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Based on public Medicaid payment data.

Mountain States Health Alliance

Medicaid Provider in Lebanon, VA

Type

Organization

Address

58 Carroll St

Lebanon, VA 242664515

Phone

2768838000

NPI

1891973939

Procedures

18

Total Claims

203.2K

Patients Served

164.7K

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Blood Work & Lab Tests $4.21 87,165 68,425
Emergency Room Visit $140.73 47,217 40,663
X-Ray $9.84 17,393 15,013
Urinalysis & Urine Tests $0.57 16,994 14,801
EKG / ECG (Electrocardiogram) $1.91 7,863 5,926
CT Scan (Computed Tomography) $184.07 7,288 6,522
Prescription Medications $0.16 5,721 4,754
Physical Therapy $41.61 4,516 1,092
Culture & Microbiology Tests $0.65 3,851 3,468
Pulmonary Function Test $43.88 2,437 1,605
Mammogram $43.41 1,028 994
Office Visit $138.46 804 675
Vaccines & Immunizations $8.41 475 430
Echocardiogram $324.55 188 183
Ultrasound $93.06 144 131
Chemotherapy $127.43 50 30
MRI (Magnetic Resonance Imaging) $107.02 14 13
Sleep Study (Polysomnography) $399.99 13 12

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