Supplies, drugs & other prices at LewisGale Hospital Alleghany
Low Moor, VA · every code in this section with a posted price and a Medicare benchmark.
17 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $84 | $84 | 1.8× |
| Admin influenza virus vac (G0008) | $98 | $98 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $84 | $84 | 1.8× |
| Direct refer hospital observ (G0379) | $1,121 | $1,121 | 1.9× |
| Drug test def 1-7 classes (G0480) | $1,009 | $1,009 | 8.8× |
| Drug test def 22+ classes (G0483) | $903 | $903 | 3.7× |
| Elec stim other than wound (G0283) | $415 | $415 | 32.7× |
| Mra w/cont, chest (C8909) | $8,001 | $8,001 | 23.5× |
| Mra w/o cont, abd (C8901) | $11,110 | $11,110 | 47.7× |
| Mra w/o fol w/cont, abd (C8902) | $11,110 | $11,110 | 32.6× |
| Mra, w/dye, upper extremity (C8934) | $8,449 | $8,449 | 24.8× |
| Mra, w/o dye, upper extr (C8935) | $8,449 | $8,449 | 36.3× |
| Mra, w/o&w/dye, upper extr (C8936) | $8,449 | $8,449 | 24.8× |
| Pathogen test for platelets (P9100) | $4,228 | $4,228 | 73.5× |
| Psa screening (G0103) | $343 | $343 | 17.8× |
| Tomosynthesis, mammo (G0279) | $82 | $82 | 6.5× |
| Unsched dialysis esrd pt hos (G0257) | $5,762 | $5,762 | 8.6× |