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 |
|---|---|---|---|---|
| External recharg sys intern HCPCS L8689 | not published | not published | $1,762.14 – $2,218.23 | 18 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | not published | not published | $125.09 – $208.44 | 19 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $15.61 – $26.00 | 19 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $254.33 | 16 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $410.18 | 16 |
| F-18 fdg pet diag HCPCS A9552 | $1,692.00 | $1,692.00 | $1,293.63 – $1,293.63 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $16,372.00 | $16,372.00 | $5,476.92 – $5,476.92 | 1 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $966.81 – $966.81 | 1 |
| F-18 sodium fluoride HCPCS A9580 | $596.00 | $596.00 | $811.65 – $811.65 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $870.00 | 16 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $316.61 – $398.55 | 18 |
| Facial bones <3 CPT 70140 | $1,075.00 | $1,075.00 | $44.39 – $182.03 | 2 |
| Factor ix CPT 85250 | $265.00 | $265.00 | $16.57 – $27.61 | 19 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.02 – $10.80 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.41 – $5.10 | 4 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.40 – $15.96 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.17 – $4.11 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.67 – $13.65 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.39 – $5.22 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.57 – $5.49 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.03 – $7.05 | 4 |
| Factor viii CPT 85240 | $445.00 | $445.00 | $15.58 – $25.95 | 19 |
| Factor viii HCPCS J7190 | not published | not published | $0.95 – $3.33 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $1.97 – $7.41 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.01 – $3.39 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.78 – $6.48 | 4 |
| Factor viii recombinant nos HCPCS J7192 | $3.00 | $3.00 | $1.33 – $4.77 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.19 – $4.65 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.75 – $9.69 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $8.91 – $32.28 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $14.74 – $55.68 | 4 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $210.00 | $210.00 | $0.01 – $0.03 | 4 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $24.56 – $93.90 | 4 |
| Fancc gene CPT 81242 | $561.00 | $561.00 | $36.62 – $53.10 | 16 |
| Fat/lipids feces qualitative CPT 82705 | $447.00 | $447.00 | $4.44 – $7.39 | 19 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $16.34 – $27.22 | 19 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $170.49 – $214.62 | 18 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.97 – $6.61 | 19 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $54.34 – $193.89 | 4 |
| #fecal-sodium CPT 84302 | not published | not published | $4.23 – $7.05 | 19 |
| Feeding tube reposition CPT 74355 | not published | not published | $160.18 – $160.18 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $27.72 – $31.63 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $188.05 – $249.13 | 18 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $193.00 | $193.00 | $16.22 – $27.03 | 19 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $3,958.65 – $4,983.25 | 18 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $60.48 – $76.13 | 18 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $11.95 – $15.04 | 18 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.71 – $3.57 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $8.47 – $14.12 | 19 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $0.96 – $3.36 | 4 |
| Ferritin CPT 82728 | $434.00 | $434.00 | $11.86 – $19.76 | 19 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $9,829.00 | $9,829.00 | $0.28 – $1.08 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.28 – $1.08 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,152.75 | 16 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $2,889.00 | $2,889.00 | $229.41 – $245.18 | 2 |
| Fetal chrmoml microdeltj CPT 81422 | $2,277.00 | $2,277.00 | $759.05 – $1,100.62 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,100.62 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $2,884.00 | $2,884.00 | $20.90 – $23.85 | 3 |
| Fetal fibronectin CPT 82731 | $1,927.00 | $1,927.00 | $56.05 – $93.39 | 19 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $2,500.00 | $2,500.00 | $6.72 – $11.21 | 19 |
| Fetal hemoglobin rosette CPT 85461 | $1,793.00 | $1,793.00 | $8.14 – $13.57 | 19 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $584.00 | $584.00 | $16.81 – $28.01 | 19 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $38.24 – $43.64 | 3 |
| Fetal monitor w/report CPT 59050 | not published | not published | $58.96 – $67.28 | 3 |
| Fetal non stress test CPT 59025 | $1,507.00 | $1,507.00 | $9.04 – $10.31 | 3 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $5.67 – $23.70 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | not published | not published | $8.86 – $14.76 | 19 |
| Fibrin degradation products CPT 85362 | $138.00 | $138.00 | $5.99 – $9.99 | 19 |
| Fibrin degrade semiquant CPT 85378 | $1,422.00 | $1,422.00 | $8.46 – $14.09 | 19 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $8.86 – $14.76 | 19 |
| Fibrinogen activity CPT 85384 | $593.00 | $593.00 | $8.46 – $14.09 | 19 |
| Fibrinogen test CPT 85370 | not published | not published | $10.82 – $18.02 | 19 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $91.00 | $91.00 | $13.47 – $22.45 | 19 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $6.71 – $11.18 | 19 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $6.71 – $11.18 | 19 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $14.96 – $24.93 | 19 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $8.86 – $14.76 | 19 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $213.00 | $213.00 | $5.69 – $9.47 | 19 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.25 – $0.84 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.83 – $3.00 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.28 – $1.05 | 4 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $31.20 – $39.28 | 18 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $350.59 – $441.33 | 18 |
| Flebogamma injection HCPCS J1572 | $973.00 | $973.00 | $272.22 – $272.22 | 1 |
| Flecainide (tambocor)-sendout CPT 80181 | $193.00 | $193.00 | $16.22 – $27.03 | 19 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,336.63 – $2,941.41 | 18 |
| Flex foot system HCPCS L5980 | not published | not published | $3,858.28 – $4,856.89 | 18 |
| Flexible keel foot HCPCS L5972 | not published | not published | $366.74 – $461.66 | 18 |
| Flexible metal hinge pair HCPCS L6610 | not published | not published | $173.26 – $218.10 | 18 |
| Flexion/extension wrist unit HCPCS L6620 | not published | not published | $335.27 – $422.05 | 18 |
| Flex thermoplastic collar mo HCPCS L0130 | not published | not published | $193.05 – $243.02 | 18 |
| Flex-walk sys low ext prosth HCPCS L5981 | not published | not published | $3,334.97 – $4,198.13 | 18 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $4,754.01 – $4,754.01 | 1 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $1,113.00 – $1,113.00 | 1 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $2,013.66 – $2,013.66 | 1 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $85.14 – $477.98 | 2 |
| Flow cytometry marker each additional CPT 88185 | not published | not published | $23.03 – $129.29 | 2 |
| Flow cytometry one marker technical component CPT 88184 | not published | not published | $291.26 – $1,635.13 | 2 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $540.00 – $540.00 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $78.23 – $381.42 | 4 |
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.