Visits & medical services prices at LewisGale Hospital Montgomery

Blacksburg, VA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $406 $406 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $252 $252 17.5×
Bedside Swallowing Eval (92610) $499 $499 5.9×
Behavioral and qualitative analysis of voice and resonance (92524) $1,074 $1,074 9.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $3,351 $3,351 9.2×
Cardiac Stress Tst,Tracing Only (93017) $3,677 $3,677 17.5×
Cardioversion (92960) $1,605 $1,605 2.5×
Cbt 1st hour (94644) $408 $408 3.1×
Chemo IV push addl drug (96411) $483 $483 6.9×
Chemother, IV infusion, 1 hr (96413) $4,397 $4,397 13.6×
Chemother, IV infusion, ea add hr (96415) $274 $274 3.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $927 $927 2.9×
Color/duplex Doppler, complete (93975) $6,746 $6,746 29.0×
Color/duplex Doppler, limited (93976) $3,839 $3,839 37.6×
Cpap/bipap (94660) $777 $777 3.6×
Cpt initial (94667) $293 $293 2.3×
Critical care (99291) $5,198 $5,198 6.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $3,613 $3,613 15.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $356 $356 3.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,404 $2,404 10.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,969 $1,969 19.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,168 $2,168 9.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,969 $1,969 19.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,337 $3,337 14.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,949 $1,949 19.1×
Duplex scan extracranial art compl bi study (93880) $9,206 $9,206 39.5×
Duplex Scan Hemodialysis Access (93990) $2,752 $2,752 27.0×
Echo Heart Xthoracic,Limited (93308) $1,119 $1,119 4.8×
Echo transesophageal (93312) $4,631 $4,631 8.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,780 $3,780 7.1×
EEG awake and asleep (95819) $3,791 $3,791 18.0×
EEG awake drowsy (95816) $3,791 $3,791 18.0×
EEG cont rec w/video by tech min 8 channels (95700) $8,117 $8,117 38.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $7,468 $7,468 20.5×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $7,468 $7,468 20.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $7,076 $7,076 33.6×
Electrocardiogram Tracing (93005) $843 $843 14.6×
Er level 1 (99281) $928 $928 11.3×
Er level ii (99282) $1,387 $1,387 9.3×
Er level iii (99283) $2,297 $2,297 8.6×
Er level IV (99284) $3,135 $3,135 7.7×
Er level v (99285) $5,204 $5,204 9.0×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $1,172 $1,172 3.2×
Eval speech sound production (92522) $350 $350 3.1×
Eval to use/fit voice prosth (92597) $384 $384 5.4×
Evaluate Pt Use Of Inhaler (94664) $175 $175 0.8×
External ECG rec>48hr<7d recording (93242) $437 $437 12.0×
External ECG rec>7d<15d recording (93246) $1,940 $1,940 53.2×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,336 $2,336 2.8×
Holter Monitor (93225) $1,150 $1,150 8.9×
Immunization Admin (90471) $140 $140 2.0×
Iontophoresis 15 min (97033) $334 $334 17.5×
Irrig drug delivery device (96523) $220 $220 3.8×
IV infusion hydration each additional hour (96361) $231 $231 5.1×
IV infusion hydration initial 31 min-1 hour (96360) $1,662 $1,662 8.0×
IV infusion ther proph addl sequential to 1 hr (96367) $377 $377 5.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $931 $931 4.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $219 $219 4.8×
IV push ea addl new drug (96375) $383 $383 8.4×
IV push initial (96374) $1,784.50 $1,784.50 8.6×
Manual therapy 15 min (97140) $252 $252 9.1×
Massage 15 min (97124) $216 $216 7.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $106 $106 2.9×
Motility study esophagus (91010) $1,971 $1,971 5.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $642 $642 7.0×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,969 $1,969 15.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $1,548 $1,548 12.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $202 $202 4.4×
Ot Contrast Bath Ea 15 Min (97034) $233 $233 16.6×
Ot eval high complex 60 min (97167) $745 $745 7.4×
Ot eval low complex 30 min (97165) $494 $494 4.9×
Ot eval mod complex 45 min (97166) $644 $644 6.4×
Ot re-evaluation (97168) $397 $397 5.8×
Ot therapeutic activity 15 min (97530) $202 $202 5.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $221 $221 1.8×
Paraffin bath pt (97018) $131 $131 21.8×
Peripheral arterial disease rehab per session (93668) $322 $322 5.6×
Phlebotomy therapeutic (99195) $581 $581 4.5×
Plethysmography (94726) $1,548 $1,548 4.3×
Pt Electrical Stimulation (97032) $334 $334 22.7×
Pt eval high complex 45 min (97163) $745 $745 7.6×
Pt eval low complex 20 min (97161) $494 $494 5.0×
Pt eval mod complex 30 min (97162) $644 $644 6.6×
Pt gait training 15 min (97116) $208 $208 7.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $152 $152 4.6×
Pt re-evaluation (97164) $400 $400 5.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $202 $202 6.2×
Pt Whirlpool Therapy (97022) $350 $350 22.3×
Pulm function test by gas (94727) $887 $887 4.2×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $2,849 $2,849 78.2×
Rt Chest Wall Manipulation,Subsequent (94668) $208 $208 1.6×
Sensory Integration Ea 15 Min (97533) $191 $191 3.1×
Speech sound lang comprehen (92523) $2,144 $2,144 9.5×
Spirometry (94010) $1,729 $1,729 8.2×
Standardized Cognitive Performance Testing (96125) $297.50 $297.50 2.9×
Stress echo (93350) $9,571.50 $9,571.50 18.0×
Temp transcutaneous pacing (92953) $6,261 $6,261 9.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $205 $205 9.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $200 $200 9.5×
Therapeutic prophylactic/dx injection subq/im (96372) $209.50 $209.50 3.0×
Tilt table evaluation (93660) $17,262 $17,262 47.4×
Tte w/doppler, complete (93306) $3,183 $3,183 6.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,701 $2,701 11.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $530 $530 7.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $253 $253 3.0×
Unlisted Cardiovascular Service/Procedure (93799) $470 $470 3.7×
Upr/lxtr art stdy 3+ lvls (93923) $2,199 $2,199 10.4×
Vasc Duplex Scan Extracranial,Limited (93882) $4,540 $4,540 44.5×
Vasopneumatic device (97016) $208 $208 17.3×
Vent mgmt inpat init day (94002) $4,393 $4,393 7.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,007 $3,007 5.0×
Vital capacity, total (94150) $246 $246 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $206 $206 6.6×