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 |
|---|---|---|---|---|
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $19,153.82 – $24,111.27 | 18 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $564.09 – $1,694.31 | 4 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $92.74 | 16 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $217.98 | 16 |
| Mopath procedure level 5 CPT 81404 | $3,954.00 | $3,954.00 | $274.83 – $398.50 | 16 |
| Mopath procedure level 6 CPT 81405 | $2,171.00 | $2,171.00 | $301.35 – $436.96 | 16 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $410.18 | 16 |
| Mopath procedure level 8 CPT 81407 | $13,146.00 | $13,146.00 | $846.27 – $1,227.09 | 16 |
| Mopath procedure level 9 CPT 81408 | $14,792.00 | $14,792.00 | $2,000.00 – $2,900.00 | 16 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.94 – $9.12 | 4 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $5.64 – $20.31 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $8.35 – $40.50 | 4 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | not published | not published | $149.16 – $837.38 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $947.00 | $947.00 | $291.26 – $1,635.13 | 2 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | not published | not published | $149.16 – $837.38 | 2 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $544.82 – $1,966.14 | 4 |
| Mouth piece HCPCS A4617 | not published | not published | $3.76 – $4.73 | 18 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $264.48 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $149.16 – $837.38 | 2 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $481.91 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | $656.00 | $656.00 | $149.16 – $837.38 | 2 |
| Mpl gene analysis common variants CPT 81338 | $1,335.00 | $1,335.00 | $150.33 – $217.98 | 16 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $17.45 – $29.07 | 19 |
| M.pneumon dna quant CPT 87582 | not published | not published | $263.35 – $438.80 | 19 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $268.53 – $268.53 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $208.89 – $672.82 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $205.63 – $665.75 | 5 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $828.27 – $828.27 | 1 |
| MRA chest wo IV cont HCPCS C8910 | $6,701.00 | $6,701.00 | $517.79 – $517.79 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | $8,715.00 | $8,715.00 | $828.27 – $828.27 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $208.34 – $668.12 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $209.96 – $672.03 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $828.27 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $517.79 – $517.79 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $376.83 – $693.25 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $355.80 – $693.25 | 2 |
| MRA w/cont, abd HCPCS C8900 | $9,955.00 | $9,955.00 | $828.27 – $828.27 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without cont, abd HCPCS C8901 | $9,955.00 | $9,955.00 | $517.79 – $517.79 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $517.79 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $517.79 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | $9,955.00 | $9,955.00 | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $828.27 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $10,663.00 | $10,663.00 | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $828.27 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $828.27 | 1 |
| Mr elastography CPT 76391 | $624.00 | $624.00 | $228.60 – $517.79 | 2 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $780.43 | 2 |
| MRI brain without dye CPT 70557 | not published | not published | $708.50 – $1,086.50 | 2 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $712.63 | 2 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $302.20 – $517.79 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $441.98 – $639.07 | 2 |
| MRI breast without cont bi CPT 77047 | $9,390.00 | $9,390.00 | $334.10 – $517.79 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $483.18 – $635.92 | 2 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $492.48 – $517.79 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $548.33 – $828.27 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $631.49 – $1,609.16 | 2 |
| MRI chest without contrast CPT 71550 | $7,622.00 | $7,622.00 | $303.68 – $517.79 | 2 |
| MRI chest without & w/contrast CPT 71552 | $10,324.00 | $10,324.00 | $473.92 – $828.27 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $363.03 – $1,609.16 | 2 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,344.88 – $1,692.96 | 18 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $390.04 – $390.04 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $517.79 – $634.14 | 2 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $321.38 – $321.38 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $871.78 – $871.78 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $338.77 – $828.27 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $283.73 – $517.79 | 2 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $452.76 – $828.27 | 2 |
| MRI orbit/face/neck without contrast CPT 70540 | $7,147.00 | $7,147.00 | $282.12 – $517.79 | 2 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $10,173.00 | $10,173.00 | $451.14 – $828.27 | 2 |
| MRI orbit fac&nck w IV cont CPT 70542 | $8,019.00 | $8,019.00 | $340.34 – $828.27 | 2 |
| MRI tmj CPT 70336 | $8,473.00 | $8,473.00 | $305.12 – $517.79 | 2 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $286.92 – $517.79 | 2 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $454.33 – $828.27 | 2 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $341.96 – $828.27 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $828.27 – $828.27 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $401.74 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | $11,749.00 | $11,749.00 | $828.27 – $828.27 | 1 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $828.27 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | $218.00 | $218.00 | $126.66 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | $228.00 | $228.00 | $157.48 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $251.34 – $251.34 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $148.00 | $148.00 | $126.97 – $133.65 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $26.00 | $26.00 | $52.25 – $55.10 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | $598.00 | $598.00 | $158.60 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | $5,759.00 | $5,759.00 | $182.03 – $182.03 | 1 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $309.29 | 16 |
| Msh2 gene full seq CPT 81295 | not published | not published | $381.70 – $553.46 | 16 |
| Msh2 gene known variants CPT 81296 | not published | not published | $337.73 – $489.71 | 16 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $238.00 – $345.10 | 16 |
| Msh6 gene full seq CPT 81298 | not published | not published | $641.85 – $930.68 | 16 |
| Msh6 gene known variants CPT 81299 | not published | not published | $308.00 – $446.60 | 16 |
| Mthfr gene analy common variants CPT 81291 | $221.00 | $221.00 | $65.34 – $94.74 | 16 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $23.39 – $38.98 | 19 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $37.28 – $62.12 | 19 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.10 – $8.50 | 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.