 | $5.92 – $8.25 | 18 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $686.00 | $686.00 | $11.22 – $15.63 | 18 |
| Culture mycoplasma any source CPT 87109 | $403.00 | $403.00 | $11.82 – $16.47 | 18 |
| Culture of specimen by kit CPT 87084 | not published | not published | $20.78 – $28.96 | 18 |
| Culture quantitative aerobic other source CPT 87071 | $30.00 | $30.00 | $7.60 – $10.58 | 18 |
| Culture screening strep group a CPT 87081 | not published | not published | $5.09 – $7.09 | 18 |
| Culture type pulse field gel CPT 87152 | not published | not published | $5.94 – $8.28 | 18 |
| Culture typing added method CPT 87158 | $23.00 | $23.00 | $5.94 – $8.28 | 18 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $9.62 – $13.40 | 18 |
| Culture typing immunologic CPT 87147 | $57.00 | $57.00 | $3.97 – $5.54 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $167.44 – $233.32 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $26.95 – $37.55 | 18 |
| Culture urine each isolate CPT 87088 | $382.00 | $382.00 | $6.21 – $8.66 | 18 |
| Culture virus isolation CPT 87250 | not published | not published | $15.02 – $20.93 | 18 |
| Cyanocobalamin unsat binding capacity CPT 82608 | not published | not published | $11.00 – $15.32 | 18 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $124.00 | $124.00 | $0.50 – $1.70 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $475.00 | $475.00 | $9.95 – $13.86 | 18 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.60 – $1.56 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.85 – $4.82 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $53.55 – $195.25 | 4 |
| Cyclosporine 2 hour CPT 80158 | $384.00 | $384.00 | $13.86 – $19.31 | 18 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.55 – $1.40 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | $46.00 | $46.00 | $1.52 – $4.80 | 4 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $249.31 – $336.92 | 4 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $333.56 – $400.27 | 4 |
| Cyp2c19 gene com variants CPT 81225 | $874.00 | $874.00 | $291.36 – $311.76 | 15 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $174.81 – $187.05 | 15 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $450.91 – $482.47 | 15 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $174.81 – $187.05 | 15 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $174.81 – $187.05 | 15 |
| Cystatin c CPT 82610 | $215.00 | $215.00 | $14.22 – $19.82 | 18 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $499.00 – $1,612.17 | 18 |
| Cystine urine quantitative CPT 82131 | not published | not published | $17.65 – $24.59 | 18 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | not published | not published | $52.40 – $828.27 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.61 – $2.23 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $919.84 – $1,281.80 | 18 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $32.54 – $45.35 | 18 |
| Cytogenetics 3-5 CPT 88272 | $814.00 | $814.00 | $31.25 – $43.55 | 18 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $1,160.00 – $1,241.20 | 15 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $900.00 – $963.00 | 15 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,263.53 – $1,993.65 | 15 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $9.20 – $12.82 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $337.00 | $337.00 | $11.05 – $15.40 | 18 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $713.00 | $713.00 | $12.94 – $18.03 | 18 |
| Cytomegalovirus dfa CPT 87271 | $686.00 | $686.00 | $10.30 – $14.36 | 18 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,359.01 – $4,792.07 | 4 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $23.05 – $32.13 | 18 |
| Cyto/molecular report CPT 88291 | not published | not published | $24.46 – $145.22 | 5 |
| Cytopath c/v auto in fluid CPT 88174 | $441.00 | $441.00 | $19.48 – $27.15 | 18 |
| Cytopath c/v automated CPT 88147 | not published | not published | $38.82 – $54.10 | 18 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $21.23 – $29.57 | 18 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $13.96 – $19.84 | 18 |
| Cytopath c/v index add-on CPT 88155 | $94.00 | $94.00 | $11.25 – $15.68 | 18 |
| Cytopath c/v manual CPT 88150 | not published | not published | $13.96 – $19.84 | 18 |
| Cytopath c/v redo CPT 88153 | not published | not published | $18.45 – $25.71 | 18 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $17.69 – $24.65 | 18 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $24.67 – $105.83 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $539.00 | $539.00 | $49.76 – $213.47 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $483.00 | $483.00 | $20.43 – $28.47 | 18 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $812.00 | $812.00 | $15.55 – $21.68 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $551.00 | $551.00 | $33.84 – $145.17 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $434.00 | $434.00 | $33.84 – $145.17 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $421.00 | $421.00 | $7.33 – $31.45 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $861.00 | $861.00 | $149.16 – $639.90 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $1,197.00 | $1,197.00 | $49.76 – $213.47 | 2 |
| Cytopath smear other source CPT 88160 | not published | not published | $24.67 – $105.83 | 2 |
| Cytopath smear other source CPT 88162 | $544.00 | $544.00 | $49.76 – $213.47 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $611.00 | $611.00 | $24.67 – $105.83 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $13.96 – $19.84 | 18 |
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.