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 |
|---|---|---|---|---|
| Mucopolysaccharides CPT 83864 | not published | not published | $24.80 – $41.32 | 19 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.06 – $21.75 | 19 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $3,811.50 – $4,798.01 | 18 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $662.91 – $834.49 | 18 |
| Multi den insert custom mold HCPCS A5513 | not published | not published | $46.89 – $59.02 | 18 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $31.42 – $39.55 | 18 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $532.81 – $670.72 | 18 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $696.60 – $876.90 | 18 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $3,222.02 – $4,055.95 | 18 |
| Mumps antibody igg CPT 86735 | not published | not published | $11.36 – $18.92 | 19 |
| Mycobacteria dna amp probe CPT 87551 | $557.00 | $557.00 | $41.98 – $69.95 | 19 |
| Mycobacteria dna dir probe CPT 87550 | $273.00 | $273.00 | $17.45 – $29.07 | 19 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $37.28 – $62.12 | 19 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.13 – $0.45 | 4 |
| Mycophenolic acid HCPCS J7518 | $57.00 | $57.00 | $0.32 – $0.96 | 4 |
| Mycoplasma antibody igm CPT 86738 | not published | not published | $11.53 – $19.20 | 19 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $1,891.00 | $1,891.00 | $175.40 – $254.33 | 16 |
| Myelogphy 2/> spine regions CPT 72270 | $6,351.00 | $6,351.00 | $274.30 – $1,609.16 | 2 |
| Myelography l-s spine CPT 72265 | $4,947.00 | $4,947.00 | $183.18 – $1,609.16 | 2 |
| Myelography neck spine CPT 72240 | $4,231.00 | $4,231.00 | $196.48 – $1,609.16 | 2 |
| Myelography thoracic spine CPT 72255 | $3,185.00 | $3,185.00 | $192.12 – $1,609.16 | 2 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | not published | not published | $10.03 – $16.72 | 19 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $324.08 – $3,330.77 | 2 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $355.67 – $3,330.77 | 2 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $436.32 – $6,188.63 | 2 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $458.87 – $6,188.63 | 2 |
| Myocrd img pet mlt rst&strs CPT 78492 | $9,975.00 | $9,975.00 | $378.13 – $3,330.77 | 2 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $396.55 – $5,063.63 | 2 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $339.22 – $3,330.77 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.18 – $0.18 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $2.62 – $10.35 | 4 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | not published | not published | $0.21 – $0.21 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $3.50 – $12.72 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $12.03 – $12.03 | 1 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $1,445.81 – $1,820.02 | 18 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $20.71 – $73.53 | 4 |
| Natriuretic peptide CPT 83880 | not published | not published | $34.16 – $56.93 | 19 |
| Natural killer cells total count CPT 86357 | $739.00 | $739.00 | $32.84 – $54.71 | 19 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $10,668.00 | $10,668.00 | $265.18 – $401.74 | 2 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $8,511.00 | $8,511.00 | $256.01 – $828.27 | 2 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $7,214.00 | $7,214.00 | $211.76 – $245.18 | 2 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $11,037.00 | $11,037.00 | $481.65 – $828.27 | 2 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $9,731.00 | $9,731.00 | $377.73 – $828.27 | 2 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $8,879.00 | $8,879.00 | $311.10 – $517.79 | 2 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $9,738.00 | $9,738.00 | $376.83 – $828.27 | 2 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $7,565.00 | $7,565.00 | $314.15 – $828.27 | 2 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $6,701.00 | $6,701.00 | $251.34 – $517.79 | 2 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $26.65 – $33.54 | 18 |
| Neisseria meningitidis CPT 86741 | not published | not published | $11.47 – $19.13 | 19 |
| Nelarabine injection HCPCS J9261 | $492.00 | $492.00 | $53.70 – $195.48 | 4 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $381.42 – $381.42 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $4.23 – $4.23 | 1 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $55.04 – $381.42 | 4 |
| Nerve teasing preparations CPT 88362 | $959.00 | $959.00 | $656.15 – $3,683.63 | 2 |
| Nesiritide injection HCPCS J2325 | not published | not published | $90.18 – $90.18 | 1 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $36.66 – $61.09 | 19 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $79.61 – $115.43 | 16 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $224.04 – $373.30 | 19 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $262.99 – $381.34 | 16 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $21.37 – $35.61 | 19 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $37.28 – $62.12 | 19 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | not published | not published | $0.08 – $0.21 | 4 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $2,241.41 – $2,241.41 | 1 |
| Nitroblue tetrazolium dye CPT 86384 | not published | not published | $11.84 – $19.73 | 19 |
| Nitrogen n-13 ammonia HCPCS A9526 | $693.00 | $693.00 | $2,278.62 – $2,278.62 | 1 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | not published | not published | $1.14 – $4.56 | 4 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $27.50 – $100.71 | 4 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $26,684.00 | $26,684.00 | $164.97 – $604.95 | 4 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $6,937.00 | $6,937.00 | $210.50 – $848.52 | 2 |
| Nm imaging bone/joint whole body CPT 78306 | $4,266.00 | $4,266.00 | $176.98 – $848.52 | 2 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $5,156.00 | $5,156.00 | $204.79 – $848.52 | 2 |
| Nm imaging gastric emptying study CPT 78264 | $9,017.00 | $9,017.00 | $163.14 – $848.52 | 2 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,932.00 | $2,932.00 | $205.87 – $848.52 | 2 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $9,354.00 | $9,354.00 | $187.40 – $1,101.15 | 2 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $6,867.00 | $6,867.00 | $246.94 – $1,101.15 | 2 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $10,081.00 | $10,081.00 | $220.88 – $1,101.15 | 2 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $5,918.00 | $5,918.00 | $103.47 – $848.52 | 2 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $241.86 – $561.65 | 2 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $2,525.12 – $3,178.68 | 18 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,870.26 – $3,613.15 | 18 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $103.56 – $848.52 | 2 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $66.10 – $83.21 | 18 |
| Non-imaging heart function CPT 78414 | not published | not published | $96.33 – $1,101.15 | 2 |
| Non-molded lacer HCPCS L2320 | not published | not published | $200.97 – $252.99 | 18 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $828.27 – $828.27 | 1 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.04 – $0.05 | 18 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,143.60 – $3,108.22 | 16 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $17.19 – $19.61 | 3 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $31.99 – $36.51 | 3 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $381.42 – $697.79 | 4 |
| Npm1 gene CPT 81310 | $2,946.00 | $2,946.00 | $246.52 – $357.45 | 16 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $23.69 – $25.35 | 15 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $35.35 – $37.82 | 15 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $12.68 – $13.57 | 15 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $428.90 | 16 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $300.60 | 16 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $300.60 | 16 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $300.60 | 16 |
| Ntrk translocation analysis CPT 81194 | $3,235.00 | $3,235.00 | $518.28 – $751.51 | 16 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $94.53 – $848.52 | 2 |
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.