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 |
|---|---|---|---|---|
| Carbamazepine total therapeutic drug level CPT 80156 | $784.00 | $784.00 | $12.68 – $21.13 | 19 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $200.40 – $731.37 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $1,289.00 | $1,289.00 | $15.72 – $26.19 | 19 |
| Carbohydrate urine - sendout CPT 84377 | $307.00 | $307.00 | $4.79 – $7.97 | 19 |
| Carbon dioxide CPT 82374 | $530.00 | $530.00 | $4.25 – $7.08 | 19 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $133.19 – $167.67 | 18 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.49 – $8.79 | 4 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $2,705.00 | $2,705.00 | $41.10 – $41.10 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $707.00 | $707.00 | $10.72 – $17.86 | 19 |
| Carcinoembryonic ag (cea) CPT 82378 | $926.00 | $926.00 | $16.50 – $27.49 | 19 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $620.39 – $1,086.50 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $4,018.00 | $4,018.00 | $279.02 – $2,938.37 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $4,018.00 | $4,018.00 | $207.40 – $2,938.37 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $6,002.00 | $6,002.00 | $289.12 – $2,938.37 | 2 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $160.45 – $848.52 | 2 |
| Cardiolipin antibody iga CPT 86147 | not published | not published | $22.15 – $36.90 | 19 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,819.54 – $4,698.00 | 19 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $51.98 – $51.98 | 1 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $43.87 – $57.02 | 18 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $21.57 – $27.99 | 18 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $44.07 – $166.83 | 4 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $848.10 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $848.10 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $4,653.00 | $4,653.00 | $123.76 – $697.86 | 4 |
| Carotene CPT 82380 | $200.00 | $200.00 | $8.02 – $13.37 | 19 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.84 – $11.46 | 4 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $3.03 – $3.81 | 18 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $15.71 – $19.77 | 18 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $9.86 – $12.41 | 18 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $7.89 – $9.93 | 18 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.93 – $6.21 | 18 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $41.19 – $51.85 | 18 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $15.63 – $19.68 | 18 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $36.97 – $46.53 | 18 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $18.51 – $23.30 | 18 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $10.83 – $13.63 | 18 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $31.62 – $39.80 | 18 |
| Cast sup long arm adult plst HCPCS Q4005 | not published | not published | $14.03 – $17.67 | 18 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $15.80 – $19.89 | 18 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $7.01 – $8.83 | 18 |
| Cast sup long leg fiberglass HCPCS Q4030 | not published | not published | $82.38 – $103.70 | 18 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $22.30 – $28.07 | 18 |
| Cast sup shrt leg ped plster HCPCS Q4039 | not published | not published | $8.92 – $11.24 | 18 |
| Cast sup shrt leg plaster HCPCS Q4037 | not published | not published | $17.78 – $22.38 | 18 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $21.08 – $26.54 | 18 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $9.38 – $11.80 | 18 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $10.57 – $13.30 | 18 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $4.67 – $5.89 | 18 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $13.17 – $16.59 | 18 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $7.30 – $9.19 | 18 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $6.60 – $8.30 | 18 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $3.66 – $4.61 | 18 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $20.22 – $25.46 | 18 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $10.12 – $12.73 | 18 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $6.26 – $7.88 | 18 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $12.57 – $15.83 | 18 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $23.76 – $39.59 | 19 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $19.39 – $24.41 | 18 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $11.65 – $13.30 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $3.00 – $12.80 | 19 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $19.07 – $24.01 | 18 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $15.25 – $19.20 | 18 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.44 – $3.07 | 18 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $7.78 – $9.79 | 18 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $23.72 – $29.86 | 18 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $1.97 – $2.48 | 18 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $12.16 – $15.31 | 18 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $38.46 – $48.42 | 18 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $101.54 – $101.54 | 1 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $2.72 – $3.42 | 18 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $26.04 – $32.77 | 18 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $27.16 – $34.19 | 18 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $18.57 – $23.38 | 18 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $6.76 – $11.27 | 19 |
| CBC without platelet HCPCS G0307 | not published | not published | $5.63 – $9.38 | 19 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $15.67 – $26.10 | 19 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $300.60 | 16 |
| Cdna analysis for variants CPT 81403 | $6,572.00 | $6,572.00 | $185.20 – $268.54 | 16 |
| Cebpa gene full sequence CPT 81218 | $647.00 | $647.00 | $241.90 – $350.75 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.71 – $2.49 | 4 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $1.02 – $2.61 | 4 |
| Cefotaxime sodium injection HCPCS J0698 | $282.00 | $282.00 | $22.05 – $22.05 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.26 – $14.22 | 4 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $2,371.00 | $2,371.00 | $3.39 – $12.72 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.36 – $4.41 | 4 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $85.42 – $314.13 | 4 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.42 – $1.38 | 4 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $414.00 | $414.00 | $1.71 – $6.15 | 4 |
| #celiac hla-dq2 CPT 81377 | $1,688.00 | $1,688.00 | $82.44 – $137.37 | 19 |
| #celiac hla-dq8 CPT 81383 | $193.00 | $193.00 | $94.97 – $158.24 | 19 |
| Cell count body fluid CPT 89050 | not published | not published | $4.11 – $6.84 | 19 |
| Cell count w differential body fluid CPT 89051 | not published | not published | $4.87 – $8.12 | 19 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $11.37 – $18.95 | 19 |
| Cell enumeration & id CPT 86152 | not published | not published | $218.24 – $363.63 | 19 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $68.03 – $381.42 | 4 |
| Cell function assay w/stim CPT 86352 | $393.00 | $393.00 | $118.23 – $197.00 | 19 |
| Cell marker study CPT 88182 | $330.00 | $330.00 | $49.76 – $279.35 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $24.58 – $86.07 | 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.