Visits & medical services prices at LewisGale Hospital Pulaski
Pulaski, VA · every code in this section with a posted price and a Medicare benchmark.
100 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $359 | $359 | 1.7× |
| Anrct mano rct sensation&rct balo expulsion test (91125) | $540 | $540 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 4 matching MRF lines |
$405–$432 | $405–$432 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $413 | $413 | 1.1× |
| Cardiac Stress Tst,Tracing Only (93017) | $2,615 | $2,615 | 12.4× |
| Cardioversion (92960) | $2,381 | $2,381 | 3.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $72 | $72 | 2.8× |
| Cbt 1st hour (94644) | $326 | $326 | 2.5× |
| Chemo Anti-Neopl Sq/Im (96401) | $1,382 | $1,382 | 19.7× |
| Chemo IV infusion addl hr (96415) | $1,431 | $1,431 | 20.4× |
| Chemo IV push addl drug (96411) | $1,904 | $1,904 | 27.1× |
| Chemother Prolong Infuse W/Pump (96416) | $1,538 | $1,538 | 4.8× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $2,256 | $2,256 | 32.1× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $4,416 | $4,416 | 13.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $3,269 | $3,269 | 10.1× |
| Chest Wall Manipulation (94668) | $185 | $185 | 1.4× |
| Color/duplex Doppler, complete (93975) | $7,220 | $7,220 | 31.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $396 | $396 | 1.9× |
| Cpt initial (94667) range across 2 matching MRF lines |
$192–$208 | $192–$208 | varies |
| Critical care first hour (99291) | $7,195 | $7,195 | 8.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $877 | $877 | 4.5× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $2,237 | $2,237 | 9.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,688 | $1,688 | 16.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $3,927 | $3,927 | 16.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $2,625 | $2,625 | 25.7× |
| Duplex up extrem art bilat (93930) | $2,014 | $2,014 | 8.7× |
| Duplex up extrem art unilat/ltd (93931) | $1,821 | $1,821 | 17.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$405–$432 | $405–$432 | varies |
| Electrocardiogram Tracing (93005) | $544 | $544 | 9.5× |
| Emergency Dept Visit Level 2 (99282) | $1,680 | $1,680 | 11.2× |
| Emergency Dept Visit Level 3 (99283) | $2,783 | $2,783 | 10.4× |
| Emergency Dept Visit Level 4 (99284) | $4,436 | $4,436 | 10.9× |
| Er level 1 (99281) | $1,128 | $1,128 | 13.7× |
| Er level v (99285) | $7,195 | $7,195 | 12.4× |
| Evaluate pt use of inhaler (94664) | $172 | $172 | 0.8× |
| Evaluate Speech Production (92522) | $714 | $714 | 6.4× |
| Evaluate Swallowing Function (92610) | $753 | $753 | 8.9× |
| Evaluation of speech fluency (92521) | $714 | $714 | 5.4× |
| External ECG rec>48hr<7d recording (93242) | $416 | $416 | 11.4× |
| External ECG rec>7d<15d recording (93246) | $1,958 | $1,958 | 53.7× |
| Extracranial Bilat Study (93880) | $6,571 | $6,571 | 28.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $756 | $756 | 0.9× |
| Immunization administration (90471) range across 2 matching MRF lines |
$377–$389 | $377–$389 | varies |
| Iontophoresis 15 min (97033) | $463 | $463 | 24.3× |
| Irrig Drug Delivery Device (96523) | $338 | $338 | 5.9× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$388–$545 | $388–$545 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$671–$946 | $671–$946 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$801–$831 | $801–$831 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$434–$450 | $434–$450 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$919–$1,129 | $919–$1,129 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $30 | $30 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $35 | $35 | 1.0× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $26 | $26 | 1.5× |
| Motility study esophagus (91010) | $1,979 | $1,979 | 5.4× |
| Motion Fluoroscopy/Swallow (92611) | $753 | $753 | 8.2× |
| Nasopharyngoscopy (92511) | $329 | $329 | 1.7× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,199 | $1,199 | 3.0× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $1,999 | $1,999 | 5.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$325–$814 | $325–$814 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $403 | $403 | 1.0× |
| Neuromuscular Reeducation (97112) range across 5 matching MRF lines |
$242–$278 | $242–$278 | varies |
| Oral Function Therapy (92526) | $550 | $550 | 6.5× |
| Ot eval high complexity (97167) | $734 | $734 | 7.3× |
| Ot Eval Low Complex (97165) | $734 | $734 | 7.3× |
| Ot Eval Moderate Complexity (97166) | $734 | $734 | 7.3× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$339–$364 | $339–$364 | varies |
| Ot paraffin bath (97018) range across 5 matching MRF lines |
$210–$252 | $210–$252 | varies |
| Ot Re-Eval Est Plan Care (97168) | $475 | $475 | 6.9× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$261–$285 | $261–$285 | varies |
| Plethysmography (94726) | $700 | $700 | 1.9× |
| Pt Eval High Complex (97163) | $753 | $753 | 7.7× |
| Pt eval low complex 20 min (97161) | $753 | $753 | 7.7× |
| Pt Eval Mod Complex (97162) | $753 | $753 | 7.7× |
| Pt gait training 15 min (97116) | $278 | $278 | 9.6× |
| Pt group caregiver training (97552) | $117 | $117 | 5.3× |
| Pt mechanical traction (97012) | $374 | $374 | 26.0× |
| Pt Re-Eval Est Plan Care (97164) | $470 | $470 | 7.0× |
| Pulm function test by gas (94727) | $887 | $887 | 4.2× |
| Pulmonary Stress Testing (94618) | $2,364 | $2,364 | 18.2× |
| Refill/Maint Portable Pump (96521) | $2,415 | $2,415 | 11.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$327–$363 | $327–$363 | varies |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$229–$298 | $229–$298 | varies |
| Slp caregiver training 1st 30 min (97550) | $144 | $144 | 2.7× |
| Speech sound lang comprehen (92523) | $714 | $714 | 3.2× |
| Spirometry (94010) | $268 | $268 | 1.3× |
| Standardized Cognitive Performance Testing (96125) | $461 | $461 | 4.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $216 | $216 | 9.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $207 | $207 | 9.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$369–$459 | $369–$459 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$801–$831 | $801–$831 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$260–$278 | $260–$278 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $62 | $62 | 1.7× |
| Tte w/doppler, complete (93306) | $2,901 | $2,901 | 5.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $550 | $550 | 7.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$685–$840 | $685–$840 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $2,222 | $2,222 | 10.5× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$200–$311 | $200–$311 | varies |
| Vent Mgmt Inpat Init Day (94002) | $1,530 | $1,530 | 2.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,226 | $1,226 | 2.0× |
| Vital capacity, total (94150) | $246 | $246 | 2.0× |
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.