Supplies, drugs & other prices at Boston Medical Center Brighton

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $16.16 $35.92 0.5×
2d tte w or w/o fol w/con,fu (C8924) $655.13 $1,455.84 1.6×
Air displacement plethysmography, whole-body composition assessment, with interpretation and report (1002T) $19.80 $44 0.6×
Alternating electric fields dosimetry and delivery-simulation modeling, creation and selection of patient-specific… (1025T) $90.90 $202 0.6×
Annual alcohol screen 15 min (G0442) $20.34 $45.20 0.5×
Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) $8,655.30 $19,234 0.6×
Behavior counsel obesity 15m (G0447) $46.55 $103.45 0.4×
Brief alcohol misuse counsel (G0443) $46.55 $103.45 0.4×
Ca screen;pelvic/breast exam (G0101) $92.41 $205.36 0.8×
Care manage serv, pr cal mo (G0570) $25.65 $57 0.6×
Catheterize for urine spec (P9612) $4.09 $9.09 0.4×
Cbc without platelet (G0307) $10.69 $23.76 1.7×
Cbc/diffwbc w/o platelet (G0306) $12.86 $28.57 1.7×
Colorectal scrn; hi risk ind (G0105) $627.30 $1,394 0.6×
Computerized ophthalmic analysis of monocular eye movements using retinal-based eye-tracking without spatial… (1010T) $90 $200 0.6×
Covid-19 lab test non-cdc (U0002) $23.09 $51.31 0.5×
Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) $6,381.90 $14,182 0.6×
Depression screen annual (G0444) $20.34 $45.20 0.5×
Diab manage trn per indiv (G0108) $68.45 $152.11 1.2×
Diab manage trn ind/group (G0109) $39.82 $88.48 2.5×
Direct refer hospital observ (G0379) $957.65 $2,128.11 1.3×
Drug test def 1-7 classes (G0480) $153.32 $340.70 1.3×
Ekg tracing for initial prev (G0404) $29.76 $66.14 0.9×
Elec alys impl s-sclp cont bi EEG sys prgrmg 1st (1005T) $64.35 $143 0.6×
Elec alys impl s-sclp cont bi EEG sys w/o prgrmg (1004T) $90 $200 0.6×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1018T) $25.20 $56 0.6×
Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration,… (1017T) $40.05 $89 0.6×
Fecal blood scrn immunoassay (G0328) $26.32 $58.48 1.5×
Fern test (Q0114) $4.38 $9.74 0.5×
Hbot, full body chamber, 30m (G0277) $253.12 $562.49 1.5×
Hep c screen high risk/other (G0472) $20.86 $46.35 0.5×
Hepb screen high risk indiv (G0499) $12.72 $28.27 0.5×
High inten beh couns std 30m (G0445) $46.55 $103.45 0.4×
Hiv combination assay (G0475) $39.83 $88.51 1.7×
Home sleep test/type 3 porta (G0399) $87.31 $194.02 0.3×
Hpv combo assay ca screen (G0476) $58.06 $129.01 1.7×
Iliac Atherectomy (0238T) $12,365.35 $27,478.55 0.6×
Initial preventive exam (G0402) $179.08 $397.95 1.1×
Inj for sacroiliac jt anesth (G0260) $1,008.39 $2,240.87 1.2×
Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) $1,556.10 $3,458 0.6×
Int psych care mng, 1 cal mo (G0568) $68.85 $153 0.6×
Intens behave ther cardio dx (G0446) $20.34 $45.20 0.5×
Laparoscopic revision or removal, lower esophageal sphincter neurostimulator electrodes (1014T) $7,511.85 $16,693 0.6×
Laparoscopy, surgical, implantation or replacement of lower esophageal sphincter neurostimulator electrode array and… (1013T) $13,078.35 $29,063 0.6×
Lymphovenous bypass, including robotic assistance, when performed, per extremity (1019T) $4,476.60 $9,948 0.6×
Mnt subs tx for change dx (G0270) $19.18 $42.63 0.6×
Motorized ab interno trephination of sclera (sclerostomy), or trabecular meshwork (trabeculostomy), 1 or more,… (1012T) $2,786.85 $6,193 0.6×
N-invas assmt car rsk augmnt sw alys fat w/CT (0993T) $161.10 $358 0.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $344.71 $766.03 0.6×
Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) $161.10 $358 0.6×
Obtaining screen pap smear (Q0091) $26.12 $58.04 0.8×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $111.83 $248.51 0.5×
Perc d-e cor revasc t cabg s (C9604) $12,725.78 $28,279.52 0.9×
Perc d-e cor stent ather s (C9602) $20,656.16 $45,902.57 0.9×
Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) $20,758.11 $46,129.14 1.3×
Potassium hydroxide preps (Q0112) $2.62 $5.83 0.5×
Pr active thoracic irrigation separate procedure (1021T) $423 $940 0.6×
Prostate biopsy, any mthd (G0416) $362.32 $805.15 0.8×
Psa screening (G0103) $32.86 $73.03 1.7×
Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis… (1020T) $40.05 $89 0.6×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $90 $200 0.6×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$9,417.71 $20,928.24 0.4×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$9,417.71 $20,928.24 0.4×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) $2,357.10 $5,238 0.6×
Revision or removal, lower esophageal sphincter neurostimulator pulse generator or receiver (1015T) $2,357.10 $5,238 0.6×
Screen cerv/vag thin layer (G0123) $33.51 $74.47 1.7×
Subs psych care mng, subs mo (G0569) $68.85 $153 0.6×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
unusually low: confirm this is the full procedure
$5,892.34 $13,094.08 0.4×
Trim nail(s) (G0127) $87.12 $193.61 1.2×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$5,892.34 $13,094.08 0.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$5,709.47 $12,687.72 0.4×
Unsched dialysis esrd pt hos (G0257) $942.75 $2,095 1.1×
Wet mounts/ w preparations (Q0111) $8.19 $18.19 0.4×