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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $406 | $406 | 1.9× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $252 | $252 | 17.5× |
| Behavral qualit analys voice (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) range across 2 matching MRF lines |
$1,558–$1,652 | $1,558–$1,652 | varies |
| Cbt 1st hour (94644) | $408 | $408 | 3.1× |
| Chemo IV infusion addl hr (96415) | $274 | $274 | 3.9× |
| Chemo IV push addl drug (96411) | $483 | $483 | 6.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $4,397 | $4,397 | 13.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $927 | $927 | 2.9× |
| Chest Wall Manipulation (94668) | $208 | $208 | 1.6× |
| Color/duplex Doppler, complete (93975) | $6,746 | $6,746 | 29.0× |
| Color/duplex Doppler, limited (93976) | $3,839 | $3,839 | 37.6× |
| Continuous Pulse Ox (94762) | $1,548 | $1,548 | 12.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $777 | $777 | 3.6× |
| Cpt initial (94667) | $293 | $293 | 2.3× |
| Critical care first hour (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 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 Hemodialysis Access (93990) | $2,752 | $2,752 | 27.0× |
| Duplex up extrem art bilat (93930) | $2,168 | $2,168 | 9.3× |
| Duplex up extrem art unilat/ltd (93931) | $1,969 | $1,969 | 19.3× |
| 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 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× |
| EEG wo vid ea 12-26hr unmntr (95708) | $7,468 | $7,468 | 20.5× |
| Electrical Stimulation Ea 15 Min (97032) | $334 | $334 | 22.7× |
| Electrocardiogram Tracing (93005) | $843 | $843 | 14.6× |
| Emergency Dept Visit Level 2 (99282) | $1,387 | $1,387 | 9.3× |
| Emergency Dept Visit Level 3 (99283) | $2,297 | $2,297 | 8.6× |
| Emergency Dept Visit Level 4 (99284) | $3,135 | $3,135 | 7.7× |
| Er level 1 (99281) | $928 | $928 | 11.3× |
| 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× |
| Evaluate pt use of inhaler (94664) | $175 | $175 | 0.8× |
| Evaluate Speech Production (92522) | $350 | $350 | 3.1× |
| Evaluate Swallowing Function (92610) | $499 | $499 | 5.9× |
| External ECG rec>48hr<7d recording (93242) | $437 | $437 | 12.0× |
| External ECG rec>7d<15d recording (93246) | $1,940 | $1,940 | 53.2× |
| Extracranial Bilat Study (93880) | $9,206 | $9,206 | 39.5× |
| Extracranial Uni/Ltd Study (93882) | $4,540 | $4,540 | 44.5× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $2,336 | $2,336 | 2.8× |
| Holter monitor recording (93225) | $1,150 | $1,150 | 8.9× |
| Immunization administration (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) range across 2 matching MRF lines |
$1,660–$1,664 | $1,660–$1,664 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $377 | $377 | 5.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $219 | $219 | 4.8× |
| IV push initial (96374) range across 2 matching MRF lines |
$1,732–$1,837 | $1,732–$1,837 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $106 | $106 | 2.9× |
| Motility study esophagus (91010) | $1,971 | $1,971 | 5.4× |
| Motion Fluoroscopy/Swallow (92611) | $642 | $642 | 7.0× |
| Neuromuscular Reeducation (97112) | $152 | $152 | 4.6× |
| Oral Function Therapy (92526) | $253 | $253 | 3.0× |
| Oral Speech Device Eval (92597) | $384 | $384 | 5.4× |
| 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 complexity (97167) | $745 | $745 | 7.4× |
| Ot Eval Low Complex (97165) | $494 | $494 | 4.9× |
| Ot Eval Moderate Complexity (97166) | $644 | $644 | 6.4× |
| Ot manual therapy 15 min (97140) | $252 | $252 | 9.1× |
| Ot paraffin bath (97018) | $131 | $131 | 21.8× |
| Ot Re-Eval Est Plan Care (97168) | $397 | $397 | 5.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $221 | $221 | 1.8× |
| 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 Eval High Complex (97163) | $745 | $745 | 7.6× |
| Pt eval low complex 20 min (97161) | $494 | $494 | 5.0× |
| Pt Eval Mod Complex (97162) | $644 | $644 | 6.6× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$200–$216 | $200–$216 | varies |
| Pt Re-Eval Est Plan Care (97164) | $400 | $400 | 5.9× |
| Pulm function test by gas (94727) | $887 | $887 | 4.2× |
| Remote 30 Day Ecg Rev/Report (93270) | $2,849 | $2,849 | 78.2× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$187–$202 | $187–$202 | varies |
| 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) range across 2 matching MRF lines |
$206–$389 | $206–$389 | varies |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$9,392–$9,751 | $9,392–$9,751 | varies |
| 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 Ea Addl 15 Min (97130) | $200 | $200 | 9.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $216 | $216 | 7.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$205–$214 | $205–$214 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $931 | $931 | 4.5× |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$187–$202 | $187–$202 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $17,262 | $17,262 | 47.4× |
| Tte w/doppler, complete (93306) | $3,183 | $3,183 | 6.0× |
| Tte W/O Doppler Complete (93307) | $2,701 | $2,701 | 11.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $530 | $530 | 7.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $383 | $383 | 8.4× |
| Unlisted cardiovascular service/procedure (93799) | $470 | $470 | 3.7× |
| Upr/L Xtremity Art 2 Levels (93922) | $1,969 | $1,969 | 15.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $2,199 | $2,199 | 10.4× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$200–$216 | $200–$216 | varies |
| 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× |
| Whirlpool Therapy (97022) | $350 | $350 | 22.3× |
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.