Supplies, drugs & other prices at Cooley Dickinson Hospital

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

21 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) $639.75 $853 1.5×
Admin hepatitis b vaccine (G0010) $19.12 $25.50 0.3×
Admin influenza virus vac (G0008) $57.75 $77 1.0×
Ca screen;flexi sigmoidscope (G0104) $1,158 $1,544 1.0×
Colon ca scrn not hi rsk ind (G0121) $1,158 $1,544 1.0×
Colorectal scrn; hi risk ind (G0105) $1,158 $1,544 1.0×
Ig paraprotein qual bld/ur (0077U) $78.75 $105 1.8×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $883.50 $1,178 7.2×
Mra w/o cont, abd (C8901) $1,286.25 $1,715 4.5×
Mra w/o cont, chest (C8910) $1,315.50 $1,754 4.6×
Mra w/o fol w/cont, abd (C8902) $2,061.75 $2,749 4.9×
Mra w/o fol w/cont, chest (C8911) $2,111.25 $2,815 5.0×
Mra, w/dye, spinal canal (C8931) $1,739.25 $2,319 4.2×
Mri w/o fol w/cont, breast, (C8908) $3,317.25 $4,423 7.9×
Mri w/o fol w/cont, brst, un (C8905) $3,303.75 $4,405 7.9×
Pemivibart infusion (M0224) $987.75 $1,317 1.9×
Psa screening (G0103) $111 $148 5.7×
Scr c/v cyto,thinlayer,rescr (G0145) $159 $212 6.0×
Screen cerv/vag thin layer (G0123) $120 $160 5.9×
Tte w or w/o fol w/con,stres (C8928) $1,340.25 $1,787 1.4×
Tte w or wo fol wcon,doppler (C8929) $1,410 $1,880 1.5×