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 |
|---|---|---|---|---|
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $14.76 – $58.56 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $22.93 – $95.91 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $0.66 – $2.34 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $30.06 – $30.06 | 1 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $2,945.00 | $2,945.00 | $0.72 – $0.72 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | $1,514.00 | $1,514.00 | $67.58 – $493.26 | 4 |
| Pentazocine injection HCPCS J3070 | not published | not published | $82.17 – $82.17 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $274.00 | $274.00 | $108.78 – $108.78 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $18,946.00 | $18,946.00 | $2,272.42 – $7,611.30 | 4 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $35.60 – $120.63 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $98.85 – $1,086.50 | 2 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $185.97 – $848.52 | 2 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $22.50 – $28.32 | 18 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,496.45 – $1,883.77 | 18 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $2.01 – $2.01 | 1 |
| Pertussis ag if CPT 87265 | $212.00 | $212.00 | $10.43 – $17.37 | 19 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $23,831.00 | $23,831.00 | $13.80 – $51.03 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $53.54 – $182.88 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $60.19 – $75.77 | 18 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $24.17 – $30.42 | 18 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $500.07 – $3,330.77 | 2 |
| Pet CT whole body initial CPT 78816 | not published | not published | $507.57 – $3,330.77 | 2 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $304.98 – $3,330.77 | 2 |
| Pet image full body CPT 78813 | not published | not published | $404.10 – $3,330.77 | 2 |
| Pet image ltd area CPT 78811 | not published | not published | $314.24 – $2,938.37 | 2 |
| Pet image skull-thigh CPT 78812 | not published | not published | $395.07 – $3,330.77 | 2 |
| Pet image w/ct lmtd CPT 78814 | $19,687.00 | $19,687.00 | $449.57 – $3,330.77 | 2 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $848.52 – $848.52 | 1 |
| Pet scan brain perf study CPT 78609 | not published | not published | $1,277.74 – $1,458.12 | 3 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $15.74 – $27.49 | 18 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $22.06 – $37.87 | 18 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $8.10 – $15.01 | 18 |
| Ph body fluid CPT 83986 | $73.00 | $73.00 | $3.12 – $5.19 | 19 |
| Phencyclidine (pcp) CPT 83992 | $431.00 | $431.00 | $41.52 – $233.09 | 2 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $25.02 – $87.24 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $953.00 | $953.00 | $13.31 – $22.18 | 19 |
| Phentolaine mesylate inj HCPCS J2760 | $11,479.00 | $11,479.00 | $381.90 – $1,261.68 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 4 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $292.62 – $292.62 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.44 – $1.80 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $11.53 – $19.21 | 19 |
| Phosphorus CPT 84100 | not published | not published | $4.12 – $6.87 | 19 |
| Phosphorus 24 hour urine CPT 84105 | $230.00 | $230.00 | $5.03 – $8.38 | 19 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $279.35 | 2 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $149.16 – $837.38 | 2 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $138.50 | 2 |
| Phys review of motion tests CPT 96004 | not published | not published | $85.82 – $97.93 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $2.08 – $8.43 | 4 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $2,864.00 | $2,864.00 | $1,039.47 – $1,039.47 | 1 |
| Pik3ca gene trgt seq alys CPT 81309 | $1,190.00 | $1,190.00 | $274.83 – $398.50 | 16 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $703.09 – $885.06 | 18 |
| Pinworm exam CPT 87172 | $184.00 | $184.00 | $3.71 – $6.19 | 19 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.71 – $6.19 | 19 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.95 – $3.27 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $504.28 – $840.25 | 19 |
| Placental lactogen CPT 83632 | not published | not published | $17.59 – $29.32 | 19 |
| Plasma volume multiple CPT 78111 | not published | not published | $47.45 – $2,938.37 | 2 |
| Plasma volume single CPT 78110 | not published | not published | $34.82 – $2,938.37 | 2 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $117.16 – $147.48 | 18 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $127.15 – $160.06 | 18 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,764.95 – $2,221.76 | 18 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,948.70 – $4,970.72 | 18 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $21.68 – $36.12 | 19 |
| Platelet automated CPT 85049 | $213.00 | $213.00 | $3.90 – $6.50 | 19 |
| Platelet survival CPT 78191 | not published | not published | $108.33 – $848.52 | 2 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $81.64 – $102.77 | 18 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $422.47 | 16 |
| Plerixafor injection HCPCS J2562 | not published | not published | $21.23 – $91.98 | 4 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $74.30 – $93.53 | 18 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $300.60 | 16 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $1,099.62 | 16 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $1,115.89 | 16 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $67.57 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $295.07 | 16 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $980.92 | 16 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $479.95 | 16 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $198.75 – $250.19 | 18 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $36.64 – $205.70 | 2 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $13.85 – $15.80 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $22.69 – $37.80 | 19 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $112.82 – $410.31 | 4 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $206.77 – $260.29 | 18 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $9.15 – $15.24 | 19 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $72,685.26 – $72,685.26 | 1 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $52.58 – $66.19 | 18 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $52.58 – $66.19 | 18 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $21.75 – $36.25 | 19 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $457.48 – $575.88 | 18 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $446.65 – $562.25 | 18 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $658.32 – $828.72 | 18 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,252.42 – $1,576.57 | 18 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,581.75 – $1,991.14 | 18 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $698.21 – $878.92 | 18 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $548.71 – $690.73 | 18 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,628.09 – $2,049.48 | 18 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,360.55 – $1,712.70 | 18 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $476.43 – $599.75 | 18 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,848.61 – $2,327.07 | 18 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,214.56 – $1,528.91 | 18 |
| Potassium 24 hour urine CPT 84133 | $184.00 | $184.00 | $4.11 – $6.86 | 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.