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 |
|---|---|---|---|---|
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $381.42 – $534.12 | 4 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.13 – $0.48 | 4 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $517.62 – $651.59 | 18 |
| Bk back check HCPCS L5686 | not published | not published | $67.56 – $85.04 | 18 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $830.29 – $1,045.19 | 18 |
| Bk fork strap HCPCS L5684 | not published | not published | $50.09 – $63.06 | 18 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $41.32 – $52.01 | 18 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $513.08 – $645.87 | 18 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $377.09 – $474.68 | 18 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $105.71 – $133.08 | 18 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $321.82 – $405.11 | 18 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $2,389.26 – $3,007.66 | 18 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $393.21 – $494.98 | 18 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $650.79 – $819.22 | 18 |
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $360.40 – $453.68 | 18 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $123.08 – $154.94 | 18 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $63.56 – $80.01 | 18 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $43.08 – $43.08 | 1 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $10.80 – $13.60 | 18 |
| Bld prd mix CPT 86965 | not published | not published | $149.16 – $837.38 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $18.33 – $69.06 | 4 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $129.44 – $491.04 | 4 |
| Blm gene CPT 81209 | $607.00 | $607.00 | $39.31 – $57.00 | 16 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $14.86 – $18.70 | 18 |
| Blood clot lysis time CPT 85175 | not published | not published | $17.72 – $29.54 | 19 |
| Blood clot retraction CPT 85170 | not published | not published | $14.19 – $23.64 | 19 |
| Blood Clotting (PT/INR) Test CPT 85610 | not published | not published | $3.73 – $6.22 | 19 |
| Blood Clotting (PTT) Test CPT 85730 | not published | not published | $5.23 – $8.71 | 19 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $6.76 – $11.27 | 19 |
| Blood Count (CBC) Test (without differential) CPT 85027 | not published | not published | $5.63 – $9.38 | 19 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $6.09 – $10.15 | 19 |
| Blood Culture Test CPT 87040 | $606.00 | $606.00 | $8.98 – $14.96 | 19 |
| Blood draw capillary 36416 CPT 36416 | not published | not published | $3.14 – $17.63 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $68.54 – $114.22 | 19 |
| Blood gases ph venous CPT 82800 | not published | not published | $9.57 – $15.95 | 19 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.31 – $7.18 | 19 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $13.86 – $23.08 | 19 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | not published | not published | $3.68 – $6.13 | 19 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $189.00 | $189.00 | $3.81 – $6.35 | 19 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | not published | not published | $4.63 – $7.71 | 19 |
| Blood smear interpretation CPT 85060 | not published | not published | $24.77 – $139.06 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $307.00 | $307.00 | $3.31 – $5.51 | 19 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.31 – $7.18 | 19 |
| Blood typing abo CPT 86900 | $293.00 | $293.00 | $2.99 – $4.34 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $439.00 | $439.00 | $6.35 – $9.21 | 16 |
| Blood typing antigen system CPT 86911 | not published | not published | $23.03 – $129.29 | 2 |
| Blood typing paternity test CPT 86910 | not published | not published | $26.52 – $148.88 | 2 |
| Blood typing patient serum CPT 86904 | not published | not published | $16.34 – $23.69 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $473.00 | $473.00 | $3.83 – $5.55 | 16 |
| Blood typing rh (d) CPT 86901 | $280.00 | $280.00 | $2.99 – $4.34 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $292.00 | $292.00 | $7.75 – $11.24 | 16 |
| Blood volume CPT 78122 | not published | not published | $94.71 – $1,101.15 | 2 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,799.12 – $2,264.77 | 18 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $381.42 – $381.42 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $1,659.00 | $1,659.00 | $42.73 – $245.18 | 2 |
| Bone imaging multiple areas CPT 78305 | $4,949.00 | $4,949.00 | $173.56 – $848.52 | 2 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $128.19 – $848.52 | 2 |
| Bone marrow imaging body CPT 78104 | not published | not published | $163.05 – $848.52 | 2 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $112.68 – $848.52 | 2 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $132.81 – $848.52 | 2 |
| Bone marrow interpretation CPT 85097 | not published | not published | $656.15 – $3,683.63 | 2 |
| Bone mineral dual photon CPT 78351 | not published | not published | $17.25 – $34.54 | 4 |
| Bone mineral single photon CPT 78350 | not published | not published | $48.67 – $48.67 | 1 |
| Bone survey-lead poisoning CPT 77074 | not published | not published | $94.35 – $245.18 | 2 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $12.10 – $15.24 | 18 |
| Boot j walker l HCPCS L4386 | not published | not published | $161.64 – $203.47 | 18 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $171.07 – $215.35 | 18 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $161.64 – $203.47 | 18 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $300.55 – $378.34 | 18 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $300.55 – $378.34 | 18 |
| Borrelia antibody CPT 86619 | not published | not published | $11.64 – $19.40 | 19 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $14.82 – $24.69 | 19 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $30.54 – $50.88 | 19 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $2.13 – $8.04 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.98 – $4.97 | 19 |
| Bowel imaging CPT 78290 | $4,577.00 | $4,577.00 | $141.66 – $848.52 | 2 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $184.08 – $231.72 | 18 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $435.39 – $548.08 | 18 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $231.06 – $290.87 | 18 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $577.54 – $727.02 | 18 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $856.26 – $1,077.89 | 18 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $117.47 – $147.87 | 18 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $97.77 – $123.07 | 18 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $67.23 – $84.63 | 18 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $91.05 – $114.62 | 18 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $271.43 – $341.68 | 18 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $784.34 – $987.34 | 18 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $656.59 – $826.53 | 18 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $419.12 – $527.60 | 18 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,515.52 – $1,907.78 | 18 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,841.61 – $2,318.26 | 18 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $677.87 – $853.31 | 18 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,046.67 – $1,317.58 | 18 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $934.01 – $1,175.75 | 18 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $306.06 – $385.27 | 18 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $91.77 – $115.52 | 18 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,877.96 – $2,364.02 | 18 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $595.42 – $749.52 | 18 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $690.79 – $869.58 | 18 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $149.02 – $187.59 | 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.