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 |
|---|---|---|---|---|
| Pt wheelchair management each 15 minutes CPT 97542 | not published | not published | $25.87 – $29.68 | 18 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,409.60 – $7,975.00 | 16 |
| Pulmonary vent imaging CPT 78579 | $6,450.00 | $6,450.00 | $101.95 – $848.52 | 2 |
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $85.14 – $381.42 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $62.51 – $381.42 | 4 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $700.98 – $882.41 | 18 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $16,605.35 – $20,903.20 | 18 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $568.00 | $568.00 | $10.68 – $46.68 | 4 |
| Pyruvate CPT 84210 | $156.00 | $156.00 | $12.60 – $21.00 | 19 |
| Pyruvate kinase CPT 84220 | $593.00 | $593.00 | $8.21 – $13.69 | 19 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $352.51 – $443.75 | 18 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $31.50 – $31.50 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $172.26 – $1,101.15 | 2 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $151.10 – $848.52 | 2 |
| Quest t3 uptake CPT 84479 | $264.00 | $264.00 | $5.63 – $9.38 | 19 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $570.71 – $718.42 | 18 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $353.73 – $353.73 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $1,057.32 – $1,057.32 | 1 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $204.98 – $720.39 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,013.00 | $2,013.00 | $246.42 – $839.85 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $710.58 – $710.58 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $150.52 – $150.52 | 1 |
| Radiation therapy management CPT 77431 | not published | not published | $75.34 – $489.69 | 4 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $81.01 – $81.01 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $179.85 – $179.85 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $276.54 – $276.54 | 1 |
| Radiation tx management x5 CPT 77427 | not published | not published | $133.58 – $896.76 | 4 |
| Radiesse injection HCPCS Q2026 | $13,457.00 | $13,457.00 | $1,047.57 – $1,047.57 | 1 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $5,383.08 – $6,776.35 | 18 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $826.34 – $1,040.22 | 18 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,928.71 – $1,928.71 | 1 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $834.00 | $834.00 | $139.48 – $515.76 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $6,391.00 | $6,391.00 | $163.05 – $2,938.37 | 2 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $4,992.00 | $4,992.00 | $205.78 – $2,938.37 | 2 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $369.19 – $2,938.37 | 2 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $6,066.00 | $6,066.00 | $224.34 – $2,938.37 | 2 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,561.00 | $2,561.00 | $139.10 – $848.52 | 2 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $97.77 – $97.77 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $62.36 – $226.74 | 4 |
| Range of motion measurements CPT 95852 | $337.00 | $337.00 | $16.76 – $23.40 | 18 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $76.85 – $196.32 | 4 |
| Rapid Strep Test CPT 87880 | $416.00 | $416.00 | $14.38 – $23.97 | 19 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $314.89 – $1,150.11 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $187.27 – $674.40 | 4 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $1,605.24 – $1,605.24 | 1 |
| Rbc count only automated CPT 85041 | $139.00 | $139.00 | $2.63 – $4.38 | 19 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.48 – $12.47 | 19 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $6.50 – $10.83 | 19 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $270.22 – $1,517.02 | 2 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Red cell mass multiple CPT 78121 | not published | not published | $67.40 – $1,101.15 | 2 |
| Red cell mass single CPT 78120 | not published | not published | $40.98 – $848.52 | 2 |
| Red cell sequestration CPT 78140 | not published | not published | $108.33 – $848.52 | 2 |
| Red cell survival study CPT 78130 | not published | not published | $108.33 – $848.52 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $6,765.00 | $6,765.00 | $3.75 – $8.04 | 4 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $195.80 – $246.47 | 18 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,631.00 | $3,631.00 | $5.40 – $20.70 | 4 |
| Rem interrog evl pm/ldls pm CPT 93294 | not published | not published | $20.04 – $22.87 | 3 |
| Remote 30 day ecg rev/report CPT 93228 | not published | not published | $17.29 – $19.73 | 3 |
| Remot img sub by pt, non e/m HCPCS G2250 | not published | not published | $6.23 – $14.32 | 18 |
| Removable insert each HCPCS L6691 | not published | not published | $454.10 – $571.64 | 18 |
| Removable soft interface le HCPCS K0672 | not published | not published | $86.44 – $108.82 | 18 |
| Remove cva lumen obstruct CPT 75902 | $1,034.00 | $1,034.00 | $81.55 – $81.55 | 1 |
| Remove esophagus obstruction CPT 74235 | not published | not published | $249.86 – $249.86 | 1 |
| Renal cyst study s&i CPT 74470 | not published | not published | $112.73 – $1,086.50 | 2 |
| Renal function panel CPT 80069 | $1,145.00 | $1,145.00 | $7.56 – $12.59 | 19 |
| Renal venogram bil s&i CPT 75833 | not published | not published | $323.50 – $6,438.74 | 2 |
| Renin stimulation panel CPT 80416 | not published | not published | $182.16 – $303.51 | 19 |
| Renin stimulation panel CPT 80417 | not published | not published | $38.28 – $63.79 | 19 |
| Repair prosthesis per 15 min HCPCS L7520 | not published | not published | $34.57 – $43.52 | 18 |
| Replace afo soft interface HCPCS L4392 | not published | not published | $23.99 – $30.20 | 18 |
| Replace elbow joint CPT 24363 | not published | not published | $21,384.35 – $21,384.35 | 1 |
| Replace foot drop spint HCPCS L4394 | not published | not published | $17.49 – $22.02 | 18 |
| Replace high roll cuff HCPCS L4060 | not published | not published | $310.41 – $390.75 | 18 |
| Replacemnt lithium ionbatter HCPCS L7367 | not published | not published | $397.71 – $500.65 | 18 |
| Replace molded calf lacer HCPCS L4050 | not published | not published | $403.24 – $507.61 | 18 |
| Replace molded thigh lacer HCPCS L4040 | not published | not published | $402.42 – $506.57 | 18 |
| Replace non-molded calf lace HCPCS L4055 | not published | not published | $261.12 – $328.70 | 18 |
| Replace non-molded thigh lac HCPCS L4045 | not published | not published | $320.40 – $403.33 | 18 |
| Replace pretibial shell HCPCS L4130 | not published | not published | $493.51 – $621.24 | 18 |
| Replace prox & dist upright HCPCS L4070 | not published | not published | $274.88 – $346.03 | 18 |
| Replace quadlat socket brim HCPCS L4020 | not published | not published | $916.76 – $1,154.04 | 18 |
| Replace socket above knee HCPCS L5701 | not published | not published | $3,719.18 – $4,681.80 | 18 |
| Replace socket below knee HCPCS L5700 | not published | not published | $2,997.92 – $3,773.85 | 18 |
| Replace socket brim cust fit HCPCS L4030 | not published | not published | $493.14 – $620.78 | 18 |
| Replace socket hip HCPCS L5702 | not published | not published | $4,687.49 – $5,900.72 | 18 |
| Replace trilateral socket br HCPCS L4010 | not published | not published | $655.51 – $825.17 | 18 |
| Repl alkaline battery HCPCS L8622 | not published | not published | $0.33 – $0.42 | 18 |
| Replc sockt above elbow disa HCPCS L6884 | not published | not published | $2,323.18 – $2,924.47 | 18 |
| Replc sockt below e/w disa HCPCS L6883 | not published | not published | $1,651.32 – $2,078.72 | 18 |
| Replc sockt shldr dis/interc HCPCS L6885 | not published | not published | $3,346.17 – $4,212.24 | 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.