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 |
|---|---|---|---|---|
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $917.52 – $917.52 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $1,292.41 – $1,292.41 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $252.19 – $252.19 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $339.63 – $339.63 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $9,691.00 | $9,691.00 | $266.79 – $401.74 | 2 |
| Head CT scan (with contrast) CPT 70460 | $7,535.00 | $7,535.00 | $237.54 – $401.74 | 2 |
| Head CT scan (without contrast) CPT 70450 | $4,231.00 | $4,231.00 | $179.81 – $245.18 | 2 |
| Hearing loss dup/del analys CPT 81431 | $4,901.00 | $4,901.00 | $679.57 – $985.38 | 16 |
| Hearing loss sequence analys CPT 81430 | $11,719.00 | $11,719.00 | $1,625.00 – $2,356.25 | 16 |
| Heart first pass add-on CPT 78496 | not published | not published | $92.20 – $92.20 | 1 |
| Heart first pass multiple CPT 78483 | not published | not published | $307.68 – $1,101.15 | 2 |
| Heart image spect CPT 78494 | not published | not published | $249.09 – $848.52 | 2 |
| Heart infarct image CPT 78466 | not published | not published | $143.60 – $848.52 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $168.26 – $1,101.15 | 2 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $95.51 – $120.24 | 18 |
| Heavy metal qual any number CPT 83015 | $503.00 | $503.00 | $18.22 – $30.36 | 19 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $77.82 – $97.96 | 18 |
| Heinz bodies direct CPT 85441 | $168.00 | $168.00 | $3.65 – $6.09 | 19 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.93 – $9.89 | 19 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $14.66 – $24.43 | 19 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $273.83 – $381.42 | 4 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $7.12 – $11.88 | 19 |
| Hematocrit CPT 85014 | $156.00 | $156.00 | $2.07 – $3.44 | 19 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $330.42 – $561.65 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $37,260.00 | $37,260.00 | $28.11 – $105.93 | 4 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $5,298.44 – $6,669.80 | 18 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $5,259.20 – $6,620.41 | 18 |
| Hemodialysis repeated eval CPT 90937 | $2,466.00 | $2,466.00 | $70.10 – $80.00 | 3 |
| Hemoglobin CPT 85018 | $156.00 | $156.00 | $2.07 – $3.44 | 19 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.49 – $5.81 | 19 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $6.96 – $11.60 | 19 |
| Hemoglobin f (fetal) chemical CPT 83030 | $119.00 | $119.00 | $9.35 – $15.57 | 19 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $22.00 | $22.00 | $7.14 – $11.89 | 19 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $11.61 – $19.34 | 19 |
| Hemoglobin plasma CPT 83051 | $55.00 | $55.00 | $6.36 – $10.60 | 19 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $7.83 – $13.05 | 19 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.43 – $5.73 | 19 |
| Hemolysin acid CPT 85475 | $372.00 | $372.00 | $7.72 – $12.86 | 19 |
| Hemolysins/agglutinins auto CPT 86940 | $139.00 | $139.00 | $7.63 – $12.72 | 19 |
| Hemolysins and agglutinins incubated CPT 86941 | $36.00 | $36.00 | $10.54 – $17.56 | 19 |
| Hemophilus influenza antibdy CPT 86684 | not published | not published | $13.79 – $22.97 | 19 |
| Hepagam b im injection HCPCS J1571 | $19,095.00 | $19,095.00 | $55.38 – $208.77 | 4 |
| Hepagam b intravenous, inj HCPCS J1573 | $1,909.00 | $1,909.00 | $55.38 – $208.77 | 4 |
| Heparin assay CPT 85520 | not published | not published | $11.39 – $18.98 | 19 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.19 – $0.54 | 4 |
| Heparin neutralization CPT 85525 | not published | not published | $10.30 – $17.17 | 19 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.02 – $0.06 | 4 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $11.39 – $18.98 | 19 |
| Hepatitis a antibody igm CPT 86709 | $508.00 | $508.00 | $9.80 – $16.33 | 19 |
| Hepatitis b core antibody igm CPT 86705 | $285.00 | $285.00 | $10.24 – $17.07 | 19 |
| Hepatitis b core antibody total CPT 86704 | $811.00 | $811.00 | $10.49 – $17.47 | 19 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $121.74 – $413.49 | 4 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $15.05 – $27.09 | 18 |
| Hepatitis b surface antibody CPT 86706 | $755.00 | $755.00 | $9.35 – $15.57 | 19 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $119.64 – $493.26 | 4 |
| Hepatitis c antibody CPT 86803 | $907.00 | $907.00 | $12.42 – $20.69 | 19 |
| Hepatitis c rna dir probe CPT 87520 | $3,086.00 | $3,086.00 | $27.17 – $45.27 | 19 |
| Hepatitis d quantification CPT 87523 | not published | not published | $42.84 – $62.12 | 16 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $34.16 – $56.93 | 19 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $25.93 – $43.21 | 19 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $36.34 – $60.55 | 19 |
| Hepatobiliary system imaging CPT 78226 | $9,354.00 | $9,354.00 | $153.98 – $848.52 | 2 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $62.75 – $221.46 | 4 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $139.76 – $493.26 | 4 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $584.90 – $1,395.23 | 16 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $848.10 – $848.10 | 1 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $438.93 – $1,395.23 | 16 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $597.91 – $866.97 | 16 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $636.45 – $636.45 | 1 |
| Herpes simplex 1 ag if CPT 87274 | not published | not published | $10.43 – $17.37 | 19 |
| Herpes simplex 2 ag if CPT 87273 | not published | not published | $10.43 – $17.37 | 19 |
| Herpes simplex type 1 antibody igg CPT 86695 | not published | not published | $11.47 – $19.13 | 19 |
| Herpes simplex type 2 antibody igg CPT 86696 | not published | not published | $16.84 – $28.06 | 19 |
| Herpes simplex virus isolation CPT 87255 | $389.00 | $389.00 | $29.47 – $49.10 | 19 |
| Heterophile antibodies screening CPT 86308 | not published | not published | $4.50 – $7.51 | 19 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $5.63 – $9.38 | 19 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $6.42 – $10.69 | 19 |
| Hexa gene CPT 81255 | $795.00 | $795.00 | $51.45 – $74.60 | 16 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | not published | not published | $85.10 – $107.13 | 18 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | not published | not published | $85.10 – $107.13 | 18 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $5.64 – $9.41 | 19 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $50.47 – $84.10 | 19 |
| Hhv-6 dna quant CPT 87533 | not published | not published | $36.34 – $60.55 | 19 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $149.31 – $149.31 | 1 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $71.13 – $71.13 | 1 |
| High activity knee frame HCPCS L5930 | not published | not published | $3,438.51 – $4,328.48 | 18 |
| High compres band w>=3"<5"yd HCPCS A6452 | not published | not published | $7.14 – $8.99 | 18 |
| Hinge extension/flex wrist/f HCPCS L3900 | not published | not published | $1,352.99 – $1,703.17 | 18 |
| Hinge ext/flex wrist finger HCPCS L3901 | not published | not published | $1,536.48 – $1,934.15 | 18 |
| Hip adj flex ext abduct cont HCPCS L2624 | not published | not published | $323.44 – $407.16 | 18 |
| Hip canad sing axi cons fric HCPCS L5250 | not published | not published | $5,399.26 – $6,796.71 | 18 |
| Hip clevis/thrust bearing fr HCPCS L2600 | not published | not published | $248.24 – $312.49 | 18 |
| Hip clevis/thrust bearing lo HCPCS L2610 | not published | not published | $262.93 – $330.98 | 18 |
| Hip clevis type 2 posit jnt HCPCS L2570 | not published | not published | $465.24 – $585.65 | 18 |
| Hip disart canadian sach ft HCPCS L5331 | not published | not published | $4,839.67 – $6,092.29 | 18 |
| Hip disartic sach thermopls HCPCS L5595 | not published | not published | $4,397.06 – $5,535.12 | 18 |
| Hip disart sach laminat mold HCPCS L5600 | not published | not published | $4,795.98 – $6,037.29 | 18 |
| Hip flexible cover system HCPCS L5966 | not published | not published | $1,411.33 – $1,776.62 | 18 |
| Hip flex inner socket ext fr HCPCS L5643 | not published | not published | $1,619.64 – $2,038.84 | 18 |
| Hip joint adjustable flexion HCPCS L2622 | not published | not published | $335.17 – $421.92 | 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.