Supplies, drugs & other prices at Boston Medical Center South

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

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

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ProcedureCash priceGross charge× Medicare
2d tte w or w/o fol w/con,fu (C8924) $595.87 $1,324.15 1.4×
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×
Arthroplasty, first carpometacarpal joint, with distal trapezial and proximal first metacarpal prosthetic replacement… (1003T) $8,655.30 $19,234 0.6×
Care manage serv, pr cal mo (G0570) $25.65 $57 0.6×
Cbc without platelet (G0307) $9.18 $20.39 1.4×
Cbc/diffwbc w/o platelet (G0306) $11.03 $24.51 1.4×
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×
Cystourethroscopy, with low-energy lithotripsy and acoustically actuated microspheres, including imaging (0991T) $6,381.90 $14,182 0.6×
Diab manage trn per indiv (G0108) $61.20 $136 1.1×
Direct refer hospital observ (G0379) $901.30 $2,002.88 1.3×
Drug test def 1-7 classes (G0480) $78.97 $175.49 0.7×
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) $22.59 $50.19 1.3×
Hbot, full body chamber, 30m (G0277) $262.85 $584.11 1.6×
Hiv combination assay (G0475) $34.19 $75.97 1.4×
Home sleep test/type 3 porta (G0399) $87.31 $194.02 0.3×
Hpv combo assay ca screen (G0476) $49.83 $110.73 1.4×
Inj for sacroiliac jt anesth (G0260) $98.06 $217.90 0.1×
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×
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×
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×
Noninvasive assessment of cardiac risk derived from augmentative software analysis of perivascular fat without… (0992T) $161.10 $358 0.6×
Perc d-e cor revasc t cabg s (C9604) $11,845.55 $26,323.45 0.9×
Perc d-e cor stent ather s (C9602) $18,139.05 $40,309 0.8×
Pr active thoracic irrigation separate procedure (1021T) $423 $940 0.6×
Prostate biopsy, any mthd (G0416) $293.72 $652.70 0.7×
Psa screening (G0103) $27.82 $61.81 1.4×
Raman spectroscopy of 1 or more skin lesions, with probability score for malignant risk derived by algorithmic analysis… (1020T) $40.05 $89 0.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $972 $2,160 1.4×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $90 $200 0.6×
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) $28.77 $63.93 1.4×
Subs psych care mng, subs mo (G0569) $68.85 $153 0.6×
Tomosynthesis, mammo (G0279) $31.60 $70.21 2.5×
Trauma respons w/hosp criti (G0390) $2,058.21 $4,573.79 1.3×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$5,751.43 $12,780.95 0.4×
Unsched dialysis esrd pt hos (G0257) $931.94 $2,070.97 1.1×