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 |
|---|---|---|---|---|
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $137.00 – $198.65 | 16 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $137.00 – $198.65 | 16 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $137.00 – $198.65 | 16 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $126.04 – $143.83 | 3 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $273.08 – $311.63 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $840.65 – $1,218.94 | 16 |
| Autologous blood op salvage CPT 86891 | not published | not published | $656.15 – $3,683.63 | 2 |
| Autologous blood process CPT 86890 | not published | not published | $149.16 – $837.38 | 2 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.63 – $9.38 | 19 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $362.54 – $2,035.30 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $350.68 – $1,968.72 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $374.05 – $2,099.92 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $210.41 – $1,181.24 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $210.41 – $1,181.24 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $210.41 – $1,181.24 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $245.65 – $1,379.08 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $257.16 – $1,443.70 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $210.41 – $1,181.24 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $192.96 – $1,083.28 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $269.03 – $1,510.33 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $82.57 – $314.97 | 4 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $166.95 – $166.95 | 1 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $427,414.85 – $1,596,576.72 | 4 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $206.15 – $259.51 | 18 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.27 – $1.38 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $33.00 | $33.00 | $0.18 – $0.98 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $760.59 – $760.59 | 1 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $1.89 – $6.12 | 4 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $39.09 – $39.09 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $2.11 – $6.69 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $148.58 – $544.41 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $2,466.00 | $2,466.00 | $45.75 – $178.53 | 4 |
| Baclofen eval charges CPT 97750 | not published | not published | $28.02 – $32.24 | 18 |
| Bacterial meningitis antigen CPT 86403 | $709.00 | $709.00 | $10.04 – $16.73 | 19 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $61.09 – $101.79 | 19 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.07 – $21.78 | 19 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $30.54 – $50.88 | 19 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $8.04 – $10.12 | 18 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.26 – $0.32 | 18 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $101.00 | $101.00 | $2.94 – $3.70 | 18 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $11.96 – $15.05 | 18 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $7.51 – $9.46 | 18 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $5.96 – $7.50 | 18 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $10.61 – $13.35 | 18 |
| Bartonella dna pcr-sendout CPT 87471 | $813.00 | $813.00 | $30.54 – $50.88 | 19 |
| Bartonella dna quant CPT 87472 | not published | not published | $37.28 – $62.12 | 19 |
| Basiliximab HCPCS J0480 | not published | not published | $3,984.51 – $14,343.21 | 4 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $697.57 – $878.12 | 18 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $280.12 – $352.62 | 18 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,531.55 – $1,927.95 | 18 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,328.41 – $1,672.24 | 18 |
| B cells total count CPT 86355 | $101.00 | $101.00 | $32.84 – $54.71 | 19 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.67 – $9.84 | 4 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $133.42 – $491.91 | 4 |
| Bcg vaccine percut CPT 90585 | not published | not published | $655.08 – $655.08 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $137.74 | 16 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $10.42 – $13.12 | 18 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.31 – $11.67 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $46.72 – $171.48 | 4 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $8,979.40 – $11,303.48 | 18 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,419.72 – $3,046.00 | 18 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $428.58 – $539.50 | 18 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $79.18 – $99.67 | 18 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $570.15 – $717.72 | 18 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $611.66 – $769.97 | 18 |
| Below knee leather socket HCPCS L5638 | not published | not published | $506.42 – $637.50 | 18 |
| Below knee suction socket HCPCS L5647 | not published | not published | $827.76 – $1,042.01 | 18 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $130.85 – $164.72 | 18 |
| Below knee total contact HCPCS L5637 | not published | not published | $354.18 – $445.85 | 18 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,188.05 – $1,495.54 | 18 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $8.89 – $11.19 | 18 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.05 – $6.15 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $12.07 – $40.95 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $11.54 – $38.49 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $23.15 – $95.97 | 4 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $2,903.00 | $2,903.00 | $14.25 – $41.46 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $22.15 – $36.90 | 19 |
| Beta-2 microglobulin CPT 82232 | $301.00 | $301.00 | $14.08 – $23.46 | 19 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $137.94 | 15 |
| Beta-amyloid 1-42 CPT 82234 | $312.00 | $312.00 | $128.92 – $137.94 | 15 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $404.00 | $404.00 | $5.82 – $20.73 | 4 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $61.82 – $220.89 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $25.35 – $71.52 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $22.90 – $77.40 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $5.52 – $5.52 | 1 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $65.13 – $79.25 | 18 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $26.31 – $31.77 | 18 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $14.68 – $24.46 | 19 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $23.13 – $38.54 | 19 |
| Bilicheck CPT 88720 | $49.00 | $49.00 | $4.37 – $7.28 | 19 |
| Bilirubin direct CPT 82248 | $523.00 | $523.00 | $4.37 – $7.28 | 19 |
| Bilirubin total CPT 82247 | not published | not published | $4.37 – $7.28 | 19 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $36.38 – $45.80 | 18 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $381.42 – $1,798.05 | 4 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $80.12 – $381.42 | 4 |
| Biofeedback, pt CPT 90901 | not published | not published | $33.08 – $39.26 | 18 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $149.16 – $837.38 | 2 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $149.16 – $837.38 | 2 |
| Biotinidase - quest CPT 82261 | not published | not published | $14.68 – $24.46 | 19 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $113.61 – $381.42 | 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.