Supplies, drugs & other prices at LewisGale Hospital Montgomery
Blacksburg, VA · every code in this section with a posted price and a Medicare benchmark.
30 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $2,403 | $2,403 | 3.1× |
| Adm tocilizu covid-19 1st (M0249) | $758 | $758 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $95 | $95 | 2.1× |
| Admin influenza virus vac (G0008) | $126 | $126 | 2.8× |
| Admin pneumococcal vaccine (G0009) | $128.50 | $128.50 | 2.8× |
| Catheterize for urine spec (P9612) | $14 | $14 | 1.5× |
| Covid-19 lab test non-cdc (U0002) | $90 | $90 | 1.8× |
| Diab manage trn per indiv (G0108) | $233 | $233 | 4.2× |
| Diab manage trn ind/group (G0109) | $139 | $139 | 8.7× |
| Direct refer hospital observ (G0379) | $779 | $779 | 1.3× |
| Drug test def 1-7 classes (G0480) | $421 | $421 | 3.7× |
| Drug test def 8-14 classes (G0481) | $379 | $379 | 2.4× |
| Elec stim other than wound (G0283) | $294 | $294 | 23.2× |
| Mnt subs tx for change dx (G0270) | $91 | $91 | 2.9× |
| Mra w/o cont, abd (C8901) | $2,728 | $2,728 | 11.7× |
| Mra w/o cont, pelvis (C8919) | $7,353 | $7,353 | 31.6× |
| Mra w/o fol w/cont, abd (C8902) | $9,357 | $9,357 | 27.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $7,353 | $7,353 | 21.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $10,648 | $10,648 | 31.3× |
| Mri w/cont, breast, bi (C8906) | $7,214 | $7,214 | 21.2× |
| Mri w/cont, breast, uni (C8903) | $5,300 | $5,300 | 31.0× |
| Mri w/o fol w/cont, breast, (C8908) | $7,214 | $7,214 | 21.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $6,423 | $6,423 | 18.9× |
| Pathogen test for platelets (P9100) | $125 | $125 | 2.2× |
| Psa screening (G0103) | $423 | $423 | 21.9× |
| Tomosynthesis, mammo (G0279) | $84 | $84 | 6.6× |
| Trauma respons w/hosp criti (G0390) | $9,180 | $9,180 | 7.1× |
| Tte w or w/o fol w/cont, f/u (C8922) | $2,403 | $2,403 | 3.1× |
| Tte w or wo fol wcon,doppler (C8929) | $2,370 | $2,370 | 3.1× |
| Unsched dialysis esrd pt hos (G0257) | $2,843 | $2,843 | 4.2× |