Lewisgale Hospital Alleghany
VA 24457
Prices last published by the hospital: —
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
Can't afford a bill from Lewisgale Hospital Alleghany?
This hospital has a financial assistance program that may reduce or erase it.
Financial assistance: see income limits & how to applyPrices at this hospital (406 procedures)
| Procedure | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Abdominal ultrasound | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Ablation for supraventricular tachycardia | —Insurance typically pays $7,650Sticker price — | — | $7,650 | — |
| Achilles tendon repair, primary | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Amino acid analysis, quantitative, each specimen | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Analysis for antibody to Herpes simplex virus | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Ankle-brachial index (ABI), complete | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Ankle-brachial index (ABI), limited | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Ankle fracture repair, open | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Appendix removal, laparoscopic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Application of long leg cast | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Application of short arm cast | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Application of short leg cast | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Application of short leg splint | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Arterial line placement | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Arterial puncture for blood draw | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Arteriovenous fistula creation for dialysis | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Arthroscopic ACL reconstruction | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Arthroscopic rotator cuff repair | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Aspiration of fluid from chest cavity | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Aspiration or injection of ganglion cyst | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Basic metabolic blood panel | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Benign skin growth removal | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Biceps tenodesis (tendon repair) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Bladder catheter placement | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Blood count (CBC) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Blood count with differential | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Blood draw | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Blood sugar test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Bone biopsy, deep | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Bone biopsy, superficial | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Bowel adhesion removal, laparoscopic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Breast biopsy, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Breast biopsy with stereotactic guidance | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Bunionectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| BUN kidney test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Capillary blood draw (finger stick) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cardiac stress test | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Carotid endarterectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Carpal tunnel release | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Cataract surgery, complex | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cataract surgery with lens implant | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cervical spinal fusion, anterior | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cesarean delivery only | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cesarean delivery with routine obstetric care | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Cholesterol panel | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Closed treatment of broken middle or upper end of outside lower leg bone | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Clotting factor VII (proconvertin, stable factor) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Cold knife conization of cervix | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colectomy with colostomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colonoscopy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colonoscopy with ablation of lesion | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colonoscopy with biopsy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colonoscopy with polyp removal | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Colonoscopy with submucosal injection | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Coronary angiography | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Coronary angioplasty (balloon), single vessel | —Insurance typically pays $9,990Sticker price — | — | $9,990 | — |
| Creatinine test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| CT abdomen and pelvis with contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| CT head without contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Debridement of skin, muscle or fascia | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Defibrillator interrogation in office | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Detailed obstetric ultrasound | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Detection test by immunoassay technique for rotavirus | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Diagnostic exam of bladder and urethra using an endoscope | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Diagnostic exam of lower portion of large bowel using a flexible endoscope | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Dialysis circuit angiogram | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Dilation and curettage (D&C), diagnostic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Distal radius fracture repair, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Duplex ultrasound of aorta and iliac arteries | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Duplex ultrasound of dialysis access | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Duplex ultrasound of lower extremity arteries, bilateral | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Ear wax removal | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| ECG reading | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| EKG | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Electrophysiology study, comprehensive | —Insurance typically pays $7,975Sticker price — | — | $7,975 | — |
| Endoscopic lumbar decompression | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Epidural injection, cervical or thoracic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Epidural steroid shot, lower back | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Esophagus stretching | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| ESRD dialysis management, adult | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Excision of breast lesion with radiologic marker | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Eye exam | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Eye exam, established patient | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Eye exam, new patient | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Eye exam, new patient, comprehensive | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Eye injection | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Eyelid bump removal | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Facet joint injection, cervical or thoracic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Facet joint injection, lumbar or sacral | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Femoral/popliteal artery stent placement | —Insurance typically pays $3,850Sticker price — | — | $3,850 | — |
| Femoral-popliteal bypass graft | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Femur shaft fracture repair with plate or screws | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Ferritin test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Fetal non-stress test | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Flu shot | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Flu shot | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Gallbladder removal (laparoscopic) | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Gastric bypass (Roux-en-Y), open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Glaucoma laser treatment | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Glaucoma laser treatment | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hammertoe correction | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG ACTH PLASMA LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG AFB CONCENTRATION | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ALDOLASE LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ALK PHOSPHATASE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ALPHA-1-ANTITRYPSIN SERUM LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG AMINO ACIDEMIAS (PKU) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG AMPA RECEPTOR ABY TITER SPINAL FLUID | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ANA | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ANAEROBIC CULTURE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ANTI-DNASE B STREP ANTIBODIES LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ANTISTREPTOLYSIN O AB LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ANTITHROMBIN III | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ARC-ABY ID EACH SELECTED REAGENT CELL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ARTHROCENT/ASPIR/INJ SMALL JOINT/BURSA WO US | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG BLOOD/BLOOD PRODUCT ADMIN PER UNIT | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG CA15.3 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CARBAMAZEPINE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CATECHOLAMINESURFREE24 HR LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CF SCREEN | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CHROMIUM BLOOD | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CHROMOGRANIN A | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CMV IGM ABY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CMV QUANT DNA PCR (PLASMA) LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG COMPREHENSIVE METABOLIC PANE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG COVID 19 NAA LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG C-PEPTIDE SERUM | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CREATININE URINE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CROSSMATCH IS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CRYOGLOBULIN QUAL WITH REFLEX | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CRYPTOCOCCAL AG LATEX SCREEN W/REFL TITER QUE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CT CHEST TUBE PLACEMENT AND PLEURAL DRAINAGE | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG CT SOFT TISSUE NECK W CONTRAST | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG CT THORACENTESIS PLEURAL ASPIRATION | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG DEBRIDE SQ TISSUE FIRST 20 SQ CM | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG DHEA SERUM LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG DIPTHERIA TOXOID IGG ABY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG DIRECT ANTIGLOBULIN TEST | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG EBV NA | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG EBV VCA IGG | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ECHO 2D F-U OR LTD STUDY W BUBBLE | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| HCHG FACTOR 2 GENE MUTATION | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG FACTOR 8 ASSAY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG FACTOR IX ACTIVITY LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG FLUORO < 1 HOUR | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG FOLIC ACID | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG FSH-SERUM | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8007400 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8663103 LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8670600 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8680300 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8738900 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8748602 LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 8749100 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENERAL LAB 87522 LCC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GENTAMICIN KINETICS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG GRAM STAIN | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG HEMOGLOBINOPATHIES | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG H HEMACHROMATOSIS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG H. PYLORI ANTIGEN STOOL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG ICU MD RETROPERITONEAL LIMITED | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG I D ABSCESS/CARB/CYST SINGLE SIMPLE | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG I D HEMATOMA/SEROMA FLUID COLL | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG IHC STAIN ADDL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG IHC STAIN FIRST | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG INJ EPIDURAL BLOOD/CLOT PATCH TX | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG INSERT PICC WO SUBQ PORT/PUMP WO GUIDANCE >5 | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| HCHG INTRINSIC FACTOR ABS SERUM LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG INTUBATION ENDOTRACHEAL EMERGENCY | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG IR INJ CHOLANGIOGRAPHY PERC W GUIDE EXISTING | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG IRON | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG JAK2 MUTATION DETECTION | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG LEAD FILTER PAPER | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG LUTEINIZING HORMONE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG MEAS POST VOID RES US NON-IMAGING | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG N METHYLHISTAMINE URINE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG OCCULT BLOOD IFOBT | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG OT APPLICATION LONG ARM CAST | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG PARACENTESIS ABD WO IMAGING | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG PFT C0 MEMBRANE DIFFUSE CAPACITY | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| HCHG PHENOBARBITAL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG PLCMT NEPHROSTOMY CATHETER WWO NEPHRO/URETERO | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG POTASSIUM | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG PROCALCITONIN | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG PROTEIN TOTAL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG PROTHOMBIN TIME | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG PT APPLICATION LONG ARM SPLINT | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG PT E-STIM-ATTENDED 15MIN | —Insurance typically pays $21Sticker price — | — | $21 | — |
| HCHG PT GAIT TRAINING 15MIN | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG PT IONTOPHORESIS 15MIN | —Insurance typically pays $24Sticker price — | — | $24 | — |
| HCHG PT MANUAL THERAPY 15MIN | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG PT MASSAGE 15 MIN | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG PT MECHANICAL TRACTION | —Insurance typically pays $22Sticker price — | — | $22 | — |
| HCHG PT NEUROMUSCULAR RE-ED 15MIN | —Insurance typically pays $26Sticker price — | — | $26 | — |
| HCHG PT PHONOPHORESIS 15MIN | —Insurance typically pays $23Sticker price — | — | $23 | — |
| HCHG PT SELFCARE/HOME MNGMNT 15MIN | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG PT STRAPPING ANKLE | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG PT THERAPEUTIC ACTIVITY 15MIN | —Insurance typically pays $27Sticker price — | — | $27 | — |
| HCHG PT THERAPEUTIC EXERCISE 15MIN | —Insurance typically pays $25Sticker price — | — | $25 | — |
| HCHG RAD CT ANGIO CHEST | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT ANGIO HEART CORONARY ARTERIES | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT ANGIO LOWER EXTREMITY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT ANGIO NECK W CONTRAST | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT GUIDED NEEDLE PLACEMENT | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT HEAD BRAIN WWO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT LIMITED OR LOCALIZED FOLLOW UP | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD CT LOWER EXTREMITY WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD ECHO STRESS TRANSTHORACIC 2D EXERCISE OR | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| HCHG RAD MRI ANGIO HEAD BRAIN WWO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI ANGIO HEAD WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI ANGIO NECK WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI ANGIO NECK WWO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI JOINT LOWER EXTREMITY WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI SPINE CERVICAL WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD MRI SPINE THORACIC WO | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD NM BONE SCAN WHOLE BODY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD NM LUNG PERFUSION SCAN | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD NM LUNG VENTILATION AND PERFUSION QUANTIT | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD NM RADIOPHARM ORAL THERAPY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD US ARTERIAL UPPER EXTREMITY BILATERAL COM | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| HCHG RAD XRAY ABDOMEN ACUTE W CHEST 1 VIEW | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY CHEST FRONTAL 1 VIEW | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY FEMUR 1 VIEW UNILATERAL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY FOOT 2 VIEWS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY KNEE 3 VIEWS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY KNEES STANDING BILATERAL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY MANDIBLE MINIMUM OF FOUR VIEWS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RAD XRAY RIBS 3 VIEWS BILATERAL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG REPLACE CATH ONLY CVAD W SQ PORT/PUMP | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| HCHG REPOSITIONING PREV PLC CV CATH FLUOR GUID | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| HCHG RESPIRATORY DISEASE MULTIPLEX PCR PANEL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG REVERSE T3 SERUM LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG RN APPL MULTLAY COMPRS LWR LEG UNILATERAL | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| HCHG SCHISTOSOMA IGG ABY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SELENIUM SERUM/PLASMA LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SLP EVAL ORAL/PHAR SWALLOWING | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SLP EVAL SPEECH SOUND W LANGUAGE COMP | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SLP INDIV TX COMMUNICATION | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SODIUM URINE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG SP STAIN 1 ORG | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG STONE ANALYSIS LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG STOOL CULTURE AEROBIC BACTERIA LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG T3 FREE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG T4 FREE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG TACROLIMUS AHL | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG TESTOSTERONE FREE EQUILIBRIUM ULTRAFILTRATION | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG THER APHERESIS PLASMA PHERESIS | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG THY PEROXIDASE ABY | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG THYROGLOBULIN ABY LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG THYROGLOBULIN TUMOR MARKER FNA ASP BX NEEDLE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG TISSUE LEVEL 2 | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG TOTAL T CELLS | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG URIC ACID URINE | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG US ABDOMEN LIMITED | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG VALPROIC ACID | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG VANILLYLMANDELIC ACID 24-HR U LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG VEDOLIZUMAB QUANT LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG VENOUS MECH THROMBECTOMY | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| HCHG VITAMIN A SERUM LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| HCHG VITAMIN B6 PLASMA LC | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Heart catheterization | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Heart catheterization with bypass graft angiography | —Insurance typically pays $8,736Sticker price — | — | $8,736 | — |
| Heart stent placement | —Insurance typically pays $11,483Sticker price — | — | $11,483 | — |
| Heart ultrasound | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Hemodialysis with repeated evaluation | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Hemodialysis with single evaluation | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Hemorrhoid banding | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hemorrhoid removal | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hernia repair (inguinal) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hernia repair, laparoscopic | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hernia repair, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Hip fracture repair with pins or screws | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Hip fracture repair with plate and screws | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Hip replacement (total) | —Insurance typically pays $12,000Sticker price — | — | $12,000 | — |
| Hysterectomy (laparoscopic) | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Hysteroscopy with biopsy | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Hysteroscopy with endometrial ablation | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Iliac artery stent placement | —Insurance typically pays $3,850Sticker price — | — | $3,850 | — |
| Inguinal hernia repair, incarcerated, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Insertion of tube in bypass graft for diagnosis with review by radiologist | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Insertion of tube in right heart chambers for measurement | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Iron test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| IV placement (needle into vein) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Joint injection, large joint | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Joint injection, medium joint | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Joint injection with ultrasound | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Kidney function panel | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Knee arthroscopy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Knee arthroscopy, meniscectomy medial and lateral | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Knee arthroscopy with debridement | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Knee arthroscopy with meniscus repair | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Knee replacement (total) | —Insurance typically pays $12,000Sticker price — | — | $12,000 | — |
| Kyphoplasty (vertebral augmentation) | —Insurance typically pays $4,950Sticker price — | — | $4,950 | — |
| Laparoscopic colectomy with anastomosis | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic gastric bypass | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic incisional hernia repair | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic inguinal hernia repair, incarcerated | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic partial colectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic removal of ovary | —Insurance typically pays $3,200Sticker price — | — | $3,200 | — |
| Laparoscopic sleeve gastrectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laparoscopic ventral hernia repair | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Laser treatment after cataract surgery | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| LDH test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| LEEP conization of cervix | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Left heart catheterization with coronary angiography | —Insurance typically pays $8,736Sticker price — | — | $8,736 | — |
| Leg vein ultrasound | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Liver biopsy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Liver function panel | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Lumbar laminectomy with discectomy | —Insurance typically pays $3,850Sticker price — | — | $3,850 | — |
| Lumbar laminectomy with facetectomy | —Insurance typically pays $3,850Sticker price — | — | $3,850 | — |
| Lumbar spinal fusion, posterior | —Insurance typically pays $3,750Sticker price — | — | $3,750 | — |
| Lumpectomy (partial mastectomy) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Lysis of bowel adhesions, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Manipulation of knee under anesthesia | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Mastectomy, modified radical | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Mastectomy, simple | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Mohs skin cancer surgery | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Molecular pathology procedure level 6 genetic analysis | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Molecular pathology procedure level 7 genetic analysis | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Molecular pathology procedure level 9 genetic analysis | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| MRI brain with and without contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| MRI brain without contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| MRI lower back with and without contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| MRI lower back without contrast | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Nail avulsion, additional nail | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Nail avulsion (ingrown nail removal) | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Nail bed removal | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Nail trimming, 6 or more nails | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Nebulizer treatment | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Neck artery ultrasound | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Nuclear heart stress test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Obstetric ultrasound | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Occipital nerve block | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Occlusion of growths or obstructed vessels with review by radiologist | —Insurance typically pays $6,622Sticker price — | — | $6,622 | — |
| Osteotomy of foot bone | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Pacemaker insertion, single chamber | —Insurance typically pays $3,850Sticker price — | — | $3,850 | — |
| Pacemaker interrogation in office | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Panniculectomy (excess abdominal skin removal) | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Parathyroidectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Partial colectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Partial excision of foot bone | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Peripheral nerve block | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Peritoneal dialysis with single evaluation | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Posterior spinal instrumentation | —Insurance typically pays $4,950Sticker price — | — | $4,950 | — |
| Precancerous skin spot removal | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Precancerous skin spots removal, 15+ | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Precancerous skin spots removal, 2-14 | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Radiofrequency ablation, lumbar/sacral facet nerve | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Radiofrequency ablation of facet joint nerve | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Removal of abdominal cavity tube | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Retina scan (OCT) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Rhythm ECG interpretation | —Insurance typically pays $5,726Sticker price — | — | $5,726 | — |
| Sacroiliac joint injection | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Salpingo-oophorectomy (tube and ovary removal) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Screening mammogram (3D) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Shoulder arthroscopy with distal clavicle excision | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Shoulder arthroscopy with subacromial decompression | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Sigmoidoscopy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Sigmoidoscopy with biopsy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Simple drainage of abscess of finger | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Skin biopsy | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Skin biopsy, shave | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Skin cancer removal | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Skin substitute graft | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Sleep study (polysomnography) | —Insurance typically pays $1,365Sticker price — | — | $1,365 | — |
| Sleep study with CPAP initiation | —Insurance typically pays $1,365Sticker price — | — | $1,365 | — |
| Small bowel resection | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Spinal nerve injection, lower back | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Spirometry before and after bronchodilator | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Spirometry (lung function test) | —Insurance typically pays $7,603Sticker price — | — | $7,603 | — |
| Stool blood test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Tdap vaccine | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Tendon insertion injection | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Tendon sheath injection | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Therapy session, 60 minutes | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Thyroid biopsy, open | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Thyroid (TSH) test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Tilt table test | —Insurance typically pays $7,650Sticker price — | — | $7,650 | — |
| Tissue lab exam (pathology) | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Tonsillectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Total abdominal hysterectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Total shoulder replacement (arthroplasty) | —Insurance typically pays $5,605Sticker price — | — | $5,605 | — |
| Total thyroidectomy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Total thyroidectomy with neck dissection | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Transforaminal epidural, additional level | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Trigger finger release | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Trigger point injection | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Trigger point injections, multiple | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Unattended home sleep study | —Insurance typically pays $1,365Sticker price — | — | $1,365 | — |
| Upper endoscopy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy (EGD) | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with ablation | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with control of bleeding | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with fine needle biopsy | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with guide wire placement | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with limited ultrasound | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with submucosal injection | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Upper endoscopy with ultrasound | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Urinalysis | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Vaginal delivery only | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Vaginal delivery with routine obstetric care | —Insurance typically pays $2,550Sticker price — | — | $2,550 | — |
| Vertebroplasty | —Insurance typically pays $4,950Sticker price — | — | $4,950 | — |
| Visual field test | —Insurance typically pays $10,900Sticker price — | — | $10,900 | — |
| Voice box scope | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
| Wound repair, layered stitches | —Insurance typically pays $2,272Sticker price — | — | $2,272 | — |
Source: this hospital's own published price file. Original file · Methodology