Supplies, drugs & other prices at Beth Israel Deaconess Hospital–Plymouth

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

76 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) $2,369 $2,369 2.5×
2d tte w or w/o fol w/con,fu (C8924) $737 $737 1.8×
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) $13,628 $13,628 5.8×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,707 $19,707 1.9×
Admin influenza virus vac (G0008) $119 $119 2.1×
Annual alcohol screen 15 min (G0442) $85 $85 1.9×
Antibody treponema pallidum total & rpr ia qual (0064U) $117 $117 3.7×
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) $2,489 $2,489 2.2×
Colorectal scrn; hi risk ind (G0105) $2,536 $2,536 2.3×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $617 $617 2.6×
Covid-19 lab test non-cdc (U0002) $139 $139 2.7×
Cysto, litho, vacuum kidney (C9761) $27,741 $27,741 2.4×
Depression screen annual (G0444) $92 $92 2.0×
Direct refer hospital observ (G0379) $2,042 $2,042 2.9×
Drug test def 1-7 classes (G0480) $772 $772 6.7×
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) $67 $67 3.7×
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) $59 $59 3.5×
Hbot, full body chamber, 30m (G0277) $364 $364 2.2×
Home sleep test/type 3 porta (G0399) $482 $482 1.9×
Hpv combo assay ca screen (G0476) $132 $132 3.8×
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) $123 $123 2.7×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $30,453 $30,453 2.4×
Mnt subs tx for change dx (G0270) $112 $112 3.5×
N-invs det hrt fail aug echo (0932T) $932 $932 2.5×
Neuro csf prion prtn qual (0035U) $1,680 $1,680 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) $126 $126 0.3×
Obtaining screen pap smear (Q0091) $73 $73 2.1×
Pathogen test for platelets (P9100) $178 $178 2.5×
Pef bronch ablt 3d nav ebus (C8005) $16,385 $16,385 0.8×
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) $27,671 $27,671 2.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,704 $17,704 1.3×
Ppps, subseq visit (G0439) $29 $29 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) $123 $123 2.7×
Prostate biopsy, any mthd (G0416) $1,117 $1,117 2.6×
Psa screening (G0103) $199 $199 10.3×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $401 $401 2.5×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $123 $123 2.7×
Revasc intra lithotrip-stent (C9765) $53,870 $53,870 2.5×
Revasc intravasc lithotripsy (C9764) $14,330 $14,330 1.0×
Revasc lithotrip tibi/perone (C9772) $40,403 $40,403 2.9×
Risk ascvd tst once pr 12 mo (G0537) $111 $111 2.5×
Rpr intst excl anrect fist (C9796) $8,969 $8,969 2.7×
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) $2,453 $2,453 2.6×
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) $4,050 $4,050 2.5×
Trim nail(s) (G0127) $213 $213 3.0×
Tte w or w/o contr, cont ecg (C8930) $2,453 $2,453 2.6×
Tte w or w/o fol w/con,stres (C8928) $2,398 $2,398 2.6×
Tte w or wo fol wcon,doppler (C8929) $2,394 $2,394 2.5×
Visit to determ ldct elig (G0296) $302 $302 2.5×