Supplies, drugs & other prices at Page Memorial Hospital
Luray, VA · every code in this section with a posted price and a Medicare benchmark.
38 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $81.20 | $116 | 2.3× |
| Admin hepatitis b vaccine (G0010) | $34.30 | $49 | 0.8× |
| Admin influenza virus vac (G0008) | $34.30 | $49 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $34.30 | $49 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $93.10 | $133 | 1.8× |
| Diab manage trn per indiv (G0108) | $81.90 | $117 | 1.5× |
| Diab manage trn ind/group (G0109) | $65.10 | $93 | 4.1× |
| Direct refer hospital observ (G0379) | $430.50 | $615 | 0.7× |
| Drug test def 1-7 classes (G0480) | $186.20 | $266 | 1.6× |
| Drug test def 15-21 classes (G0482) | $296.80 | $424 | 1.5× |
| Drug test def 22+ classes (G0483) | $383.60 | $548 | 1.6× |
| Drug test def 8-14 classes (G0481) | $218.40 | $312 | 1.4× |
| Elec stim other than wound (G0283) | $58.10 | $83 | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $15.40 | $22 | 0.9× |
| Home sleep test/type 3 porta (G0399) | $280.70 | $401 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) | $570.50 | $815 | 0.8× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $277.20 | $396 | 2.3× |
| Liver Dis 10 Assays W/Nash (0003M) | $585.90 | $837 | 1.2× |
| Mra w/cont, lwr ext (C8912) | $1,397.90 | $1,997 | 4.1× |
| Mra w/o cont, lwr ext (C8913) | $1,169.70 | $1,671 | 5.0× |
| Mra w/o fol w/cont, abd (C8902) | $3,298.40 | $4,712 | 9.7× |
| Mra w/o fol w/cont, chest (C8911) | $3,298.40 | $4,712 | 9.7× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,915.80 | $5,594 | 11.5× |
| Mra, w/dye, upper extremity (C8934) | $1,724.10 | $2,463 | 5.1× |
| Mra, w/o dye, upper extr (C8935) | $1,436.40 | $2,052 | 6.2× |
| Neuro csf prion prtn qual (0035U) | $775.60 | $1,108 | 1.4× |
| Oth resp proc, group (G0239) | $95.90 | $137 | 2.6× |
| Oth resp proc, indiv (G0238) | $72.10 | $103 | 2.6× |
| Pathogen test for platelets (P9100) | $49 | $70 | 0.9× |
| Prostate biopsy, any mthd (G0416) | $2,342.20 | $3,346 | 6.7× |
| Psa screening (G0103) | $170.10 | $243 | 8.8× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $1,216.60 | $1,738 | 5.2× |
| Quan MRI alys brn w/o dx MRI (0865T) | $1,216.60 | $1,738 | 5.2× |
| Screen pap by tech w md supv (P3000) | $56 | $80 | 3.0× |
| Therapeutic procd strg endur (G0237) | $77 | $110 | 2.7× |
| Tomosynthesis, mammo (G0279) | $88.55 | $126.50 | 7.0× |
| Trim nail(s) (G0127) | $170.80 | $244 | 3.0× |
| Tte w or wo fol wcon,doppler (C8929) | $2,562 | $3,660 | 3.3× |