Supplies, drugs & other prices at Baystate Medical Center
Springfield, MA · every code in this section with a posted price and a Medicare benchmark.
77 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,977 | $1,977 | 2.1× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,101.33 | $1,101.33 | 2.6× |
| Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) | $8,656.03 | $8,656.03 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $119 | $119 | 2.1× |
| Admin influenza virus vac (G0008) | $119 | $119 | 2.1× |
| Admin pneumococcal vaccine (G0009) | $119 | $119 | 2.1× |
| Alcohol/subs interv 15-30mn (G0396) | $79.30 | $79.30 | 1.8× |
| Alcohol/subs interv >30 min (G0397) | $203 | $203 | 1.0× |
| Autolog prp not diab ulcer (G0460) | $3,680 | $3,680 | 1.5× |
| Ca screen;pelvic/breast exam (G0101) | $204.89 | $204.89 | 1.7× |
| Care manage beh svs 20mins (G0323) | $35.38 | $35.38 | 0.8× |
| Catheterize for urine spec (P9612) | $31 | $31 | 3.3× |
| Chemo extend iv infus w/pump (G0498) | $1,323 | $1,323 | 3.3× |
| Diab manage trn per indiv (G0108) | $176.85 | $176.85 | 3.2× |
| Diab manage trn ind/group (G0109) | $85 | $85 | 5.3× |
| Drug test def 1-7 classes (G0480) | $255 | $255 | 2.2× |
| Drug test def 8-14 classes (G0481) | $220 | $220 | 1.4× |
| Elec stim other than wound (G0283) | $122 | $122 | 9.6× |
| Electrophysiological eval icds w/ss electrode (0577T) | $1,999 | $1,999 | 1.4× |
| Fern test (Q0114) | $32 | $32 | 3.3× |
| Hbot, full body chamber, 30m (G0277) | $650 | $650 | 3.9× |
| Home sleep test/type 3 porta (G0399) | $999 | $999 | 3.9× |
| Hopd mntl hlt, 15-29 min (C7900) | $232.27 | $232.27 | 5.2× |
| Hopd mntl hlt, 30-60 min (C7901) | $326 | $326 | 2.7× |
| Hospital outpt clinic visit (G0463) | $331.95 | $331.95 | 2.1× |
| Initial preventive exam (G0402) | $248.30 | $248.30 | 1.6× |
| Inj for sacroiliac jt anesth (G0260) | $2,596.05 | $2,596.05 | 3.1× |
| Insertion of substernal implantable defibrillator electrode (0572T) | $6,227.55 | $6,227.55 | 0.6× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) likely a partial charge, not the full procedure |
$7,782.75 | $7,782.75 | 0.2× |
| Liver Dis 10 Assays W/Nash (0003M) | $638 | $638 | 1.3× |
| Mra w/cont, abd (C8900) | $3,120 | $3,120 | 7.5× |
| Mra w/cont, chest (C8909) | $3,189.46 | $3,189.46 | 7.6× |
| Mra w/cont, lwr ext (C8912) | $4,173 | $4,173 | 10.0× |
| Mra w/cont, pelvis (C8918) | $3,189.46 | $3,189.46 | 7.6× |
| Mra w/o cont, abd (C8901) | $3,120 | $3,120 | 10.9× |
| Mra w/o cont, chest (C8910) | $3,189.46 | $3,189.46 | 11.2× |
| Mra w/o cont, lwr ext (C8913) | $4,173 | $4,173 | 14.6× |
| Mra w/o cont, pelvis (C8919) | $3,189.46 | $3,189.46 | 11.2× |
| Mra w/o fol w/cont, abd (C8902) | $3,120 | $3,120 | 7.5× |
| Mra w/o fol w/cont, chest (C8911) | $3,189.46 | $3,189.46 | 7.6× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,189.46 | $3,189.46 | 7.6× |
| Mra, w/dye, upper extremity (C8934) | $2,838 | $2,838 | 6.8× |
| Mra, w/o&w/dye, spinal canal (C8933) | $2,891 | $2,891 | 6.9× |
| Neuro csf prion prtn qual (0035U) | $787 | $787 | 1.5× |
| Obtaining screen pap smear (Q0091) | $89 | $89 | 2.6× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $451 | $451 | 1.4× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $451 | $451 | 1.4× |
| Oth resp proc, group (G0239) | $270 | $270 | 6.0× |
| Oth resp proc, indiv (G0238) | $149.31 | $149.31 | 4.3× |
| Perc d-e cor revasc chro sin (C9607) | $17,086.65 | $17,086.65 | 0.8× |
| Perc d-e cor revasc t cabg s (C9604) | $15,459.35 | $15,459.35 | 1.1× |
| Perc d-e cor stent ather s (C9602) | $26,732.05 | $26,732.05 | 1.2× |
| Perc drug-el cor stent sing (C9600) | $15,459.35 | $15,459.35 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $11,473 | $11,473 | 0.8× |
| Potassium hydroxide preps (Q0112) | $42 | $42 | 7.2× |
| Ppps, initial visit (G0438) | $283.50 | $283.50 | 1.6× |
| Ppps, subseq visit (G0439) | $167.20 | $167.20 | 1.2× |
| Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0575T) | $462 | $462 | 10.3× |
| Prostate biopsy, any mthd (G0416) | $662 | $662 | 1.5× |
| Psa screening (G0103) | $84 | $84 | 4.4× |
| Removal of substernal implantable defibrillator electrode (0573T) | $4,613 | $4,613 | 1.0× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $4,613 | $4,613 | 1.0× |
| Revasc intra lithotrip-stent (C9765) | $21,324.68 | $21,324.68 | 1.0× |
| Revasc intravasc lithotripsy (C9764) | $11,290.05 | $11,290.05 | 0.8× |
| Revasc lithotrip tibi/perone (C9772) | $16,093.95 | $16,093.95 | 1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $119 | $119 | 4.5× |
| Screen cerv/vag thin layer (G0123) | $100 | $100 | 4.9× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $19,151 | $19,151 | 2.8× |
| Therapeutic procd strg endur (G0237) | $165.10 | $165.10 | 4.8× |
| Tomosynthesis, mammo (G0279) | $162.75 | $162.75 | 12.8× |
| Trauma respons w/hosp criti (G0390) | $5,022 | $5,022 | 3.1× |
| Tte w or w/o fol w/con,stres (C8928) | $1,705.20 | $1,705.20 | 1.8× |
| Tte w or w/o fol w/cont, com (C8921) | $1,907 | $1,907 | 2.0× |
| Tte w or wo fol wcon,doppler (C8929) | $2,010 | $2,010 | 2.1× |
| Unsched dialysis esrd pt hos (G0257) | $1,639 | $1,639 | 2.0× |
| Ven blood coll snf/hha (G0471) | $16 | $16 | 1.4× |
| Wet mounts/ w preparations (Q0111) | $42 | $42 | 2.3× |