Supplies, drugs & other prices at LewisGale Medical Center
Salem, VA · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $84 | $84 | 1.8× |
| Admin influenza virus vac (G0008) | $92 | $92 | 2.0× |
| Admin pneumococcal vaccine (G0009) | $96 | $96 | 2.1× |
| Chemo extend iv infus w/pump (G0498) | $1,148 | $1,148 | 3.6× |
| Covid-19 lab test non-cdc (U0002) | $76 | $76 | 1.5× |
| Direct refer hospital observ (G0379) | $1,018 | $1,018 | 1.8× |
| Drug test def 1-7 classes (G0480) | $431 | $431 | 3.8× |
| Drug test def 22+ classes (G0483) | $2,834 | $2,834 | 11.5× |
| Drug test def 8-14 classes (G0481) | $678 | $678 | 4.3× |
| Elec stim other than wound (G0283) | $614 | $614 | 48.4× |
| Lev 1 hosp type b ed visit (G0380) | $254 | $254 | 3.5× |
| Lev 2 hosp type b ed visit (G0381) | $433 | $433 | 4.8× |
| Lev 3 hosp type b ed visit (G0382) | $516 | $516 | 3.1× |
| Lev 4 hosp type b ed visit (G0383) | $903 | $903 | 3.5× |
| Lev 5 hosp type b ed visit (G0384) | $1,448 | $1,448 | 3.6× |
| Mra w/cont, abd (C8900) | $9,955 | $9,955 | 29.2× |
| Mra w/o cont, abd (C8901) | $9,955 | $9,955 | 42.8× |
| Mra w/o cont, chest (C8910) | $6,701 | $6,701 | 28.8× |
| Mra w/o fol w/cont, abd (C8902) | $9,955 | $9,955 | 29.2× |
| Mra w/o fol w/cont, chest (C8911) | $8,715 | $8,715 | 25.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $10,648 | $10,648 | 31.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $10,663 | $10,663 | 31.3× |
| Mra, w/dye, upper extremity (C8934) | $10,648 | $10,648 | 31.3× |
| Mra, w/o dye, upper extr (C8935) | $10,648 | $10,648 | 45.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $10,648 | $10,648 | 31.3× |
| Mri w/o fol w/cont, breast, (C8908) | $11,749 | $11,749 | 34.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $9,957 | $9,957 | 29.3× |
| Neuro csf prion prtn qual (0035U) | $1,562 | $1,562 | 2.9× |
| Pathogen test for platelets (P9100) | $136 | $136 | 2.4× |
| Prostate biopsy, any mthd (G0416) | $1,058 | $1,058 | 3.0× |
| Psa screening (G0103) | $315 | $315 | 16.3× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $2,080 | $2,080 | 2.9× |
| Tomosynthesis, mammo (G0279) | $102 | $102 | 8.0× |
| Trauma respons w/hosp criti (G0390) | $21,812 | $21,812 | 16.8× |
| Tte w or w/o fol w/cont, com (C8921) | $3,407 | $3,407 | 4.5× |
| Tte w or wo fol wcon,doppler (C8929) | $2,370 | $2,370 | 3.1× |
| Unsched dialysis esrd pt hos (G0257) | $2,463 | $2,463 | 3.7× |