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 |
|---|---|---|---|---|
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.99 – $0.99 | 1 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $4.07 – $22.17 | 4 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $150.87 – $381.42 | 4 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $381.42 – $381.42 | 1 |
| Artery xray each vessel 7577426 CPT 75774 | not published | not published | $201.74 – $201.74 | 1 |
| Artery xray of abdomen 75726-26 CPT 75726 | not published | not published | $366.40 – $10,733.33 | 2 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $239.07 – $6,438.74 | 2 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $274.12 – $6,438.74 | 2 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | not published | not published | $328.08 – $6,438.74 | 2 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | not published | not published | $345.65 – $6,438.74 | 2 |
| Artery x-rays chest CPT 75756 | $7,237.00 | $7,237.00 | $244.91 – $6,438.74 | 2 |
| Artery x-rays lung CPT 75741 | not published | not published | $265.63 – $6,438.74 | 2 |
| Artery x-rays lung CPT 75746 | not published | not published | $232.65 – $6,438.74 | 2 |
| Artery x-rays lungs CPT 75743 | $7,208.00 | $7,208.00 | $338.32 – $6,438.74 | 2 |
| Artery xrays of pelvis 75736 26 CPT 75736 | not published | not published | $227.44 – $10,733.33 | 2 |
| Artery x-rays spine CPT 75705 | $4,834.00 | $4,834.00 | $551.02 – $10,733.33 | 2 |
| Artificial larynx HCPCS L8500 | not published | not published | $915.68 – $1,152.68 | 18 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $427.44 – $427.44 | 1 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $2,448.56 – $3,550.41 | 16 |
| Aspa gene CPT 81200 | $734.00 | $734.00 | $47.25 – $68.51 | 16 |
| Assay acid phosphatase CPT 84060 | $992.00 | $992.00 | $6.65 – $11.08 | 19 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $7.19 – $11.98 | 19 |
| Assay blood catecholamines CPT 82383 | not published | not published | $25.30 – $42.17 | 19 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $17.97 – $29.94 | 19 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $40.51 | 16 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $6.26 – $10.44 | 19 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $19.71 – $32.84 | 19 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $6.42 – $10.69 | 19 |
| Assay myeloperoxidase CPT 83876 | $318.00 | $318.00 | $44.26 – $73.75 | 19 |
| Assay neurflmnt light chain CPT 83884 | $175.00 | $175.00 | $116.23 – $124.37 | 15 |
| Assay of adp & amp CPT 82030 | $775.00 | $775.00 | $22.45 – $37.41 | 19 |
| Assay of androsterone CPT 82160 | not published | not published | $22.24 – $37.05 | 19 |
| Assay of blood lipoprotein CPT 83719 | not published | not published | $11.09 – $18.49 | 19 |
| Assay of bradykinin CPT 82286 | not published | not published | $4.49 – $7.48 | 19 |
| Assay of breath ethanol CPT 82075 | not published | not published | $26.10 – $43.50 | 19 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $15.72 – $26.19 | 19 |
| Assay of chloramphenicol CPT 82415 | not published | not published | $11.02 – $18.37 | 19 |
| Assay of corticosterone CPT 82528 | not published | not published | $19.60 – $32.65 | 19 |
| Assay of digoxin free CPT 80163 | not published | not published | $11.56 – $19.26 | 19 |
| Assay of endocrine hormone CPT 84235 | not published | not published | $61.99 – $103.28 | 19 |
| Assay of estrogen CPT 84233 | not published | not published | $76.47 – $127.43 | 19 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $22.83 – $38.05 | 19 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $8.64 – $14.40 | 19 |
| Assay of feces porphyrins CPT 84126 | not published | not published | $34.03 – $56.71 | 19 |
| Assay of feces/urobilinogen CPT 84577 | not published | not published | $14.62 – $24.36 | 19 |
| Assay of fluoride CPT 82735 | not published | not published | $16.13 – $26.88 | 19 |
| Assay of galactose CPT 82760 | not published | not published | $9.75 – $16.24 | 19 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $11.44 – $19.07 | 19 |
| Assay of glucosidase CPT 82963 | not published | not published | $18.69 – $31.15 | 19 |
| Assay of glutathione CPT 82978 | not published | not published | $13.45 – $22.40 | 19 |
| Assay of haptoglobins CPT 83012 | not published | not published | $23.40 – $38.99 | 19 |
| Assay of idh enzyme CPT 83570 | not published | not published | $7.70 – $12.83 | 19 |
| Assay of interleukin-6 (il-6) CPT 83529 | $1,097.00 | $1,097.00 | $15.03 – $25.04 | 19 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $17.25 – $28.74 | 19 |
| Assay of lap enzyme CPT 83670 | not published | not published | $8.53 – $14.22 | 19 |
| Assay of leflunomide CPT 80193 | not published | not published | $33.57 – $55.93 | 19 |
| Assay of lrh hormone CPT 83727 | $1,442.00 | $1,442.00 | $14.96 – $24.93 | 19 |
| Assay of methemalbumin CPT 83857 | not published | not published | $9.35 – $15.57 | 19 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $5.63 – $9.38 | 19 |
| Assay of osteocalcin CPT 83937 | not published | not published | $25.98 – $43.28 | 19 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.46 – $5.77 | 19 |
| Assay of pregnanediol CPT 84135 | not published | not published | $18.51 – $30.84 | 19 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $18.32 – $30.52 | 19 |
| Assay of procainamide CPT 80190 | not published | not published | $52.22 – $87.00 | 19 |
| Assay of procainamide w/metab CPT 80192 | $819.00 | $819.00 | $14.58 – $24.29 | 19 |
| Assay of progesterone CPT 84234 | $2,260.00 | $2,260.00 | $56.46 – $94.08 | 19 |
| Assay of prostaglandin CPT 84150 | $844.00 | $844.00 | $36.35 – $60.57 | 19 |
| Assay of PSA complexed CPT 84152 | $591.00 | $591.00 | $16.01 – $26.67 | 19 |
| Assay of quinine CPT 84228 | not published | not published | $10.12 – $16.86 | 19 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $8.21 – $13.69 | 19 |
| Assay of salicylate CPT 80179 | not published | not published | $16.22 – $27.03 | 19 |
| Assay of semen fructose CPT 82757 | not published | not published | $15.09 – $25.14 | 19 |
| Assay of sialic acid CPT 84275 | $189.00 | $189.00 | $11.70 – $19.49 | 19 |
| Assay of silica CPT 84285 | not published | not published | $21.94 – $36.55 | 19 |
| Assay of somatostatin CPT 84307 | $54.00 | $54.00 | $15.91 – $26.51 | 19 |
| Assay of thiocyanate CPT 84430 | $163.00 | $163.00 | $10.12 – $16.86 | 19 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.78 – $14.63 | 19 |
| Assay of tyrosine CPT 84510 | not published | not published | $9.25 – $15.41 | 19 |
| Assay of urine sulfate CPT 84392 | $81.00 | $81.00 | $4.78 – $7.96 | 19 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.31 – $13.85 | 19 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.26 – $8.77 | 19 |
| Assay phosphatidylglycerol CPT 84081 | $966.00 | $966.00 | $14.37 – $23.95 | 19 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $9.34 – $15.56 | 19 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.21 – $13.69 | 19 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $17.18 – $28.62 | 19 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $1,019.00 | $1,019.00 | $78.94 – $105.96 | 18 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $235.00 | $235.00 | $3.71 – $6.19 | 19 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $31.56 – $40.91 | 18 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $656.15 – $3,683.63 | 2 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $149.16 – $837.38 | 2 |
| Ast/sgot CPT 84450 | $601.00 | $601.00 | $4.50 – $7.51 | 19 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $676.50 – $980.92 | 16 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $241.90 – $350.75 | 16 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $75.98 – $281.73 | 4 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $137.00 – $198.65 | 16 |
| Atomic absorption CPT 82190 | not published | not published | $13.84 – $23.05 | 19 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.09 – $0.30 | 4 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $137.00 – $198.65 | 16 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $137.00 – $198.65 | 16 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $137.00 – $198.65 | 16 |
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.