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 |
|---|---|---|---|---|
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $35.33 – $73.19 | 19 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $61.17 – $101.92 | 19 |
| Sbrt management CPT 77435 | not published | not published | $2,936.40 – $2,936.40 | 1 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $4,814.67 – $6,060.82 | 18 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.15 – $25.75 | 19 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.98 – $123.40 | 2 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.80 – $46.31 | 19 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $38.27 – $63.76 | 19 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $23.05 – $38.41 | 19 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.54 – $39.22 | 19 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $17.63 – $29.38 | 19 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.98 – $123.40 | 2 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.71 – $26.17 | 19 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $24.60 – $40.99 | 19 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $40.33 – $67.21 | 19 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $20.95 – $34.92 | 19 |
| Screening Mammogram CPT 77067 | not published | not published | $74.88 – $99.12 | 18 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.98 – $123.40 | 2 |
| Screening prostate cancer PSA HCPCS G0103 | $315.00 | $315.00 | $16.80 – $28.00 | 19 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.15 – $25.75 | 19 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $2.24 – $2.56 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $78.00 | $78.00 | $2.35 – $3.92 | 19 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $8,713.98 – $8,713.98 | 1 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $0.95 – $1.20 | 18 |
| Semen analysis HCPCS G0027 | not published | not published | $5.65 – $9.42 | 19 |
| Semen analysis presence/motility CPT 89321 | $171.00 | $171.00 | $10.49 – $17.47 | 19 |
| Semen analysis w/count CPT 89310 | $518.00 | $518.00 | $7.49 – $12.48 | 19 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $192.00 – $278.40 | 16 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $4.02 – $4.02 | 1 |
| Serpina1 gene CPT 81332 | $632.00 | $632.00 | $43.65 – $63.29 | 16 |
| Set radiation therapy field CPT 77280 | not published | not published | $170.64 – $170.64 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $257.00 – $257.00 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $376.38 – $376.38 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.30 – $0.30 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.93 – $0.93 | 1 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,558.98 – $1,962.48 | 18 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $1,840.64 – $2,317.04 | 18 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $1,747.20 – $2,199.42 | 18 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,558.98 – $1,962.48 | 18 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $1,840.64 – $2,317.04 | 18 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $1,840.64 – $2,317.04 | 18 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,558.98 – $1,962.48 | 18 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $1,747.20 – $2,199.42 | 18 |
| Sewho erbs palsey design abd HCPCS L3962 | not published | not published | $685.78 – $863.28 | 18 |
| Sex chromatin identification CPT 88130 | $48.00 | $48.00 | $15.65 – $26.07 | 19 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.95 – $11.59 | 19 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $280.21 | 16 |
| Sheath above knee HCPCS L8410 | not published | not published | $24.14 – $30.39 | 18 |
| Sheath below knee HCPCS L8400 | not published | not published | $18.08 – $22.76 | 18 |
| Sheath upper limb HCPCS L8415 | not published | not published | $23.74 – $29.89 | 18 |
| Shigella antibody CPT 86771 | not published | not published | $21.30 – $35.50 | 19 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $3,876.93 – $4,880.37 | 18 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $3,968.11 – $4,995.15 | 18 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $15,506.55 – $19,520.01 | 18 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $50.54 – $63.62 | 18 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $44.08 – $55.49 | 18 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $41.51 – $52.25 | 18 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $34.99 – $44.04 | 18 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $63.53 – $79.97 | 18 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $107.64 – $135.50 | 18 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $63.53 – $79.97 | 18 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $59.64 – $75.07 | 18 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $82.99 – $104.46 | 18 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $94.65 – $119.14 | 18 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $41.51 – $52.25 | 18 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $50.54 – $63.62 | 18 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $50.54 – $63.62 | 18 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $36.31 – $45.71 | 18 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $86.92 – $109.42 | 18 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $163.39 – $205.68 | 18 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $579.98 – $730.09 | 18 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $53.17 – $66.93 | 18 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $294.26 – $370.42 | 18 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $338.15 – $425.67 | 18 |
| Shoulder harness HCPCS L5699 | not published | not published | $194.02 – $244.24 | 18 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $530.43 – $667.72 | 18 |
| Shoulder MRI (with and without contrast) CPT 73223 | not published | not published | $454.33 – $828.27 | 2 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $343.53 – $1,609.16 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | not published | not published | $288.50 – $517.79 | 2 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $352.23 – $443.40 | 18 |
| Shoulder X-ray CPT 73030 | not published | not published | $41.29 – $182.03 | 2 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $69.35 – $87.30 | 18 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $43.52 – $54.78 | 18 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $61.40 – $77.29 | 18 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $957.00 | $957.00 | $106.48 – $245.18 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $10.63 – $17.72 | 19 |
| Sialography s&i CPT 70390 | not published | not published | $79.30 – $517.79 | 2 |
| Sickling rbc CPT 85660 | not published | not published | $4.79 – $7.99 | 19 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $581.94 – $732.55 | 18 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $1,384.00 | $1,384.00 | $121.77 – $330.39 | 4 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $50.64 – $245.18 | 2 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $193.01 – $242.96 | 18 |
| Sinus CT scan (with and without contrast) CPT 70488 | $10,127.00 | $10,127.00 | $266.79 – $401.74 | 2 |
| Sinus CT scan (with contrast) CPT 70487 | $7,971.00 | $7,971.00 | $237.54 – $401.74 | 2 |
| Sinus CT scan (without contrast) CPT 70486 | $6,673.00 | $6,673.00 | $181.43 – $245.18 | 2 |
| Sinus/juglr venogram s&i CPT 75860 | $4,639.00 | $4,639.00 | $242.13 – $6,438.74 | 2 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $295.00 – $371.35 | 18 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $116.56 – $146.73 | 18 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $48,464.53 – $163,212.33 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $0.97 – $2.91 | 4 |
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.