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 |
|---|---|---|---|---|
| Drug screen quant tiagabine CPT 80199 | $518.00 | $518.00 | $23.60 – $39.31 | 19 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $172.95 – $288.17 | 19 |
| Drug test def 1-7 classes HCPCS G0480 | $431.00 | $431.00 | $99.58 – $165.92 | 19 |
| Drug test def 22+ classes HCPCS G0483 | $2,834.00 | $2,834.00 | $214.88 – $358.03 | 19 |
| Drug test def 8-14 classes HCPCS G0481 | $678.00 | $678.00 | $136.27 – $227.06 | 19 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $90.10 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.92 – $24.85 | 19 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $54.08 – $90.10 | 19 |
| Drvvt confirm - quest CPT 85597 | $508.00 | $508.00 | $15.65 – $26.07 | 19 |
| Ductogram sgl duct CPT 77053 | not published | not published | $76.25 – $517.79 | 2 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $381.42 – $381.42 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $71.29 – $258.81 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $65.55 – $245.18 | 2 |
| Ecallantide injection HCPCS J1290 | not published | not published | $479.94 – $1,739.25 | 4 |
| Ecg record/review CPT 93268 | not published | not published | $116.14 – $132.53 | 3 |
| Ecg/review interpret only CPT 93272 | not published | not published | $16.44 – $18.76 | 3 |
| Echo exam of eye CPT 76516 | not published | not published | $103.52 – $245.18 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $139.15 – $245.18 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $148.09 – $182.03 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $18.74 – $55.51 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $361.55 – $1,086.50 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $180.84 – $517.79 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $125.62 – $245.18 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $108.15 – $245.18 | 2 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $158.92 – $517.79 | 2 |
| Echograp trans r pros study CPT 76873 | not published | not published | $245.18 – $349.74 | 2 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $136.90 – $136.90 | 1 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $74.63 – $74.63 | 1 |
| Echo guide for artery repair CPT 76936 | $3,585.00 | $3,585.00 | $419.83 – $595.01 | 2 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $156.94 – $156.94 | 1 |
| Echo guide for transfusion CPT 76941 | not published | not published | $293.80 – $293.80 | 1 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $146.92 – $146.92 | 1 |
| Echo guide villus sampling CPT 76945 | not published | not published | $146.92 – $146.92 | 1 |
| E coli 0157 ag ia CPT 87335 | $171.00 | $171.00 | $11.02 – $18.36 | 19 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $38.09 – $135.09 | 4 |
| Edetate calcium disodium inj HCPCS J0600 | $2,892.00 | $2,892.00 | $5,491.03 – $18,629.04 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.99 – $0.99 | 1 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $17.99 – $30.30 | 18 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $74.71 – $125.80 | 18 |
| E equine encephalitis igg CPT 86652 | not published | not published | $11.47 – $19.13 | 19 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $27.52 – $96.66 | 4 |
| Egfr gene com variants CPT 81235 | not published | not published | $324.58 – $470.64 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $30.54 – $50.88 | 19 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $17.03 – $28.38 | 19 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $9.85 – $11.24 | 3 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $3,208.29 – $4,038.67 | 18 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $2,002.76 – $2,521.12 | 18 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,794.39 – $3,517.65 | 18 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,475.53 – $3,116.26 | 18 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $2,838.87 – $3,573.64 | 18 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $2,124.27 – $2,674.08 | 18 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $609.23 – $766.91 | 18 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $731.09 – $920.31 | 18 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $2,693.84 – $3,391.07 | 18 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $24,407.75 – $30,725.05 | 18 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $24,523.52 – $30,870.78 | 18 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $9.49 – $11.33 | 18 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $69.64 – $107.45 | 18 |
| Electrodes, pair HCPCS A4556 | not published | not published | $14.71 – $18.52 | 18 |
| Electrolyte panel CPT 80051 | $434.00 | $434.00 | $6.10 – $10.16 | 19 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $8.63 – $11.84 | 18 |
| Electron elbow child switch HCPCS L7186 | not published | not published | $9,539.80 – $12,008.93 | 18 |
| Electronic elbo simultaneous HCPCS L7181 | not published | not published | $40,932.17 – $51,526.39 | 18 |
| Electronic elbow sequential HCPCS L7180 | not published | not published | $36,333.51 – $45,737.47 | 18 |
| Electron microscopy diagnostic CPT 88348 | not published | not published | $656.15 – $3,683.63 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $15.92 – $26.52 | 19 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $34.62 – $34.62 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $249.85 – $935.82 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $6.57 – $24.12 | 4 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $155.53 – $565.56 | 4 |
| Embolization s&i CPT 75894 | $12,328.00 | $12,328.00 | $572.50 – $572.50 | 1 |
| Embryo hatching CPT 89253 | not published | not published | $149.16 – $837.38 | 2 |
| Emr hd pmp elec/combo, rep HCPCS Q0494 | not published | not published | $219.21 – $275.95 | 18 |
| Emr pwr cbl combo vad, rep HCPCS Q0493 | not published | not published | $259.05 – $326.10 | 18 |
| Emr pwr cbl elec vad, rep HCPCS Q0492 | not published | not published | $90.96 – $114.50 | 18 |
| Emr pwr source combo vad rep HCPCS Q0491 | not published | not published | $1,129.21 – $1,421.47 | 18 |
| Emr pwr source elec vad, rep HCPCS Q0490 | not published | not published | $718.28 – $904.18 | 18 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $11.47 – $19.13 | 19 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $11.47 – $19.13 | 19 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $11.47 – $19.13 | 19 |
| Endo ak/hip alignable system HCPCS L5920 | not published | not published | $552.14 – $695.05 | 18 |
| Endo ak/hip knee extens assi HCPCS L5850 | not published | not published | $138.21 – $173.98 | 18 |
| Endo ak ultra-light material HCPCS L5950 | not published | not published | $881.81 – $1,110.04 | 18 |
| Endo assay seven anal CPT 81506 | not published | not published | $68.92 – $99.93 | 16 |
| Endo below knee alignable sy HCPCS L5910 | not published | not published | $379.56 – $477.80 | 18 |
| Endo bk ultra-light material HCPCS L5940 | not published | not published | $521.99 – $657.09 | 18 |
| Endo cath bile duct s&i CPT 74328 | $1,726.00 | $1,726.00 | $110.53 – $110.53 | 1 |
| Endo cath panc duct s&i CPT 74329 | not published | not published | $112.15 – $112.15 | 1 |
| Endo hip ultra-light materia HCPCS L5960 | not published | not published | $1,056.27 – $1,329.66 | 18 |
| Endo knee-shin fluid swg/sta HCPCS L5828 | not published | not published | $3,042.00 – $3,829.34 | 18 |
| Endo knee-shin fluid swing p HCPCS L5824 | not published | not published | $1,595.84 – $2,008.88 | 18 |
| Endo knee-shin frct swg & st HCPCS L5812 | not published | not published | $588.25 – $740.50 | 18 |
| Endo knee-shin frct swg & st HCPCS L5818 | not published | not published | $999.32 – $1,257.97 | 18 |
| Endo knee-shin hydral swg ph HCPCS L5814 | not published | not published | $3,793.92 – $4,775.88 | 18 |
| Endo knee-shin mnl lck ultra HCPCS L5811 | not published | not published | $758.93 – $955.36 | 18 |
| Endo knee-shin pneum swg frc HCPCS L5822 | not published | not published | $1,938.77 – $2,440.56 | 18 |
| Endo knee-shin pneum/swg pha HCPCS L5830 | not published | not published | $2,161.48 – $2,720.92 | 18 |
| Endo knee-shin polyc mch sta HCPCS L5816 | not published | not published | $884.99 – $1,114.04 | 18 |
| Endo poly hip, pneu/hyd/rot HCPCS L5961 | not published | not published | $4,734.22 – $5,959.55 | 18 |
| Endoscopy swallow (fees) i&r CPT 92613 | not published | not published | $29.59 – $33.77 | 3 |
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.