Visits & medical services prices at LewisGale Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $27,354 $27,354 3.6×
Acoustic reflex testing (92568) $92 $92 2.5×
Airway inhalation treatment (94640) $409 $409 1.9×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $473 $473 32.9×
Assessment of aphasia per hr (96105) $1,019 $1,019 10.5×
Bedside Swallowing Eval (92610) $873 $873 10.3×
Behavioral and qualitative analysis of voice and resonance (92524) $1,019 $1,019 9.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $2,456 $2,456 6.7×
Bundle of his recording (93600) $11,229 $11,229 1.5×
C motor evoked upr&lwr limbs (95939) $5,392 $5,392 6.4×
Canalith Repositioning Procedure (95992) $570 $570 14.0×
Cardiac Stress Tst,Tracing Only (93017) $3,796 $3,796 18.0×
Cardiopulmonary exercise testing (94621) $3,686 $3,686 10.1×
Cardioversion (92960) $2,610 $2,610 4.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $67 $67 2.6×
Cbt 1st hour (94644) $367 $367 2.8×
Chemo Hormon Antineopl Sq/Im (96402) $785 $785 11.2×
Chemo IV push addl drug (96411) $1,638 $1,638 23.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,146 $1,146 3.6×
Chemother, IV infusion, 1 hr (96413) $3,136.50 $3,136.50 9.7×
Chemother, IV infusion, ea add hr (96415) $1,267 $1,267 18.0×
Chemother,Ia Push Technique (96420) $837 $837 2.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $1,218 $1,218 17.3×
Chemotherapy into cns (96450) $1,331 $1,331 4.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $837 $837 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $1,997 $1,997 28.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $2,810.50 $2,810.50 8.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $937 $937 2.9×
Color/duplex Doppler, complete (93975) $3,691 $3,691 15.9×
Color/duplex Doppler, limited (93976) $2,278.50 $2,278.50 22.3×
Cpap/bipap (94660) $849 $849 4.0×
Cpt initial (94667) $187 $187 1.4×
Critical care (99291) $4,007 $4,007 5.0×
Debridement Open Wound 20 Sq Cm< (97597) $317.50 $317.50 1.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,364 $2,364 10.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,716 $1,716 16.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $3,716 $3,716 16.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,609 $2,609 25.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $3,506 $3,506 15.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $2,609 $2,609 25.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $2,935 $2,935 12.6×
Dup-scan xtr veins unilateral/limited study (93971) $2,723 $2,723 26.7×
Duplex scan extracranial art compl bi study (93880) $3,943 $3,943 16.9×
Duplex Scan Hemodialysis Access (93990) $1,002 $1,002 9.8×
Echo Heart Xthoracic,Limited (93308) $1,134 $1,134 4.9×
Echo transesophageal (93312) $6,188 $6,188 11.6×
EEG awake and asleep (95819) $2,677 $2,677 12.7×
EEG awake drowsy (95816) $2,677 $2,677 12.7×
EEG cerebral death evaluation (95824) $2,557 $2,557 7.0×
EEG coma or sleep only (95822) $2,677 $2,677 12.7×
EEG cont rec w/video by tech min 8 channels (95700) $2,172 $2,172 10.3×
EEG greater than 1 hour (95813) $4,171 $4,171 19.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $2,172 $2,172 10.3×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $4,171 $4,171 11.5×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $4,171 $4,171 11.5×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $2,172 $2,172 10.3×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $2,172 $2,172 10.3×
EKG rhythm strip (93041) $228 $228 4.0×
Electrocardiogram Tracing (93005) $974 $974 16.9×
Electroconvulsive Therapy (90870) $6,280 $6,280 7.5×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,948 $3,948 18.7×
EMG one extremity (95860) $1,143 $1,143 8.8×
EMG two extremities (95861) $1,807 $1,807 13.9×
Ep & ablate supravent arrhyt (93653) $105,951 $105,951 4.2×
Ep & ablate ventric tachy (93654) $163,650 $163,650 6.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $55,015 $55,015 7.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $29,514 $29,514 3.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $12,389 $12,389 10.4×
Er level 1 (99281) $398 $398 4.8×
Er level ii (99282) $1,037 $1,037 6.9×
Er level iii (99283) $1,711 $1,711 6.4×
Er level IV (99284) $2,289 $2,289 5.6×
Er level v (99285) $2,882 $2,882 5.0×
Esoph balloon distension tst (91040) $7,835 $7,835 21.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $5,900 $5,900 16.2×
Eval speech sound production (92522) $1,019 $1,019 9.1×
Eval to use/fit voice prosth (92597) $769 $769 10.8×
Evaluation of speech fluency (92521) $989 $989 7.4×
External ECG rec>48hr<7d recording (93242) $433 $433 11.9×
External ECG rec>7d<15d recording (93246) $716 $716 19.6×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,019 $1,019 5.1×
Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) $1,408 $1,408 1.7×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,218 $1,218 1.5×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $8,320 $8,320 9.4×
Gi tract capsule endoscopy (91110) $9,304 $9,304 10.5×
Gi wireless capsule measure (91112) $7,835 $7,835 8.9×
Group Therapeutic Procedures (97150) $383 $383 21.2×
Hemodialysis (90935) $2,054 $2,054 3.1×
Holter Monitor (93225) $1,148 $1,148 8.8×
Immunization Admin (90471) $93.50 $93.50 1.3×
Inhalation bronchial challenge testing (95070) $1,315 $1,315 3.6×
Iontophoresis 15 min (97033) $655 $655 34.4×
Irrig drug delivery device (96523) $333 $333 5.8×
IV infusion hydration each additional hour (96361) $921 $921 20.2×
IV infusion hydration initial 31 min-1 hour (96360) $959 $959 4.6×
IV infusion ther proph addl sequential to 1 hr (96367) $388 $388 5.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,070.50 $1,070.50 5.2×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $237 $237 5.2×
IV push ea addl new drug (96375) $367 $367 8.0×
IV push initial (96374) $498.50 $498.50 2.4×
Manual therapy 15 min (97140) $458 $458 16.5×
Mechanical traction (97012) $623 $623 43.4×
Methacholine challenge (94070) $4,079 $4,079 11.2×
Motility study esophagus (91010) $7,347 $7,347 20.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,019 $1,019 11.1×
Nasopharyngoscopy (92511) $798 $798 4.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $771 $771 3.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $714 $714 5.5×
Nerve Conduction Studies 3-4 Studies (95908) $1,004 $1,004 4.8×
Nerve Conduction Studies 5-6 Studies (95909) $1,004 $1,004 4.8×
Nerve conduction studies; 1-2 studies (95907) $1,004 $1,004 4.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $529 $529 4.2×
Newborn resuscitation (99465) $1,620 $1,620 2.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $2,492 $2,492 19.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $552 $552 4.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $337 $337 7.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $278 $278 8.7×
Ot eval high complex 60 min (97167) $1,270 $1,270 12.6×
Ot eval low complex 30 min (97165) $763 $763 7.6×
Ot eval mod complex 45 min (97166) $1,019 $1,019 10.1×
Ot Range Motion Measure,Each Extrem (95851) $337 $337 12.9×
Ot re-evaluation (97168) $445 $445 6.5×
Ot therapeutic activity 15 min (97530) $337 $337 9.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $640 $640 5.1×
Paraffin bath pt (97018) $225 $225 37.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $567 $567 2.7×
Peripheral arterial disease rehab per session (93668) $322 $322 5.6×
Peritoneal Dialysis (90945) $1,027 $1,027 2.5×
Phlebotomy therapeutic (99195) $284 $284 2.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $137 $137 2.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $137 $137 2.4×
Plethysmography (94726) $1,426 $1,426 3.9×
Pm device progr eval dual (93280) $434 $434 11.9×
Pt Electrical Stimulation (97032) $655 $655 44.6×
Pt eval high complex 45 min (97163) $1,270 $1,270 13.0×
Pt eval low complex 20 min (97161) $763 $763 7.8×
Pt eval mod complex 30 min (97162) $1,019 $1,019 10.4×
Pt gait training 15 min (97116) $228 $228 7.8×
Pt group caregiver training (97552) $29 $29 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $276 $276 8.4×
Pt re-evaluation (97164) $445 $445 6.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $319 $319 9.8×
Pt Whirlpool Therapy (97022) $484 $484 30.8×
Pulm function test by gas (94727) $683 $683 3.2×
Pulmonary stress test simple (94618) $833 $833 6.4×
Refill/Maint Portable Pump (96521) $2,422 $2,422 11.7×
Refill/Maint Pump/Resvr Syst (96522) $715 $715 3.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $845 $845 23.2×
Right ventricular recording (93603) $5,730 $5,730 4.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $283 $283 1.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $337 $337 15.8×
Rt Chest Wall Manipulation,Subsequent (94668) $130 $130 1.0×
Sensory Integration Ea 15 Min (97533) $337 $337 5.5×
Short-latency somatosens ep std upr limbs (95925) $714 $714 3.4×
Slp caregiver training 1st 30 min (97550) $125 $125 2.4×
Smoking cessation > 10 min (99407) $160 $160 4.4×
Somatosensory testing (95938) $4,047 $4,047 4.8×
Speech sound lang comprehen (92523) $1,019 $1,019 4.5×
Spirometry (94010) $1,291 $1,291 6.1×
Ssep lower limbs (95926) $714 $714 3.4×
Stress echo (93350) $7,286 $7,286 13.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $181 $181 8.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $259 $259 12.3×
Therapeutic prophylactic/dx injection subq/im (96372) $168 $168 2.4×
Tilt table evaluation (93660) $2,505 $2,505 6.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $72 $72 2.0×
Tte w/doppler, complete (93306) $2,634 $2,634 4.9×
Tx atrial fib pulm vein isol (93656) $125,159 $125,159 4.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $965 $965 12.7×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $589 $589 24.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $406 $406 4.8×
Upr/lxtr art stdy 3+ lvls (93923) $2,907 $2,907 13.8×
Vasc Duplex Scan Extracranial,Limited (93882) $1,491 $1,491 14.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $2,746 $2,746 13.0×
Veeg 2-12 hr unmonitored (95711) $2,172 $2,172 10.3×
Veeg by tech 2-12 hr intermittent monitoring (95712) $2,172 $2,172 6.0×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $7,812 $7,812 9.3×
Veeg Ea 12-26 Hr Unmntr (95714) $4,171 $4,171 11.5×
Vent mgmt inpat init day (94002) $3,338 $3,338 5.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,785 $2,785 4.6×
Vital capacity, total (94150) $184 $184 1.5×
Wheelchair Mgmt Ea 15 Min (97542) $167 $167 5.4×