Supplies, drugs & other prices at Baystate Noble Hospital
Westfield, MA · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 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× |
| Catheterize for urine spec (P9612) | $35 | $35 | 3.7× |
| Chemo extend iv infus w/pump (G0498) | $1,323 | $1,323 | 3.3× |
| Drug test def 1-7 classes (G0480) | $245 | $245 | 2.1× |
| Drug test def 8-14 classes (G0481) | $218 | $218 | 1.4× |
| Elec stim other than wound (G0283) | $122 | $122 | 9.6× |
| Fern test (Q0114) | $24 | $24 | 2.5× |
| Home sleep test/type 3 porta (G0399) | $999 | $999 | 3.9× |
| Hospital outpt clinic visit (G0463) | $314 | $314 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $2,168 | $2,168 | 2.6× |
| 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, 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/o&w/dye, spinal canal (C8933) | $2,891 | $2,891 | 6.9× |
| Neuro csf prion prtn qual (0035U) | $781 | $781 | 1.4× |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $448 | $448 | 1.4× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $448 | $448 | 1.4× |
| Oth resp proc, group (G0239) | $344.50 | $344.50 | 7.7× |
| Oth resp proc, indiv (G0238) | $149.31 | $149.31 | 4.3× |
| Prostate biopsy, any mthd (G0416) | $245 | $245 | 0.6× |
| Psa screening (G0103) | $110 | $110 | 5.7× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $126 | $126 | 4.8× |
| Screen cerv/vag thin layer (G0123) | $108 | $108 | 5.3× |
| Therapeutic procd strg endur (G0237) | $165.10 | $165.10 | 4.8× |
| Tomosynthesis, mammo (G0279) | $162.75 | $162.75 | 12.8× |
| 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 w/o fol w/cont, f/u (C8922) | $1,507 | $1,507 | 1.6× |
| 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× |