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 |
|---|---|---|---|---|
| Hip X-ray CPT 73502 | not published | not published | $49.02 – $182.03 | 2 |
| Histamine CPT 83088 | $519.00 | $519.00 | $25.70 – $42.82 | 19 |
| Histochemical stains add-on CPT 88314 | $378.00 | $378.00 | $79.91 – $448.61 | 2 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $55.66 – $312.48 | 2 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $20.94 – $34.89 | 19 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $19.07 – $31.78 | 19 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $19.06 – $31.75 | 19 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $19.07 – $31.78 | 19 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $51.02 – $85.00 | 19 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $60.58 – $213.99 | 4 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.09 – $4.02 | 4 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $5.86 – $21.45 | 4 |
| Hizentra injection HCPCS J1559 | not published | not published | $11.59 – $43.62 | 4 |
| Hkafo torsion ball bearing j HCPCS L2060 | not published | not published | $567.09 – $713.87 | 18 |
| Hkafo torsion bil rot straps HCPCS L2040 | not published | not published | $215.86 – $271.73 | 18 |
| Hkafo torsion cable hip pelv HCPCS L2050 | not published | not published | $465.28 – $585.71 | 18 |
| Hkafo torsion unilat rot str HCPCS L2070 | not published | not published | $145.63 – $183.32 | 18 |
| Hkafo unilat torsion ball br HCPCS L2090 | not published | not published | $428.30 – $539.15 | 18 |
| Hkafo unilat torsion cable HCPCS L2080 | not published | not published | $351.32 – $442.25 | 18 |
| Hla class i high defin qual CPT 86832 | $3,269.00 | $3,269.00 | $281.74 – $469.44 | 19 |
| Hla class ii high defin qual CPT 86833 | $872.00 | $872.00 | $283.52 – $472.41 | 19 |
| Hla class i&ii antibody qual CPT 86828 | $561.00 | $561.00 | $55.86 – $93.08 | 19 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $55.86 – $93.08 | 19 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $71.26 – $118.73 | 19 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $281.05 – $468.29 | 19 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $83.12 – $138.50 | 19 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $311.16 – $518.46 | 19 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $352.03 – $586.55 | 19 |
| Hla i & ii typing hr CPT 81378 | not published | not published | $300.72 – $501.08 | 19 |
| Hla i & ii typing lr CPT 81370 | $3,251.00 | $3,251.00 | $349.94 – $583.07 | 19 |
| Hla ii typing 1 loc hr CPT 81382 | not published | not published | $107.63 – $179.34 | 19 |
| Hla ii typing ag equiv lr CPT 81375 | $476.00 | $476.00 | $192.09 – $320.07 | 19 |
| Hla i low res one antigen equiv ea CPT 81374 | $1,328.00 | $1,328.00 | $64.68 – $107.78 | 19 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $154.25 – $257.01 | 19 |
| Hla i typing complete hr CPT 81379 | $1,339.00 | $1,339.00 | $291.86 – $486.30 | 19 |
| Hla i typing complete lr CPT 81372 | not published | not published | $351.22 – $585.21 | 19 |
| Hla i typing high res 1 allele grp ea CPT 81381 | not published | not published | $147.85 – $246.35 | 19 |
| Hla i typing low res one locus ea CPT 81373 | $1,286.00 | $1,286.00 | $110.89 – $184.77 | 19 |
| Hla typing a b or c CPT 86813 | $2,557.00 | $2,557.00 | $50.47 – $84.10 | 19 |
| Hla typing dr/dq CPT 86816 | not published | not published | $26.26 – $43.75 | 19 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $31.79 – $52.97 | 19 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $95.28 – $158.76 | 19 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $4.11 – $5.17 | 18 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $5.68 – $7.15 | 18 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $254.96 – $320.95 | 18 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $167.16 – $210.43 | 18 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $363.43 – $457.49 | 18 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $1.00 | $1.00 | $0.25 – $0.78 | 4 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.19 – $0.66 | 4 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $125.87 – $158.45 | 18 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $157.31 – $198.02 | 18 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $55.55 – $69.92 | 18 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $2.69 – $3.38 | 18 |
| Home health care supervision CPT 99374 | not published | not published | $36.70 – $41.88 | 3 |
| Home health care supervision CPT 99375 | not published | not published | $58.28 – $66.50 | 3 |
| Homocysteine CPT 83090 | $702.00 | $702.00 | $15.60 – $25.98 | 19 |
| Homogenization tissue CPT 87176 | $103.00 | $103.00 | $5.12 – $8.53 | 19 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $19.50 – $32.49 | 19 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $51.77 – $65.17 | 18 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $1,121.48 – $1,411.75 | 18 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-1 genotyping CPT 81105 | $784.00 | $784.00 | $122.22 – $177.22 | 16 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $177.22 | 16 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $177.22 | 16 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $30.54 – $50.88 | 19 |
| Hpv low-risk types CPT 87623 | $305.00 | $305.00 | $30.54 – $50.88 | 19 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $35.29 – $58.80 | 19 |
| H pylori ag ia CPT 87339 | not published | not published | $13.92 – $23.20 | 19 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $58.62 – $97.67 | 19 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $58.62 – $97.67 | 19 |
| H pylori drug admin CPT 83014 | $1,356.00 | $1,356.00 | $6.84 – $11.40 | 19 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $1,395.23 | 16 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $636.45 – $636.45 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $848.10 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $848.10 | 16 |
| Hsv dna dir probe CPT 87528 | not published | not published | $17.45 – $29.07 | 19 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $398.50 | 16 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $198.65 | 16 |
| Human epididymis protein 4 (he4) CPT 86305 | $516.00 | $516.00 | $18.11 – $30.17 | 19 |
| Human ig IV CPT 90283 | not published | not published | $283.65 – $283.65 | 1 |
| Human ig sc CPT 90284 | not published | not published | $72.54 – $72.54 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $5.13 – $5.13 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $27.34 – $95.43 | 4 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.42 – $1.50 | 4 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $1,923.00 | $1,923.00 | $0.31 – $1.08 | 4 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $676.00 | $676.00 | $3.74 – $13.17 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | not published | not published | $143.52 – $143.52 | 1 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | not published | not published | $651.93 – $651.93 | 1 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $27.63 – $34.77 | 18 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $20.37 – $25.65 | 18 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $9.58 – $12.06 | 18 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.93 – $9.98 | 18 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $14.83 – $18.67 | 18 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $331.00 | $331.00 | $17.49 – $66.18 | 4 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $8.81 – $11.09 | 18 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $47.59 – $59.91 | 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.