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 |
|---|---|---|---|---|
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $3,154.02 – $3,154.02 | 1 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $4.31 – $7.18 | 19 |
| Cerebrospinal fld flw imag CPT 78645 | $1,914.00 | $1,914.00 | $117.31 – $1,101.15 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $372.06 – $468.36 | 18 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.38 – $11.61 | 4 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $483.85 – $609.08 | 18 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $629.92 – $792.96 | 18 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $152.98 – $192.58 | 18 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $65.89 – $241.02 | 4 |
| #cf-97variants CPT 81220 | $3,928.00 | $3,928.00 | $484.37 – $807.07 | 19 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $378.61 – $630.85 | 19 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $146.85 – $244.69 | 19 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $84.60 – $140.97 | 19 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $192.92 – $242.86 | 18 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $149.16 – $837.38 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.91 – $23.19 | 19 |
| Chest 2 vws w oblique CPT 71048 | $1,368.00 | $1,368.00 | $67.08 – $245.18 | 2 |
| Chest apical lordotic proj CPT 71047 | $1,156.00 | $1,156.00 | $58.23 – $182.03 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $10,549.00 | $10,549.00 | $262.17 – $401.74 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $8,396.00 | $8,396.00 | $245.27 – $401.74 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $6,673.00 | $6,673.00 | $225.59 – $245.18 | 2 |
| Chest X-ray CPT 71046 | $1,152.00 | $1,152.00 | $45.83 – $182.03 | 2 |
| Chest X-ray (single view) CPT 71045 | $811.00 | $811.00 | $38.10 – $182.03 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $146.29 – $401.74 | 2 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $300.82 | 16 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $378.15 | 16 |
| Chlamydia culture CPT 87110 | $1,471.00 | $1,471.00 | $17.06 – $28.42 | 19 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $10.43 – $17.37 | 19 |
| Chlamydia type CPT 87140 | $61.00 | $61.00 | $4.84 – $8.08 | 19 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $17.45 – $29.07 | 19 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $37.28 – $62.12 | 19 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $42.73 – $42.73 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $150.78 – $150.78 | 1 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $62.13 – $62.13 | 1 |
| Chloride CPT 82435 | $221.00 | $221.00 | $4.00 – $6.67 | 19 |
| Chloride 24 hour urine CPT 82436 | $148.00 | $148.00 | $5.01 – $8.34 | 19 |
| Chloroprocaine hcl injection HCPCS J2401 | $738.00 | $738.00 | $0.03 – $0.12 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.51 – $1.74 | 4 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $7,800.00 | $7,800.00 | $27.61 – $174.39 | 4 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $24.68 – $71.31 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $2,272.00 | $2,272.00 | $58.95 – $58.95 | 1 |
| Cholesterol CPT 82465 | $542.00 | $542.00 | $3.78 – $6.31 | 19 |
| Cholesterol (Lipid) Test CPT 80061 | $584.00 | $584.00 | $11.65 – $19.42 | 19 |
| Choline c-11 HCPCS A9515 | not published | not published | $7,549.29 – $7,549.29 | 1 |
| Cholinesterase CPT 82480 | $382.00 | $382.00 | $6.85 – $11.41 | 19 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $15.51 – $46.20 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $30.29 – $50.47 | 19 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $33.94 – $56.55 | 19 |
| Chromatography CPT 83021 | $404.00 | $404.00 | $15.72 – $26.19 | 19 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.34 – $17.24 | 19 |
| Chromo high res and frag x - sendout CPT 81243 | $1,578.00 | $1,578.00 | $57.04 – $82.71 | 16 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $151.12 – $251.81 | 19 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $150.70 – $251.10 | 19 |
| Chromosome analysis 15-20 cell count CPT 88262 | not published | not published | $109.21 – $181.96 | 19 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $150.70 – $251.10 | 19 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $130.79 – $217.92 | 19 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $230.04 – $383.29 | 19 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $150.70 – $251.10 | 19 |
| Chromosome analys placenta CPT 88267 | $2,445.00 | $2,445.00 | $164.10 – $273.43 | 19 |
| Chromosome banding study CPT 88283 | not published | not published | $59.70 – $99.47 | 19 |
| Chromosome count additional CPT 88285 | not published | not published | $23.42 – $39.02 | 19 |
| Chromosome karyotype study CPT 88280 | not published | not published | $29.13 – $48.53 | 19 |
| Chromosome study additional CPT 88289 | $475.00 | $475.00 | $29.96 – $49.92 | 19 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $10.85 – $18.07 | 19 |
| Chylomicron screen, bf - sendout CPT 82664 | $439.00 | $439.00 | $53.52 – $89.17 | 19 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,268.99 – $1,597.44 | 18 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $7,442.09 – $9,368.28 | 18 |
| Cidofovir injection HCPCS J0740 | $18,696.00 | $18,696.00 | $443.56 – $1,573.44 | 4 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $182.90 – $230.24 | 18 |
| Cilastatin sodium injection HCPCS J0743 | $947.00 | $947.00 | $6.24 – $21.30 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $470,193.65 – $1,762,948.71 | 4 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $2.97 – $2.97 | 1 |
| Cine/video x-rays CPT 76120 | not published | not published | $86.09 – $245.18 | 2 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $63.76 – $63.76 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $1.78 – $6.00 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $101.94 – $101.94 | 1 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.43 – $6.33 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,775.00 | $1,775.00 | $329.51 – $477.79 | 16 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.67 – $22.26 | 4 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $23.08 – $26.34 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | not published | not published | $1.37 – $5.73 | 4 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $268.32 – $337.77 | 18 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $13.61 – $43.11 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $3,977.00 | $3,977.00 | $13.77 – $51.69 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $13.92 – $23.20 | 19 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $16.47 – $27.45 | 19 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $17.77 – $29.61 | 19 |
| Clot factor wght kininogen CPT 85293 | $274.00 | $274.00 | $16.47 – $27.45 | 19 |
| Clot factor xii hageman CPT 85280 | $962.00 | $962.00 | $16.84 – $28.06 | 19 |
| Clot factor xiii fibrin scrn CPT 85291 | $255.00 | $255.00 | $7.93 – $13.21 | 19 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $14.22 – $23.69 | 19 |
| Clotting assay whole blood CPT 85396 | $1,239.00 | $1,239.00 | $19.89 – $111.66 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.18 – $2.74 | 18 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.80 – $2.27 | 18 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $12.24 – $20.40 | 19 |
| #cms hgb-sulfhemoglobin CPT 83060 | $24.00 | $24.00 | $7.66 – $12.76 | 19 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $17.03 – $28.36 | 19 |
| Cmv ig IV CPT 90291 | not published | not published | $6,514.41 – $6,514.41 | 1 |
| Cmv pcr-sendout CPT 87496 | $1,588.00 | $1,588.00 | $30.54 – $50.88 | 19 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $137.00 – $198.65 | 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.