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 |
|---|---|---|---|---|
| Galactose transferase test CPT 82776 | not published | not published | $10.22 – $17.02 | 19 |
| Galectin-3 CPT 82777 | $597.00 | $597.00 | $38.50 – $64.16 | 19 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $10.83 – $10.83 | 1 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $1,090.50 – $1,090.50 | 1 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $1,650.39 – $1,650.39 | 1 |
| Gallium illuccix 1 millicure HCPCS A9596 | $3,197.00 | $3,197.00 | $1,435.56 – $1,435.56 | 1 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $1,087.50 – $1,087.50 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $412.15 – $1,541.58 | 4 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $313.56 – $474.18 | 4 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $41.56 – $149.76 | 4 |
| Gammaglobulin iga CPT 82784 | not published | not published | $8.09 – $13.49 | 19 |
| Gammaglobulin ige CPT 82785 | $414.00 | $414.00 | $14.32 – $23.87 | 19 |
| Gamma glutamyltransferase CPT 82977 | $544.00 | $544.00 | $6.26 – $10.44 | 19 |
| Gammagraft HCPCS Q4111 | not published | not published | $6.46 – $381.42 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $48.86 – $191.79 | 4 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $41.10 – $147.24 | 4 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $2,179.00 | $2,179.00 | $27.28 – $100.56 | 4 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.54 – $50.88 | 19 |
| Gardner vag dna quant CPT 87512 | not published | not published | $36.34 – $60.55 | 19 |
| Gastric analy w/ph ea spec CPT 82930 | $83.00 | $83.00 | $5.84 – $9.73 | 19 |
| Gastric emptying imag study CPT 78265 | not published | not published | $204.34 – $848.52 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $216.83 – $1,101.15 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $122.07 – $848.52 | 2 |
| Gastrin test CPT 82938 | not published | not published | $15.39 – $25.65 | 19 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $143.24 – $848.52 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $27.57 – $31.46 | 3 |
| Gated heart multiple CPT 78473 | not published | not published | $310.42 – $848.52 | 2 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $2.94 – $3.70 | 18 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.14 – $3.95 | 18 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $2.58 – $3.25 | 18 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.16 – $1.46 | 18 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $4.36 – $5.49 | 18 |
| Gba gene CPT 81251 | $734.00 | $734.00 | $47.25 – $68.51 | 16 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $62.86 – $79.13 | 18 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $74.52 – $93.81 | 18 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $87.25 – $109.84 | 18 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $46.63 – $58.70 | 18 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $53.25 – $67.04 | 18 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $61.31 – $77.18 | 18 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $83.18 – $104.71 | 18 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $99.18 – $124.85 | 18 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $117.48 – $147.88 | 18 |
| Gefitinib oral HCPCS J8565 | not published | not published | $873.00 – $873.00 | 1 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $64.46 – $81.15 | 18 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $2.20 – $2.77 | 18 |
| Gel-one HCPCS J7326 | not published | not published | $457.71 – $1,584.15 | 4 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.50 – $2.01 | 4 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.53 – $10.77 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $198.15 – $720.51 | 4 |
| General health panel CPT 80050 | $394.00 | $394.00 | $45.36 – $254.65 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $7,629.00 | $7,629.00 | $2,448.56 – $3,550.41 | 16 |
| Genome re-evaluation CPT 81427 | not published | not published | $2,034.29 – $3,389.59 | 19 |
| Genome sequence analysis CPT 81425 | not published | not published | $4,378.30 – $7,295.24 | 19 |
| Genome sequence analysis CPT 81426 | not published | not published | $2,358.28 – $3,929.43 | 19 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.10 – $6.51 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | not published | not published | $14.25 – $23.75 | 19 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.36 – $14.28 | 4 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.53 – $14.22 | 19 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $962.00 | $962.00 | $14.89 – $24.81 | 19 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $1,311.00 | $1,311.00 | $102.26 – $148.28 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $201.00 | $201.00 | $12.52 – $20.87 | 19 |
| Ghs bleeding time (ivy) CPT 85002 | $494.00 | $494.00 | $4.19 – $6.99 | 19 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $438.00 | $438.00 | $30.54 – $50.88 | 19 |
| Ghs community re-entry 15 minutes CPT 97537 | not published | not published | $32.54 – $34.82 | 15 |
| Ghs diphtheria toxoid ab igg CPT 86648 | not published | not published | $13.23 – $22.05 | 19 |
| Ghs fat & muscle CPT 89160 | $83.00 | $83.00 | $4.22 – $7.03 | 19 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $6.08 – $10.12 | 19 |
| Ghs fish cytogen CPT 88271 | not published | not published | $18.64 – $31.06 | 19 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $44.55 – $74.23 | 19 |
| Ghs hcv amplificaiton CPT 87521 | $1,552.00 | $1,552.00 | $30.54 – $50.88 | 19 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $19.99 – $33.31 | 19 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $1,079.00 | $1,079.00 | $13.48 – $22.46 | 19 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.24 – $13.73 | 19 |
| Ghs histoplasma antigen CPT 87385 | $1,223.00 | $1,223.00 | $11.53 – $19.21 | 19 |
| Ghs HIV antibody CPT 86703 | $468.00 | $468.00 | $11.93 – $19.88 | 19 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $3,345.00 | $3,345.00 | $92.37 – $153.90 | 19 |
| Ghs immun0electrophoresis CPT 86320 | $580.00 | $580.00 | $26.04 – $43.38 | 19 |
| Ghs inhibitor screen CPT 85335 | $1,402.00 | $1,402.00 | $11.20 – $18.66 | 19 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $301.00 | $301.00 | $7.48 – $12.47 | 19 |
| Ghs mbp CPT 83873 | $273.00 | $273.00 | $14.97 – $24.94 | 19 |
| Ghs o2 saturation CPT 82810 | $182.00 | $182.00 | $8.50 – $14.17 | 19 |
| Ghs ot dds rom CPT 95851 | not published | not published | $19.76 – $28.45 | 18 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $18.45 – $24.08 | 18 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $34.00 – $43.86 | 18 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $50.77 – $58.04 | 18 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $123.40 | 2 |
| Ghs phenylketonurid CPT 84030 | $562.00 | $562.00 | $4.79 – $7.97 | 19 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.75 – $6.25 | 19 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $24.67 – $138.50 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $309.00 | $309.00 | $8.41 – $14.01 | 19 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.88 – $8.13 | 19 |
| Ghs protoporphyrins fract CPT 84202 | $200.00 | $200.00 | $12.49 – $20.81 | 19 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $171.00 | $171.00 | $10.66 – $17.76 | 19 |
| Ghs quinidine CPT 80194 | $233.00 | $233.00 | $12.71 – $21.17 | 19 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $182.00 | $182.00 | $13.83 – $23.04 | 19 |
| Ghs reticulocyte count CPT 85044 | $182.00 | $182.00 | $3.75 – $6.25 | 19 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $12.10 – $20.17 | 19 |
| Ghs sedimentation rate CPT 85651 | $375.00 | $375.00 | $3.71 – $6.19 | 19 |
| Ghs semen analysis fert CPT 89320 | $862.00 | $862.00 | $10.71 – $17.85 | 19 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.56 – $14.27 | 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.