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 |
|---|---|---|---|---|
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.11 – $45.99 | 4 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $5,595.97 – $21,717.00 | 4 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $68.90 – $219.96 | 4 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $10.33 – $36.42 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $103.95 – $103.95 | 1 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.03 – $10.53 | 4 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $275.19 – $275.19 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | $321.00 | $321.00 | $0.56 – $2.16 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.22 – $4.26 | 4 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.82 – $6.72 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.37 – $1.02 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.60 – $2.28 | 4 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $11.05 – $39.87 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $37,661.13 – $37,661.13 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $85.56 – $85.56 | 1 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $39.09 – $39.09 | 1 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $6.48 – $6.48 | 1 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $1,620.24 – $1,620.24 | 1 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $121.32 – $121.32 | 1 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $15.07 – $54.21 | 4 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $3.54 – $3.54 | 1 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $52.22 – $197.19 | 4 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $15.91 – $54.51 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $67.78 – $228.66 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $15.41 – $57.09 | 4 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $287.75 – $1,071.06 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $34.54 – $122.82 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $27.56 – $103.74 | 4 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.53 – $5.88 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $31.71 – $115.17 | 4 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $299.68 – $1,107.93 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.04 – $0.15 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $3.99 – $3.99 | 1 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.09 | 4 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $19,125.00 | $19,125.00 | $26.58 – $26.58 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $111.74 – $371.37 | 4 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $175.11 – $175.11 | 1 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $132.04 – $480.03 | 4 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.07 – $16.77 | 4 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $165.25 – $588.69 | 4 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $15.31 – $55.74 | 4 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $8.74 – $30.36 | 4 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $2,980.13 – $11,294.97 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.75 – $10.83 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $3.46 – $12.57 | 4 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $129.60 – $129.60 | 1 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $74.04 – $74.04 | 1 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $35.55 – $35.55 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $20.93 – $75.12 | 4 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $5.36 – $6.12 | 3 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $5.56 – $6.34 | 3 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | not published | not published | $0.39 – $0.39 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | not published | not published | $1.13 – $2.58 | 4 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.98 – $6.66 | 4 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $40.87 – $114.48 | 4 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $378.23 – $1,395.69 | 4 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $840.27 – $840.27 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $203.04 – $203.04 | 1 |
| Inj vocal cord bulking agent HCPCS L8607 | $19,129.00 | $19,129.00 | $43.80 – $55.14 | 18 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $12.14 – $45.18 | 4 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $41.00 – $143.55 | 4 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $445.88 – $1,589.67 | 4 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $75.00 – $75.00 | 1 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $100.71 – $100.71 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,259.41 – $8,450.31 | 4 |
| Insemination of oocytes CPT 89268 | not published | not published | $149.16 – $837.38 | 2 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $34.61 – $39.50 | 3 |
| Insert tray without bag/cath HCPCS A4310 | not published | not published | $9.36 – $11.78 | 18 |
| Insitu hybridization auto CPT 88367 | $1,818.00 | $1,818.00 | $291.26 – $1,635.13 | 2 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $291.26 – $1,635.13 | 2 |
| Insitu hybridization manual CPT 88368 | $1,483.00 | $1,483.00 | $291.26 – $1,635.13 | 2 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | not published | not published | $109.56 – $615.07 | 2 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | not published | not published | $149.16 – $837.38 | 2 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $75.18 – $94.64 | 18 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,171.65 – $4,274.31 | 4 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $17.91 – $17.91 | 1 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $2.12 – $9.60 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $144.12 – $240.13 | 19 |
| Insulin tolerance panel CPT 80434 | not published | not published | $248.04 – $413.29 | 19 |
| Insulin tolerance panel CPT 80435 | not published | not published | $89.63 – $149.35 | 19 |
| Insulin total CPT 83525 | $193.00 | $193.00 | $9.94 – $16.57 | 19 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,270.20 – $8,491.56 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | not published | not published | $381.42 – $381.42 | 1 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $105.21 – $105.21 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $39.09 – $39.09 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $108.42 – $108.42 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $519.30 – $519.30 | 1 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $10,136.37 – $10,136.37 | 1 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $1,804.59 – $1,804.59 | 1 |
| Interferon gamma 1-b inj HCPCS J9216 | $7,663.00 | $7,663.00 | $30,454.74 – $30,454.74 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $10.31 – $116.85 | 4 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $342.65 – $431.34 | 18 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $18,399.95 – $23,162.29 | 18 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $16,666.38 – $20,980.03 | 18 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,343.77 – $1,691.56 | 18 |
| Intrinsic factor antibody CPT 86340 | $212.00 | $212.00 | $13.12 – $21.87 | 19 |
| Intro long gi tube w/mult fluo CPT 74340 | not published | not published | $114.35 – $114.35 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $522.06 – $522.06 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $1,188.96 – $1,188.96 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.35 – $1.20 | 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.