Supplies, drugs & other prices at Emerson Hospital

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

40 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) $2,085 $2,780 2.2×
2d tte w or w/o fol w/con,fu (C8924) $1,341 $1,788 3.2×
Admin hepatitis b vaccine (G0010) $31.50 $42 0.6×
Admin influenza virus vac (G0008) $129 $172 2.3×
Admin pneumococcal vaccine (G0009) $129 $172 2.3×
Arthro/shoul surg; w/spacer (C9781) $22,015.50 $29,354 1.4×
Ca screen;flexi sigmoidscope (G0104) $484.50 $646 0.4×
Colon ca scrn not hi rsk ind (G0121) $1,744.50 $2,326 1.6×
Colorectal scrn; hi risk ind (G0105) $1,744.50 $2,326 1.6×
Covid-19 lab test non-cdc (U0002) $39 $52 0.8×
Cysto impl 4 or more (C9740) $15,756 $21,008 1.4×
Cystoscopy prostatic imp 1-3 (C9739) $8,280 $11,040 1.3×
Demonstrate use home inr mon (G0248) $326.25 $435 2.0×
Hbot, full body chamber, 30m (G0277) $406.50 $542 2.5×
Ig paraprotein qual bld/ur (0077U) $97.50 $130 2.2×
Inj for sacroiliac jt anesth (G0260) $1,168.50 $1,558 1.4×
Liver Dis 10 Assays W/Nash (0003M) $1,065.26 $1,420.34 2.1×
Mra w/cont, abd (C8900) $1,954.50 $2,606 4.7×
Mra w/cont, lwr ext (C8912) $1,948.50 $2,598 4.7×
Mra w/o cont, lwr ext (C8913) $1,948.50 $2,598 6.8×
Mra w/o fol w/cont, abd (C8902) $1,954.50 $2,606 4.7×
Mra w/o fol w/cont, chest (C8911) $2,626.50 $3,502 6.3×
Mra w/o fol w/cont, lwr ext (C8914) $1,948.50 $2,598 4.7×
Mra w/o fol w/cont, pelvis (C8920) $1,434 $1,912 3.4×
Neuro csf prion prtn qual (0035U) $1,217.23 $1,622.97 2.3×
No pt prsnt train initial 30 (G0541) $270.75 $361 7.8×
Oth resp proc, indiv (G0238) $72.75 $97 2.1×
Perq Sacral Augmt Bilat Inj (0201T) $10,854.94 $14,473.25 1.2×
Perq Sacral Augmt Unilat Inj (0200T) $10,854.94 $14,473.25 1.2×
Prostate biopsy, any mthd (G0416) $915.75 $1,221 2.1×
Psa screening (G0103) $81 $108 4.2×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $729 $972 1.0×
Scr c/v cyto,thinlayer,rescr (G0145) $83.25 $111 3.1×
Screen cerv/vag thin layer (G0123) $95.25 $127 4.7×
Screen pap by tech w md supv (P3000) $59.25 $79 3.2×
Therapeutic procd strg endur (G0237) $98.25 $131 2.8×
Tte w or w/o contr, cont ecg (C8930) $2,646 $3,528 2.8×
Tte w or w/o fol w/con,stres (C8928) $2,646 $3,528 2.8×
Tte w or wo fol wcon,doppler (C8929) $1,699.50 $2,266 1.8×
Unsched dialysis esrd pt hos (G0257) $887.25 $1,183 1.1×