Supplies, drugs & other prices at Anna Jaques Hospital

Newburyport, MA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,762 $2,762 2.9×
2d tte w or w/o fol w/con,fu (C8924) $2,399 $2,399 5.7×
3d anat seg imaging preop (C8001) $485 $485 3.1×
3d bn img algor drvd fr mri (G0566) $485 $485 3.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $9,136 $9,136 3.9×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,707 $19,707 1.9×
Admin influenza virus vac (G0008) $131 $131 2.3×
Annual alcohol screen 15 min (G0442) $85 $85 1.9×
Antibody treponema pallidum total & rpr ia qual (0064U) $97 $97 3.1×
Ascvd rsk mng clin stf pr mo (G0538) $288 $288 2.4×
Behavior counsel obesity 15m (G0447) $288 $288 2.4×
Brief alcohol misuse counsel (G0443) $330 $330 2.7×
Ca screen;flexi sigmoidscope (G0104) $2,831 $2,831 2.5×
Ca screen;pelvic/breast exam (G0101) $330 $330 2.7×
Colon ca scrn not hi rsk ind (G0121) $1,902 $1,902 1.7×
Colorectal scrn; hi risk ind (G0105) $1,902 $1,902 1.7×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $617 $617 2.6×
Covid-19 lab test non-cdc (U0002) $159 $159 3.1×
Cysto, litho, vacuum kidney (C9761) $27,741 $27,741 2.4×
Depression screen annual (G0444) $92 $92 2.0×
Diab manage trn per indiv (G0108) $210 $210 3.8×
Diab manage trn ind/group (G0109) $115 $115 7.2×
Direct refer hospital observ (G0379) $1,900 $1,900 2.7×
Drug test def 1-7 classes (G0480) $800 $800 7.0×
Drug test def 8-14 classes (G0481) $470 $470 3.0×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $6,758 $6,758 2.9×
Egd flexible transnasal w/biopsy single/multiple (0653T) $5,629 $5,629 2.4×
Egd flexible transnasal w/insj intral tube/cath (0654T) $11,813 $11,813 2.6×
Endo outlet restrict w/tube (C9785) $37,092 $37,092 2.9×
Fecal blood scrn immunoassay (G0328) $47 $47 2.6×
Fecal microbiota prep instil (G0455) $2,831 $2,831 2.5×
Flt3 gene itd variants quan (0046U) $1,265 $1,265 3.1×
Group mnt 2 or more 30 mins (G0271) $37 $37 2.2×
Hbot, full body chamber, 30m (G0277) $528 $528 3.2×
Home sleep test/type 3 porta (G0399) $485 $485 1.9×
Hpv combo assay ca screen (G0476) $109 $109 3.1×
Insertion wrls car stimulator lv pacg compl sys (0515T) $79,969 $79,969 3.0×
Interrog dev eval impl ccm-d system in person (0927T) $116 $116 2.6×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $30,453 $30,453 2.4×
Mnt subs tx for change dx (G0270) $170 $170 5.4×
N-invs det hrt fail aug echo (0932T) $932 $932 2.5×
Neuro csf prion prtn qual (0035U) $1,681 $1,681 3.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,239 $1,239 2.3×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Non-Facility Physician (0049U) $12,650 $12,650 31.0×
Obtaining screen pap smear (Q0091) $73 $73 2.1×
Oth resp proc, group (G0239) $159 $159 3.6×
Pathogen test for platelets (P9100) $112 $112 1.6×
Pef bronch ablt 3d nav ebus (C8005) $11,646 $11,646 0.6×
Perc d-e cor revasc chro sin (C9607) $63,974 $63,974 2.9×
Perc d-e cor revasc t cabg s (C9604) $35,213 $35,213 2.5×
Perc d-e cor stent ather s (C9602) $63,974 $63,974 2.9×
Perc drug-el cor stent sing (C9600) $35,213 $35,213 2.5×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,704 $17,704 1.3×
Ppps, subseq visit (G0439) $32 $32 0.2×
Pre 3d mdl w/ccta and/or mri (C9793) $3,159 $3,159 3.1×
Programming device eval impl ccm-d sys in person (0926T) $116 $116 2.6×
Prostate biopsy, any mthd (G0416) $972 $972 2.3×
Psa screening (G0103) $84 $84 4.4×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $401 $401 2.5×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $116 $116 2.6×
Revasc intra lithotrip-stent (C9765) $53,870 $53,870 2.5×
Revasc intravasc lithotripsy (C9764) $10,281 $10,281 0.7×
Revasc lithotrip tibi/perone (C9772) $40,403 $40,403 2.9×
Risk ascvd tst once pr 12 mo (G0537) $92 $92 2.0×
Rpr intst excl anrect fist (C9796) $8,227 $8,227 2.5×
Sim ang w/prs cath rad emb (C8004) $35,213 $35,213 2.5×
Software meas of cardiac vol (G0183) $273 $273 2.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $59,215 $59,215 2.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $59,215 $59,215 2.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $17,704 $17,704 2.6×
Tee w or w/o fol w/cont,cong (C8926) $2,762 $2,762 2.9×
Transcatheter Renal Sympath Denervation Bilat (0339T) $17,704 $17,704 2.6×
Transcatheter renal sympath denervation unilat (0338T) $17,704 $17,704 2.6×
Trauma respons w/hosp criti (G0390) $2,473 $2,473 1.5×
Trim nail(s) (G0127) $227 $227 3.2×
Tte w or w/o contr, cont ecg (C8930) $2,762 $2,762 2.9×
Tte w or w/o fol w/con,stres (C8928) $2,484 $2,484 2.6×
Tte w or wo fol wcon,doppler (C8929) $2,399 $2,399 2.6×
Unsched dialysis esrd pt hos (G0257) $2,224 $2,224 2.7×
Visit to determ ldct elig (G0296) $288 $288 2.4×