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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (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× |
| Behavral qualit analys voice (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 proc (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) range across 2 matching MRF lines |
$442–$4,778 | $442–$4,778 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $67 | $67 | 2.6× |
| Cbt 1st hour (94644) | $367 | $367 | 2.8× |
| Chemo Anti-Neopl Sq/Im (96401) | $1,218 | $1,218 | 17.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $785 | $785 | 11.2× |
| Chemo Ia Push (96420) | $837 | $837 | 2.6× |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$1,196–$1,329 | $1,196–$1,329 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$1,593–$1,683 | $1,593–$1,683 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $1,146 | $1,146 | 3.6× |
| Chemotherapy Into Cns (96450) range across 2 matching MRF lines |
$1,274–$1,388 | $1,274–$1,388 | varies |
| 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 nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$2,182–$4,091 | $2,182–$4,091 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$2,726–$2,895 | $2,726–$2,895 | varies |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $937 | $937 | 2.9× |
| Chest Wall Manipulation (94668) | $130 | $130 | 1.0× |
| Color/duplex Doppler, complete (93975) | $3,691 | $3,691 | 15.9× |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$2,227–$2,330 | $2,227–$2,330 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $278 | $278 | 8.7× |
| Continuous Pulse Ox (94762) | $552 | $552 | 4.4× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $849 | $849 | 4.0× |
| Cpt initial (94667) | $187 | $187 | 1.4× |
| Critical care first hour (99291) | $4,007 | $4,007 | 5.0× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$283–$352 | $283–$352 | varies |
| Dialysis One Evaluation (90945) | $1,027 | $1,027 | 2.5× |
| 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 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 Hemodialysis Access (93990) | $1,002 | $1,002 | 9.8× |
| Duplex up extrem art bilat (93930) | $3,506 | $3,506 | 15.1× |
| Duplex up extrem art unilat/ltd (93931) | $2,609 | $2,609 | 25.6× |
| Echo Heart Xthoracic,Limited (93308) | $1,134 | $1,134 | 4.9× |
| Echo transesophageal (93312) | $6,188 | $6,188 | 11.6× |
| Eeg 41-60 Minutes (95812) | $3,948 | $3,948 | 18.7× |
| 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 cont rec w/video by tech min 8 channels (95700) | $2,172 | $2,172 | 10.3× |
| EEG extended monitoring 61-119 minutes (95813) | $4,171 | $4,171 | 19.8× |
| Eeg Sleep Only (95822) | $2,677 | $2,677 | 12.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,172 | $2,172 | 10.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,172 | $2,172 | 10.3× |
| 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 wo vid ea 12-26hr unmntr (95708) | $4,171 | $4,171 | 11.5× |
| Electrical Stimulation Ea 15 Min (97032) | $655 | $655 | 44.6× |
| Electrocardiogram Tracing (93005) | $974 | $974 | 16.9× |
| Electroconvulsive Therapy (90870) | $6,280 | $6,280 | 7.5× |
| Electrophysiology Evaluation (93642) | $12,389 | $12,389 | 10.4× |
| Emergency Dept Visit Level 2 (99282) | $1,037 | $1,037 | 6.9× |
| Emergency Dept Visit Level 3 (99283) | $1,711 | $1,711 | 6.4× |
| Emergency Dept Visit Level 4 (99284) | $2,289 | $2,289 | 5.6× |
| 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× |
| Er level 1 (99281) | $398 | $398 | 4.8× |
| Er level v (99285) | $2,882 | $2,882 | 5.0× |
| Esophageal Capsule Endoscopy (91111) | $8,320 | $8,320 | 9.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $7,835 | $7,835 | 21.5× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $5,900 | $5,900 | 16.2× |
| Evaluate Speech Production (92522) | $1,019 | $1,019 | 9.1× |
| Evaluate Swallowing Function (92610) | $873 | $873 | 10.3× |
| 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× |
| Extracranial Bilat Study (93880) | $3,943 | $3,943 | 16.9× |
| Extracranial Uni/Ltd Study (93882) | $1,491 | $1,491 | 14.6× |
| 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× |
| 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 Procedure W/ Phys/Qhp Evaluation (90935) | $2,054 | $2,054 | 3.1× |
| Holter monitor recording (93225) | $1,148 | $1,148 | 8.8× |
| Immunization administration (90471) range across 2 matching MRF lines |
$91–$96 | $91–$96 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (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) range across 3 matching MRF lines |
$218–$965 | $218–$965 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 3 matching MRF lines |
$921–$965 | $921–$965 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$370–$394 | $370–$394 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$218–$248 | $218–$248 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$459–$528 | $459–$528 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $2,746 | $2,746 | 13.0× |
| Methacholine challenge (94070) | $4,079 | $4,079 | 11.2× |
| Motility study esophagus (91010) | $7,347 | $7,347 | 20.2× |
| Motion Fluoroscopy/Swallow (92611) | $1,019 | $1,019 | 11.1× |
| Muscle Test 2 Limbs (95861) | $1,807 | $1,807 | 13.9× |
| Muscle Test Nonparaspinal (95870) | $714 | $714 | 5.5× |
| Muscle Test One Limb (95860) | $1,143 | $1,143 | 8.8× |
| Nasopharyngoscopy (92511) | $798 | $798 | 4.1× |
| Needle Electromyography Cranial Nrv Muscle Uni (95867) | $771 | $771 | 3.7× |
| Nerve Conduction Studies 1-2 Studies (95907) | $1,004 | $1,004 | 4.8× |
| 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× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $529 | $529 | 4.2× |
| Neuromuscular Reeducation (97112) | $276 | $276 | 8.4× |
| Newborn resuscitation (99465) | $1,620 | $1,620 | 2.5× |
| Oral Function Therapy (92526) | $406 | $406 | 4.8× |
| Oral Speech Device Eval (92597) | $769 | $769 | 10.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $337 | $337 | 7.3× |
| Ot eval high complexity (97167) | $1,270 | $1,270 | 12.6× |
| Ot Eval Low Complex (97165) | $763 | $763 | 7.6× |
| Ot Eval Moderate Complexity (97166) | $1,019 | $1,019 | 10.1× |
| Ot manual therapy 15 min (97140) | $458 | $458 | 16.5× |
| Ot paraffin bath (97018) | $225 | $225 | 37.4× |
| Ot Re-Eval Est Plan Care (97168) | $445 | $445 | 6.5× |
| Ot rom hand (95852) | $337 | $337 | 15.8× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $640 | $640 | 5.1× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $567 | $567 | 2.7× |
| Peripheral arterial disease rehab per session (93668) | $322 | $322 | 5.6× |
| 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 Eval High Complex (97163) | $1,270 | $1,270 | 13.0× |
| Pt eval low complex 20 min (97161) | $763 | $763 | 7.8× |
| Pt Eval Mod Complex (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 mechanical traction (97012) | $623 | $623 | 43.4× |
| Pt Re-Eval Est Plan Care (97164) | $445 | $445 | 6.6× |
| Pulm function test by gas (94727) | $683 | $683 | 3.2× |
| Pulmonary Stress Testing (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 (93270) | $845 | $845 | 23.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $228 | $228 | 4.0× |
| 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 Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $337 | $337 | 12.9× |
| Self Care Mngment Training (97535) | $319 | $319 | 9.8× |
| 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× |
| 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 Tte Only (93350) | $7,286 | $7,286 | 13.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$181–$337 | $181–$337 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$181–$337 | $181–$337 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 5 matching MRF lines |
$120–$200 | $120–$200 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$970–$1,108 | $970–$1,108 | varies |
| Therapeutic Activities (97530) | $337 | $337 | 9.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,505 | $2,505 | 6.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $160 | $160 | 4.4× |
| 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/Pro/Dx Inj New Drug Addon (96375) range across 5 matching MRF lines |
$258–$389 | $258–$389 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $2,492 | $2,492 | 19.2× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $2,907 | $2,907 | 13.8× |
| Veeg 2-12 hr intmt mntr (95712) | $2,172 | $2,172 | 6.0× |
| Veeg 2-12 hr unmonitored (95711) | $2,172 | $2,172 | 10.3× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $4,171 | $4,171 | 11.5× |
| Veeg ea 12-26hr cont mntr (95716) | $7,812 | $7,812 | 9.3× |
| 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× |
| Whirlpool Therapy (97022) | $484 | $484 | 30.8× |
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.