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 |
|---|---|---|---|---|
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $472.86 – $595.25 | 18 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $949.35 – $1,195.06 | 18 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $96.19 – $121.09 | 18 |
| Brace m arm board HCPCS L3809 | not published | not published | $232.02 – $292.08 | 18 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,095.31 – $1,378.80 | 18 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,014.04 – $1,276.50 | 18 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $232.02 – $292.08 | 18 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $123.33 – $155.26 | 18 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $64.29 – $80.93 | 18 |
| Brachytx isodose complex CPT 77318 | not published | not published | $699.34 – $699.34 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $441.39 – $441.39 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $338.05 – $338.05 | 1 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $254.33 | 16 |
| Brain flow imaging only CPT 78610 | not published | not published | $62.36 – $1,101.15 | 2 |
| Brain image < 4 views CPT 78600 | not published | not published | $91.61 – $848.52 | 2 |
| Brain image 4+ views CPT 78605 | $1,333.00 | $1,333.00 | $112.82 – $1,101.15 | 2 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $106.57 – $848.52 | 2 |
| Brain image w/flow 4 + views CPT 78606 | $2,459.00 | $2,459.00 | $131.20 – $1,101.15 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $11,523.00 | $11,523.00 | $309.52 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $9,345.00 | $9,345.00 | $251.34 – $828.27 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $7,847.00 | $7,847.00 | $251.34 – $517.79 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $11,245.00 | $11,245.00 | $480.03 – $828.27 | 2 |
| Brain MRI (with contrast) CPT 70552 | $9,419.00 | $9,419.00 | $373.82 – $828.27 | 2 |
| Brain MRI (without contrast) CPT 70551 | $7,847.00 | $7,847.00 | $309.52 – $517.79 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $38.00 – $47.83 | 18 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $678.60 | 16 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $847.13 | 16 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $544.11 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $436.96 | 16 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $410.18 | 16 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $268.42 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | $1,084.00 | $1,084.00 | $375.25 – $544.11 | 16 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $410.18 | 16 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $638.00 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,588.06 – $2,646.08 | 19 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $128.15 – $161.32 | 18 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $336.96 – $424.17 | 18 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $336.96 – $424.17 | 18 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $82.16 – $136.89 | 19 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $9.62 – $16.04 | 19 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $211.59 – $805.35 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $415,989.15 – $1,468,350.60 | 4 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $8.74 – $15.38 | 18 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $17.30 – $19.74 | 3 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.99 – $0.99 | 1 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $168.53 – $212.15 | 18 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $5.30 – $6.68 | 18 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $254.33 | 16 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $14.04 – $14.04 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.01 – $3.15 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.48 – $1.08 | 4 |
| Bundled special stain group 1 microorganisms CPT 88312 | $1,002.00 | $1,002.00 | $49.76 – $279.35 | 2 |
| Bundled special stain group 2 CPT 88313 | not published | not published | $33.84 – $189.98 | 2 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.03 | 4 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $30.51 – $30.51 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $18.33 – $18.33 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $28.14 – $28.14 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.55 – $12.63 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $3.78 – $3.78 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,636.45 – $5,995.59 | 4 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,636.45 – $5,995.59 | 4 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.24 – $2.67 | 4 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $240.00 | $240.00 | $3.99 – $16.62 | 4 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $61.43 – $227.58 | 4 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $54.30 – $196.89 | 4 |
| C1 esterase inhibitor func - sendout CPT 86161 | $212.00 | $212.00 | $10.45 – $17.40 | 19 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $188.45 – $692.40 | 4 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $302.00 | $302.00 | $54.99 – $54.99 | 1 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $19.66 – $72.48 | 4 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $198.65 | 16 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $1,227.09 | 16 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $268.54 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $6.09 – $6.09 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $65.05 – $246.24 | 4 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,819.00 | $1,819.00 | $4,299.60 – $4,299.60 | 1 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $69.94 – $116.54 | 19 |
| Calcium 24 hour urine CPT 82340 | $351.00 | $351.00 | $5.24 – $8.74 | 19 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.09 – $0.09 | 1 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $194.00 | $194.00 | $0.09 – $0.09 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $357.00 | $357.00 | $0.04 – $0.09 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.07 – $0.27 | 4 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $34.08 – $34.08 | 1 |
| Calcium infusion test CPT 82331 | not published | not published | $11.61 – $19.34 | 19 |
| Calcium ionized CPT 82330 | not published | not published | $11.91 – $19.84 | 19 |
| Calcium total CPT 82310 | $254.00 | $254.00 | $4.49 – $7.48 | 19 |
| Calculi urinary-sendout CPT 82360 | $285.00 | $285.00 | $11.20 – $18.66 | 19 |
| Calculus analysis qual CPT 82355 | not published | not published | $10.08 – $16.79 | 19 |
| Calprotectin fecal CPT 83993 | $662.00 | $662.00 | $17.09 – $28.46 | 19 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $61.24 – $77.09 | 18 |
| Campylobacter antibody CPT 86625 | $1,239.00 | $1,239.00 | $11.42 – $19.02 | 19 |
| Canakinumab injection HCPCS J0638 | not published | not published | $116.08 – $443.22 | 4 |
| Candida dna CPT 87480 | $389.00 | $389.00 | $17.45 – $29.07 | 19 |
| Candida dna quant CPT 87482 | not published | not published | $48.51 – $80.82 | 19 |
| Candida skin test CPT 86485 | not published | not published | $24.67 – $138.50 | 2 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.88 – $1.11 | 18 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $579.92 – $1,969.50 | 4 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $49.00 | $49.00 | $0.06 – $0.12 | 4 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.87 – $10.26 | 4 |
| Carbamazepine free CPT 80157 | $707.00 | $707.00 | $11.53 – $19.21 | 19 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $16.22 – $27.03 | 19 |
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.