LEWISGALE MEDICAL CENTER
1423 W RURITAN RD, ROANOKE, VA · HCA Virginia · · NPI 1619914785
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 |
|---|---|---|---|---|
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $158.33 – $199.31 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.15 – $7.86 | 4 |
| Coagulation time activated teg CPT 85347 | not published | not published | $3.72 – $6.21 | 19 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.08 – $6.80 | 19 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.91 – $6.51 | 19 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $8,711.14 – $10,965.79 | 18 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $460.74 – $579.99 | 18 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $107.32 – $135.10 | 18 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $26.77 – $33.71 | 18 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $93.73 – $117.99 | 18 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $3.00 – $3.00 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $381.42 – $486.50 | 4 |
| Cold agglutinin screen (arc) CPT 86156 | $493.00 | $493.00 | $7.02 – $11.70 | 19 |
| Cold agglutinin titer CPT 86157 | $493.00 | $493.00 | $7.01 – $11.69 | 19 |
| Colistimethate sodium inj HCPCS J0770 | $1,729.00 | $1,729.00 | $10.15 – $36.24 | 4 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $62.37 – $227.25 | 4 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $37.52 – $47.23 | 18 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $25.47 – $32.07 | 18 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $25.47 – $32.07 | 18 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $7.49 – $9.43 | 18 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $2.76 – $3.48 | 18 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $455.68 – $573.62 | 18 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | not published | not published | $27.31 – $34.38 | 18 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $63.84 – $80.37 | 18 |
| Collar cerv ascend 172 reg HCPCS L0172 | not published | not published | $136.58 – $171.93 | 18 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $117.11 – $147.42 | 18 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $504.41 – $634.96 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | not published | not published | $3.00 – $12.80 | 19 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $381.42 – $1,560.02 | 4 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $1,971.61 – $2,481.91 | 18 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $473.58 – $596.15 | 18 |
| Compatibility test each unit antiglobulin technique CPT 86922 | not published | not published | $149.16 – $837.38 | 2 |
| Compatibility test each unit electronic CPT 86923 | not published | not published | $149.16 – $837.38 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $557.00 | $557.00 | $149.16 – $837.38 | 2 |
| Compatibility test incubate CPT 86921 | $518.00 | $518.00 | $149.16 – $837.38 | 2 |
| Complement antigen each component c3 CPT 86160 | not published | not published | $10.45 – $17.40 | 19 |
| Complement fixation each CPT 86171 | not published | not published | $8.71 – $14.51 | 19 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $695.03 – $874.92 | 18 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $7.53 – $9.48 | 18 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $4.08 – $5.14 | 18 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $33.21 – $41.80 | 18 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $16,650.00 | $16,650.00 | $539.38 – $801.97 | 2 |
| Concentration infection agents any type CPT 87015 | not published | not published | $5.81 – $9.69 | 19 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.34 – $0.43 | 18 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.47 – $0.59 | 18 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.82 – $1.04 | 18 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.31 – $7.18 | 19 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $2,903.00 | $2,903.00 | $325.46 – $1,175.28 | 4 |
| Connect omega .5mm HCPCS L8613 | $12,624.00 | $12,624.00 | $318.57 – $401.03 | 18 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $33.84 – $189.98 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $351.00 | $351.00 | $656.15 – $3,683.63 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $843.00 | $843.00 | $24.08 – $135.19 | 2 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $1,194.00 | $1,194.00 | $149.16 – $837.38 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $519.00 | $519.00 | $49.76 – $279.35 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $1,194.00 | $1,194.00 | $33.84 – $189.98 | 2 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $149.16 – $837.38 | 2 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $8.90 – $11.20 | 18 |
| Contact lens fitting ou CPT 92310 | not published | not published | $39.04 – $44.55 | 3 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $553.14 – $696.30 | 18 |
| Contrast baths charges CPT 97034 | not published | not published | $11.41 – $15.40 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $283.78 – $6,438.74 | 2 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $106.66 – $6,438.74 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $235.34 – $10,733.33 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $66.99 – $401.74 | 2 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $128.28 – $828.27 | 2 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $222.58 – $828.27 | 2 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $249.86 – $1,609.16 | 2 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $114.35 – $828.27 | 2 |
| Contrast x-ray of hip CPT 73525 | $1,216.00 | $1,216.00 | $129.89 – $828.27 | 2 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $144.18 – $828.27 | 2 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $123.51 – $828.27 | 2 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $14,844.23 – $18,686.27 | 18 |
| Coombs direct CPT 86880 | not published | not published | $5.39 – $7.82 | 16 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $47.00 | $47.00 | $5.72 – $8.29 | 16 |
| Coombs indirect titer reference CPT 86886 | $421.00 | $421.00 | $5.18 – $7.51 | 16 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $1,782.84 – $1,782.84 | 1 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $4,272.00 – $4,272.00 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $1,522.50 | 16 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $6,655.96 – $8,378.68 | 18 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $58.62 – $329.09 | 2 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $28.39 – $47.30 | 19 |
| Cortisol total am CPT 82533 | $406.00 | $406.00 | $14.19 – $23.64 | 19 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $3,454.00 | $3,454.00 | $28.39 – $61.95 | 4 |
| Co-treatment - group 15 mins, st CPT 92508 | $589.00 | $589.00 | $19.85 – $26.19 | 18 |
| Covers for upright each HCPCS L1120 | not published | not published | $42.19 – $53.10 | 18 |
| Cover wrist HCPCS L3984 | not published | not published | $328.98 – $414.12 | 18 |
| Covid-19 lab test non-cdc HCPCS U0002 | $76.00 | $76.00 | $44.65 – $74.40 | 19 |
| #covid19rsv-rsv CPT 87634 | not published | not published | $61.09 – $101.79 | 19 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $11.34 – $18.89 | 19 |
| C-peptide CPT 84681 | $289.00 | $289.00 | $18.11 – $30.17 | 19 |
| 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 | $5,753.88 – $5,753.88 | 1 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $1,427.03 – $1,796.38 | 18 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $290.76 – $366.01 | 18 |
| Crbrospnl fld flw imag cistern CPT 78630 | not published | not published | $140.05 – $1,101.15 | 2 |
| C-reactive protein CPT 86140 | not published | not published | $4.50 – $7.51 | 19 |
| C-reactive protein high sensitivity CPT 86141 | $473.00 | $473.00 | $11.27 – $18.78 | 19 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $9.26 – $15.43 | 19 |
| Creatine isoforms CPT 82554 | not published | not published | $10.33 – $17.21 | 19 |
| Creatine kinase CPT 82550 | not published | not published | $5.66 – $9.44 | 19 |
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.