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 |
|---|---|---|---|---|
| Thyroid mets imag whole body CPT 78018 | $6,606.00 | $6,606.00 | $173.79 – $1,101.15 | 2 |
| Thyroid met uptake CPT 78020 | not published | not published | $119.11 – $119.11 | 1 |
| Thyroid (TSH) Test CPT 84443 | not published | not published | $14.62 – $24.36 | 19 |
| Thyroid Ultrasound CPT 76536 | $2,470.00 | $2,470.00 | $120.59 – $245.18 | 2 |
| Thyroid uptake measurement CPT 78012 | $5,918.00 | $5,918.00 | $39.63 – $848.52 | 2 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $18,422.00 | $18,422.00 | $1,766.90 – $6,376.92 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $43.87 – $73.09 | 19 |
| Thyroxine binding globulin (tbg) CPT 84442 | $211.00 | $211.00 | $12.86 – $21.43 | 19 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $54.25 – $68.29 | 18 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,062.23 – $2,595.98 | 18 |
| Tigecycline injection HCPCS J3243 | $2,142.00 | $2,142.00 | $0.26 – $1.68 | 4 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $5,351.96 – $6,737.17 | 18 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.02 – $10.35 | 4 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $491,955.35 – $1,699,593.90 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $160.35 – $588.21 | 4 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $58.11 – $58.11 | 1 |
| Tissue culture placenta CPT 88235 | $737.00 | $737.00 | $130.80 – $217.94 | 19 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $122.47 – $204.06 | 19 |
| Tissue culture tumor CPT 88239 | $1,854.00 | $1,854.00 | $128.38 – $213.90 | 19 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $381.42 – $381.42 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $119.00 | $119.00 | $3.71 – $6.19 | 19 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $381.42 – $381.42 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $381.42 – $381.42 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.03 – $16.72 | 19 |
| Tl-201 thallium diag per mci HCPCS A9505 | $603.00 | $603.00 | $143.28 – $143.28 | 1 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $909.29 – $1,144.63 | 18 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $783.04 – $985.71 | 18 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,023.47 – $1,288.37 | 18 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,273.04 – $1,602.53 | 18 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $514.98 – $648.27 | 18 |
| Tlso corset front HCPCS L0970 | not published | not published | $131.34 – $165.34 | 18 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $228.96 – $288.23 | 18 |
| Tlso full corset HCPCS L0974 | not published | not published | $175.19 – $220.53 | 18 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $368.36 – $463.70 | 18 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $256.79 – $323.25 | 18 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $488.01 – $614.32 | 18 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $327.19 – $411.88 | 18 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $622.73 – $783.90 | 18 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,615.51 – $2,033.64 | 18 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,023.47 – $1,288.37 | 18 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,735.82 – $2,185.09 | 18 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,390.83 – $1,750.81 | 18 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $288.43 – $363.08 | 18 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $353.61 – $445.13 | 18 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $179.37 – $179.37 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.36 – $6.21 | 4 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $12.58 – $37.41 | 4 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $14.03 – $23.39 | 19 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.00 – $16.83 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.43 – $22.71 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $102.00 | $102.00 | $12.72 – $14.51 | 18 |
| Tomosynthesis breast screen bilateral CPT 77063 | $102.00 | $102.00 | $19.47 – $25.34 | 18 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $18,422.00 | $18,422.00 | $1.08 – $3.75 | 4 |
| Topotecan oral HCPCS J8705 | not published | not published | $106.17 – $375.27 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $33.23 – $120.63 | 4 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $138.32 – $174.12 | 18 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $120.25 – $151.37 | 18 |
| Total Hip Replacement CPT 27130 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $15,658.14 – $15,658.14 | 1 |
| Total tau CPT 84394 | $293.00 | $293.00 | $128.92 – $137.94 | 15 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $508.01 – $639.50 | 18 |
| Tot estradiol response panel CPT 80415 | not published | not published | $48.64 – $81.04 | 19 |
| Toxoplasma antibody igg CPT 86777 | $301.00 | $301.00 | $12.52 – $20.87 | 19 |
| Toxoplasma antibody igm CPT 86778 | $201.00 | $201.00 | $12.54 – $20.89 | 19 |
| Tp53 gene full gene sequence CPT 81351 | $4,628.00 | $4,628.00 | $641.85 – $930.68 | 16 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $446.60 | 16 |
| Tp53 gene trgt sequence alys CPT 81352 | $882.00 | $882.00 | $329.51 – $477.79 | 16 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $253.47 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $309.26 – $1,173.21 | 4 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $8.39 – $10.56 | 18 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.82 – $1.04 | 18 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $93.78 – $118.05 | 18 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $5.64 – $7.09 | 18 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $4.33 – $5.46 | 18 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $17.19 – $19.61 | 3 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $44.57 – $61.18 | 18 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | not published | not published | $0.39 – $0.39 | 1 |
| Transcatheter bx s&i CPT 75970 | $6,362.00 | $6,362.00 | $166.78 – $166.78 | 1 |
| Transcutaneous carboxyhb CPT 88740 | $73.00 | $73.00 | $8.15 – $13.59 | 19 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.37 – $7.28 | 19 |
| Transcutaneous methb CPT 88741 | not published | not published | $8.15 – $13.59 | 19 |
| Transferrin CPT 84466 | $291.00 | $291.00 | $11.10 – $18.50 | 19 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $5.22 – $6.57 | 18 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.85 – $2.33 | 18 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $102.43 – $128.95 | 18 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $77.82 – $97.96 | 18 |
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $77.82 – $97.96 | 18 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $102.43 – $128.95 | 18 |
| Trapezius sling HCPCS L1070 | not published | not published | $114.80 – $144.51 | 18 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $64.34 – $220.44 | 4 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $23.72 – $154.32 | 4 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $21.19 – $24.63 | 4 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.86 – $4.86 | 18 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $71.91 | 16 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $117.50 – $429.06 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $10.60 – $17.66 | 19 |
| Treponema pallidum antibody CPT 86780 | not published | not published | $11.53 – $19.20 | 19 |
| Treprostinil injection HCPCS J3285 | not published | not published | $48.31 – $163.44 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $646.34 – $2,375.94 | 4 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $292.18 | 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.