Supplies, drugs & other prices at LewisGale Hospital Pulaski
Pulaski, VA · every code in this section with a posted price and a Medicare benchmark.
15 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $765 | $765 | 1.8× |
| Admin hepatitis b vaccine (G0010) | $95 | $95 | 2.1× |
| Admin influenza virus vac (G0008) | $276 | $276 | 6.0× |
| Admin pneumococcal vaccine (G0009) | $261.50 | $261.50 | 5.7× |
| Covid-19 lab test non-cdc (U0002) | $77 | $77 | 1.5× |
| Direct refer hospital observ (G0379) | $549 | $549 | 0.9× |
| Drug test def 1-7 classes (G0480) | $513 | $513 | 4.5× |
| Mra w/cont, abd (C8900) | $5,060 | $5,060 | 14.9× |
| Mra w/o cont, abd (C8901) | $5,060 | $5,060 | 21.7× |
| Mra w/o fol w/cont, abd (C8902) | $11,006 | $11,006 | 32.3× |
| Pathogen test for platelets (P9100) | $125 | $125 | 2.2× |
| Prolonged iv inf, req pump (C8957) | $582 | $582 | 2.8× |
| Psa screening (G0103) | $458 | $458 | 23.7× |
| Tomosynthesis, mammo (G0279) | $73 | $73 | 5.8× |
| Unsched dialysis esrd pt hos (G0257) | $3,778 | $3,778 | 5.6× |