Supplies, drugs & other prices at Lewis County General Hospital

Lowville, NY · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Adm tocilizu covid-19 1st (M0249) $645.45 $785 1.2×
Adm tocilizu covid-19 2nd (M0250) $645.45 $785 1.2×
Admin hepatitis b vaccine (G0010) $42.76 $52 0.7×
Admin influenza virus vac (G0008) $27.13 $33 0.5×
Admin pneumococcal vaccine (G0009) $41.93 $51 0.7×
Alcohol/subs interv 15-30mn (G0396) $99.49 $121 2.1×
Alcohol/subs interv >30 min (G0397) $190.76 $232 0.9×
Annual alcohol screen 15 min (G0442) $39.47 $48 0.8×
Brief alcohol misuse counsel (G0443) $71.53 $87 0.6×
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$37–$97.84 $45–$119 varies
Colon ca scrn not hi rsk ind (G0121) $763.02 $928 0.7×
Colorectal scrn; hi risk ind (G0105) $1,412.58 $1,718 1.2×
Depression screen annual (G0444) $39.47 $48 0.8×
Direct refer hospital observ (G0379) $184.18 $224 0.2×
Drug test def 1-7 classes (G0480) $79.76 $97 0.7×
Eia hiv-1/hiv-2 screen (G0432) $332.18 $404 17.0×
Fecal blood scrn immunoassay (G0328) $78.11 $95 4.3×
Followup eval of foot pt lop (G0246) $91.27 $111 0.5×
Hep c screen high risk/other (G0472) $35.36 $43 0.8×
Initial foot exam pt lops (G0245) $158.69 $193 1.0×
Initial preventive exam (G0402) $231.87 $282 1.4×
Intens behave ther cardio dx (G0446) $62.49 $76 1.3×
Mra w/cont, abd (C8900) $4,116.88 $5,007 9.5×
Mra w/cont, lwr ext (C8912) $4,116.88 $5,007 9.5×
Mra w/cont, pelvis (C8918) $4,116.88 $5,007 9.5×
Mra w/o cont, abd (C8901) $3,694.26 $4,493 12.4×
Mra w/o cont, pelvis (C8919) $3,694.26 $4,493 12.4×
Mri w/o fol w/cont, breast, (C8908) $1,937.16 $2,356 4.4×
Obtaining screen pap smear (Q0091)
range across 3 matching MRF lines
$41.11–$108.53 $50–$132 varies
Potassium hydroxide preps (Q0112) $23.02 $28 3.9×
Ppps, initial visit (G0438) $382.33 $465 2.2×
Ppps, subseq visit (G0439) $261.47 $318 1.9×
Psa screening (G0103)
range across 2 matching MRF lines
$35.36–$234.33 $43–$285 varies
Routine footcare pt w lops (G0247) $127.44 $155 0.5×
Scr c/v cyto,thinlayer,rescr (G0145) $184.18 $224 7.0×
Screen cerv/vag thin layer (G0123) $118.40 $144 5.8×
Trim nail(s) (G0127)
range across 2 matching MRF lines
$63.31–$90.44 $77–$110 varies
Wet mounts/ w preparations (Q0111) $45.22 $55 2.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.